Medical Gas Pipeline Systems

Medical Gas Systems
 This course will give a thorough appreciation of

the equipment used in an HTM 02-01 medical
gas pipeline system. The specific requirements
and function of the major components of source
equipment will be demonstrated. The features
and benefits of BeaconMedæs equipment will be
described in detail to enable the recipient to
proactively promote the higher value proposition
of a BeaconMedæs medical gas pipeline system.
The course will also provide detailed
requirements for servicing of medical gas
equipment in order to raise the awareness of the
aftermarket potential.
After this training course, you will be able to …
 Understand the value proposition offered by Beaconmedæs
 Explain specific equipment needs of HTM 02-01
 Describe the major functional components of source equipment
 Effectively operate all major items of medical gas equipment
 Describe major servicing requirements of medical gas equipment
 Participate confidently in the HTM 2022 versus HTM 02-01 course
 Explain the benefits of HTM 02-01 equipment
 Explain specific high value proposition of Beaconmedæs equipment
 Provide support and advice to consulting engineers on equipment

selection
Medical Gas Systems
BeaconMedæs Overview
The world’s safest medical gas life support systems…
…for her …for them …for him
...for you.
When medical gas supply integrity is critical...
…will they have the confidence they need?

 Primary Objective:
◦ To ensure the provision of a safe and reliable
medical gas pipeline system and its efficient
operation and use.
 Through the Four Tenets of Medical Gas
Safety:
◦ Continuity (of supply)
◦ Adequacy (of flow and pressure)
◦ Identity (of gas)
◦ Quality (of delivered gas)
 Quality Management
◦ ISO 13485:2003 Registered Company
 Required by manufacturers of Medical Devices in the
European Community (EC)
 Enables CE marking of equipment to the Medical Devices
Directive 93/42/EEC
BeaconMedæs Around the Hospital
 Common Medical Gas Services

◦ Medical Oxygen
◦ Nitrous Oxide
◦ Entonox/Equanox/Oxynox - O2/N2O 50%/50%
volume/volume
◦ Medical Air
◦ Surgical Air/Instrument Air
◦ Medical Vacuum
◦ Anaesthetic Gas Scavenging
◦ Heliox - 79% He/21% O2 mixture
◦ Carbon Dioxide
◦ Nitrogen
BeaconMedæs Around the Hospital
 What is a medical gas?

◦ Under the UK Medicines Act 1988 medical gases are classified as Medicinal
Products and their use for patient treatment is subject to prescription by a
doctor.
◦ The physical and chemical composition of a medical gas, the maximum
levels of its contaminants and the way in which it is administered and
packaged are governed by the European Pharmacopoeia and the Medicines
Act.
◦ The Pharmacopoeia, in particular, requires manufacturers of medicinal
products to hold a Manufacturer’s Licence and a supplier to hold a
Marketing Authorisation. Such licences not only impose strict quality
control requirements on the manufacturing process of the product but also
require demonstrations of safety, efficacy and quality in relation to its use
with patients.
 How are medical gases controlled in your country?
The Three Classifications of Medical Gases
 Permanent Gases
◦ Gases which remain in the gaseous state in the cylinders at normal temperatures
◦ The volume of the contents of the cylinder is directly related to the pressure of the gas e.g. at 50%
of the filled pressure, the cylinder is 50% full. Medical gases supplied in this state include oxygen
and medical air
 Liquefiable Gases
◦ Gases supplied as a liquid at normal temperatures
◦ The pressure of the gas stays fairly constant as the liquid is vaporised and only falls (often
dramatically) when the cylinder is nearly empty.
◦ This means that it is not possible to accurately determine cylinder contents by measuring internal
pressure alone. Instead the actual weight of liquid remaining has to be measured indirectly by
weighing the cylinder and contents and then deducting from it the (TARE) weight of the cylinder,
which is usually stamped on the cylinder shoulder.
◦ Medical gases supplied in this state include nitrous oxide and carbon dioxide
 Vapours
◦ The term ‘vapour’ is often used to describe a gas at a temperature and pressure close to those
required for condensation of the gas to a liquid, although the term actually has the same meaning
as ‘gas’
◦ A ‘saturated vapour’ is a gas in equilibrium with its liquid form
◦ Gases can be liquefied by cooling sufficiently, or by compression, when below their critical
temperature
Gas properties & General Safety
 What is a MEDICAL GAS

Medical gas is a prescribed for a patient by a doctor.
The composition of the gas and allowable contaminations are
regulated by European Pharmacopoeia standards.
 What is the PATHOLOGY GAS

Any gas is used in pathology department of a hospital.
They are used to supply analytical equipment, as carrier or fuel
gases.
Medical Gases
Name of Cylinder Uses Hazards Precautions

Gases Colour
Oxygen Resuscitation, C , P, L Keep away from oil,
respiratory, life support grease, sparks.
Nitrous Pain killer, weak C, A, P, L Same as oxygen
Oxide anaesthetic
Entonox Analgesic, especially C, P, L Same as oxygen

during labour.
Medical Driving air tools, and C, P Keep free from oil and
Air ventilators grease.
Carbon Respiratory stimulant A, P, L Keep away from oil

Dioxide and grease
C – Support Combustions
A – Asphyxiant
P – Pressure
L – Collect at Low Points
Pathology Gases
Name of Cylinder Uses Hazards Precautions
Gases Colour
Hydrogen Red Analytical chemistry P, F, A NO naked light &
sparks.
Nitrogen Grey body, Tissue storage, inert A, P Keep away from oil
black top atms for cell culture. and grease
Acetylene Maroon Flame Photometry P, A, L, F NO naked light and
sparks.
Propane Red (shapes Flame Photometry P, A, L, F NO naked light and
differs from H2) sparks.
Oxygen Black body & Culture studies P, L, C Keep away from oil,
top grease and sparks.
Carbon Grey body & Inert atms for cell P, A, L Keep free from oil and
top growth studies. grease
dioxide
Argon Blue body & top Spectrometry and inert A, P, L Keep free from oil and
atms production grease
C–Support Combustions A–Asphyxiant P–Pressure L–Collect at Low Points

F-Flammable
General Overview
Medical Gases Supplied

 Oxygen, O
2
 Nitrous Oxide, N2O

 Entonox, (N2O/ O2 mixture – 50%v/v)
 Medical Air 4 Bar, MA4
 Surgical Air 7 Bar, SA7
Vacuum Systems
 Vacuum, Vac
 Anaesthetic Gas Scavenging, AGS

Properties of Gases – Oxygen (O2)
 Properties
 colourless, odourless, tasteless
 slightly heavier than air
 liquid oxygen - blue in color, (boiling point:
-183 C)
 1 volume liquid O2 = 860 volume of gas
 support life & combustion
 volume concentration in air: 21 %
Properties of Gases – Oxygen (O2)
 General hazards
 high concentration vigorously support
combustion
 liquid O2 - cryogenic liquid; cold burns
 Safety precautions
 no smoking/ used of naked flames
 tools, parts, clothing must be free from
oil & grease
 wear personal protective equipment
(PPE)
Properties of Gases – Nitrous Oxide
 Properties
 colourless, slightly sweet taste and odour
 boiling point: - 88.5 C)
 contact with combustible material may cause
fire
 General hazards
 direct physical contact may cause cold burns
 high concentration may cause dizziness,
unconciousness (inadequate oxygen)
 reproductive hazards
Properties of Gases – Comp.Air
 Properties
 colourless gas
 support life & combustion
 21 % (oxygen) : 79 % (nitrogen)
 General hazards
 support combustion
 compressed gas; exposure to fire may
cause container to rupture/ explode
Medical Gas Safety
 Do not use oil or grease as a sealing or lubrication media on any
medical gas system!
– Oxygen + Oil = Fire
– Non-degreased components could be accidentally installed in an oxygen
system
 Do not turn off medical gas supplies without a permit to work!

