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Review of: Life Medical Networks, Inc. 5450 Dunwoody Mill Ct. Atlanta, GA 30360 U.S.A. Telephone

Review of:

Life Medical Networks, Inc. 5450 Dunwoody Mill Ct. Atlanta, GA 30360 U.S.A.

Telephone

770 551-9066

Fax

770 551-9631

E-mail cbwi2l@bellsouth.net

NFPA 99 Gas and Vacuum Systems Standards for Health Care Facilities

New England Healthcare Engineers Society

An illustrated interpretation by Craig Williams of medical gas and vacuum pipeline systems requirements for healthcare facilities

This document should not be used as a substitute for the official NFPA 99 Standard or as a substitute for the judgement of a qualified engineer or architect. Please refer to the official NFPA 99 standard for complete details on all medical gas and vacuum pipeline system requirements pertaining to Health Care Facilities.

This document is not to be reproduced, distributed, used or disclosed, either in whole or part, except as specifically authorized by Life Medical Networks, Inc. and Craig Williams. Copies of this booklet are available for $40.00 each by contacting Life Medical Networks, Inc. Special bulk rates quantities are available.

How to Use NFPA 99C

Chapter 1 / Introduction and Scope of NFPA 99 Chapter 2 / Reference materials Chapter 3 / Definitions Chapter 4 / Electrical (not part of NFPA 99C but, included with NFPA 99) Chapter 5 / Requirements for pipeline systems (Level 1 (5.1), Level 2 (5.2), Level 3 (5.3)) Chapter 11 / Laboratories requirements Chapter 12 / Hospital requirements Chapter 14 / Other Healthcare Facilities requirements Chapter 17 / Nursing Home requirements Chapter 18 / Limited Care Facility requirements Chapter 20 / Hyperbaric Facilities requirements Chapter 21 / Freestanding Birthing Centers requirements Annex A / Explanatory Material Annex B / Nature of Hazards Annex C / Additional Explanatory Notes to Chapter 1 through 20 Annex F / Samples of Ordinance Adapting NFPA 99

Restructuring of NFPA 99

HEA-ACC / Technical Correlating Committee on Heath Care Facilities

HEA-ELS / Technical Committee on Electrical Systems

HEA-FUN / Technical Committee on Fundamentals

HEA-HES / Technical Committee on Health Care Emergency Management and Security

HEA-HYP / Technical Committee on Hyperbaric Facilities

HEA-MEC / Technical Committee on Mechanical Systems

HEA-MED / Technical Committee on Medical Equipment

HEA-PIP / Technical Committee on Piping Systems

Changes in the 2010 Edition of NFPA 99

5.1.3.3.2 (3) Requirement of a minimum of two exits/entrances for the enclosure of central supply systems when located outdoors

5.1.3.3.3.1 Ventilation requirements for the central supply systems, that are part of the medical pipeline systems, will be place under a new chapter covering mechanical equipment

5.1.3.4.13 Bulk cryogenic systems requirements will be transferred out of NFPA 99 and placed into the NFPA 55 standard

5.1.3.4.13.1 (10) Installer of bulk cryogenic systems, when used for medical gases, will be required to hold an ASSE/6015, certificate

5.1.3.4.14.2 (7) Requires for at least 3 ft of clearance around the Emergency Oxygen Supply Connection (EOSC)

5.1.3.5 Added section for creating medical air from nitrogen NF and oxygen using a proportioning system

Changes in the 2010 Edition of NFPA 99

5.1.3.5.4.2 New liquid ring compressors systems, used for the manufacturing of medical air, will require to have an additional standby header and have their water quality monitoring

5.1.4.8 New height requirements for zone valves

5.1.10.5.2.3 New allowance for either a deburring tool or the use of a roller, chip-less type of reamer

5.1.10.10.6 Removal of the requirement for branch takeoffs be provided above the pipeline’s horizontal center when medical piping is connected to a main or other branch

5.1.10.10.1 Additional statement requiring no introduction of copper particulates or other contaminates when penetrating piping

Changes in the 2010 Edition of NFPA 99

5.1.11 New requirement for nitrous oxide pipelines to be set at least 5 psi lower then oxygen and medical air

5.1.12.1.12.1 Requirement for individuals who are responsible for the maintenance of medical pipeline systems to have a certificate showing show they have received training on the equipment they are responsible for maintaining

5.1.12.2.3.5 Requirement for the standing pressure test to be conducted with the same positive pressures for both pressure medical gases and medical-surgical vacuum piping

5.1.12.2.6 Requirement for the 24-hour standing pressure test to be witnessed by the assigned Authority Having Jurisdiction (AHJ) or their designee

5.1.13 New section covers the requirements for conducting routine maintenance and testing of the medical pipeline systems along with the qualifications of the individuals conducting the testing and maintenance

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Level 1 High Pressure Cylinder Oxygen Header

Indoor locations for medical gas headers can share the same room with other medical gas manifolds or headers. 5.1.3.3.1.2

medical gas manifolds and headers must be located to permit easy access to loading docks, elevators or other means needed to allow for easy

management of cylinders in and out of public areas of the facility. 5.1.3.3.1.5

their exteriors from reaching temperature extremes of 54 o C (130 o F) or greater. 5.1.3.3.1.7 Nitrous-oxide and carbon dioxide cylinders are also

required to be protected from temperature extremes below -7 o C (20 o F). 5.1.3.3.1.8 follow all design and construction requirements as stated under (5.1.3.3.2).

Indoor locations for

All cylinders, either in use or in storage, must be protected to prevent

Indoor locations for gas manifolds and headers are required to

1. Labels for Medical Gas System’s “Indoor Locations”, when occupied by pressure gases other than oxygen or medical air must read in substance “Caution, Positive Pressure Gases, No Smoking or Open Flame, Room May Have Insufficient Oxygen, Open Door and Allow Room to Ventilate Before Entering”. 5.1.3.1.8 When indoor locations are occupied by central supply systems or cylinders containing oxygen or medical air the label is required to read in substance “Caution, Medical Gases, No Smoking or Open Flame”. 5.1.3.1.8 & 5.1.3.1.9

2. Electrical devices, such as electrical outlets and light switches are required to be located 1520mm (5ft) above the finished floor to prevent these devices from being damaged during the normal movement and servicing of high-pressure cylinders or cryogenic liquid containers. 5.1.3.3.2 (5)

3. Heating of indoor locations, must be accomplished by using indirect means such as steam, hot water or forced hot air through ducts. 5.1.3.3.2 (6)

4. Stored and Used Medical Gas Cylinders, must be secured by racks, chains or other acceptable fastenings to prevent them from falling and becoming damaged. 5.1.3.3.2 (7) Cylinders that are not in use must have valves protected by a secured cylinder cap. 5.1.3.2.7& 5.1.3.2.12

5. Indoor Room Ventilation, for Headers and Manifolds having less than 84,950 L (3000 cu. ft.) of total stored and connected capacity, requires a minimum of natural ventilation through two openings to the outdoors each with at least 72 sq. inches of total free area, with one located no more than 300 mm (1 ft.) from the floor and the other no more than 300 mm (1 ft.) from the ceiling. 5.1.3.3.3.1 (D) Ventilation is not permitted through louvers going into exit corridors. 5.1.3.3.3.1 (F) Mechanical ventilation is required if natural ventilation can’t be accomplished. 5.1.3.3.3.1(G)

6. Header Cylinder Connections, must be provided in the quantity required for the type of central supply system application (high pressure cylinder manifolds, emergency high pressure reserve supply, in-building emergency reserves & instrument air standby header). 5.1.3.4.9 (1) The materials used for central supply systems must be made of materials acceptable for their application as indicated in section (5.1.3.4.4). 5.1.3.4.9 (2)

7. Header Particulate Filter, complying with the requirements as stated under paragraph 5.1.3.4.3, must be installed upstream of the intermediate regulator, to prevent the possible entrance of particulate matter into regulators or medical gas manifolds components. The required filter can be either an individual component or part of another such as a filtered inlet to a pressure regulator. 5.1.3.4.9 (3)

8. Header Shut-off Valve, is required to be located downstream of the nearest cylinder and upstream from the header connection point to the central

supply system for the purpose of isolating the high pressure portion of the header to allow for maintenance or repair.

