HOSPITAL POIKLINIK KESIHATAN ANGKATAN TENTERA, SUNGAI PETANI

MEDICAL GAS CYLINDER CALCULATION

1. MEDICAL GASES PIPELINE SYSTEMS

1.1 MEDICAL GASES PLANT SIZING

a) Oxygen VIE Calculation
i) HTM 02-01 Theoretical calculated usage
Calculation flow rate theoretical from HTM 02-01 formula which is based on current
floor plan, the O² = 201 lpm (reference HTM 02-01 page 26)
The maximum potential daily demand should be based on the peak flow conditions
measured between 8.00am and 6.00pm, with all operating rooms in use and with
maximum demand being provided to pipeline outlets. It should not be based on
theoretical pipeline design flow conditions. Where actual flow monitoring is
impracticable, daily cylinder or liquid consumption figures should be used. (reference
HTM 02-01 page 43)

Summary of calculation
Flowrate: Attached table [Hospital Poliklinik Kesihatan Angkatan Tentera Sungai
Petani (Mei 2018)], Rev 0
Peak hours in used (8am – 6pm): 10 hours

Theoretical:
Flowrate x minutes’ x Peak hours in used = Theoretical usage per day
201 l/m x 60 x 10 hours = 120,600 liters per day.
The normal capacity of ‘J’ size oxygen cylinder is 6,800 liters.
(HTM 02-01, table 22, page 36).
No of cylinder = 120,600 / 6800
= 17.73 cylinders
10 hours’ consumption = 17.73 cylinders
Therefore, we recommended = 2 x 10 cylinders

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 HOSPITAL POIKLINIK KESIHATAN ANGKATAN TENTERA, SUNGAI PETANI
MEDICAL GAS CYLINDER CALCULATION

Risks Assessment Exercise calculation as below

Both BS EN 737-3:2000 and ISO 7396-1:2002 propose that all medical gas supplies
should comprise three sources of supply identified as “primary”, “secondary” and
“reserve” (HTM 02-01, page 2).

i) Oxygen Secondary Manifold

Secondary should last for at least 4 hours’ consumption. (HTM 02-01, page 4)
201 l/m x 60 x 4 hours = 48,240 liters per day.
The normal capacity of ‘J’ size oxygen cylinder is 6,800 liters.
(HTM 02-01, table 22, page 36).
No of cylinder = 48,240 / 6800
= 7.09 cylinders
4 hours’ consumption = 7.09 cylinders
Therefore, we recommended = 2 x 4 cylinders

ii) Oxygen Reserve Manifold

Reserve should last for at least 4 hours’ consumption. (supporting secondary)
201 l/m x 60 x 4 hours = 48,240 liters per day.
The normal capacity of ‘J’ size oxygen cylinder is 6,800 liters.
(HTM 02-01, table 22, page 36).
No of cylinder = 48,240 / 6800
= 7.09 cylinders
4 hours’ consumption = 7.09 cylinders
Therefore, we recommended = 2 x 4 cylinders

b) Nitrous Oxide - Compressed Gas Cylinder Manifold Systems

1. The maximum annual consumption is 2,000 m³. (Appendix 6b, Type ‘B’ from C11
Standards)
2. The normal capacity of ‘J’ size Nitrous Oxide cylinder is 18,000 liters. (HTM 02-01,
Table 36)
3. Primary supply manifold should hold a minimum of two days’ supply on each bank.
Sufficient additional cylinders should ensure continuously supply for one week.
(HTM 02-01, page 7)

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 HOSPITAL POIKLINIK KESIHATAN ANGKATAN TENTERA, SUNGAI PETANI
MEDICAL GAS CYLINDER CALCULATION

i) Nitrous Oxide Automatic Manifold

Primary Supply = Automatic Manifold
Annual N2O, 20 consumptions (max) = 2,000 m³ x 0.20
= 400 m3
For four day’s consumption of N2O = (400 x 4) ÷ 365
= 4.38 m³
1 no. N2O cylinder content = 18,000 liters
No. of N2O cylinders consumed for one week,
= 4,380 ÷ 18,000
= 0.24 cylinders.
Therefore, we proposed 2 x 1 Primary Supply Manifold.