– Medical gases support life
– Even loss of medical vacuum can lead to loss of life
 Do not attempt to move a gas cylinder without a cylinder trolley

complete with restraint chains!
– Dropping a high pressure cylinder in it’s neck can create a high speed missile
– There have been many deaths over the years from mishandling of cylinders
Oxygen Supply Sources
 Medical Oxygen Supply

◦ Can be stored at the hospital in either:
 High pressure gas cylinders – typically 137 or 200 bar
 Vacuum insulated containers, wherein liquid oxygen is stored at -183°C
 Liquid oxygen to gaseous oxygen gives a volumetric expansion of 1:860
 May be stored in large fixed installation ‘bulk’ vessels or portable liquid
cylinders (Dewars)
◦ Can also be produced at the hospital by an air separation plant

using Pressure Swing Adsorption (PSA)
 Uses a molecular sieve adsorbent to adsorb nitrogen (similar to a
desiccant dryer)
 Typically able to producing 95% pure oxygen when well maintained
 More commonly used for home care devices
◦ Supplied via pressure control equipment to a piped distribution

system
 VIE - vacuum insulated evaporator
 to store liquefied gas (cryogenic liquid)
 constructs of cylindrical stainless steel inner vessel,
carbon steel outer vessel, copper pipe & brass
cryogenic valve
 space between inner vessel & shell is packed with
expanded perlite & vacuum to minimise heat transfer
from surrounding
Vaporiser
 Vacuum Insulated Evaporator (radiator)
– Bulk Liquid Oxygen Store
– Used for large hospital sites
Vacuum Insulated
Storage Vessel
Backup
Manifold
System
An Introduction to Medical Gases
An Introduction
Centralised Oxygento Medical
Supply Gases
System - VIE
VIE Alarm System
 Liquid Oxygen Cylinders
– Normally 200 litres capacity
 As much useable oxygen as
nearly 25 high pressure gas
cylinders
 Can be more cost effective than
cylinders
 Evaporation of the oxygen
which is not used can be
wasteful if there is low usage
 Not suitable as an emergency
supply
 A limitation on the flow
achievable
– Normally around 180 litres/min
 Pressure Swing Adsorption
– At high pressure, artificial Zeolite
(molecular seieve) adsorbs nitrogen
and allows oxygen to pass through
– Requires two separate paramagnetic
oxygen monitors
– Reserve supply operates when O2
falls below 94% purity
– Vacuum swing adsorption is a
similar process, whereby
regeneration of the bed is carried
out under a vacuum
 High Pressure Cylinders
– Normally two banks of
cylinders
 A backup is usually provided if
the automatic manifold is the
primary source of supply
– Normally filled to 137 or 200
bar
– Automatic changeover
between banks can be
achieved by monitoring the
pressure and isolating one
bank with a solenoid operated Note: Medical air cylinders are shown here
valve
 Medical Oxygen Hazards
◦ High pressure (up to 200 bar)
◦ Cryogenic liquid (extreme low temperature)
 Cold burns
 Contact with cryogenic liquid oxygen causes rapid freezing
of skin and tissue
◦ Fire hazard
 An increase of ambient oxygen concentration from 21% to
25% doubles the rate of combustion
 In a pressurised oxygen enriched atmosphere, materials that
will not burn in air may burn violently
 Oils or greases on component surfaces can auto-ignite at
fairly low temperatures
 Oxygen leakages increase fire hazards in the hospital
◦ Toxicity
 Medical Oxygen Hazards

◦ Oxygen is not flammable - It will support
combustion
 Hazards of Improper Use of Oxygen
◦ Retrolental fibroplasia (a disease of the retinal
blood vessels) in premature infants exposed to
oxygen concentrations greater than 40%, which can
cause permanent blindness
◦ Central nervous system toxicity including dizziness,
convulsions and loss of consciousness after only 2-
3 hours of exposure to pure oxygen
◦ Breathing pure oxygen for more than 24 hours can
prove fatal to healthy human beings
Medical Oxygen Applications
 Medical Oxygen Uses
◦ Uses include treatment of:
 Hypoxia
 Carbon Monoxide Poisoning
 Chronic Obstructive Pulmonary Disorder (COPD)
 Acidosis – High blood pH caused by high blood
CO2 concentration (PaCO2)
 Hyperbaric oxygen therapy
 Healing of wounds – pure oxygen speeds up the
healing process
 Some types of masks are attached to a breathing
bag, which allows deep breathing without a
significant loss of oxygen to the atmosphere
Medical Oxygen Applications Sidestream Jet Nebuliser
 Drug Delivery
◦ Delivery of drugs via a nebuliser
 Uses a driving gas to create a fine
mist of drug solution. A nebuliser
converts drug solution into a
continuous fine aerosol mist, normally
1-5 microns in size which can be
inhaled directly into the lungs via a
mouthpiece or face mask. They are
small plastic devices, which contain
the drug solution and are then driven
by a supply of compressed air or
oxygen. A flow of gas between 6-8
l/min is normally required to drive the
nebuliser. Drug inhalation is
accomplished by normal tidal
breathing over a 5-10 minute period.
 Oxygen in Anaesthesia
◦ General Anaesthesia
 Anesthesia resulting in amnesia, with a
loss of protective airway reflexes. This is
usually administered with inhalational
agents such as Enflurane or Isoflurane
with a carrier gas. Nitrous oxide is
typically used to help induce the state of
anaesthesia, with concentrations of
oxygen and air in the breathing circuit
controlled by the anaesthetist to
maintain the patients blood oxygen
level.
Oxygen
Air
Nitrous Oxide
 Patient Ventilation
◦ Mechanical Ventilation
 Mechanical ventilation is a method to
mechanically assist or replace
spontaneous breathing when patients
cannot do so on their own. This is
normally done via invasive intubation
with an endotracheal or tracheostomy
tube, through which the gas is directly
delivered. Mechanical ventilation is used
in acute care settings such as in the ICU
for a short period of time during a
serious illness. Ventilators can control
the oxygen concentration of the
delivered gas and are supplied with both
medical oxygen and medical air, typically
at a minimum pressure of 2.7 bar.
Entonox/Equanox Applications
 Entonox/Equanox
◦ Usually a mixture of 50% nitrous oxide to 50% oxygen volume by volume
◦ Acts as a potent analgesic (pain relief)
◦ May also be used in Accident and Emergency wards
◦ Typical applications include:
 Child birth
 Acute trauma
 Short term relief in dental work
 Fracture manipulation
 Joint manipulation
 Endoscopy
 Venopuncture
 Wound and burn dressings, wound debridement and suturing
Entonox/Equanox Applications
 Entonox/Equanox Cylinders
◦ Safe Storage and Use
 Nitrous oxide begins to separate out from Entonox if the temperature falls
below about -6°C. A homogenous mixture is again obtained when the
temperature is raised to above 10°C and the cylinder agitated. Before use,
to ensure it is properly mixed, cylinders should be stored horizontally for
24 hours at a temperature above 10°C. If this is not practicable, before
use the cylinders must be maintained at a temperature above 10°C for at
least 2 hours and then completely inverted 3 times or placed in warm
water at body temperature for 5 minutes and then completely inverted 3
times.
Medical Air Applications
 Medical Air at the Hospital
◦ Can be supplied by:
◦ High pressure gas cylinders
 Where consumption is very low
◦ Compressor systems
 Requires subsequent purification and
drying to ensure medicinal quality
◦ Synthetic air derived from liquid
sources of oxygen and nitrogen
 A very expensive option and not widely
used for this reason
Medical Air Applications Intubation for mechanical
ventilation
 Medical Air Uses in the Hospital
◦ Mechanical Ventilation
 Where a machine breaths for the patient
◦ Anaesthesia
◦ Drug delivery via nebuliser
◦ Pneumatic operation of ceiling
columns
◦ Ceiling pendant pneumatic brakes
◦ Testing medical devices
◦ Drying of medical devices
 Must not be mixed with nitrous
oxide unless oxygen is also added
as the mixture will be hypoxic
<20% O2
Nitrous Oxide Applications
 Nitrous Oxide Uses in the Hospital
◦ Provides a background anaesthesia
as an inhalatory anaesthetic which
is usually supplemented with either
a potent volatile or intravenous
anaesthetic
◦ Can reduce normal anaesthetising
dose of other agents required (by
up to half)
Nitrous Oxide Applications
 Point of Use Mixing Systems