5.1.3.4.9 (4)

9. Pressure Indicator, is required to provide the user a visual indication of the current cylinder’s contents as a pressure reading. 5.1.3.4.9 (5)

10. Header Check-valve, is required to prevent back-flow towards the header and to allow for the header to be serviced and maintained. 5.1.3.4.9 (6)

11. High Pressure Cylinder Check-valves, are required for each high pressure cylinder connection to prevent the loss of contents from all cylinders connected to a single header in the event of damage to a single cylinder lead or damage a single cylinder’s valve components. 5.1.3.4.8 (7)

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Level 1 High Pressure Cylinder Medical Oxygen Manifold without Reserve

Indoor locations for medical gas headers can share the same room with other medical gas manifolds or headers. 5.1.3.3.1.2

medical gas manifolds and headers must be located to permit easy access to loading docks, elevators or other means needed to allow for easy

management of cylinders in and out of public areas of the facility. 5.1.3.3.1.5

their exteriors from reaching temperature extremes of 54 o C (130 o F) or greater. 5.1.3.3.1.7 Nitrous-oxide and carbon dioxide cylinders are also

required to be protected from temperature extremes below -7 o C (20 o F). 5.1.3.3.1.8 follow all design and construction requirements as stated under (5.1.3.3.2).

Indoor locations for

All cylinders, either in use or in storage, must be protected to prevent

Indoor locations for gas manifolds and headers are required to

1. Two Equal Headers, each meeting the requirements as stated under section (5.1.3.4.9). Manifolds with headers designated as primary and secondary must provide both headers with enough cylinder connections for at least an average day’s supply but never less than two. 5.1.3.4.10.4 (1)

2. Intermediate Relief-valve, must be located between the header’s intermediate regulators and the final-line pressure regulators. 5.1.3.4.10.4 (3)

3. Primary & Secondary Supply Header Operation, requires that each header is capable of automatically changing to either role to help ensure that the secondary supply is provided with full cylinders. 5.1.3.4.10.5 (1) The secondary header must be prevented from supplying the system until the primary header is depleted. 5.1.3.4.10.5 (2) At which time, the secondary header must automatically begin to supply the system. 5.1.3.4.10.5 (3)

4. Final-line Regulators, must be duplex with an isolation valve before each regulator and either an isolation valve or check-valve after each regulator to permit their repair or replacement while still providing normal service to the facility. 5.1.3.4.5

5. Pressure Indicator, must be located immediately downstream of each final-line regulator or immediately downstream of the duplex bank of final-line regulator’s isolation valves on all positive-pressure central supply systems. 5.1.3.4.5.3

6. Secondary Supply in Use, must be indicated as a local signal (visual indication)at the location of the central supply system and also at each required master alarm, when or at a predetermined set point before the secondary header begins to supply the system. 5.1.3.4.10.6

7. Relief-valves, must be made of brass, bronze or stainless steel, designed for gas service as stated under (5.1.3.4.6). Relief-valves protecting the central supply system components, must have a trip pressure setting not higher than the maximum designed working pressure of the component it is

protecting. 5.1.3.4.6.1 (3)

final-line regulators and the source valve with a trip rating of 50% above the normal line pressure. 5.1.3.4.6.3

Each positive pressure, central supply system is required to have at least one final-line relief-valve located between the

8. Venting of Relief-valves, must be directed outside unless the system is an medical air system having less than 84,950 L (3000 cu.ft). 5.1.3.4.6.1 (4) Multiple relief-valves may use a common discharge line provided the cross-section of the discharge line is sufficient in size to allow the discharge of all relief-valves simultaneously without creating a restriction. 5.1.3.4.6.1 (6) Discharge must be located away from any flammable materials and away from areas where the discharge may endanger anyone passing by and also be turned down and screened to prevent entry of precipitation or vermin. 5.1.3.4.6.1 (7) & (8)

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Level 1 Cryogenic Liquid Manifold with High Pressure Cylinder Reserve

Indoor locations for medical gas headers can share the same room with other medical gas manifolds or headers. 5.1.3.3.1.2

medical gas manifolds and headers must be located to permit easy access to loading docks, elevators or other means needed to allow for easy

management of cylinders in and out of public areas of the facility. 5.1.3.3.1.5

their exteriors from reaching temperature extremes of 54 o C (130 o F) or greater. 5.1.3.3.1.7 Nitrous-oxide and carbon dioxide cylinders are also

required to be protected from temperature extremes below -7 o C (20 o F). 5.1.3.3.1.8 follow all design and construction requirements as stated under (5.1.3.3.2).

Indoor locations for

All cylinders, either in use or in storage, must be protected to prevent

Indoor locations for gas manifolds and headers are required to

1. Two Equal Headers, each meeting the requirements as stated under section (5.1.3.4.9). Manifolds with headers designated as primary and secondary must provide both headers with enough cylinder connections for at least an average day’s supply but never less than two. 5.1.3.4.12.4 (1)

2. Reserve Header, must meet the requirements as stated under section (5.1.3.4.9). Its purpose is to provide a backup to continue the supply of medical gases to the facility in the event that the primary and secondary headers are unable. The reserve header must have enough cylinder

connections for at least an averaged day’s supply but never less than three.

the primary and secondary headers and upstream of the final-line regulators. 5.1.3.4.11.6 (2) The reserve header is permitted to be located either in the same enclosure as the primary and secondary headers or another enclosure that complies with (5.1.3.3.2). 5.1.3.4.12.3

Reserve headers must have its connection point located downstream of

3. Intermediate Relief-valve, is required to be installed downstream of the primary, secondary and reserve headers connection points and upstream of the duplex final-line regulator banks. 5.3.4.12.4 (3)

4. Primary & Secondary Supply Header Operation, requires that each header is capable of automatically or manually changing to either role to help

ensure that the secondary supply is provided with full cylinders as stated in (5.1.3.4.12.5 & 5.1.3.4.12.7) The secondary header must be prevented

from supplying the system until the primary header is depleted. supply the system. 5.1.3.4.12.4 (4)

5.1.3.4.12.4 (3) At which time, the secondary header must automatically begin to

5. Header Relief-valve, are required to be mounted on each cryogenic liquid header. Their purpose is to provide a last-line of defense to protect the header’s components and downstream central supply system from damage if the safety devices, which are part of the cryogenic liquid container, should fail to operate. These relief-valves must be composed of material that meets the requirements as stated in section (5.1.3.4.6). 5.1.3.4.9 (9)

6. Economy Regulators, or similar means to conserve the portion of the gases that would normally be lost due to evaporation of the cryogenic liquid

inside the secondary supply are required to be included for this type of central supply system.

