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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