– Safe Storage and Use
 Nitrous oxide and oxygen are
sometimes mixed together at the point
of use. Digital or analogue flowmeters
are available for this purpose. Oxygen
should always be delivered at a higher
pressure to prevent a hypoxic (<<21%
oxygen) mixture being inadvertently
administered to a patient.
 These systems are normally limited to
countries where
Entonox/Equanox/Oxynox is not
available from gas suppliers in cylinders
Surgical Air Applications
 Surgical Air Uses in the Hospital

– Pneumatic surgical tools
 Drilling
 Reaming
 Sawing
 Dissecting
 Tapping and Screwing
– Pneumatic ceiling pendant
operation
– Testing of medical devices
– High speed high torque motors
 High speeds up to 100,000 rpm
 Easily sterilised
 Can be damaged by wet air as ice
can form in the motor due to
adiabatic cooling
Vacuum Applications
 Vacuum Uses in the Hospital

– Wound drainage
– Assisted wound closure
– Chest and lung drainage
– Removal of excess blood during
surgery
– Collection of other bodily fluids
– Emptying the stomach
– Cleaning endotracheal tubes
– Liposuction (lipoplasty)
 Vacuum is known as ‘suction’ to

clinicians Suction assisted wound closure
Xenon Applications
 Xenon in Inhalatory Anaesthesia

– Xenon is available as an anesthetic agent, though it’s cost, at around
2000 times the cost of Nitrous Oxide, means it is unlikely to ever replace
it
– It is known to be much more potent that Nitrous Oxide and gives rapid
induction and emergence
– Nitrous Oxide is a ‘greenhouse gas’, whereas Xenon is not harmful to
the environment, hence there is interest in the use of Xenon
– It is currently not supplied through a medical gas pipeline system
Medical Gas Systems
Medical Gas Systems General Information
 Gas Specificity
◦ User connections are gas specific i.e. it is impossible to
connect the two connectors for different gases together
 NIST Connectors
 DISS Connectors
 Gas Specific Terminal Unit Probes
 Many national standards exist
 Colour Coding
◦ There are two main colour codes used in the World to
identify medical gas services
 NFPA 99 – US standard for medical gases in healthcare
facilities
 ISO – adopted throughout all European and ISO standards
Medical Gas Systems General Information
ISO Colours NFPA Colours
Oxygen White Green
Nitrous Oxide Blue Blue
Entonox/Equanox/Oxynox Blue and White Not Applicable
Medical Air Black and White Yellow
Surgical Air/Instrument Air Black and White Red
Medical Vacuum Yellow White
AGSS – BS 6834/HTM 2022 Blue and Yellow Not Used
AGSS/WAGD Magenta Magenta
Nitrogen Black Grey
Carbon Dioxide Grey Black
Heliox Brown and White Brown and White

Piped Distribution System
 Copper Pipeline System Design

◦ Fluid flowing through pipes is
subject to friction against the pipe
wall
◦ The pipeline must be designed to
ensure pressure drop is within
allowable limits at design flows
◦ HTM 02-01 specifies flows for
terminal units in specific areas of
the hospital
◦ Diversity factors (max. number of
terminal units in use at a given
time) are then applied
◦ Pipe sizing can then be carried out
A dirty joint indicates an

 Copper Pipe Jointing insufficient nitrogen purge
◦ Nitrogen purge used to ensure

no oxidation of the internal pipe
bore
◦ Copper to copper joints are
silver soldered (5% silver)
◦ Capillary action draws molten
solder into the joint A clean joint showing no
◦ Some joints are cut out after oxidation of the inside of
the pipe
installation and cut open for
inspection
 Solder should penetrate 3 x wall
thickness or 3mm whichever is
greater
 This is checked on 1 in 200
fittings
 Pipe and Fittings

◦ Medical gas copper tubes to BS EN 13348 (up to
108mm)
◦ Cu + Ag  99,90 %
◦ 0,015  P  0,040 %
◦ Pipes degreased to ensure hydrocarbons on surface
<20 mg/m2
◦ Fittings degreased to ensure hydrocarbons on
surface <100 mg/m2
◦ Solder - maximum cadmium content 0.025% by
weight
 Copper to brass brazing

uses a flux
◦ This must not be completed
on site
◦ Requires subsequent acid
cleaning
A copper to brass joint following brazing with a flux

System Architecture
System Architecture
System Architecture
System Architecture
Medical Gas Systems
Medical Gas System Equipment
MedPlus Medical Air
MedPlus Medical Air
Reciprocating Piston: Rotary Screw:

Very high vibration and noise  Very low vibration and noise levels
levels 
 Excellent performance/cost
Expensive maintenance - high relationship
wear 
 Minimal maintenance
High oil carryover 
 Long service life
Shorter service life 
 High energy efficiency
Pulsating output 
Scroll:
Rotary Vane:
High noise levels 
 High initial capital cost
High oil carryover   Low life cycle cost
Expensive maintenance   Virtually maintenance free

Poor energy efficiency   Low pressures only, <10 bar
Oil emulsification problems   Extremely quite and minimal vibration
 Totally oil-less, air cooled design
MedPlus Medical Air
Screw compressors are rotary positive displacement

machines of simple design, capable of high speed
operation over a wide range of operating pressures
and flow rates, with high efficiencies.
They are both reliable and compact and

consequently they comprise 80% of all positive
displacement compressors now sold and 50% of
those currently in operation throughout the world.
The high accuracy profile milling and grinding

possible today have enabled manufacturers to
reduce linear tolerances to below 10 m. This
permits rotors to be economically manufactured with
interlobe clearances of 30-50 m. Internal leakage's
have thus been reduced to a small fraction of their
values in earlier designs and as a result twin screw
compressors are generally more efficient than rotary
vane of reciprocating piston compressors.
MedPlus Medical Air
One Source of Supply One Source of Supply Systems Design Flow is