5.1.3.4.12.6

7. Secondary Supply in Use, must be indicated as a local signal (visual indication) at the location of the central supply system’s and also at each required master alarm to indicate when or at a predetermined set point before the secondary header begins to supply the system. 5.1.3.4.12.9 (1)

8. Reserve Supply in Use, must be indicated as a local signal (visual indication) at the location of the central supply system’s and also at each required master alarm when or at a predetermined set point before the reserve high-pressure header begins to supply the system. 5.1.3.4.12.9 (3)

9. Reserve Supply Low, must be indicated as a local signal (visual indication) at the location of the central supply system and also at each required master alarm, when or at a predetermined set point before the contents of the reserve header falls to one day’s supply. 5.1.3.4.12.9 (4)

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Level 1 Cryogenic Liquid x High-pressure Cylinder Manifold with High Pressure Cylinder Reserve

Indoor locations for medical gas headers can share the same room with other medical gas manifolds or headers. 5.1.3.3.1.2

medical gas manifolds and headers must be located to permit easy access to loading docks, elevators or other means needed to allow for easy

management of cylinders in and out of public areas of the facility. 5.1.3.3.1.5

their exteriors from reaching temperature extremes of 54 o C (130 o F) or greater. 5.1.3.3.1.7 Nitrous-oxide and carbon dioxide cylinders are also

required to be protected from temperature extremes below -7 o C (20 o F). 5.1.3.3.1.8 follow all design and construction requirements as stated under (5.1.3.3.2).

Indoor locations for

All cylinders, either in use or in storage, must be protected to prevent

Indoor locations for gas manifolds and headers are required to

1. Two Equal Headers, each meeting the requirements as stated under section (5.1.3.4.9). Manifolds with headers designated as primary and secondary must provide both headers with enough cylinder connections for at least an average day’s supply but never less than two. 5.1.3.4.12.4 (1)

2. Reserve Header, must meet the requirements as stated under section (5.1.3.4.9). Its purpose is to provide a backup to continue the supply of medical gases to the facility in the event that the primary and secondary headers are unable. The reserve header must have enough cylinder

connections for at least an averaged day’s supply but never less than three.

the primary and secondary headers and upstream of the final-line regulators. 5.1.3.4.11.6 (2) The reserve header is permitted to be located either in the same enclosure as the primary and secondary headers or another enclosure that complies with (5.1.3.3.2). 5.1.3.4.12.3

Reserve headers must have its connection point located downstream of

3. Intermediate Relief-valve, is required to be installed downstream of the primary, secondary and reserve headers connection points and upstream of the duplex final-line regulator banks. 5.3.4.12.4 (3)

4. Primary & Secondary Supply Header Operation, for a hybrid arrangement requires that (cryogenic liquid container header and high-pressure cylinder header) operates with the liquid container header as the primary header and the high-pressure cylinder header as the secondary header. 5.1.3.4.12.5 (2) The secondary header must be prevented from supplying the system until the primary header is depleted. 5.1.3.4.12.4 (3) At which time, the secondary header must automatically begin to supply the system. 5.1.3.4.12.4 (4)

5. Header Relief-valve, are required to be mounted on each cryogenic liquid header. Their purpose is to provide a last-line of defense to protect the header’s components and downstream central supply system from damage if the safety devices, which are part of the cryogenic liquid container, should fail to operate. These relief-valves must be composed of material that meets the requirements as stated in section (5.1.3.4.6). 5.1.3.4.9 (9)

6. Secondary Supply in Use, must be indicated as a local signal (visual indication) at the location of the central supply system’s and also at each required master alarm to indicate when or at a predetermined set point before the secondary header begins to supply the system. 5.1.3.4.12.9 (1)

7. Secondary Supply Low, is an additional alarm signal required when the central supply system uses this hybrid arrangement. The additional signal is required to be indicated as a local signal (visual indication) at the location of the central supply system and also at each required master alarm, when or at a predetermined set point before the contents of the secondary header contents falls to one day’s supply

8. Reserve Supply in Use, must be indicated as a local signal (visual signal) at the location of the central supply system’s and also at each required master alarm when or at a predetermined set point before the reserve high-pressure header begins to supply the system. 5.1.3.4.12.9 (3)

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Level 1 Bulk Cryogenic Liquid Supply System with Reserve Supply using Cryogenic Liquid Bulk Container

Outdoor locations must meet the requirements stated under (5.1.3.3.2) and when surrounded by impermeable walls, the enclosure must be provided with ventilation openings at the base of each wall to permit proper circulation and ventilation of air inside of the enclosure. 5.1.3.3.3.3 The Bulk Cryogenic Liquid System location must comply with the minimum distance requirements as indicated in (Figure 5.1.3.4.10.1). The location must also comply with CGA M-1 (Guidelines for Medical Gas Installations at Customer Sites). Bulk Cryogenic Liquid Systems are required to be compliant with NFPA 50 (Standard for Bulk Oxygen Systems at Consumer Sites), NFPA 55, (Standard for the Storage, Use and Handling of Compressed Gases and Cryogenic Fluids in Portable and Stationary Containers and Tanks) or Chapter 9, Bulk Oxygen Systems stated in the 1996 edition of NFPA 50. The system installation must comply with Food and Drug Administration (FDA) (Current Good Manufacturing Practices as found in 21 CFR 210 and 21 CFR 211).

All Bulk Cryogenic Liquid systems must have the following components accessible to the delivery personnel at all times as stated under

5.1.3.4.13.2:

1. Fill Connection, that meets the requirements stated in 5.1.3.4.13.7

5.

Full try/Cock

2. Top and Bottom Fill Valves

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Liquid Level Gauge

3. Hose Purge Valve

7.

Tank Pressure Gauge

4. Vent Valve

8. Bulk Cryogenic Liquid System Site Requirements, state that a poured concrete pad must be used for mounting the cryogenic containers and designed to accommodate the weight, dynamic loads, wind loads, surface loading and also, when required, meets any local seismic requirements. 5.1.3.4.13.3 (1) Permanent anchors, are required to hold down the system’s components to the pad. 5.1.3.4.13.3 (2) Concrete or crushed stone are the only acceptable materials allowed to completely fill in the enclosure. 5.1.3.4.13.3 (4) The pad used by the delivery vehicle must be compliant with NFPA 50, (Standard for Bulk Oxygen Systems at Consumer Sites) and must always be accessible for refilling as stated in CGA M-1 (Guide for Medical Gas Installations at Consumer Sites). 5.1.3.4.13.3 (5) Components such as storage containers, vaporizers and pressure regulating equipment must have at least 1m (3 ft) clearance to permit system maintenance. 5.1.3.4.13.3 (6) The poured concrete pads are required to be sloped in order to provide proper drainage away from any building, parked vehicle or combustible materials and must not have any installed drains. No other drains are allowed within 2450 mm (8 ft) from the edges of the pad. 5.1.3.4.13.4

