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INTERNATIONAL STANDARD ISO 11196 First edition 1995-1 O-l 5 Anaesthetic gas monitors Dispositifs de con tr6le de gaz d ‘anesthksie Reference numbea ISO 11196:1995(E) iTeh STANDARD PREVIEW (standards.iteh.ai) ISO 11196:1995 https://standards.iteh.ai/catalog/standards/sist/00b348ac-da0f-4108-977b- 6b1c52dd89c5/iso-11196-1995

INTERNATIONAL ISO STANDARD 11196

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Page 1: INTERNATIONAL ISO STANDARD 11196

INTERNATIONAL STANDARD

ISO 11196

First edition 1995-1 O-l 5

Anaesthetic gas monitors

Dispositifs de con tr6le de gaz d ‘anesthksie

Reference numbea ISO 11196:1995(E)

iTeh STANDARD PREVIEW(standards.iteh.ai)

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ISO 11196:1995(E)

Contents

Section 1 General

1.1 Scope . . . . . . . . . . . . .

Page

1.2 Normative references . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..“..........~.“............. 1

1.3 Definitions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

1.4 General requirements and general requirements for tests . . . 4

1.5 Classification . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

1.6 Identification, marking and documents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

1.7 Power input . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

Section 2 Environmental conditions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

2.1

2.2

Basic safety categories ........................................................ 10

Removable protective means .............................................. IO

2.3 Environmental conditions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

Section 3 Protection against electric shock hazards .,............ 11

3.1 General ...................................................... ........................... 11

3.2 Requirements related to classification ...... ........................... 11

3.3 Limitation of voltage and/or energy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

3.4 Enclosures and protective covers . ...*.. ..*.............................. 11

3.5 Separation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

3.6 Protective earthing, functional earthing and potential equalization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..*............... 11

3.7 Continuous leakage current and Patient auxiliary currents . . 11

3.8 Dielectric strength ...... ............................. ............................. 11

Section 4 Protection against mechanical hazards . . . . . . . . . . . . . . . . . . 12

4.1 Mechanical strength . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

4.2 Moving Parts ........ ................................................................ 12

0 ISO 1995 All rights reserved. Unless otherwise specified. no part of this publication may be reproduced or utilized tn any form or by any means, electronie or mechanrcal, including photocopying and mrcrofilm, without permission in writing from the publisher.

International Organrzatlon for Standardization Case Postale 56 l CH-l 211 Geneve 20 l Switzerland

Pnnted rn Swrtzerland

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4.3 Surface, corners and edges . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

4.4 Stability in normal use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

4.5 Expelled Parts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

4.6 Vibration and noise . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

4.7 Pneumatic and hydraulic power . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

4.8 Suspended masses . . . . . . . . . . . . . ..*.............................................. 12

Section 5 Protection against hazards from unwanted or excessive radiation . . . . . . . . . ..*...............*.......................................... 13

5.1 X-radiation .*........................................................*.................. 13

5.2 Alpha, beta, gamma, neutron radiation and other particle radiation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

5.3 Microwave radiation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

5.4 Light radiation (including lasers) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

5.5 Infrared radiation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

5.6 Ultraviolet radiation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

5.7 Acoustical energy (including ultrasonics) . . . . . . . . . . . . . . . . . . . . . . . . . ..p. 13

5.8 Electromagnetit compatibility . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

Section 6 Protection against hazards of ignition of flammable anaesthetic mixtures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

6.1 Locations and basic requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

6.2 Marking, accompanying documents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

6.3 Common requirements for categories AP and APG equipment 14

6.4 Requirements and tests for category AP equipment, Parts and components . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

6.5 Requirements and tests for category APG equipment, Parts and components . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

Section 7 Protection against excessive temperatures and other safety hazards . . . . . . . . . . . . . . . . . . . . . ..“.................................... 15

7.1 Excessive temperatures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

7.2 Fire prevention ................................. .................................... 15

7.3 Overflow, spillage, leakage, humidity, ingress of liquids, cleaning, sterilization and disinfection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

7.4 Pressure vessels and Parts subject to pressure . . . . . . . . . . . . . . . . . a 15

7.5 Human errors “...................................,,........rn. . . . . . . . . . ..“...“..m....n 16

7.6 Electrostatic charges .......................................... .................. 16

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7.7 Materials in applied Parts in contact with body of Patient . . 16

7.8 Interruption of power supply ........................... ..................... 16

Section 8 Accuracy of operating data and protection against hazardous output ....................................................... 17

8.1 Accuracy of operating data .................................................. 17

8.2 Protection against hazardous output .................................... 17

Section 9 Abnormal Operation and fault conditions; environmental tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..*.......................................... 21

