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MEDICAL GAS SUPLY:CYLINDERS & PIPELINE
PRESENTED BY :DR. SAURAV
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COMPONENT OF MEDICAL
GAS CYLINDRES
BODY
constructed of steel ,
alloys added for strength. Aluminum cylinders are MRI compatible
VALVE
filled and discharged through a valve attached to the neck,
made of bronze or brass
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Different cylinder valve
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Packed valve :
stem is sealed by resilient packing such as Teflon ,
Diaphragm valve :
a diaphragm separated the stem from the seat.
. Advantages:
# can be used fully using a one half to three quarters
turn# less likely to leak
# No stem leakage
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PORT
the point to exit for the gas.
STEM closes the valve by sealing against the seat.
When the valve is opened, the stem moves
upward, allowing the gas to flow to the port
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PRESSURE RELIEF DEVICES
acts when excessive pressure is build up.
types :
Rupture disc, Fusible plug
combination of both
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PRESSURE RELIEF VALVE
recluse or prevent
discharge of the
cylinder contents after
normal pressure havebeen restored.
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CONICAL
DEPRESSION
receives the retaining
screw of the yoke.
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NONINTERCHANGEBLE
SAFTEY SYSTEMS
PIN INDEX SAFTEY
SYSTEM
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PIN INDEX SYSTEM
OXYGEN 2,5
NITROUS OXIDE 3,5
CYCLOPROPANE 3,6
AIR 1,5
NITROGEN 1,4
NITROUS+OXYGEN 7
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Valve outlet connection for
large cylinders
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SIZE OF CYLINDERS
Cylinder classified using a letter code
A type cylinders are smallest
SIZE E is the cylinder most commonly used
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TYPICAL MEDICAL GAS
CYLINDRES, VOLUMES, WEIGHT
cylinder size
dimension
weight(ib)
Air CO2 oxygen
Nitrous
oxide
B 3 1/2
x 13
5 370 200
D 4 1/2
x 17
11 375 940 400 940
E 41/4 x26
14 625 1590 660 1590
M 7 x
43
63 2850 7570 3450 7570
G 8 1/2 97 5050 12300 13800
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CONTENTS AND PRESSURE
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CONTENT AND PRESURE
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TESTING
Tensile test
Strips are cut longitudinally from the cylinder and stretched untilthey elongated The yield point should not be less than15 tons persquare inch
Flattening test One cylinder is kept between two compression blocks and then
oressure is applied to flatten it til distance of becomes six timesthe thickness of walls.
Impact test
Three longitudinal and three transverse strips from a finishedcylinder are taken and struck by a mechanical hammer .Themean energy needed to produce a crack should not be less than5 feet lb for tranverse strip and 10 ft lb for longitudinal strip
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Bend test
A ring of 25 mm width is cut from that cylinder andequally divided into four strips.each strip is than bent
inward until the inner edge are apart not greaterthan the diameter of the strip. The approved cylindershould not develop any crack
Hydraulic test or pressure test
The test is usually done by the water jacket method.here the proof pressure applied inside is236.2kgf/cm this test also determines wether it isleak proof or not
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FILLING
DOT,s regulation limiting the amount of a gas cylindermay contain
The pressure in a filled cylinder at 21.c may notexceed the service pressure marked
The pressure in the cylinder at 55.c may not exceed1.25 times the maximum permitted filling pressure at21.c
In case of liquefied gas , the maximum amount ofgas allowed to be filled is defined by filling density .
The filling density is the percent ratio of the weightof gas in cylinder to the weight of water the cylinderwould hold at 16.c
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COLOR OF CYLINDER
GAS USA INTERNATION
AL
oxygen Green White
Carbon dioxide Gray Gray
Nitrous oxide Blue Blue
helium Brown Brown
Nitrogen Black Black
air Yellow White & black
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MARKING ON THE
CYLINDERS
DOT and TC regulation requires followingspecific marking on cylinders :
DOT and TC specification number to indicate
the type of material used in manufacture ofthe cylinder
Service pressure of the cylinder in pound persquare inch
Serial number and identifying symbol of thepurchaser , user or manufacturer
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MARKING ON THE
CYLINDERS
The initial qualifying test date with an
identifying mark for the testing facility
Retest date and testing facility
A five pointed star stamped after the most
recent test date
A plus sign if cylinder can be charged up to
10% in excess of the marked service
pressure
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RULES FOR SAFE USE OF
CYLINDERS
Cylinders should be handled only by trained person
Cylinder valves, regulator. Gauges, and fitting
should never come into contact of oils , greases ,
organic lubricants etc Cylinders should not be subjected to extreme of
temperatures
Connection to piping , regulator, and other
equipments should always be kept tight to prevent
leakage
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RULES FOR SAFE USE OF
CYLINDERS
No part of the cylinders should be tainted , painted
or modified by users
A cylinder should never come into contact of
electricity Before use ,cylinder should be identified by the
label. The color of the cylinder should not be relied
upon for identification
Only DOT or ICC approved cylinder should be used
A pressure regulator should always be used
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Before any fitting is applied to cylinder valve ,
the valve should be opened slowly and briefly
to remove dust or any other particle (
cracking)
A sealing washer or gasket in good condition
should always be used with small cylinder
valve . If more than one seal is used the pinon yoke may not extrude far enough to
engage mating whole or safety pin index
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A cylinder valve should be opened slowly,because if gases passes quickly into thespace between valve and the yoke or the
regulator , the rapid recompression in thisspace will generate large amount of heat.because there is no space for dissipation ofheat , this constitutes an adiabatic process.