9. Main Liquid Supply, must consist of one or more vessels with the capacity determined after considerations of the calculated facility’s demand, supplier delivery schedules, proximity of alternate suppliers and the facility’s emergency plan. 5.1.3.4.13.5 (1)

10. Reserve, Liquid Supply, must contain at least an average day’s supply. 5.1.3.4.13.6 (1) The appropriate vessel size is determined after considering the facility’s calculated demand, suppliers delivery schedules, proximity of alternate suppliers and emergency plan. 5.13.4.13.5 (3)

11. Main to Reserve Supply Switching Mechanism, prevents the reserve supply from supplying the system until the main supply is either depleted or fails to provide the necessary operating pressures, at which point the reserve supply must automatically begin supplying the system. 5.1.3.4.13.8

Required Alarms, will actuate a local signal and an indicator at each master alarm at a predetermine set point when:

12. Liquid Level Low, of main supply. This alarm might need to be indicated earlier depending on supplier location. 5.1.3.4.13.9 (1)

13. Reserve Supply in Use, just before the reserve supply begins to supply the system. 5.1.3.4.13.9 (2)

14. Reserve Supply Low, this alarm might need to be indicated earlier depending on the distant of the supplier. 5.1.3.4.13.9 (3)

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Level 1 Emergency Oxygen Supply Connection (EOSC)

An Emergency Oxygen Supply Connection is required for the purpose of providing a connection point for connecting a temporary supply of

oxygen to the facility when maintenance, repairs, emergencies or other situations occur that might prevent the remote cryogenic liquid oxygen, central supply systems from supply the facility. 5.1.3.4.14 When a common cryogenic liquid oxygen source supplies multiple buildings, each supplied building is required to have either an Emergency Oxygen Supply Connection or an In-building Emergency Reserve. 5.1.3.4.14 (3) An In-building Emergency Reserve that meets the requirements listed in section (5.1.3.4.15) is permitted as a substitute for the Emergency

Oxygen Supply Connection.

5.1.3.4.15.3

1. Underground Piping Outside of Building, Must be placed below the level of frost penetration. 5.1.10.10.5.1 The piping must be protected from physical damage during the process of being backfilled. 5.1.10.10.5.2 When the underground medical pipeline is provided with protection using conduit, cover or other types of enclosures, there must be a means to conduct visual inspection and leak test of any joints before being backfilled and the enclosure or cover must allow for self-draining to prevent retention or prolong contact with the pipeline with water. 5.1.10.10.5.3 Enclosures must be buried at a depth to protect piping from high surface loads. 5.1.10.10.5.4 The minimum backfill cover above the top of the enclosure must be 900 mm (36 in.) except 450 mm (18 in.) where physical damage can be otherwise prevented. 5.1.10.10.5.5 The trench used for underground piping must be properly excavated to allow for continuous support on its bottom. 5.1.10.10.5.6 Backfill must be clean and compacted to ensure uniform support and protection. 5.1.10.10.5.7 A continuous tape or marker placed immediately above the enclosure must clearly identify the pipeline by specific name. 5.1.10.10.5.8 A means top provide continuous warning must also be provided above the pipeline at approximately one-half of its depth. 5.1.10.10.5.9 When the underground piping is installed through a wall sleeve, the ends of the sleeve shall be sealed to prevent the entrance of ground water into the building. 5.1.10.10.5.10

2. EOSC Location, must be mounted on the exterior of the building and be accessible for emergency supply vehicles at all times and in all weather

conditions. 5.1.3.4.14.1 (1)

Connection to the main supply line must located immediately downstream of the main line valve. 5.1.3.4.14.1 (2)

3. Main Line Valve, is required whenever the source valve is not accessible from within the facility it serves. It must be located outside of the room or enclosure where the source valve is located and placed so only authorized personnel have access. 5.1.4.5 The main line valve must be labeled MAIN LINE VALVE for the gas or vacuum service and include the name of the area and building it serves. 5.1.11.2.4

4. Tamper Proof Housing, prevents tampering with the emergency oxygen supply connection by unauthorized individuals. 5.1.3.4.14.2 (1)

5. Female NTP Inlet, must be sized for 100% of the oxygen system’s demand at the pressure of the emergency source. 5.1.3.4.14.2 (2)

6. Manual Shutoff Valve, isolates the EOSC from the main line when it is not in use. 5.1.3.4.14.2 (3)

7. Check-valves, must be located between the main line valve and the tee’d connection and also between the tee’d connection and the EOSC’s shutoff valve. 5.1.3.4.14.2 (4)

8. Pressure Relief-valve, must be installed to protect downstream piping from pressures that are in excess of 50% of its normal pressure. 5.1.2.4.14.2 (5)

9. Main Line Pressure High & Low, switches or sensors are required to be located on the patient side of any source valve and when installed, on the patient side of any main line valve. 5.1.9.2.5

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Level 1 Medical Air Compressor System with Desiccant Dryers

Electric motor driven equipment such as medical air, medical surgical-vacuum, Waste Anesthetic Gas Disposal (with producers greater than 1 hp) and instrument air systems must be in a indoor location that complies with section (5.1.3.3). The indoor location must be used as a dedicated equipment room that is has proper ventilation and has any necessary utilities. Indoor locations are required to be constructed to meet the requirements stated in (5.1.3.3.2) and meet the ventilation requirements of (5.1.2.2.2). Indoor locations must meet the ambient temperature ranges as recommended by their manufacturer. 5.1.3.5.3.1

1. Components, of a medical air compressor system are require to comply with all requirements that are stated in (5.1.3.5.4 through 5.1.3.5.10) and arranged and piped to comply with the requirements stated in (5.1.3.5.11). 5.1.3.5.3.2 (1)

2. Automatic Back-flow Prevention, is required to prevent flow from any on-cycle compressor through any off-cycle compressor. 5.1.3.5.3.2 (2)

3. Compressor Exhaust, Isolation Valves, are required to isolate any compressor from its central supply system and from other system compressors or components to permit maintenance, repair or replacement without causing interruption of service to the facility. 5.1.3.5.3.2 (3)

4. Intake Filter-muffler, that is located where the intake piping connects to the medical air system, is required to be of the dry type. 5.1.3.5.3.2 (4)

5. Final-line Pressure, Relief-valves, located between the system’s final-line regulators and the system’s source valve, is required to be set at 50% above pressure of the medical air pipeline distribution system. 5.1.3.5.3.2 (5)

6. System Components & Piping, are required to not contribute to any contaminates 5.1.3.5.3.2 (6)

7. System Material and Device Requirements, allows components and piping of the system to be if any material, design or construction that is determined by the manufacturer to be appropriate for the delivery of medical air, as defined by NFPA 99 and USP, to the facility except as noted in (5.1.3.5.3.2 (1) through 5.1.3.5.3.2 (6)). 5.1.3.5.3.2 (7)

8. System’s Air Drying Equipment, must be designed and located within the medical air compressor system to prevent condensation of any water - vapor in the pipeline distribution system. 5.1.3.5.3.3

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Level 1 Medical-surgical Vacuum System

Electric motor driven equipment such as medical air, medical surgical-vacuum, Waste Anesthetic Gas Disposal (with producers greater than 1 hp) and instrument air systems must be in a indoor location that complies with section (5.1.3.3). The indoor location must be used as a dedicated equipment room that is has proper ventilation and has any necessary utilities. Indoor locations are required to be constructed to meet the requirements stated in (5.1.3.3.2) and meet the ventilation requirements of (5.1.2.2.2). Indoor locations must meet the ambient temperature ranges as recommended by their manufacturer. 5.1.3.5.3.1

1.