9.1 Abnormal Operation and fault conditions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

9.2 Environmental tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

Section 10 Constructional requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22

10.1 General . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22

10.2 Enclosures and covers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22

10.3 Components and general assembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22

10.4 Main park, components and layout . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22

10.5 Protective earthing - Terminals and connections . . . . . . . . . . . 22

10.6 Construction and layout . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22

Section 11 Additional requirements specific to anaesthetic gas monitors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..*............................*....... 23

11.1 Interfering gas and vapour effects tother than water vapour) 23

11.2 Obstruction of sampling tube . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23

11.3 Breathing System connections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24

11.4 Contamination of breathing Systems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24

Annexes

Ato L . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25

IM Test of anaesthetic agents for non-flammability . . . . . . . . . . . . . . . . . . . . . . . 26

N Rationale . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27

P Bibliography . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32

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Foreword

ISO (the International Organization for Standardization) is a worldwide federation of national Standards bodies (ISO member bodies). The work of preparing International Standards is normally carried out through ISO technical committees. Esch member body interested in a subject for which a technical committee has been established has the right to be represented on that committee. International organizations, governmental and non-governmental, in liaison with ISO, also take patt in the work. ISO collaborates closely with the International Electrotechnical Commission (IEC) on all matters of electrotechnical standardization.

Draft International Standards adopted by the technical committees are circulated to the member bodies for voting. Publication as an International Standard requires approval by at least 75 % of the member bodies casting a vote.

International Standard ISO 1 ‘l196 was prepared by Technical Committee ISO/TC 121, Anaesthetic and respiratory equipment, Subcommittee SC 1, Breathing attachments and anaesthetic machines.

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Introduction

The measurement of the concentration of inhalation anaesthetic gases is becoming common practice. This International Standard establishes re- quirements for anaesthetic gas monitors that are achievable within the limits of existing technology.

Calibration gases (i.e. gases with accurate molar concentrations of anaes- thetic agents) generated by gravimetric methods defined in ISO 6142 are directly traceable to national mass Standards.

Such gases may be used

d to calibrate anaesthetic gas monitors directly, or

b) to calibrate intermediate methods used to verify secondary calibration gases which are then used to calibrate anaesthetic gas monitors.

For example, such intermediate methods may be the use of refractometry, mass spectrometry, etc.

Annex N contains rationales for the most important requirements and is included to provide additional insight for the reasoning that led to the re- quirements and recommendations that have been incorporated in this International Standard.

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Anaesthetic gas monitors

Section 1: General

1.1 Scope

NOTE 1 See the rationale in annex N.

ISO 11196 is one of a series of International Standards based on IEC 601-1; in IEC 601-1 (the “General Standard”), this type of International Standard is referred to as a “Particular Standard”. As stated in 1.3 of IEC 601-1 :1988, the requirements of this International Standard take precedence over those of IEC 601-1.

The scope and Object given in clause 1 of IEC 601-1:1988 apply except that 1.1 shall be replaced by the following:

This International Standard specifies requirements for anaesthetic gas monitors intended for use in determining the anaesthetic vapour and/or gas IeveI(s) in breathing gas mixtures and/or fresh gas mixtures. Both diverting and non-diverting anaesthetic gas monitors are covered, irrespective of the measuring technology used. Also included are anaesthetic gas identifying monitors. The field of application includes monitoring Patient breathing mixtures, the output of anaesthesia workstations, and the output of vaporizers as well as anaesthesia Ventilators and breathing Systems.

Anaesthetic gas monitors intended for use in laboratory research, non-human applications or for calibration of an- aesthetic agent vaporizers are outside the scope of this International Standard.

Anaesthetic gases addressed in this International Standard include, but are not limited to, halothane, enflurane, isoflurane, sevoflurane, desflurane and nitrous Oxide.

1.2 Normative references

The following Standards contain provisions which, through reference in this text, constitute provisions of this International Standard. At the time of publication, the editions indicated were valid. All Standards are subject to revision, and Parties to agreements based on this International Standard are encouraged to investigate the possi- bility of applying the most recent editions of the Standards indicated below. Members of IEC and ISO maintain registers of currently valid International Standards.

ISO 32: 1977, Gas cylnders for medical use - Marking for identification of content.

ISO 4135: 1995, Anaesthesiology - Vocabulary.

ISO 5356-1 :1987, Anaesthetic and respiratory equipment - Conical connectors - Part 1: Cones and sockets.

ISO 5359: 1989, Low-pressure flexible connecting assemblies (hose assemblies) for use with medical gas sys tems.

