fbpx
Wikipedia

Pin Index Safety System

January 01, 1970

"PISS" redirects here. For other uses, see Piss (disambiguation).

The Pin Index Safety System (PISS) is a means of connecting high pressure cylinders containing medical gases to a regulator or other utilization equipment. It uses geometric features on the valve and yoke to prevent mistaken use of the wrong gas. This system is widely used worldwide for anesthesia machines, portable oxygen administration sets, and inflation gases used in surgery.

Pin index dimensions

Concept edit

The pin index safety system uses a face seal between the cylinder valve and the associated yoke clamp. There are two holes in specific positions on the cylinder valve body below the outlet port , in positions associated with the gas mixture, which prevent connection of the cylinder to a yoke or pressure regulator with a mis-matched set of pins. The holes accept pins 4 mm diameter by 6 mm long which are correctly aligned with the holes.[1]

Pin index configurations edit

 
Pin numbers

Each gas cylinder has a pin configuration to fit its respective gas yoke. Refer to the diagram for pin numbers; dimensions are in millimeters.

  • O2: 2,5[2][3][1]
  • N2O: 3,5[2][3][1]
  • Mixture of O2 and N2O (50% / 50%), commonly called Entonox: 7 (a single pin, located in the centre)
  • Air: 1,5[3][1]
  • Mixtures of CO2 and O2 with more than 7% CO2: 1,6[2]
  • Mixtures of CO2 and O2 with less than 7% CO2: 2,6[2]
  • He: No pin[1]
  • Mixtures of O2 and He with less than 80% He, commonly called Heliox: 2,4[2]
  • Mixtures of O2 and He with more than 80% He: 4-6[2]
  • Cyclopropane: 3,6[2]
  • Ethylene: 1,3[2]
  • Nitrogen: 1,4[1]
  •  
    Pin index yoke connector for medical oxygen filling whip
  •  
    Detail of pin index yoke connector for medical oxygen
  •  
    Pin index medical oxygen cylinder valve

International Standards edit

  • International (ISO) and European (CEN) Standard
  • EN ISO 407 : Small medical gas cylinders - Pin-index yoke-type valve connections

The pin index system is a safety system (PISS) designed to ensure the correct gas is filled into the correct cylinder, and that the cylinder will only connect to the correct equipment. The positions of the holes on the cylinder valve correspond with the pins fitted to the yoke attached to the equipment. The pin positions for each medical gas are unique. If an attempt is made to fit the wrong gas cylinder to the yoke a tight seal will not be made, as the pins cannot locate.[citation needed]

The system requires a seal between the yoke and valve to prevent leakage. This is called a Bodok seal, and is a moulded rubber washer (or Neoprene) supported by a metal rim.[1]

Bodok seal edit

 
Bodok Seal

The Bodok seal is a specialised washer that ensures a gas-tight seal between the cylinder yoke or regulator of an anaesthetic machine or any medical device requiring a gas supply, and a gas cylinder. It was introduced along with the pin index safety system during the 1950s.

Attachment and detachment of a gas cylinder leads to constant wear and tear, due in part to mechanical distress and to gaseous compression and expansion. Adiabatic effects in rapidly expanding compressed gases can generate very low temperatures, necessitating a sufficiently durable and cold-resistant material such as neoprene. Prior to the introduction of the Bodok seal, the traditional fibre washer would frequently splay and cause leakage or adhere to the regulator, thus requiring the use of pliers and considerable force to remove it.

The Bodok seal consists of a neoprene washer with a peripheral metal reinforcing ring to prevent splaying. The seal is incombustible and resistant to the high pressures imposed upon it by cylinder gases, approximately 2,000 psi (140 bar) in a full cylinder.

Care must be taken when replacing gas cylinders that the Bodok seal does not stick to the cylinder valve face, and is thus 'lost' when the new cylinder is fitted, preventing a gas tight seal.

Bodok seals are also used in emergency oxygen kits used in first aid for underwater diving, but diving regulators used for scuba cylinders generally use a conventional o-ring seal with either a DIN 477 or CGA 850 yoke connector.

Limitations edit

It is possible to bypass the pin-index system if the pins are removed, damaged or corroded, if extra washers are used, or on some valves with a short face above the orifice, by inverting the gas cylinder. There is one report of the cylinder being painted the wrong colour leading to error.[4][5][6][7]

Alternative systems edit

Medical gas cylinders larger than size E (679 liters) are more likely to be fitted with threaded connectors. The connections used for larger cylinders vary widely among jurisdictions. One such system are the American CGA fittings.[8] In Europe there are British Standard (BS), German Standard (DIN) and French (AFNOR) connections, and Japan has the Japanese Standard (JIS).