Undergoing Maintenance Inoperable Sustained
(Considered as a Normal (Single Fault Condition)
Condition)
MedPlus Medical Air
One Source of Supply Systems Design Flow is Manifold Backup Enables

Inoperable Sustained in Single Fault Maintenance of Compressor
Condition in Double Fault Condition
(Single Fault Condition)
MedPlus Medical Air
One Source of Supply One Source of Supply Systems Design Manifold Backup
Undergoing Inoperable Flow is Enables Maintenance
Maintenance Sustained of Compressor in
(Single Fault
Double Fault Condition
(A Normal Condition) Condition)
+ Risk Assessment to Determine if Local
Backup of Critical Care Areas is Required
MedPlus Medical Air
MedPlus Medical Air
Silencer
Notes:
1. Drains marked * 1 should be fed to an oil/water separator
2. Filters marked * 2 are activated carbon to remove hydrocarbon vapours Shut-off Pressure
3. Dryer control systems may incorporate shuttle valves as shown, or valve safety
may use other suitable arrangements of directional control valves Inlet filter Pressure valve
4. Symbols to BS 2971:1993/ISO 1219-1:1991 Dryer 2 column 2 gauge
Air Pressure
intake Temperature
switch Fusible
switch
Bacteria Dust/Carbon plug
receiver 1
Shut-off Oil Water
filter filter * 2 valve filter separator Compressor 1 Non-return Ball
Aftercooler
Air
Pressure valves
valve
safety Ball valve
valve
Non-return *1 *1 Ball valve
Pressure valve Pressure Flexible
Pressure regulator safety Ball connection Ball
gauge valve valves
Ball valve valves
Ball
Dryer 2 column 1
valve Ball Automatic
Automatic
valve drain
drain
Ball Shut-off 1 *1
Distribution Supply valve valve *
Pressure Ball
System System valve Inlet filter
switch
Air Pressure Pressure
Terminal Silencer intake Temperature safety
Lockable switch
unit switch valve
Ball valve valve Pressure Flow
transducer restrictor Non-return Pressure
Flow Dewpoint Compressor 2 Aftercooler Fusible
Non-return valve gauge
restrictor transducer P plug
valve
D Silencer
Ball valve
receiver 2
Ball Pressure Flexible Ball
Air
valve safety Ball connection valves
Ball Shut-off valve Ball valve
valve valve valves
Ball
Ball valve Automatic
Dryer 1 column 2 drain
valve
Pressure Ball
*1
gauge valves
Bacteria Dust/Carbon Shut-off Oil Water Automatic
filter filter * 2 valve filter separator
drain
Pressure *1
safety
valve Non-return *1 *1
Pressure valve Ball valve
regulator
Ball valve
Dryer 1 column 1
Shut-off
valve
Silencer
MedPlus Medical Air
Digital control interface
Quiet running
aftercooler fan
Large high efficiency

aftercooler
Acoustic
enclosur
e
Patented
screw element
High efficiency
‘eff1’ rated
squirrel cage
induction motors
Air/oil separator
MedPlus Medical Air
Oil and Air Separation
MedPlus Medical Air
MedPlus Medical Air
 Elektronikon Settings
– The BeaconMedaes medical air system central controller
overrides the pressure settings on the Elektronikon controller
fitted to the compressor.
– The GA compressors are run via the remote control
connection.
– This enables the BeaconMedaes to determine which
compressor runs next and prevents multiple compressors
starting at the same time.
– Do not attempt to change the settings of the Elektronikon
controller unless you have specific instructions from
BeaconMedaes as to what the settings should be.
MedPlus Medical Air
 Failed To Go On Load Indication

– From April 2007 all Atlas Copco GA screw compressors fitted
to BeaconMedaes medical air systems will have the failed to
go on load pressure switch removed
– Instead, a failed to load signal will be indicated by sensing a
temperature rise 20 seconds after the compressor begins to
run on load
MedPlus Medical Air
 The Need for Dry Air

– Low Dew Point Inhibits Bacterial Survival and Growth
– At Low Temperatures, Liquid Water Could Form
– At <0°C, Ice Can Form, Blocking the Pipeline
– Anaesthesia Machines and Ventilators are Damaged by Liquid Water
– High Humidity Promotes Oxidation of the Inside of Piped
Distribution System (Copper Oxide)
MedPlus Medical Air
 Water Concentration Requirements

– European Pharmacopoeia requires max. of 67 ppm(v) water
concentration
– HTM 02-01 refers to European Pharmacopoeia requirement
– EN ISO 7396-1 refers to European Pharmacopoeia requirement
– NFPA 99 specifies 4°C pressure dew point (approx. 1830 ppm(v))
MedPlus Medical Air
 Differences in Standards
– NFPA 99 clause 5.1.10.10.2 states:
 “Piping shall be protected against freezing, corrosion…”
– NFPA 99 clause 5.1.10.10.5 states:
 “Buried piping outside of buildings shall be installed below the local
level of frost penetration…”
– HTM 02-01 and ISO 7396-1 allow piping to be run outside the
facility without additional protection being required
– The Eur Ph requirement will not allow condensation to form in a
medical air pipeline local ambient temperature of a 4 bar line is
<-31°C
– NFPA 99 requires pipelines for medical air to be >4 °C
Common Dryer Types
 Membrane Dryers
– Allows smaller water
molecules to pass through
thereby drying the air
 Normally requires a purge
rate of around 18%
 Can suppress dew point by
up to 55°C
– Unlikely to maintain a -46°C
atmospheric dew point
Common Dryer Types
 Refrigerant Dryers
– Cools air to remove liquid water
 No purge required, but requires
energy to cool the air
 Can produce a +3°C pressure dew
point
 Equivalent to -20°C atmospheric
dew point when operating at 7 bar
MedPlus Medical Air
MedPlus Medical Air
MedPlus Medical Air
MedPlus Medical Air
MedPlus Medical Air
Desiccant Activated Carbon Catalyst

(adsorption of water vapour and (impregnated with sodium carbonate (heterogeneous catalysis of carbon
carbon dioxide) - adsorption of SO2, NOX and monoxide)
hydrocarbon vapours)
MedPlus Medical Air
Heterogeneous catalysis of carbon monoxide with a CuMn2O4 Catalyst

The Dryer Filters HTM 2022
1 micron PRE-FILTER HIGH EFFICIENCY SFD DRYER ACTIVATED CARBON MEDICAL STERILE
REMOVES COALESCING ELEMENT ACTIVATED ALUMINA TO REMOVE ODOURS 0.01 MICRON

BULK LIQUID FOR REMOVAL OF OIL/WATER AND 0.01 MICRON STERILE FILTER
AND PARTICLES AEROSOLS AND SUB- PARTICLES
MICRON PARTICLES
FLOW
X1 XA RAC MS
MedPlus Medical Air
Contaminant Limit
Oil ≤ 0.1 mg/m3
Water ≤ 67 ppm
Carbon Monoxide (CO) ≤ 5 ppm
Carbon Dioxide (CO2) ≤ 500 ppm
Oxides of Nitrogen (NO + NO2) ≤ 2 ppm
Sulphur Dioxide (SO2) ≤ 1 ppm
Odour/Taste None
MedPlus Medical Air
 Michell Transmet IS Ceramic Sensor