ii) Nitrous Oxide Secondary Manifold

Allowing 4 hours consumption = (400 m3 x 0.16) ÷ 365
= 0.17 m³
= 170 liters
No. of N2O cylinders required = 170 ÷ 18,000
= 0.009 cylinders.
Therefore, we proposed 1 x 1 Emergency Supply Manifold.

iii) Nitrous Oxide Reserve Manifold

Allowing 4 hours consumption = (400 m3 x 0.16) ÷ 365
= 0.17 m³
= 170 liters
No. of N2O cylinders required = 170 ÷ 18,000
= 0.009 cylinders.
Therefore, we proposed 1 x 1 Emergency Supply Manifold.

Therefore, we proposed 2 x 1 Primary Supply Manifold, 1 x 1 ESM Manifold

and 1x1 Reserve Manifold. (HTM 02-01, table 10).

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 HOSPITAL POIKLINIK KESIHATAN ANGKATAN TENTERA, SUNGAI PETANI
MEDICAL GAS CYLINDER CALCULATION

c) Combined Triplex System

Medical Air, 4 Bar
Primary Supply : Compressor Having Capacity of 163
Liters/Minute
Plant capacity is based on total flow rate calculated. (HTM 02-01, pg 31)
Total MA4 = 163 lpm

Surgical Air, 7 Bar

Based on the tender drawing the surgical air are used by 1 Operation Theatre which gives
the capacity as attached table [Hospital Poliklinik Kesihatan Angkatan Tentera (Mei
2018) Rev 0]
Total Sa7 used would be = 350 lpm

To save space we recommend combined system

MA4 size = 163 lpm
SA7 size = 350 lpm
Total plant size = 163 lpm + 350 lpm
= 513 lpm
Quantity of compressor = 3 No.
Air Receivers = Size would be half of overall capacity
= 350 Liters
No of Air Receivers = 1 Nos

i) Medical Air Reserve Manifold;

a. Normal capacity cylinder J size is 6,400 liters.
b. Reserve should last for least 4 hours consumption (HTM 02-01, page 4).
c. MA4 flow rate from calculation = 163 lpm
Allowing 4 hours consumption = (163 x 60 x 4)
= 39,120 litres
The normal capacity of ‘J’ size for medical air is 6,400 litres (HTM 02-01,
table 22, page 36)
No. of cylinder = 39,120 / 6,400
= 6.11 cylinders
Therefore, we proposed 2 x 4 cylinders as reserve supply.

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 HOSPITAL POIKLINIK KESIHATAN ANGKATAN TENTERA, SUNGAI PETANI
MEDICAL GAS CYLINDER CALCULATION

d) Medical Vacuum (Triplex System) - Triplex Pump System

Primary Supply : Compressor Having Capacity of 335
Liters/Minute
Quantity of compressor = 3 No.
Air Receivers = Size would be equal with overall capacity
= 16 Liters
No of Receivers = 1 Nos. (500 Litres per tank)

Plant capacity is based on total flow rate calculated; attached Table [Hospital Poliklinik
Kesihatan Angkatan Tentera (Mei 2018, Rev 0)]
Total Vacuum = 335 lpm (based on calculation HTM 02-01, pg 34)

e) Anaesthetic Gas Scavenging System (AGSS) – Duplex System (HTM 02-01)

Sizing of AGSS Plant.
The basis of calculation as below:-
1. Air aspirated & pressure is 130 lpm for each terminal units.
2. Operation Suite each suite is 130 lpm Duplex System.

OT, V = V + (nT – 1)V

= 130 + (1 – 1)130
= 130 lpm
Plaster = 130 lpm

Total needed for AGSS is 130 lpm for Operation Theatre and 130 lpm for Plaster Room.
These calculation is done according to HTM and assumption made as close as possible to reality.

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