Medical-Surgical Vacuum System, must consist of two or more vacuum pumps sufficient to serve peak demand with the largest single vacuum pump

used as the system’s backup. 5.1.3.6.1.2 (1) Pumps that are part of the system, must have an automatic means to prevent back flow through them

when not in operation into pump/s that are in-use. 5.1.3.6.1.2 (2)

Pumps must have means to be isolated from the rest of the system in order to

provide a means for allowing maintenance, repair or their replacement. 5.1.3.6.1.2 (3) Medical-surgical vacuum pumps are permitted to consist of any materials that the manufacturer finds appropriate to create the necessary vacuum pressures and flows required for required medical-surgical vacuum applications. 5.1.3.6.2.1 When the manufacturer requires anti-vibration mountings for the vacuum pumps or the system, they are required to be present. 5.1.3.6.2.2 Flexible connectors are required on the intakes and exhaust of each vacuum pump of the system. 5.1.3.6.2.3

2.

Receiver, must be included as part of the medical-vacuum vacuum system. 5.1.3.6.1.2 (4) Receivers for medical-surgical vacuum systems are not required to be made corrosion resistant but are required to be capable of withstanding a gauge pressure of 415 kPa (60 psi) and a vacuum pressure of 760 mm (29.9 in.) of Hg, be equipped with a manual drain and have enough inside volume to prevent frequent start cycles based on the technology of the vacuum producer. 5.1.3.6.3 Receivers must be serviceable without shutting down the medical surgical-vacuum system by providing an isolation valve where the receiver is tee’d into the main line that feeds the vacuum pumps, or by using a valved isolation line to connect the receiver or by using a three-valve bypass, that is required for medical air systems. 5.1.3.6.5.2

3.

Laboratory Vacuum Connection, when shared by the Medical-surgical vacuum system, must be connected to the vacuum system’s receiver with a

fluid trap and downstream, isolation shut-off valve. It is permitted to install a scrubber between the fluid trap and the isolation shut-off valve at the

receiver.

5.1.3.6.5.1 (3)

4.

Source Valve, must be located in the immediate vicinity of the connected central supply system. The source valve must be located in a secure or lockable area such as an equipment room as stated in paragraph (5.1.4.4) and be constructed to meet the requirements in paragraph (5.1.4.3).

5.1.3.6.5.3

5.

Electrical Controls, must allow additional vacuum producers to automatically activate when the producers currently in use are unable to maintain the required demand. 5.1.3.6.6.1 Automatic or manual (with proper scheduling) alternation is permitted to ensure equal operating times for each producer. 5.1.3.6.6.2 Each producer must be provided with a dedicated disconnect switch, motor starting device and overload protection. Multiplex systems must have at least two control transformers and control circuit, which does not disrupt the operation of other pumps when a producer is electrically removed from service. 5.1.3.6.6.3

6.

Vacuum Exhaust Piping, is required to be piped outdoors at least 3050 mm (10 ft) from any opening in the building, at a level different from air intakes and where prevailing winds, adjacent buildings, topography or other influences would not allow or prevent its proper dispersion or keep it away from occupied areas. 5.1.3.6.7.2. The ends of the exhaust piping are required to be turned down and screened of non-corroding material to prevent the entry of vermin, debris or precipitation. 5.1.3.6.7.3 Materials used for the exhaust of a medical-surgical vacuum system are required to meet the same requirements as the piping used in the medical-surgical distribution system as stated under (5.1.10.2). 5.1.3.6.7.4 Where it is not possible to avoid dips or loops in the exhaust piping, a drip leg with drain-valve must be installed. 5.1.3.6.7.5 When a common exhaust piping is used for multiple

vacuum producer, it must be sized to minimize positive back pressure.

room when a producer is removed from the system for maintenance, repair or replacement reasons must be accomplished by providing required, shut- off or check valves, blind flange or tube-cap. 5.1.3.6.4.6 (2)

5.1.3.6.4.6 (1) A means to prevent exhaust from exiting into the equipment

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Level 1 Dedicated Waste Anesthetic Gas Disposal (WAGD) System

Electric motor driven equipment such as medical air, medical surgical-vacuum, Waste Anesthetic Gas Disposal (with producers greater than 1 hp) and instrument air systems must be in a indoor location that complies with section (5.1.3.3). The indoor location must be used as a dedicated equipment room that is has proper ventilation and has any necessary utilities. Indoor locations are required to be constructed to meet the requirements stated in (5.1.3.3.2) and meet the ventilation requirements of (5.1.2.2.2). Indoor locations must meet the ambient temperature ranges as recommended by their manufacturer. 5.1.3.5.3.1

WAGD service to the facility can be accomplished through the medical-surgical vacuum system, through a venturi or through a dedicated WAGD

system. 5.1.3.7.1.1 If provided by the medical-surgical vacuum system, the system must comply with all requirements listed under 5.1.3.6, ensure that any flammable anesthetics or vapors are diluted below the their lower flammable limits before entering the medical-surgical vacuum system and

has its application along with the surgical and medical application, factored into the sizing of the system.

5.1.3.7.1.2

1. Dedicated WAGD Systems, must consist of two or more WAGD producers that are sufficient to serve the peak demand of the facility with the largest single WAGD producer used as backup. 5.1.3.7.1.6 (1) Producers must have an automatic means to prevent back flow through any other producer/s that are not-in-use to producer(s) that are in-use. 5.1.3.7.1.6 (2) WAGD producers by venturi must not allow the venturi to be adjusted without the use of special tools, must use water, inert gas , instrument air or other dedicated source to create the venturi. 5.1.3.7.1.7 Must be compliant with the same requirements as vacuum pumps for medical-surgical vacuum but, be manufactured with materials and use lubricants and seals that are inert to oxygen, nitrous oxide and halogenated anesthetics. 5.1.3.7.2.1 When the manufacturer requires anti-vibration mountings for the WAGD producer, they are required to be present. 5.1.3.7.1.6 (5) Flexible connectors are required on the intakes and exhaust of each WAGD producer of the system. 5.1.3.7.1.6 (6)

WAGD Producers Operating at less then 130mm (5 in.) of HgV, are permitted to consist of any materials that the manufacturer finds appropriate to create the necessary vacuum pressures and flows required for the healthcare facility’s applications, be equipped with anti-vibration mountings when required by location or by the manufacturer, use flexible connections the their intakes and outlets, be used only for WAGD applications and use either piping or ductwork that is made of materials that are determined by the manufacturer to be suitable for WAGD application. 5.1.3.7.2.2

2. Isolation Shut-off Valves, are required to provide a means for isolating each producer from the rest of the system and to allow for maintenance, repair or replacement of any producer that is part of the system. 5.1.3.7.1.6 (3)

3. Electrical Controls, must provide each producer with a dedicated disconnect switch, motor starting device and overload protection. Multiplex systems must have at least two control transformers and control circuit, which does not disrupt the operation of other producers when a producer is electrically removed from service. WAGD producers are required to automatically restart after a power failure. 5.1.3.7.5.3