– Impedance Type Ceramic Element
– -100 to +20 °C Dew Point Measurement Range
– Accurate to ±1°C Dew Point
– Rugged Housing
– Easily Exchanged for Calibration
MedPlus Medical Air
 Features and Benefits

– Typical operation -60 to -80°C atmospheric dew point due to low system
demands
– Purge air use (for heatless desiccant regeneration) is proportional to
demand with dew point dependent switching capability
– Catalytic Oxidation of CO  CO2 with Hopcalite Filter to meet the European
Pharmacopoeia Medicinal Air monograph
– Digital dew point monitor with Michell Transmet IS ceramic sensor
– Timed electronic drain valves on all coalescing filters
MedPlus Medical Air

– Enables Discharge of Water to Sewer
– Multi-stage oleophilic and activated
carbon filtration
– Overflow alarm
– Patented oil level indicator
– Insensitive to vibration and knocks as it is
not reliant on gravity feed to operate.
– Does not require no loss drains i.e.
blasting with compressed air from
standard drain valves will not affect it’s
operation
MedPlus Medical Air
 BeaconMedæs Medical Air Systems Overview

– Dedicated Atlas Copco support
– Highest quality filtration and drying package
– Digital dew point monitoring
– Catalytic filtration - A necessity in urban and extra-urban locations
MedPlus Medical Air
 Medical Air Systems Preventative Maintenance

– Obtain a permit to work
– Ensure other compressors are functioning correctly before isolating any
compressor
MedPlus Medical Air
 Differential Pressure Gauges on Medical Air Filters

– Differential pressure is a function of resistance to flow and volumetric flow
rate
– Differential pressure gauges are not there to tell you when to change the
filter
– They can indicate a blockage
– With a low volumetric flow rate, a filter can show a green ‘good’ indication
on the dp gauge – at a high flow, this could impair the ability of the system
to deliver to correct flow and pressure
– Filters should be changed in line with the instructions based on the length
of time they are in service
– In summary
 Red indicates the filter element must be replaced
 Green does not indicate an element does not need to be replaced!
MedPlus Medical Vacuum Systems
Triplex Medical Vacuum System Schematic
Pressure Pressure
gauge gauge
Notes:
1. Non-return valves marked * are only required if exhausts from other
Ball valve Ball valve vacuum pumps share a common pipe upstream
Vacuum Vacuum
vessel vessel 2. Symbols to BS 2971:1993/ISO 1219-1:1991
Pressure Bacterial
gauge filter
Ball Ball Ball

valve valve Ball valve
Ball Pressure
valve
Ball Ball valve transducer
valve valve P
Distribution
System
Full flow
Flexible Flexible Flexible Ball Bacterial connection
valve filter Ball
connection connection connection
valve
Ball valve Ball valve Ball valve

Exhaust Exhaust Exhaust Ball
valve
Non-return Non-return Non-return
valve valve valve Drain
flask
Pump 1 Pump 2 Pump 3
*Non-return Ball *Non-return Ball *Non-return Ball

valve valve valve valve valve valve
Drain Drain Drain
flask flask flask
Motor Control Panels
Interlock Isolator
Ammeter
Hours Run Meter
Alarm Condition
Display
Manual/Auto
Selection Switch
Grooves
improve oil
circulation
Solid
aluminium
alloy vanes
Delaminates through
of vane against Yellowing due to
expansion chamber adsorbed oil
wall
Failed Composite
Vane (only 2 years
old)
Phenolic Resin
Fibreglass Core Coating
New Composite Vane

 BeaconMedaes MedPlus Medical Vacuum Systems

– Most durable vanes available - Solid aluminium alloy as opposed to phenolic
resin coated fibreglass
– Machined grooves in vanes improve oil circulation
– 5 year standard warranty on all vanes
– Latest high-efficiency oil lubricated rotary vane vacuum pumps
– Appropriately sized pipework and bacterial filters mean our vacuum system
do deliver the flows specified at a vacuum of 450 mmHg per HTM 02, not
400 or 375 mmHg!
– Optional back pressure gauges show that filters need changing, or prevent
unnecessary filter replacements. Filter replacements based on time only are
often unnecessary with the low average system demands prevalent with
medical applications
 Medical Vacuum Systems Preventative Maintenance

– Obtain a permit to work
– Ensure other pumps are functioning correctly before isolating any pump
– Clean gas ballast filter elements every 500 hours
– Change oil annually/2000 hours
Oil must be changed twice in the first year as pump wears in
– Replace bacterial filter elements annually/2000 hours
– Change oil separator elements annually/2000 hours
– Replace pump exhaust elements every 2 years/4000 hours or with back
pressure indication
– 5 year warranty on vanes – replace as required
 Expected to last 10 years+
 Differential Pressure Gauges on Bacteria Filters

– Differential pressure is a function of resistance to flow and volumetric flow
rate
– Differential pressure gauges are not there to tell you when to change the
filter
– They can indicate a blockage
– With a low volumetric flow rate, a filter can show a green ‘good’ indication
on the dp gauge – at a high flow, this could impair the ability of the system
to deliver to correct flow and pressure
– Filters should be changed in line with the instructions based on the length
of time they are in service
– In summary
 Red indicates the filter element must be replaced
 Green does not indicate an element does not need to be replaced!
 Procedure to Change a Bacteria Filter

MCS2 Automatic Manifold Control System
Terminal Ball Ball
unit valve valve
Distribution
System
Pressure Non-return Pressure Pressure

Pressure switch valve gauge switch Pressure
gauge gauge
Pressure Pressure Ball
Pressure Pressure valve
Sintered regulator regulator regulator regulator Sintered
Ball Ball
filter filter
valves valve
Ball Terminal
unit
valve
Shut-off Shut-off Exhaust
valve valve
Pressure
switch Non-return
valve
Pressure Ball Pressure Pressure
safety valve safety safety
valve Pressure valve
safety valve Pressure
valve switch
Pressure
regulator
Exhaust
Non-return valve
Tailpipe
Cylinder valve
Cylinder
Figure 7 - Typical Autoamtic Manifold Control System and Emergency Reserve Supply Symbols to BS 2971:1993/ISO 1219-1:1991
(reproduced by kind permission of MEDÆS)
Automatic Manifold Alarm Indications
Manifold Condition Manifold Panel Indication Central Alarm Status

Conditions that occur as gas is used up As shown on the manifold fascia Shown on MP125 alarm panel
Duty bank is operating Running Normal
Duty bank empty and Change Change

Empty
standby bank is operating Cylinders Cylinders
Stand-by bank is below Change

Standby Cylinders
10% Empty
Low Immediate
capacity when the duty
bank is empty
Reserve manifold below Reserve Reserve
nominal 14 bar for N2O Empty Empty Low
Low
or 68 bar for other
gases
Pipeline pressure is more Low High Pressure
than 20% below or 20% Pressure Pressure Fault
above nominal pressure
Typical Pressure Regulator Operation
Typical Pressure Regulator Operation
 BeaconMedæs MCS2 Automatic Manifold Control System

– No halogenated polymers in high pressure regulators
– Hard seat non-return valves in all manifold headers
– A dedicated medical gas manifold
– High flows - 1000 l/min @ 4 bar, 2000 l/min @ 7 bar
– Individual pressure regulation stages provide a smooth pulsation free flow,
even at high demands
– Impact and corrosion resistant housing
– Easy access to all components for commissioning and maintenance
– Comes complete with line non-return and isolation valves and test point
isolation valve
– All regulators auto-ignition tested for use with high-pressure medical
oxygen up to 200 bar
 BeaconMedæs MCS2 Automatic Manifold Control System