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ISO 9703-1 :1992, Anaesthesia and respiratory care alarm Signals - Part 1: Visual alarm Signals.

ISO 9703-2: 1994, Anaesthesia and respiratory care alarm Signals - Part 2: Auditory alarm Signals.

IEC 79-3:1990, Electrical apparatus for explosive gas atmospheres - Part 3: Spark test apparatus for in trinsically-safe circuits.

I EC 79-4: 1975, Electrical apparatus for explosive gas atmospheres - Part 4: Me thod of test for ignition temper- a ture.

I EC 601-1: 1988, Medical electrical equipment - Part 7: General requirements for safety.

I EC 601-1-2: 1994, MedicaI e/ectrica/ equipment - Part 7: General requirements for safety - Collateral Standard - Electromagnetit compatibility requirements and tests.

I EC 80 l-2: 199 1, Electromagne tic compa tibility for indus trial Elec tros ta tic discharge requiremen ts.

process measurement and control equipment -

1.3 Definitions

For the purposes of this International Standard, the definitions given in clause 2 of IEC 601-1 :1988 and ISO 4135, and the following definitions apply.

1.3.1 alarm Set-Point: Setting of the adjustment control, or display value which indicates the anaesthetic gas reading, at or beyond which the alarm is intended to be activated.

NOTE 2 Terms such as “alarm Iimits” or “alarm threshold” are frequently used to describe the same function.

1.3.2 alarm System: Those Parts of the anaesthetic gas monitor which

a)

b)

establish the alarm Set-Point(s);

activate an alarm when the anaesthetic gas reading is less than or equal to the low alarm Set-Point, if provided, or is equal to or greater than the high alarm Set-Point.

1.3.3 anaesthesia workstation: System for administration of anaesthesia which includes, but is not limited to, an anaesthetic gas delivery System, its essential monitoring devices, and essential hazard protection devices.

1.3.4 anaesthetic gas monitor: Device for the measurement of the anaesthetic gas level in anaesthetic gas mixtures.

1.3.5 anaesthetic gas: Gas and/or vapour of a volatile agent used in anaesthesia.

1.3.6 anaesthetic gas level: Concentration in volume percent or partial pressure of anaesthetic gas in a gaseous mixture.

1.3.7 anaesthetic display.

gas reading: Measured anaesthetic gas level as indicated by the anaesthetic gas monitor

1.3.8 applied Part: Part of the anaesthetic gas monitor intended to be connected with the Patient or with the anaesthetic breathing system.‘)

1.3.9 delay time: Time from a step function Change in anaesthetic gas level at the sampling site to the achievement of IO % of the step Change in the anaesthetic gas reading of the anaesthetic gas monitor (see figure 1).

1) See the rationale in Annex N.

2

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ISO 11196:1995(a

80

70

60

50

40

30

20

IO

0

c

a c

s f U

a aJ

t Ul 0

t

t c s c t t -

Time -

Figure 1 - Delay time, rise time and total System response time

1.3.10 display: Visual representation of output data.

1.3.11 diverting anaesthetic gas monitor: Anaesthetic gas monitor that transports a Portion of ventilatory gases from the sampling site through a sampling tube to the Sensor, which is remote from the sampling site.

1.3.12 fresh gas outlet; common gas outlet: That port through which the dispensed mixture from an anaes- thetic apparatus is delivered to a breathing System.

1.3.13 enabled condition: Necessary, but not sufficient, condition to Cause an action.

1.3.14 default conditions; default settings: Those operating Parameters within the monitor, which are pre-set at the factory or by the Operator and which the monitor itself Sets, without further intervention, when it is turned on.

1.3.15 interference with measurement accuracy: Differente between the anaesthetic gas readings in the presence and absence of an interfering gas(es).

1.3.16 non-diverting anaesthetic gas monitor: Anaesthetic gas monitor that uses a Sensor at the sampling site.

1.3.17 partial pressure: Pressure that each gas in a gas mixture would exert if it alone occupied the volume of the mixture at the same temperature.

1.3.18 volume percent; % (VW): Volume of an anaesthetic or other gas in a mixture, expressed as a percent of the total volume.

1.3.19 rise time: Time required to display a rise from IO % to 90 % of the Change in the anaesthetic gas reading by the anaesthetic gas monitor when a step function Change in anaesthetic gas level occurs at the sampling site (see figure 1).

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1.320 sampling site: Location at which Ventilator-y gases are diverted for measurement to a remote Sensor in a diverting anaesthetic gas monitor or the location of the Sensor area in a non-diverting anaesthetic gas monitor.