Blanking Plugs edit

Blanking plugs (dummy cylinder heads) can be inserted into empty yokes to ensure that there is no leak out of the yoke when not in use.[9]

See also edit

References edit

  1. ^ a b c d e f g Srivastava, Uma (2013). "Anaesthesia gas supply: Gas cylinders". Indian Journal of Anaesthesia. 57 (5): 500–506. doi:10.4103/0019-5049.120147. PMC 3821267. PMID 24249883.
  2. ^ a b c d e f g h "Attaching Therapy Equipment: Pin Index Safety System" (PDF). Medical Gases and Safety Systems: CRC 330. Cardiorespiratory Care, University of South Alabama. Retrieved 12 August 2017.
  3. ^ a b c Dosch, Michael P.; Tharp, Darin. "Supply system: Gases & electricity". The Anesthesia Gas Machine. University of Detroit. Retrieved 12 August 2017.
  4. ^ Naithani, Udita; Betkekar, Sneha Arun; Verma, Devendra; Gehlot, Ravindra K; Sundararaj, Rajkumar (1 October 2016). "Pin index safety system and color coding: is it enough?". Ain-Shams Journal of Anaesthesiology. 9 (4): 626. doi:10.4103/1687-7934.198257. S2CID 136526015.
  5. ^ Healy, Thomas EJ; Knight, Paul R. (31 October 2003). Wylie Churchill-Davidson's A Practice of Anesthesia 7th Edition. CRC Press. ISBN 9780340731307. Retrieved 13 August 2017.
  6. ^ Goho, C.; Kittle, P. (July 1991). "Override of an N2O/O2 machine fail-safe mechanism: case report" (PDF). Pediatric Dentistry. 13 (4): 234–235. ISSN 0164-1263. PMID 1886828.
  7. ^ Rawstron, R. E.; McNeill, T. D. (1 August 1962). "Pin Index System". British Journal of Anaesthesia. 34 (8): 591–592. doi:10.1093/bja/34.8.591. ISSN 0007-0912. Retrieved 13 August 2017.
  8. ^ staff. "CGA Fitting Reference". www.concoa.com. Retrieved 12 August 2017.
  9. ^ Davey, Andrew; Diba, Ali (2012). "4". Ward's anaesthetic equipment. Davey, Andrew J., Diba, Ali., Ward, C. S. (Crispian Stanley). (6th ed.). Edinburgh: Elsevier. p. 69. ISBN 9780702030949. OCLC 802047752.

External links edit

  • (See "Historical Forum" following "Nerve Plexus" article)