4. Receivers, are not required on WAGD systems since the application it is a dry.

5. Lag Pump Running, must be indicated visually and audibly when the lead WAGD producer can not meet the demand of the facility’s or operate all anesthesia scavenging systems simultaneously. Alarms must fully comply with the requirements as stated in (5.1.9.5). 5.1.3.7.4

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Level 1 Instrument Air Systems with Duplex Compressors

Electric motor driven equipment such as medical air, medical surgical-vacuum, Waste Anesthetic Gas Disposal (with producers greater than 1 hp) and instrument air systems must be in a indoor location that complies with section (5.1.3.3). The indoor location must be used as a dedicated equipment room that is has proper ventilation and has any necessary utilities. Indoor locations are required to be constructed to meet the requirements stated in (5.1.3.3.2) and meet the ventilation requirements of (5.1.2.2.2). Indoor locations must meet the ambient temperature ranges as recommended by their manufacturer. 5.1.3.5.3.1

Instrument Air must comply with ANSI/ISA S-7.0.0.01 Quality Standard for Instrument Air, be filtered to 0.01 micron, free of liquids, free of hydrocarbon vapors and dried to reach a dew point of at least –40 o C (-40 o F). 5.1.3.8.1 Instrument air systems must not be used for medical air or any application where the product will be respired by patients or staff. 5.1.3.8.2.3

1. Instrument Air Compressors, are permitted to be any type, but must be capable of compressing air to 1380 kPa (200 psi) or greater for the purpose of providing power to medical devices or other patient support application that is unrelated to human respiration. 5.1.3.8.3.1 The Instrument air systems must be have at least duplexed compressors unless the system includes a standby header. 5.1.3.8.3.3

2. Intake Air, for the compressors used to produce instrument air may draw it from the room where the system is located. 5.1.3.8.6

3. Filters, must be at least duplexed with isolation valves to permit flow through only one activated carbon and final-line filter. 5.1.3.8.9

The activated

carbon filters is required to be placed upstream of the final-line filters with the final-line filters located upstream of the final-line regulators. Both activated carbon and final-line filters must be sized for 100 percent of the system peak calculated demand. The final-line filter must be rated for a minimum of 98 percent efficiency at 0.01 micron and be equipped with a continuous visual indicator showing the status of the element’s life.

5.1.3.8.7 A filter housing that combines the activated carbon and final-line filter elements is permitted. 5.1.3.8.7.3

4. After-coolers and Air Dryers, must comply with the requirements stated in (5.1.3.5.5 & 5.1.3.5.7) except the air dryer still must be able to bring the system’s dew point reading down to at least –40 o C (-40 o F). Instrument air after-coolers and dryers must be at least duplexed unless a standby header is connected and is part of the system. 5.1.3.8.8(1 & 3), 5.1.3.8.9 (1)

5. Receivers, must meet the requirements as stated in 5.1.3.5.6 and be equipped with a three-valve bypass when the system does not include a standby header. 5.1.3.8.8(2), 5.1.3.8.9 (2)

6. Pressure Regulators, must be at least duplexed with isolation valve on the source side of each regulator and isolation or check valve on the delivery side of each regulator and meet all requirements stated in (5.1.3.5.9). 5.1.3.8.8(4)

7. Lag Compressor Running, alarm signal is required to activate a local alarm when or just before the backup compressor activates on systems that do not include a standby header. The backup compressor running signal must be manually reset at the system. 5.1.3.8.10.1 (1)

8. Dew Point High, alarm must be provided to indicate when the dew point, at system pressure, exceeds –30 o C (-22 o F) at the local alarm site and at both master alarm panels. 5.1.3.8.10.1 (2)

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New or Replacement Medical Pipeline Shutoff Valves

Shutoff valves are required within the medical pipeline distribution system to permit the isolation of sections or portions of the medical pipeline distribution system for maintenance, repair, planned future expansions and to allow for periodic testing. 5.1.4.1 All valves, except for valves in zone box assemblies, are required to be located in a secure area or be locked in their required “open” or “closed” positions. 5.1.4.2 Shutoff

valves that are accessible to individuals other than authorized personnel (zone valves), must be installed in valve boxes with frangible (breakable) or removable windows. 5.1.4.2.1 Areas, such as psychiatric and pediatric are permitted to prevent inappropriate access by securing the zone

valves by any means necessary with the approval from the authority having jurisdiction. 5.1.4.2.2

vacuum valves only. Flammable gas or other non-medical use valves are not allowed to share the same valve box. 5.1.4.2.3

Valve Types, for new or replacement shutoff-valves are required to be as follows: 5.1.4.3

1. Be quarter-turn, full ported, ball type

2. Brass or bronze construction

3. Have extensions for brazing

4. Have a handle, indicating open or closed

5. Consist of three-pieces to permit inline servicing

Zone valve boxes are for medical gas and

Valves that are part of the pipeline system for medical gases are required to be cleaned for oxygen. 5.1.4.3.1 Valves that are part of a pipeline system for medical-surgical or WAGD vacuum applications are not required to be oxygen cleaned and are permitted to be either ball or butterfly styles. 5.1.4.3.2

Medical Pipeline Shutoff Valves include:

5.1.4.4 Source Valves

5.1.4.5 Main Line Valves

5.1.4.6 Riser Valves

5.1.4.7 Service Valves

5.1.4.8 Zone Valves

5.1.4.9 In-line Valves

5.1.4.10 Valves for Future Connections

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Level 1 Medical Oxygen Distribution System

1. Main-line Valves, are required whenever the source valve is not accessible from within the building. It must be located outside of the area or room where the source valve is located, in the immediate vicinity where a main-line enters into the facility and situated to allow access to authorized personnel only. 5.1.4.5 Main-line valves are not required if the associated source valve, along with its source equipment, is either located inside the building it serves or the source equipment is attached to the facility’s wall with its source valve in the immediate area of the source equipment. 5.1.4.5 (1&2) The main-line valve must be in accordance with (5.1.11.2.4) and be labeled MAIN LINE VALVE with the corresponding gas or vacuum name and the name of the area and building it serves. 5.1.4.5.3

2. Riser Valves, must be attached to each riser supplied from the main-line.

It is permitted to locate the riser valve above the ceiling as long as the

valve remains accessible and is not obstructed. 5.1.4.6.1 Labeling of the valve must be in accordance with (5.1.11.2.5) to read RISER FOR THE

(Gas/Vacuum name) and also the name of the area and building it serves. 5.1.4.6.2

3. Service Valves, are required where lateral branch pipelines are connected to a main-line or riser to allow for service, maintenance or additions of new medical pipelines without having to shut down the entire pipeline system. 5.1.4.7 It is only required to install one service valve, which could feed multiple zones off of a riser. 5.1.4.7.1 Service valves must always be located on the equipment side or prior of any zone valves that are

installed on the pipeline.

position either above the ceiling or in other restricted area. 5.1.4.7.3 Labeling of service valves must be in accordance to (5.1.11.2.6) and read SERVICE VALVE with the gas or vacuum name and the also the name of the area and building it serves. 5.1.4.7