1.3.21 sampling gas monitor.

tube: Conduit for transfer of gas from the sampling site to the Sensor in a diverting anaesthetic

1.3.22

1.3.23

Sensor: Part of the anaesthetic gas monitor which is sensitive to the presence of the anaesthetic gas.

total System response time: Sum of the delay time and rise time (see figure 1).

1.3.24 anaesthetic Ventilator: Actuator device of an anaesthesia workstation which, when connected to the patient’s airway, is designed to augment or provide Ventilation of the patient’s lungs.

1.3.25 accuracy: Quality which value of the quantity measured.

characterizes the ability of a device to give indications approximating to the true

NOTE 3 Accuracy is an overall quality of a device from the Point of view of errors. Accuracy is greater when the indications are closer to the true value (based on ISO 7504:1984).

1.3.26 drift: Change of the indications of a monitor, for a given under reference conditions which remain constant.

ievel of concentration over a stated period of time,

NOTE 4 lt is necessary to distinguish the zero drift which concerns the Operation of the instrument with samples of zero or low concentration from the drift considered at one or several levels of concentration (based on ISO 7504:1984).

1.3.27 flammable anaesthetic agent: Anaesthetic agent which is ignited by the test specified in annex M.l)

1.3.28 non-flammable anaesthetic agent: Anaesthetic agent which is not ignited by the test specified in annex M.l)

1.3.29 respiratory gas conducting components: All components of the anaesthetic Ventilator and the anaes- thetic breathing System which are in contact with the patient’s inhaled gas during any form of Ventilation.

NOTES

5 Such bellows,

components are for example particle filters, APL valves and

anaesthetic breathing CO, absorber assemb

6 When t he s Iample gas i s not returned re spiratory gas conducting component.

anaesthetic Systems, ilies.

breathing System attachments, Ventilator

to the anaesthetic breathing System, the gas sampling line is not considered to be a

1.4 General requirements and general requirements for tests

The requirements given in clauses 3 and 4 of IEC 601-1 :1988 apply with the following additions?

All Parts of an anaesthetic gas monitor and their devices should be designed and manufactured to minimize health risks due to toxic products and substances leached from the devices during use.

3.6 j) Applicable Single fault conditions are:

a) short- and open-circuits of components or wiring which tan

- Cause Sparks to occur, or - increase the energy of Sparks, or - increase the temperature (see section 7);

b) incorrect output resulting from Software error.

3.6 k) An oxidant leak which remains undetected shali be considered a normal condition and not a Single fault condition?

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3.10 Devices dependent on Software shali be designed in such a way as to minimize the possibility of risks arising from errors in the Software.

4.12 Test methods other than those specified in this international Standard but of equal or greater accuracy may be used to verify compliance with the requirements of this International Standard. However, in the event of dispute, the methods specified in this international Standard shall be used as the reference methods.

1.5 Classification

The requirements given in clause 5 of IEC 601-1 :1988 appiy with the following addition.

NOTE - An anaesthetic gas monitor may have applied Parts of different types.

1.6 Identification, marking and documents

The requirements given in clause 6 of IEC 601-1:1988 apply together with the following amendments and addi- tions.

6.1 i, Amend existing IEC 601-1 :1988 text to read

The rated input shall be given in amperes for the anaesthetic gas monitor and for the sum of the current ratings for the anaesthetic gas monitor and the auxiliary mains socket outlet(s)?

6.1 k) Amend existing IEC 601-1 :1988 text to read

Esch auxiliary mains socket outlet shail be marked with the maximum allowed output, which shall be given in amperes?

After 6.1 z), add the following:

6.1 aa) All operator-connectable components of the anaesthetic gas monitor which are flow-direction-sensitive shail be clearly and durabiy marked with an arrow showing the direction of gas flow.

6.1 ab) Esch gas-specific inlet and outlet shall be identified by ciear and durabie marking using the gas name or Chemical Symbol in accordance with ISO 5359. If colour coding is used in addition, it shall be in accordance with ISO 32.

6.1 ac) Marking of packages.

Packages containing respiratory gas-conducting components shall be permanently and legibly marked with the following:

1)

2)

3)

4)

5)

6)

information about cleanliness and sterility of Single use and reusable components as supplied by the manufacturer;

an indication of the time limit for using a device safely expressed in yearlmonth, where applicable;

a description of the contents;

the name and/or trademark of the manufacturer and/or supplier;

an identification reference to the type, batch or seriai number;

the necessary instructions in the event of the sterile pack being damaged and, where appropriate, details of appropriate methods of steriiization;

if appropriate the words “SINGLE USE” or “SINGLE PATIENT USE”;

NOTE - Symbol No. 1051 (“DO not re-use”) given in ISO 7000:1989 may additionally be used.

the word “STERILE”, and the method of sterilization, if applicabie. Device packing andlor labeiling shall differentiate between the Same or simiiar products both sterile and non-sterile placed on the market by the Same manufacturer.