– 45m absolute (98% of pore sizes) sintered brass inlet filter
– Most alternative suppliers manifold control panels quoted as ‘500 l/min’ are
only suitable for a flow of 180 l/min in medical gas applications i.e. 10%
drop from static to dynamic pressure
– The only dedicated ‘Medical’ automatic manifold on the UK market
 BeaconMedaes MCS2 Automatic Manifold Control System

– No halogenated polymers are used in sensitive high pressure components
i.e. the polymers used are fluorine, chlorine bromine and iodine free
– High pressure oxygen fires can lead to the production of highly toxic gases
when burning halogenated polymers
– By-products include diphosgene, phosgene and oxygen difluoride, all of
which can be lethal in low concentrations
– European Industrial Gases Association published document IGC Doc
73/00/E concerning High Pressure Breathing Gas Systems – Toxicity Risks
of Using Non-Metallic Materials. This highlighted the dangers of using
halogenated polymers
– BOC published policy document OEDAB-01-03-BOC requiring removal of
halogenated polymers from high-pressure oxygen regulators. Air Products
has taken a similar stance
 BeaconMedaes MCS2 Automatic Manifold Control System

– NHS Estates issued safety notice NHSE SN (2003) 01 in 2003 demanding
that hospitals removed regulators containing halogenated polymers from all
high-pressure oxygen systems
– HTM 02-01 states that non-halogenated polymers should be used. HTM 02
requires any new requirements affecting patient safety are applied
retrospectively
MCS2 Maintenenace
 MCS2 Preventative Maintenance Schedule

– Changeover operation should be checked every 3 months
 Very important for standby supplies e.g compressor backup
 Primary supplies are checked automatically in the course of operation
– All pressure regulators should be replaced every 5 years
– All pressure safety valves should be replaced every 5 years
– Solenoid valves should be replaced every 5 years
– The line pressure switch settings should be checked annually
– Header non-return valves should be tested annually for wear and replaced if
there is significant leakage
 These are hard seat (metal to ceramic ball) and are expected to leak slightly during
normal use)
– Other components are replaced as required
MCS2 Maintenenace
 MCS2 Panel Changeover Operation

– With both cylinder bank full and all cylinder valves fully open, turn the electrical
supply on. Select the right-hand bank switch (to set right-hand bank as duty) and the
automatic system is now fully operational. The system condition panel is illuminated
as follows:
 Power On
 Normal
 Right Bank Running
– When the right-hand bank cylinder pressure falls to 11.0 bar, the system changes to
use the left-hand bank as duty, the left-hand solenoid valve opens and the right-hand
solenoid valve closes. The alarm conditions activated at this stage are:
 Standby Running
 Right-hand Empty
 Left Bank Running
MCS2 Maintenenace
 MCS2 Panel Changeover Operation

– Change all the empty cylinders on the right-hand bank and then fully open all the
cylinder valves. Depress the reset button on the front fascia panel to restore the alarm
conditions to normal.
– The Left-hand bank is now the duty bank and the automatic system is now fully
operational. The system condition panel is illuminated as follows:
 Power On
 Normal
 Left Bank Running
MCS2 Maintenenace
 MCS2 Operational Note

– If at any time the low pressure alarm is activated i.e. the pipeline
pressure falls below the set valve of the pipeline pressure switch,
the solenoid valve on the standby bank will open in addition to the
solenoid valve on the duty bank. This ensures that all cylinders are
fully exhausted. When the pressure is restored back up to system
design pressure, the low pressure alarm LED on the system
condition panel will be extinguished. The low pressure alarm will
stay on for a further 10 seconds on any remotely connected alarm
device, after this 10 seconds, the standby solenoid will close and
the system will run from one bank only.
– If electrical power is lost, both bank solenoid valves will open
– These are both standard safety features
Anaesthetic Gas Scavenging Systems
 What is Anaesthetic Gas Scavenging?

– COSHH regulations (Care of Substances Hazardous to Health)
– Limits on hazardous substances in working environments
– Extraction of waste anaesthetic gases at point of use
– 8 hour weighted average limits:
 Nitrous oxide - 100 ppm
 Enflurane - 50 ppm
 Isoflurane - 50 ppm
 Halothane - 10 ppm
System inlet
BS 2971:1993/ISO 1219-1:1991 Symbols to BS 2971:1993/ISO 1219-1:1991

Flexible
connection (1)
Filter (3) Filter (3)

Pressure
Relief inlet (4) gauge (5) Relief inlet (4)
Pressure
) Pressure relief valve (2)
switch (6)
Exhaust (Optional) Exhaust
(Silencer (12) Optional) (Silencer (12) Optional)
Flexible Flexible
connection (11) Blower (8) connection (11)
Ball Ball
valve (9) valve (9)
Drain
flask (10)
System inlet
Symbols to BS 2971:1993/ISO 1219-1:1991

Flexible Flexible
connection (1) connection
Filter (3)
Pressure Pressur
gauge (5) Relief inlet (4) gauge (
Pressure
Pressure relief valve (2) Pressure
switch (6) switch (6)
Exhaust
(Optional)
(Silencer (12) Optional)
Non-return Non-return
valve (7) valve (7) Flexible
connection (11) Blower
Blower 1 (8) Blower 2 (8)
Ball
valve (9)
Drain
flask (10)

– Simplex and Duplex Pump Assemblies
– All AGS terminal units come with an adjustable orifice to ease set-up and
commissioning
– Remote switches operate from 24V for added safety
– Duplex pump assemblies incorporate separate starter enclosures to enable
pump replacement whilst the system is still operational
– High specification pumps with good vacuum to flow relationships enable
smaller pipe sizes to be used
– Skid mounted with single point connections
– Complete with AGS receiver and transfer hoses
 Monitoring Service for Protection of Clinical Staff

– Protection for exposed staff
– Indicative of AGS system performance
– Required under COSHH regulations
– Unobtrusive ‘Pen’ style monitor
– Independent laboratory report issued
Gem 10 Medical Gas Terminal Unit

– Exceptional reliability is the key to its
ongoing success
– 3-year warranty as standard
– Unique check valve design
– Very low pressure drop surpasses the
requirements of BS EN 737-1:1998
– 100% corrosion proof materials
– Break-Safe™ 2nd fix prevents 1st fix
damage or pipe rupture from ‘bed
jacking’
– Pre-assembled 1st and 2nd fix can be
supplied pressure tested

– High impact nylon moldings
– Large range of configurations for
simple installation into any OEM
products
– Extremely smooth action results in
less wear
– Very low pressure drop and high flow
capability increases system energy
efficiency
– Over 1 million BeaconMedæs medical
gas outlets in use worldwide
– The World’s most reliable British
Standard terminal unit
Unique check valve

design ensures 100%
pressure tight seal -
year after year after
year...
Medical Gas Hose Assemblies

– Pure hose material will not leach dangerous levels of chemicals into the
gas stream - passes ‘polytest’
– Lower pressure drop for surgical air and vacuum with 8mm bore hose
– Individually pressure tested during assembly
– Colour coded to HTM 2022 requirements
– Surpass the requirements of BS EN 739:1998 for pressure drop
 Medical Gas Hose Construction

– Note that although carbon impregnation is still common, it is not necessary
for carrying standard medical gases
 Larger bore hoses are used for surgical air and vacuum to lower the
resistance to flow in high flow and low pressure applications
respectively
ZSU2 – Area Valve Service Unit
 Area Valve Service Units - What are they for?