Particle of dust, grease, etc present in thatspace may be ignited by the heat causing aflash fire or explosion.
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STORAGE
A definite area should be designed to store thecylinders
The storage area should be clean , cool and madeof fire resistant materials with adequate ventilation
Cylinder containing flammable gases should not bestored in an enclosure containing oxidizing gas
Combustible material should not be kept nearcylinder containing oxygen or nitrous
Small cylinders are best stored upright orhorizontally in bins or racks
There should be a system of inventory for bothempty and full cylinders
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HAZARDS
incorrect cylinders
Incorrect content
Incorrect valve
Damaged Valve
Suffocation
Fires
Explosion Contamination of cylinder content
Theft of nitrous oxide
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MEDICAL GAS PIPELINE
SYSTEMS
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COMPONENT
A central supply
Piping extending to location where gassupply is required
Terminal point
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Manifolded cylinders
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Source of gases
Oxygen
Gaseous supply( G or H type )
Liquid supply ( when large amount of oxygenis required , it is less expensive and more
convenient to store )
Oxygen concentrator
Nitrous oxide
Large cylinder manifold
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Medical air
Definition : It is defined by NFPA as ,
regardless its sources, has no detectable
liquid hydrocarbon, less than 25 ppm
gaseous hydrocarbon , less than 5mg/m3 of
particulates of 1 micron size or greater at
normal atmospheric pressure and a dewpoint of less than 4 c
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Manifolded cylinders with a proportioning
device which mixes gases from oxygen and
nitrogen cylinders
Motor driven air compressor
Carbon dioxide
High pressure cylinder
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PIPED DISTRIBUTION SYSTEM
Main lines pipe connecting the source to riseror branches lines or both
Risers vertical pipe line connecting the main
lines with branch lines at various levels Branch line that service a room or rooms
Pipes are made of copper
Oxygen pipe lines have inch outerdiameter and that of other gases is 3/8 inchdiameter
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TERMINAL UNITS
COMPONENTS
Base block
This the part of the terminal unit that attached
to the pipeline distribution system
Primary valve( automatic shut off valve, selfsealing device, primary check valve)
opens and allows gas to flow when maleprobe is inserted and closes automaticallywhen the connection is broken
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Secondary valve
( shut off valve, maintenance valve)
is designed to shut off when primary valve isremoved for cleaning or servicing
GAS SPECIFIC CONNECTION
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GAS SPECIFIC CONNECTION
POINT( SOCKET ASSEMBLY)
two types ---
Threaded DIAMETER INDEX SAFTEY
SYSTEM
PROPRIETARY QUICK CONNECTOR
DIAMETER INDEX SAFETY
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DIAMETER INDEX SAFETY
SYSTEM
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QUICK CONNECTOR
Allows apparatuses to be connected or
disconnected by a single action
Each quick connector consist of a pair of gas
specific male and female part
A releasable spring mechanism locks the
components together
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Hoses
connection between terminal units and the
ventilator or anaesthesia machine
color coded and have the name and
chemical symbol of the gas
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Types of terminal unit
Wall mounted
Ceiling mounted
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Wall mounted terminal unit
T ti f di l
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Testing of medical gas
distributing system
Initial test
Blow down test
After the pipelines have been installed , but before
the installation of terminal units, the line must beblown clear using oil free dry nitrogen
Initial pressure test
Each section of piping system must be subjected to
1.5 times of working pressure ( minimum1034 kpa)with oil free nitrogen with source valve closed. It ismaintained and each join has been checked forleakage
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out flow test
to ensure that oxygen , nitrogen, and air
outlet deliver 100L/min without a pressure
drop of no more than 35 kpa at a static
pressure of 345kpa
alarm test
piping purity test
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Operational pressure test
Piping system for gases other than nitrogen
must maintain the pressure at 345kpa 35
.piping system of nitrogen must maintain a
pressure at 1100 kpa
Medical air purity test
Air source must be analyzed for dew point,carbon monoxide, gaseous hydrocarbon etc
PROBLEMS WITH THE PIPING
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PROBLEMS WITH THE PIPING
SYSTEM
Inadequate pressure
Causes: damage of any part, compressor
failure, leaks, closure off shut off valve ,
obstruction, kinking of hose etc
Leaks
May hazardous if oxidizing gases are
allowed accumulate in a closed room
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High pressure
Causes, most commonly failure of regulator,
ice formation
Alarm problems
Failure, absence or disconnection
False alarm.
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Contamination of gases
can be serious problem when a new pipeline
is opened