5.1.4.7.2 Service valves are required to be located in a secured area with locked access doors or locked in the “open”

4. Zone Valves, are for the main purpose of providing an emergency shutoff for the medical gases and vacuum terminals serving patient areas

when it is required to evacuate these areas of all patients and their care givers during a crisis situation. For this reason, it is important to located zone valves according to the following requirements. Zone valves must be located so that a wall is present between the zone valve and the

outlets/inlets terminals it supplies. Zone valve can only supply outlets/inlets terminals located on the same floor as their zone valve. 5.1.4.8 valves must be accessible to allow them to be operated from a standing position in the corridor they serve. 5.1.4.8.1 Zone valves must never supply another zone valve. 5.1.4.8.2 Pressure and vacuum indicators are required position on the outlet/inlet side of the zone valve to ensure

proper pressure or vacuum readings within the areas being served by the zone valve. 5.1.4.8.3 The zone valve box must be located where it is visible and accessible at all times. 5.1.4.8.4

Zone

5. Zone Valves for Life-support, Critical Care & Anesthetizing Locations, are required to be located immediately outside of each of these locations for each medical gas and vacuum line and be readily accessible in an emergency. 5.1.4.8.7 All gas-delivery columns, hose reels, ceiling tracks, control panels, pedants, booms or other special medical gas and vacuum equipment installed onto the medical pipeline is required to be located downstream of a zone valve. 5.1.4.8.7.2

6. In-line Valves, are optional valves that are intended for the purpose of isolating piping to provide a means to conduct maintenance or other forms of service to individual rooms or equipment located within a room or area. 5.1.4.9 They must be located in a restricted area (i.e. above the ceiling), locked or latched open and be labeled according to (5.1.11.2). 5.1.4.9.1

7. Valves for Future Connections, must be located in a restricted area, be locked close and be identified by label in accordance with (5.1.11.2) to read, VALVE FOR FUTURE CONNECTION, name of gas or vacuum service and a caution not to open the valve. These valves, must be provided with tubing extensions having a braze cap to allow for future cutting and rebrazing onto the extension. 5.1.4.10

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Level 1 Outlet / Inlet Requirement / Connected Adapter

Medical outlets must be designed to prevent cross-connection of gases or vacuum to the connected equipment by being of a gas specific design

whether it is of the quick-disconnect or threaded connection style.

5.1.5.1

Each station outlet assembly must include a primary and secondary valve . 5.1.5.2

Station outlets are required to be constructed with all necessary components that are required to make the outlet gas specific and non- interchangeable with other outlets that are designed for other medical gases in order to prevent possible interchanging of major components that might allow an outlet to become able for connection to the wrong gas adapter. 5.1.5.7

The use of common parts that are not gas specific for medical outlets, such as O-rings, fasteners, seals and shutoff poppets is permitted. 5.1.5.8

When multiple wall medical gas outlets and vacuum inlets are installed together, there must be enough space between the outlets/inlets to permit the simultaneous operation of various types of connected therapy equipment. 5.1.5.14

When gas outlets are used for operating pressures greater than 1380 kPa (80 psi) they are required to be D.I.S.S. 5.1.5.15 (2)

Outlets operating at pressures between 1380 kPa (200 psi) and 2070 kPa (300 psi) must be designed to allow the removal of internal pressure from within the adapter before the adapter can be disconnected. 5.1.5.15 (4)

1. Primary Check-valve, is required to be present on station inlets. Its purpose is to allow the user to connect and disconnect equipment from the

outlet without causing leakage

5.1.5.3

2. Absence of any Secondary Check-valve, is allowed on vacuum inlets to help ensure required flows necessary to operate connected equipment,

but is not required for the manufacturer to eliminate it if the assembly can achieve the required flows.

5.1.5.3

3. Gas-specific Design, must be manufactured into the station outlets & inlets, whether they are threaded or quick-coupler types, to prevent accidental cross-connection of gases or vacuum to connected equipment. 5.1.5.1

4. Factory Installed Tubes, must not extend further than 205 mm (8 inches) from the body of the terminal and must not be less than DN10 (NPS 3/8) (1/ 2 in. O.D.) for vacuum inlets (5.1.5.12).

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Level 1 Ceiling Pendants & Hose Drops

Ceiling Pendants are included in line of products considered “Manufactured Assemblies” and come under the requirements as stated under

(5.1.6).

All Manufactured Assemblies must be pre-tested for Initial Blow-down (5.1.12.2.2), Initial Pressure (5.1.12.2.3), Piping Purge (5.1.12.2.5) and Standing Pressure (5.1.12.2.6 for gases or 5.1.12.2.7 for vacuum). The standing pressure test can be conducted using whatever means the manufacturer prefers as long as the test ensures that the assembly does not have a pressure decay of more than 1% within 24 hours. All manufacturer’s pre-test must be successfully completed by the manufacturer prior to them being being shipped and delivered at their final installation site. 5.1.6.1 & 5.1.6.2

Documentation certifying that the manufactured assemblies have successfully completed all tests listed under (5.1.6.1) is required to be provided by the manufacturer. 5.1.6.3

All manufactured assemblies must be tested after installation in accordance with (5.1.12), which covers the required installer and verifier medical pipeline systems tests. 5.1.6.9

Hose Drops are accessories that are connected to medical pipeline outlets and inlets mounted in the ceiling and are not considered part of the medical gas and vacuum pipeline distribution system.

1. Ceiling Outlets & Inlets, are highly recommended by manufacturers of medical pipeline products to be D.I.S.S. types to help prevent their accidental disconnection from the ceiling outlets/inlets.

2. Pipeline Connections of Manufactured Assemblies, when using hoses or flexible connectors and when their connection points are not fully and immediately accessible, such as requiring the removal of access doors or panels, it is required to have their pipeline connections provided by a D.I.S.S type of connector, which may be permitted to omit their secondary valve to help provide better flow performance through connected medical gas and vacuum hoses. Additionally, vacuum inlets, both medical vacuum and WAGD, are allowed to omit their primary valve to enhance their ability for better flow performance 5.1.6.7 (1,2,3)

3. Flexible Hoses and Connectors, that use flexible hoses are required to use hoses and flexible connectors having a minimum burst pressure 1 of 6895 kPa (1000 psi). 5.1.6.4 When flexible hoses are required, they must have a flame spread rating of not greater than 200 when tested in accordance with NFPA 255 (Standard Method of Test of Surface Burning characteristics of Building Material). 5.1.6.4 & 5.1.6.5

4. User Connections, that are installed as part of the manufactured assembly must conform to all station outlet/inlet requirements as stated in (5.1.5). 5.1.6.7 (4)

1 “burst pressure” is determined by using a calculation that uses the material’s tensile strength value along with the tubing’s OD and ID measurements.

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Level 1 Manufactured Assemblies

Vertical and Horizontal Headwalls are included in line of products considered “Manufactured Assemblies” and come under the requirements as stated under (5.1.6).