– Closure may be necessary when there is;
– A serious gas leak in a ward, resulting from failed/damaged terminal unit
or pipeline;
– A fire in a hospital ward;
– A rise or fall of the gas supply pressure;
– Contamination of the gas supply.
 Area Valve Service Units - Safe Operation

– Confirm the system(s) requiring isolation
– Confirm that patients have alternative provision
– Confirm that AVSU is labelled to show area and gas controlled
– Operate Emergency Access Method of AVSU
– Care! Turn valve full 90° from ‘ON’ position to isolate
– Inform Estates Department as quickly as possible

– Elegant design compliments the modern hospital environment
– Break-out plastic window provides ultimate safety. Float glass must not be
used!
– 22mm and 28mm derivatives for vacuum service
– Fits in a standard 60mm stud wall depth
– 22mmSimple labelling system using standard Avery laser printer labels
– 100% corrosion proof materials
– Accommodation of pressure switches
– Optional local system alarm initiation on operation of emergency access -
particularly suited to critical care, A&E and resuscitation
– Large bore check valve maximises flow through NIST’s
‘ZIP’ nuts for faster Pin indexed gas Individual NIST

installation of 2nd specific shroud labelling as per HTM
fix 02
Fire retardant VO
rated, UV stabilised
high impact ABS
‘O’ ring sealed NIST moulded cover
caps only need
tightening by hand
Extruded
aluminium back
box - inherently
corrosion resistant
‘O’ ring sealed NIST
caps only need
tightening by hand
Colour coded ring ‘ZIP’ fit 2nd fix for

Visible blank (red)
on fascia for gas initial securing
and through (white)
gaskets per HTM service
02
 Line Ball Valve Assemblies

– Isolation for extensions, modifications etc.
– Lockable to prevent inadvertent operation
– Flat face ‘O’ ring seals for high integrity seal
– 90° operation closed to fully open
– 2 piece nickel plated brass valve
– Degreased for use with oxygen
Medizone Area Service Module

– Elegant design compliments the modern
hospital environment
– From 1-6 gases with alarm and pressures
switches
– Attractive laminate finished unit, can be
supplied in virtually any colour or pattern -
even woodgrain finishes
– Flush and surface derivatives available
– Factory pre-wired, piped and tested
– Saves time on site installing pipes and cables
and testing
MP26 Medical Gas Area Alarm
Power on Tamperproof
indication fastener prevents
unauthorised
access
Mute
facility
System
alarm i.e.
line contact
is lost
Test button
tests all LED’s
and audible
signal Fascia with Microban
anti-microbial
protection
 Primary Purpose
– It is a clinical emergency alarm
– There to prompt clinicians to take action when pressure is too high or
too low
 HTM 02-01 Requirements

– High pressure alarms only required where gases are mixed
 Operating theatre as mixed in anaesthesia machine
 Anywhere else that Nitrous Oxide is used
 Intensive care as oxygen and air mixed in ventilator
 Surgical air or nitrogen will never require a high pressure alarm indication

– All wiring is line contact monitored - Shire alarms do not monitor the line
between the pressure switches and the termination board and therefore
does not comply with paragraph 12.32 of HTM 2022 or clause 6.1.4 of BS
EN 737-2
– A single panel can be used for 1-6 gases - Shire Controls SAX-6 alarm
requires you to co-ordinate the purchase of alarms and termination box
assemblies with the gases serving each area. If there is a change in the
number of gases, you need a different alarm panel.
– Simply flick a switch on the power board and slot in another legend to add
a gas service to the MediPoint 26.
– There is no need to install an additional termination board with additional
wiring. All pressure switches come complete with integral line contact
monitoring
– MP26 can be supplied with pre-wired pressure switch terminal blocks and
cable
– Dual pressure switch only requires a single connection - Fewer seals, less
chance for leaks
Backup Surge Engineer
Battery Suppressor s Mute
Surface mount
components (as
opposed to through
board) are much smaller
and generate less heat,
increasing life and
reliability
Remote Single fault 1-6 gases from 12-way switch to switch

audible condition a single alarm channels on/off - easily
condition programmed on site
Power supply printed circuit board
located with back box
ISOLATE BEFORE REMOVING COVER

 Line Pressure Switches have
MAINS FUSE UNDER COVER

DANGERMAINS VOLTAGE
line contact monitoring
(LCM) built into the switch
MAINS
Remote audible N L
terminals ALARM SLAVE GAS 1 GAS 2 GAS 3 GAS 4 GAS 5 GAS 6
+ AL C N/ O C H L C H L C H L C H L C H L C H L
– 180  under Normal

Earth stud
conditions, switch contacts Relay no-volt

terminals Mains electrical
power supply
closed
Live(L), Neutral(N)
and Earth( )
Wiring example:
6 gas alarm panel
(oxygen and vacuum
shown only for clarity) POSITIVE
– 690  under Fault conditions,

PRESSURE SWITCH VACUUM SWITCH
Low/High pressure
switch contacts open

adjustment screw
(clockwise to C Common
connection
increase)
see para. 2.7
Low pressure
L connection
 1/4” BSPP connection for

Common
C connection L Low vacuum
connection
(normally
High pressure High pressure closed)
H
direct mounting into low

connection adjustment screw
(clockwise to
increase)
Vacuum setting
adjustment screw
loss (minimum leak) tee

(Clockwise to
decrease)
adaptor POWER SUPPLY PRINTED CIRCUIT BOARD

GAS 1
POWER SUPPLY PRINTED CIRCUIT BOARD
GAS 6
C H L C H L
C H L C L
PRESSURE SWITCH PRINTED CIRCUIT BOARD VACUUM SWITCH PRINTED CIRCUIT BOARD
Alarm Indication
Normal
Low
High
Pressure
System
Alarm
Micro Switch
Line Contact
Monitoring
Resistors
Aluminium and
brass - 100%
corrosion resistant
body

– Antimicrobial Protection Against MRSA, E Coli etc. per
AATCC Test Method 1007
– Proven Microban® Technology
– Chemical Cleaner Resistance
– Excellent Scratch Resistance
– Consistent Low Gloss, Textured Surface
– Attractive Appearance
– Particularly Suitable for use in Surgical Panels
Microban is a registered trademark of Microban Products

Company
Power on
indication
Tamperproof
fastener prevents
Mute
unauthorised
facility
access
System
alarm i.e.
line contact
is lost
Test button
tests all LED’s
and audible
Fascia with
signal
Microban anti-
microbial
protection
Backup Engineer
Battery s Mute
1-5 sources Data Remote Single fault

from a single connection audible condition
alarm condition
SW7 SW6 SW5 SW4 SW3 SW2 SW1
MP125 Light Board Switch Settings