5

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6.1 ad) Marking of anaesthetic gas monitors

Anaesthetic gas monitors shall be durabiy and legibly marked with the following:

1) any particular instructions for use;

2) any particular warnings and/or cautions;

3) if a sampled gas inlet and outlet are present on the anaesthetic gas monitor, marking of the ports;

4i if the device is intended oniy for use with dry fresh-gas mixtures, a Statement to that effect;

5) serial number and year of manufacture;

6)

NOTE - The year of manufacture may be part of the serial number.

if not suitable for use in breathing Systems, a Statement to that effect.

6.2 Marking on the inside of equipment or equipment Parts.

The requirements given in clause 6.2 of IEC 601-1 :1988 apply.

6.3 Marking of controls and instruments.

The requirements given in clause 6.3 of IEC 601-1 :1988 apply with the following additions.

6.3 g) If an anaesthetic gas monitor has more than one sampling site, the selection of a particular sampling site shall be clearly indicated on the anaesthetic gas monitor;

6.3. h) If a display or a calibrated scale or controi measures or controls a variable within the anaesthetic gas monitor,

1)

2)

3)

the display or scaie shall be marked to indicate that it refers to a machine variable and not a Patient variable,

anaesthetic gas reading display(s) shall be marked with kPa (partial pressure) or % (VW) (volume percent) anaesthetic gas,

if abbreviations for anaesthetic agents are used, they shall be in compliance with coiumn 2 of table 1.

Compliance shail be determined by inspection of marking and instructions for use.

Table 1 - Abbreviations for anaesthetic agents

Anaesthetic agent r Abbreviation

Desflurane DES or D

Enflurane ENF or E

Halothane HAL or H

Isoflurane ISO or I

Methoxyflurane MET or M

Sevofluranelj SEV or S

1) Provisional.

6.4 Symbols.

The requirements given in clause 6.4 of IEC 601-111988 apply.

6.5 Colours of insuiation of conductors.

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0 ISO ISO 11196:1995(1

The requirements given in clause 6.5 of IEC 601-1 :1988 apply.

6.6 Identification of medical gas cylinders and connections.

The requirements given in clause 6.6 of IEC 601-1 :1988 apply.

6.7 Indicator lights and push-buttons.

The requirements given in clause 6.7 a) of IEC 601-1 :1988 apply with the foilowing modification.

On equipment, the colour red shall be used exclusively to indicate a warning of danger and/or a need for urgent action. Dot matrix, aiphanumeric displays and computer-generated graphics are not considered to be indicator iights.

6.8 Accompanying documents.

6.8.1 General.

The requirements given in clause 6.8.1 of IEC 601-1 :1988 apply.

6.8.2 Instructions for use.

The requirements given in clause 6.8.2 of IEC 601-1:1988 apply with the following additions.

6.8.2 a) General information.

- If gas diversion occurs, the range of gas diversion flows shall be given.

- If appropriate, a Statement that equipment may be used in a magnetic resonance imaging (MN) environ- ment shall be given.

- instructions for proper disposai of the diverted gas shall be provided.

- Delay time and rise time (see figure 1) shall be disclosed. in the the sampling tube(s) used in determining these values shali be

case of divet-ting anaesthetic gas disclosed.

monitors,

Instructions for use shall contain the conditions under which measured values are displayed, for example am- bient temperature and pressure saturated (ATPS), body temperature and pressure saturated (BTPS), Standard temperature and pressure dry (STPD).

6.8.2 i) The instructions for use of category APG anaesthetic gas monitors shall iriclude Statements to the ef- fett of the following.

- This anaesthetic gas monitor has been constructed to comply with the requirements for category APG equipment.

- Any modification to the anaesthetic gas monitor may compromise its safety in the presence of flammable anaesthetic agents.

- Provided that the following precautions are strictiy observed, this anaesthetic gas monitor is safe to use with fiammable anaesthetic agents such as diethyi ether and cyclopropane.

‘1) The discharge of flammable anaesthetic agents or mixtures while the anaesthetic breathing System is disconnected is to be avoided.

2)

3)

Only equipment classified and marked AP@ should be used within 5 cm of any Point of possibie emission of flammabie anaesthetic agents or mixtures.

Only equipment classified and marked as AP or APG shouid be used within 25 cm of any Point of possibie emission of flammable anaesthetic agents.

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