All Manufactured Assemblies must be pre-tested for Initial Blow-down (5.1.12.2.2), Initial Pressure (5.1.12.2.3), Piping Purge (5.1.12.2.5) and Standing Pressure (5.1.12.2.6 for gases or 5.1.12.2.7 for vacuum). The standing pressure test can be conducted using whatever means the manufacturer prefers as long as the test ensures that the assembly does not have a pressure decay of more than 1% within 24 hours. All manufacturer’s pre-test must be successfully completed by the manufacturer prior to them being being shipped and delivered at their final installation site. 5.1.6.1 & 5.1.6.2

Documentation certifying that the manufactured assemblies have successfully completed all tests listed under (5.1.6.1) is required to be provided by the manufacturer. 5.1.6.3

All manufactured assemblies must be tested after installation in accordance with (5.1.12), which covers the required installer and verifier medical pipeline systems tests. 5.1.6.9

Hose Drops are accessories that are connected to medical pipeline outlets and inlets mounted in the ceiling and are not considered part of the medical gas and vacuum pipeline distribution system.

1. Manufactured Assemblies Connected by Brazing, to the medical pipeline are required to have all installed station outlets/inlets that completely comply with section 5.1.5 (Station Outlets/Inlets). 5.1.6.8

2. Pipeline Connections of Manufactured Assemblies, when using hoses or flexible connectors and when their connection points are not fully and immediately accessible, such as requiring the removal of access doors or panels, it is required to have their pipeline connections provided by a D.I.S.S type of connector, which may be permitted to omit their secondary valve to help provide better flow performance through connected medical gas and vacuum hoses. Additionally, vacuum inlets, both medical vacuum and WAGD, are allowed to omit their primary valve to enhance their ability for better flow performance 5.1.6.7 (1,2,3)

3. Flexible Hoses and Connectors, that use flexible hoses are required to use hoses and flexible connectors having a minimum burst pressure 1 of 6895 kPa (1000 psi). 5.1.6.4 When flexible hoses are required, they must have a flame spread rating of not greater than 200 when tested in accordance with NFPA 255 (Standard Method of Test of Surface Burning characteristics of Building Material). 5.1.6.4 & 5.1.6.5

4. User Connections, that are installed as part of the manufactured assembly must conform to all station outlet/inlet requirements as stated in (5.1.5). 5.1.6.7 (4)

1 “burst pressure” is determined by using a calculation that uses the material’s tensile strength value along with the tubing’s OD and ID measurements.

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Level 1 Alternative Warning Systems Master Alarm System Connected to Pressure Switches or Sensors

All Master, Area and Local alarm systems must be equipped with the following, as stated in section 5.1.9.1:

(1)

Separate visual indicators for each condition monitored. This would also include the required common local alarm signal, which

(2)

combines several conditions from motorized source equipment, to both master alarm panels. Visual indicators that remain in the alarm condition until the cause of the alarm is resolved.

(3)

Cancelable, audible indication of each alarm condition that produces a sound with a minimum level of 80 dBA from 920 mm (3 ft).

(4)

A means to visually indicate a lamp or LED failure.

(5)

Visual and audible indication that the wiring to an alarm initiating device is disconnected.

(6)

Labeling of each indicator, indicating the condition monitored.

(7)

Labeling of each alarm panel that provides the name for the location or area that it monitors.

(8)

Re-initiation of the audible signal if another alarm condition occurs while the audible alarm is silenced.

(9)

Power for the master and area alarm panels from the emergency electrical system as described in Chapter 4, Electrical Systems.

(10)

Power to the local alarms from the essential electrical branch, which is also used to power the motorized source equipment.

(11)

Wiring from switches or sensors that are supervised or protected as required by Section 517.30 (c) (3) of NFPA 70

(12)

Assurances by the responsible authority of the facility that all labeling of the different alarm panels are accurate and up-to-date.

(13)

Provisions to provide an automatic restart after a power loss of at least 10 seconds, without causing a false alarm or requiring manual operation or reset.

1.

Two Separate Locations for Master Alarms, are required for Level 1 Health care facilities. One must be located in an area or department of the authority who is responsible for the maintenance of the medical gas and vacuum pipeline systems and the other where it can be assured of continuous surveillance. 5.1.9.2.1

Centralized computers such as building management systems are allowed to be used as a substitute for one medical pipeline master alarm systems as long as they comply completely with (5.1.9.4). Central computer systems are permitted to receive signals for additional annunciation from either of the two required master alarms panels that comply with (5.1.9.4). 5.1.9.2.2

2.

Switches or Sensors, must be directly wired to the two required master alarm panels. 5.1.9.2.3

Using relays to transmit alarm signals from one

master panel to the other is not permitted. However, using multiple alarm relays in order to isolate different master alarms that use different incompatible power to the alarm initiating device is permitted as long as the power source used to energize the coil of the relay is independent of the master alarm panels. 5.1.9.3.2, 5.1.9.3.3

3.

Separate Visual Indicators, for each condition monitored except for the common local alarm signal, which combines several conditions from motorized source equipment to, to both master alarm panels. Labeling of each condition is required to show the gas or vacuum source along with the specifics for the signal. 5.1.9.1(1) Visual indicators must remain lit until the condition causing the alarm condition is resolved. 5.1.9.1(2)

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Level 1 Warning Systems Area Alarm System

All Master, Area and Local alarm systems must be equipped with the following, as stated in section 5.1.9.1:

(1)

Separate visual indicators for each condition monitored. This would also include the required common local alarm signal, which

(2)

combines several conditions from motorized source equipment, to both master alarm panels. Visual indicators that remain in the alarm condition until the cause of the alarm is resolved.

(3)

Cancelable, audible indication of each alarm condition that produces a sound with a minimum level of 80 dBA from 920 mm (3 ft).

(4)

A means to visually indicate a lamp or LED failure.

(5)

Visual and audible indication that the wiring to an alarm initiating device is disconnected.

(6)

Labeling of each indicator, indicating the condition monitored.

(7)

Labeling of each alarm panel that provides the name for the location or area that it monitors.

(8)

Re-initiation of the audible signal if another alarm condition occurs while the audible alarm is silenced.

(9)

Power for the master and area alarm panels from the emergency electrical system as described in Chapter 4, Electrical Systems.

(10)

Power to the local alarms from the essential electrical branch, which is also used to power the motorized source equipment.

(11)

Wiring from switches or sensors that are supervised or protected as required by Section 517.30 (c) (3) of NFPA 70

(12)

Assurances by the responsible authority of the facility that all labeling of the different alarm panels are accurate and up-to-date.

(13)

Provisions to provide an automatic restart after a power loss of at least 10 seconds, without causing a false alarm or requiring manual operation or reset.

1. Placement of Area Alarms, is required whenever the medical pipeline system provides medical gases or vacuum to locations where anesthetizing applications or life support equipment is required (e.g. Surgery, Recovery, ICU, CCU, Emergency). 5.1.9.3 The area alarm panel must be installed where it can be monitored by responsible facility personnel. 5.1.9.3.1

2. Pressure/Vacuum Indicators, are required either at or on the area alarm panel. Most manufacturers prefer to include the indicator as part of the area alarm. The pressure or vacuum indicator might be a simple analog pressure or vacuum gauge or the more commonly preferred, digital, numerical display. 5.1.8.2.2 (2)

3. Visual and Cancelable Audible Indicators, must alarm when the pressure for medical gas pipelines reaches or exceeds 20% above or below of its normal line pressure. 5.1.9.3.2 For vacuum pipeline system, the area alarm panel must visually indicate when the vacuum pressure decreases to or below 300 mm (12 in.) Hg. 5.1.9.3.3