SW7 is Panel ID switch: Sets panel from ID 0 to 31
SW6 = 1 to 5 turns columns on or off as inputs into that
alarm
SW6 = 6 sets that panel as ‘Master’
SW6 = 7 is used with SW7: Off = ID 0 to 15 On = ID 16 to
31
SW6 8 is a central mute On/Off
SW5 to SW1 sets that column to display the gas required
 Primary Purpose
– It provides operating and emergency operating alarm indications
– There to prompt technical staff to take action when one or more sources
of supply are no longer available
– Some of the conditions that initiate an operating alarm include:
 A bank of cylinders is exhausted
 A vacuum pump fails
 A compressor fail to start
 A compressor overheats
 There is a malfunction with a supply source
 The main supply pressure is outside acceptable limits
 Quality of gas is outside tolerance limits
– Oxygen too low in a synthetic air mixer
– Carbon monoxide level is above 5ppm
– Dew point of air is too high
Architectural Systems
Envirom H Sys Bedhead Trunking System
 Superior Aesthetics and Integral Lighting

 Laminated fascias to match any décor
 In house 3D lighting design capability to determine illuminance and
uniformity whilst minimising glare
 Headwalls available in same style
 Range of accessories for managing the bed space
130mm installed depth 93mm ins
 Up to 3 gases per feed point

Mounting plate General room light section
 Robust extruded aluminium
Terminal unit centre to bottom of mounting plate

 Services segregation
Pipeline housing
119mm
 Integral medical rail
Common Section
Low voltage
Terminal unit CL
cable runs
Extra-low voltage
cable runs
Reading light section
88mm
101mm
 Lighting Standards and Guidelines

– CIBSE LG2 - Hospitals and Healthcare Buildings
– BS EN 12464-1 - Lighting of Workplaces
– BS EN 60598-1 - Luminaires - General Requirements and Tests
– 2000/55/EEC - Directive Regarding Lighting Ballast Efficiency
– 73/23/EEC - Low Voltage Directive
Extract from CIBSE LG2 (draft of 2005 version)
‘…but lighting has always been more than just providing for the visual task, it
has to be about the illumination of spaces, enhancing and describing the
architecture and more importantly, it has to be a producer of emotion. Good
lighting will also help promote an air of quality and competence within the
hospital, providing a welcome reassurance for patients and will help a great
number of patients and visitors feel more positive about their experiences
there.’
 Candela (cd) - a measure of luminous intensity, based on a standardised

candles light intensity. The concentration of luminous flux, or in layman's
terms brightness.
 Illuminance (lumens/m2 or lux) - Measure of amount of light on a surface
 Colour rendering index (Ra) - 100 is highest - higher is better)
 Reflectance - % of light reflected from a surface, closely related to the
colour and smoothness of the surface
 Isoline - A line which joins points of equal illuminance on a surface
 Luminous flux (lm) - Rate of flow of light energy - measured in Lumens this
is how the light output of a source is expressed
 Luminous efficacy (lumens/Watt) - Amount of light per unit power, with the
maximum possible being 683.
 Colour rendering index (Ra) - 100 is the highest - highest is best
 Reflectance - % of light reflected from a surface, closely related to the colour
and smoothness of the surface
 Isoline - A line which joins points of equal illuminance on a surface
 Luminous flux (lm) - Rate of flow of light energy - measured in Lumens this
is how the light output of a source is expressed
 A Poorly Designed Product

– Mounted too low
– Huge glare
– Insufficient light
– No cooling of lamps
– Clear diffusers
– No reflectors used
Envirom V Sys Headwall System
 Superior aesthetics
 Robust sections
 Huge services capacity
 Choice of laminate finishes
 Pre-piped, wired and tested
 Integral rail
Neonatal Intensive Care Unit, Southampton General

Hospital
Hospital Luminaires
 Flip-over examination light

 Compact design
 Robust polycarbonate diffusers
 Electronic ballast option
 DALI ballast option
Hospital Luminaires
Ceiling Pendant Systems
200
400
600
800
800 XL
1000 XL
500mm
1000mm
1500mm
Standard Shelf Shelf with Rail Comfort Shelf Extra Wide Shelf
 3D Visualisation
– Similar to Designing a New Kitchen
– Extract a List of Materials
– Produces 2D Drawings Too

– Clinical staff are not distracted by hazardous obstructions
– The rear of the bed is free from trailing cables and hoses
– Equipment is located in the optimum position
– Suspended equipment frees floor space
– Swapping of arms provides flexibility
– All equipment is easily relocated as a single unit
Rigid and Retractable Pendants (Ceiling Columns)

– Up to 8 gases + AGS
– Octagonal profile maximises services
– Retractable option with linear actuator
– Keeps all cables and hoses off the floor
– Cost effective solution
– IV hooks, medical rail, laser sockets etc.
We are committed to your
superior productivity through
interaction and innovation.

Medical Gas Pipeline Systems

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Medical Gas Pipeline Systems

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Medical Gas Systems

 This course will give a thorough appreciation of

 Explain specific equipment needs of HTM 02-01

 Describe the major functional components of source equipment

 Effectively operate all major items of medical gas equipment

 Describe major servicing requirements of medical gas equipment

 Participate confidently in the HTM 2022 versus HTM 02-01 course

 Explain the benefits of HTM 02-01 equipment

 Explain specific high value proposition of Beaconmedæs equipment

 Provide support and advice to consulting engineers on equipment

The world’s safest medical gas life support systems…

…for her …for them …for him

When medical gas supply integrity is critical...

…will they have the confidence they need?

 Common Medical Gas Services

 What is a medical gas?

 What is a MEDICAL GAS

 What is the PATHOLOGY GAS

Name of Cylinder Uses Hazards Precautions

Entonox Analgesic, especially C, P, L Same as oxygen

Carbon Respiratory stimulant A, P, L Keep away from oil

C–Support Combustions A–Asphyxiant P–Pressure L–Collect at Low Points

Medical Gases Supplied

 Nitrous Oxide, N2O

 Anaesthetic Gas Scavenging, AGS

 Do not turn off medical gas supplies without a permit to work!

 Do not attempt to move a gas cylinder without a cylinder trolley

 Medical Oxygen Supply

◦ Can also be produced at the hospital by an air separation plant

◦ Supplied via pressure control equipment to a piped distribution

 Medical Oxygen Hazards

 Point of Use Mixing Systems

 Surgical Air Uses in the Hospital

 Vacuum Uses in the Hospital

 Vacuum is known as ‘suction’ to

 Xenon in Inhalatory Anaesthesia

ISO Colours NFPA Colours

Oxygen White Green

Nitrous Oxide Blue Blue

Entonox/Equanox/Oxynox Blue and White Not Applicable

Medical Air Black and White Yellow

Surgical Air/Instrument Air Black and White Red

Medical Vacuum Yellow White

AGSS – BS 6834/HTM 2022 Blue and Yellow Not Used

AGSS/WAGD Magenta Magenta

Nitrogen Black Grey

Carbon Dioxide Grey Black

Heliox Brown and White Brown and White

 Copper Pipeline System Design

A dirty joint indicates an

◦ Nitrogen purge used to ensure

 Pipe and Fittings

 Copper to brass brazing

A copper to brass joint following brazing with a flux

Reciprocating Piston: Rotary Screw:

High oil carryover   Low life cycle cost

Expensive maintenance   Virtually maintenance free

Screw compressors are rotary positive displacement

They are both reliable and compact and

The high accuracy profile milling and grinding

One Source of Supply One Source of Supply Systems Design Flow is

One Source of Supply Systems Design Flow is Manifold Backup Enables

Digital control interface

Large high efficiency

Non-return Ball Non-return Ball *Non-return Ball