MEDICAL GASES

PIPELINE SYSTEM

TOPIC: DIAMETER INDEX SAFETY

SYSTEM [DISS]

PRESENTER: DR.RAJATH
MODERATOR: DR.ANANYA
 DIAMETER INDEX SAFETY SYSTEM
 The DISS was developed to provide non-interchangeable connections for medical gas lines at

pressures of 1380 kPa (200 psi) or less .

 Each DISS connector consists of a body, nipple, and nut combination. There are two

concentric and specific bores in the body and two concentric and specific shoulders on the

nipple . The small bore (BB) mates with the small shoulder (MM), and the large bore (CC)

mates with the large shoulder (NN)

 To achieve non-interchangeability between different connectors, the two diameters on each

part vary in opposite directions so that as one diameter increases, the other decreases. Only

properly mated parts will fit together and allow the threads to engage. The American Society

for Testing and Materials (ASTM) anesthesia workstation requires that every anesthesia

machine have a DISS fitting for each pipeline inlet .

 Testing Medical Gas
Distribution Systems 
 Test for cross connections
 Pipeline purge test
 Standing pressure test
 System verification
 Valve test
 Alarm test
 Piping purge test
 Piping particulate test
 Piping purity test
 Final tie in test
 Operational pressure test
 Gas concentration test
 Medical air purity test
 Labelling
 Source equipment verification
 Testing for cross connections (anti-confusion
or continuity test)

 It is done to ensure that the gas delivered at each terminal unit is that
shown on the outlet label and that the proper connectors are present at
station outlets.
 One gas system is tested at a time.
 Each gas is turned off at the source valve and the pressures reduced to
atmospheric.
 The pipeline being tested is then filled with oil-free nitrogen at its working
pressure
 With appropriate adapters matching outlet labels, each station outlet is
checked to ensure that test gas emerges only from the outlets of the
medical gas system being tested. The cross-connection test is then
repeated for each gas system in turn.
Pipeline Purge Test

 To remove particulate matter, a heavy intermittent

purging must be performed on each outlet until no
discoloration is produced on a white cloth that is
held over the outlet. The purging is started at the
outlet closest to the zone shutoff valve and is
continued to the farthest outlet within the zone
Standing Pressure Test

 Piping systems shall be subjected to a 10-minute standing

pressure test at operating line pressure.

 After the walls have been closed and after installation of

station outlet valve bodies and other distribution system
components (e.g., pressure alarm devices, pressure
indicators, pressure relief valves, etc.), the entire system is
subjected to a 24-hour test with a pressure 20% above the
normal operating line pressure with the source valve closed.
Leaks must be located and repaired, and the test must be
repeated until no leaks are found.
Valve Test

 Valves must be tested to verify proper operation and

rooms or areas that they control .
Alarm Test

 All master and area alarm systems must be tested for

proper functioning.
System Verification

 System verification tests shall be performed after all

the installer-performed tests have been completed.
Testing shall be conducted by a party who is
technically competent and experienced with pipeline
installations and who meets the requirements of
ASSE 6000
Piping Particulate Test

 A minimum of 1000 L of gas must be filtered through

a clean, white 0.45 micron filter at a minimum flow
rate of 100 L/minute. The filter shall accrue no more
than 1 mg of matter from any outlet tested.
 Twenty-five percent of the zones must be tested at
the outlet most remote from the source.
Piping Purity Test

 Each medical air system must be tested for dew

point, methane, and halogenated hydrocarbons at
the outlet most remote from the source.
Final Tie-in Test

 After connection of any work, extension, or addition to

an existing piping system, each joint in the final
connection between the addition and the existing
system must be leak tested with the gas of system
designation at the normal operating pressure.
 After the final connection is made and leak tested, the
area downstream of the point or area of intrusion must
be purged
 Cross-connection Test

Either of the following tests can be used:

1) All medical gas systems are reduced to atmospheric pressure. sources of

test gas from all medical gas systems, with the exception of the one system
to be checked, are disconnected. The system is then pressurized to 345 kPa
(50 psig).Each terminal unit of every medical gas system is then checked to
verify that test gas is being dispensed only from the outlets of the medical
gas system being tested. Each medical gas system is checked in this way.

2)The pressures of all medical gas system are reduced to atmospheric. The
test gas pressure in all the medical gas piping system is increased to values
mention in the table.
Following adjustment of pressures, each station outlet is identified by label,
and a gas-specific connector with a test gauge is attached to verify that the
pressure indicated is that listed.
Operational Pressure Test

 Oxygen, nitrous oxide, and medical air outlets must

deliver 100 L/minute with a pressure drop of no more
than 35 kPa (5 psi) at a static pressure of 345 to 380
kPa (50 to 55 psi). Nitrogen outlets and instrument air
must deliver 140 L/minute with a pressure drop of no
more than 35 kPa (5 psi) at a static pressure of 1100 to
1275 kPa (160 to 185 psi)
Gas Concentration Test

  After purging each system with the gas for which

the system is designed, each system must be
analysed for gas concentration.
Medical Air Purity Test

 The medical air source must be analysed for dew

point, carbon monoxide, carbon dioxide, gaseous
hydrocarbons, and halogenated hydrocarbons.
 Shutoff valves to anesthetizing locations can be checked for tightness
and components downstream of the valve for leaks by the following
test.
 An anesthesia machine with a pipeline pressure gauge is connected to
the piping system. Cylinder valves on the machines are closed, the zone
shutoff valve outside the operating room is closed, and gas is released
until each pipeline pressure gauge reads 280 kPa (40 psig).
 This pressure is then monitored for 4 hours. It should remain at 280
kPa.
 If the pressure rises, the shutoff valve is not working properly.
 If the pressure falls, there is a leak in the pipe to the room, the station
outlet, or the hose to the anesthesia machine.
 It is essential that the shutoff valves be reopened after this test has
been performed.