January 01, 1970
index, safety, system, piss, redirects, here, other, uses, piss, disambiguation, piss, means, connecting, high, pressure, cylinders, containing, medical, gases, regulator, other, utilization, equipment, uses, geometric, features, valve, yoke, prevent, mistaken. PISS redirects here For other uses see Piss disambiguation The Pin Index Safety System PISS is a means of connecting high pressure cylinders containing medical gases to a regulator or other utilization equipment It uses geometric features on the valve and yoke to prevent mistaken use of the wrong gas This system is widely used worldwide for anesthesia machines portable oxygen administration sets and inflation gases used in surgery Pin index dimensions Contents 1 Concept 2 Pin index configurations 3 International Standards 4 Bodok seal 5 Limitations 6 Alternative systems 7 Blanking Plugs 8 See also 9 References 10 External linksConcept editThe pin index safety system uses a face seal between the cylinder valve and the associated yoke clamp There are two holes in specific positions on the cylinder valve body below the outlet port in positions associated with the gas mixture which prevent connection of the cylinder to a yoke or pressure regulator with a mis matched set of pins The holes accept pins 4 mm diameter by 6 mm long which are correctly aligned with the holes 1 Pin index configurations edit nbsp Pin numbers Each gas cylinder has a pin configuration to fit its respective gas yoke Refer to the diagram for pin numbers dimensions are in millimeters O2 2 5 2 3 1 N2O 3 5 2 3 1 Mixture of O2 and N2O 50 50 commonly called Entonox 7 a single pin located in the centre Air 1 5 3 1 Mixtures of CO2 and O2 with more than 7 CO2 1 6 2 Mixtures of CO2 and O2 with less than 7 CO2 2 6 2 He No pin 1 Mixtures of O2 and He with less than 80 He commonly called Heliox 2 4 2 Mixtures of O2 and He with more than 80 He 4 6 2 Cyclopropane 3 6 2 Ethylene 1 3 2 Nitrogen 1 4 1 nbsp Pin index yoke connector for medical oxygen filling whip nbsp Detail of pin index yoke connector for medical oxygen nbsp Pin index medical oxygen cylinder valveInternational Standards editInternational ISO and European CEN Standard EN ISO 407 Small medical gas cylinders Pin index yoke type valve connections The pin index system is a safety system PISS designed to ensure the correct gas is filled into the correct cylinder and that the cylinder will only connect to the correct equipment The positions of the holes on the cylinder valve correspond with the pins fitted to the yoke attached to the equipment The pin positions for each medical gas are unique If an attempt is made to fit the wrong gas cylinder to the yoke a tight seal will not be made as the pins cannot locate citation needed The system requires a seal between the yoke and valve to prevent leakage This is called a Bodok seal and is a moulded rubber washer or Neoprene supported by a metal rim 1 Bodok seal edit nbsp Bodok Seal The Bodok seal is a specialised washer that ensures a gas tight seal between the cylinder yoke or regulator of an anaesthetic machine or any medical device requiring a gas supply and a gas cylinder It was introduced along with the pin index safety system during the 1950s Attachment and detachment of a gas cylinder leads to constant wear and tear due in part to mechanical distress and to gaseous compression and expansion Adiabatic effects in rapidly expanding compressed gases can generate very low temperatures necessitating a sufficiently durable and cold resistant material such as neoprene Prior to the introduction of the Bodok seal the traditional fibre washer would frequently splay and cause leakage or adhere to the regulator thus requiring the use of pliers and considerable force to remove it The Bodok seal consists of a neoprene washer with a peripheral metal reinforcing ring to prevent splaying The seal is incombustible and resistant to the high pressures imposed upon it by cylinder gases approximately 2 000 psi 140 bar in a full cylinder Care must be taken when replacing gas cylinders that the Bodok seal does not stick to the cylinder valve face and is thus lost when the new cylinder is fitted preventing a gas tight seal Bodok seals are also used in emergency oxygen kits used in first aid for underwater diving but diving regulators used for scuba cylinders generally use a conventional o ring seal with either a DIN 477 or CGA 850 yoke connector Limitations editIt is possible to bypass the pin index system if the pins are removed damaged or corroded if extra washers are used or on some valves with a short face above the orifice by inverting the gas cylinder There is one report of the cylinder being painted the wrong colour leading to error 4 5 6 7 Alternative systems editMedical gas cylinders larger than size E 679 liters are more likely to be fitted with threaded connectors The connections used for larger cylinders vary widely among jurisdictions One such system are the American CGA fittings 8 In Europe there are British Standard BS German Standard DIN and French AFNOR connections and Japan has the Japanese Standard JIS Blanking Plugs editBlanking plugs dummy cylinder heads can be inserted into empty yokes to ensure that there is no leak out of the yoke when not in use 9 See also editDiameter Index Safety System used for lower pressure connections of medical gasesReferences edit a b c d e f g Srivastava Uma 2013 Anaesthesia gas supply Gas cylinders Indian Journal of Anaesthesia 57 5 500 506 doi 10 4103 0019 5049 120147 PMC 3821267 PMID 24249883 a b c d e f g h Attaching Therapy Equipment Pin Index Safety System PDF Medical Gases and Safety Systems CRC 330 Cardiorespiratory Care University of South Alabama Retrieved 12 August 2017 a b c Dosch Michael P Tharp Darin Supply system Gases amp electricity The Anesthesia Gas Machine University of Detroit Retrieved 12 August 2017 Naithani Udita Betkekar Sneha Arun Verma Devendra Gehlot Ravindra K Sundararaj Rajkumar 1 October 2016 Pin index safety system and color coding is it enough Ain Shams Journal of Anaesthesiology 9 4 626 doi 10 4103 1687 7934 198257 S2CID 136526015 Healy Thomas EJ Knight Paul R 31 October 2003 Wylie Churchill Davidson s A Practice of Anesthesia 7th Edition CRC Press ISBN 9780340731307 Retrieved 13 August 2017 Goho C Kittle P July 1991 Override of an N2O O2 machine fail safe mechanism case report PDF Pediatric Dentistry 13 4 234 235 ISSN 0164 1263 PMID 1886828 Rawstron R E McNeill T D 1 August 1962 Pin Index System British Journal of Anaesthesia 34 8 591 592 doi 10 1093 bja 34 8 591 ISSN 0007 0912 Retrieved 13 August 2017 staff CGA Fitting Reference www concoa com Retrieved 12 August 2017 Davey Andrew Diba Ali 2012 4 Ward s anaesthetic equipment Davey Andrew J Diba Ali Ward C S Crispian Stanley 6th ed Edinburgh Elsevier p 69 ISBN 9780702030949 OCLC 802047752 External links editBodok seal note See Historical Forum following Nerve Plexus article Retrieved from https en wikipedia org w index php title Pin Index Safety System amp oldid 1188059813, wikipedia, wiki, book, books, library,

article

, read, download, free, free download, mp3, video, mp4, 3gp, jpg, jpeg, gif, png, picture, music, song, movie, book, game, games.