RE: [bmelist] Renal Unit Body Protect or Cardiac Protect Wiring

2009-09-30 Thread Cowley, Simon
Hi John,
I wish to imply once again that sound judgement is required in the planning of 
patient treatment areas in hospitals, based on the clear information in AS/NZS 
3003 and AS/NZS 2500. Our recently built Emergency Department has 
Cardiac-Protected toilets, which is one example of very poor understanding of 
the Australian Standards during the design phase.

Regards


Simon Cowley
Biomedical Engineer
Clinical Engineering Department
The Royal Melbourne Hospital - City Campus
Grattan Street
PARKVILLE VIC 3050
Ph: (03) 9342 7680
Fax: (03) 9342 7526
Email: simon.cow...@mh.org.au 


-Original Message-
From: Bruce Morrison [mailto:bruce.morri...@mysoul.com.au]
Sent: Wed 9/30/2009 5:07 PM
To: Ruff, Megan; 'Porter, John R'; bmelist@bme.asn.au
Subject: RE: [bmelist] Renal Unit Body Protect or Cardiac Protect Wiring
 
Hi John

 

I agree with Megan and have been fighting this battle for a long time
usually with hospital planners who seem to be nearly always nurses. This is
particularly problematic in EDs where they always want to put CF everywhere
and it's not necessary.

 

Bruce.

 

From: Ruff, Megan [mailto:megan.r...@mh.org.au] 
Sent: Wednesday, 30 September, 2009 10:12 AM
To: Porter, John R; bmelist@bme.asn.au
Subject: RE: [bmelist] Renal Unit Body Protect or Cardiac Protect Wiring

 

Hi John,

 

We specify Body Protection.  The flowchart contained in AS/NZS 2500 (section
and figure 4.5 in the 2004 edition) requires cardiac protection 'if the
applied part makes contact with the LV or RV of the heart'.  As the fluid
lines are completely electrically isolated from the machine I'm not sure if
they are even considered an Applied Part.  However, if you consider them an
Applied Part on the basis that because they contain conductive fluid they
are a potential conductor, dialysis falls into the category of a Body
procedure under the above criteria even if you're dialysing a patient with a
permacath that has been placed very close to the atrium.  The machines
themselves are Type B equipment (Gambros are, anyway, I haven't got anything
else handy to check), and if you have a look at the requirements for home
dialysis installations in 2500 and 3003, Body Protection is specified, not
cardiac.  

 

I hope that helps.

 

Regards,

 

Megan Ruff

Dialysis Service Technician

Melbourne Health/North West Dialysis Service

ph) 0437 009 708

 

 

  _  

From: Porter, John R [mailto:john.por...@dhhs.tas.gov.au] 
Sent: Wednesday, 30 September 2009 8:48 AM
To: bmelist@bme.asn.au
Subject: [bmelist] Renal Unit Body Protect or Cardiac Protect Wiring

We are establishing a new Satellite Renal Unit and my recommendation is that
it only needs to be wired as Body Protected, outlined in AS/NZS 3003. Other
individuals believe that is should be Cardiac Protected which I believe is
unnecessary.

 

What are the views of others on this issue and what level of protection are
most Renal Units wired? 

 

John Porter

Team Leader Electrical/Mechanical

Building & Engineering

Launceston General Hospital

 

Ph: 03 6348 7433

Fx: 03 6348 7430

 

Email: john.por...@dhhs.tas.gov.au

 

 

CONFIDENTIALITY NOTICE AND DISCLAIMER 

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the information contained in this transmission. If the transmission contains
advice, the advice is based on instructions in relation to, and is provided
to the addressee in connection with, the matter mentioned above.
Responsibility is not accepted for reliance upon it by any other person or
for any other purpose. 

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RE: [bmelist] Renal Unit Body Protect or Cardiac Protect Wiring

2009-09-30 Thread Bruce Morrison
Afternoon

 

As Leigh correctly says a central line is not a cardiac procedure.

 

Bruce.

 

From: BAKER Leigh [mailto:leigh.ba...@svhm.org.au] 
Sent: Wednesday, 30 September, 2009 12:11 PM
To: Sullivan, Michael R; Porter, John R; bmelist@bme.asn.au
Subject: RE: [bmelist] Renal Unit Body Protect or Cardiac Protect Wiring

 

Hi Michael, 

 

If you have a look at AS2500 page 23 you will see clearly that central line
insertion is not considered a cardiac type procedure. As for the type of
procedure being clearly defined  essentially it is does electrical
contact with the ventricle occur? If so - cardiac, if not body. Note it must
be the ventricle.

 

>From AS2500...

 

"Placement of a central venous catheter into the superior vena cava is not a
cardiac-type

procedure even if the catheter is connected to an electrical device such as
a pressure

transducer. However, placement of a Swann-Ganz pulmonary catheter through
the right

ventricle requires cardiac protection.

 

In procedures in which a subclavian catheter is inserted, e.g. for
haemodialysis access, with

the intention that the catheter tip will be positioned in the superior vena
cava, care needs to

be taken that the tip does not enter the heart, since such positioning may
raise the

classification of subsequent procedures to cardiac-type. Radiographic
verification of the

positioning of the catheter should be performed.

Measurement by a liquid manometer of right atrial pressures with a
saline-filled catheter

does not have to be done in a cardiac-or body-protected area as there is no
electrical

connection.

The use of electrical pressure transducers to measure radial arterial
pressure is a body-type

procedure and not a cardiac-type procedure."

 

 

N.B. This is by no means advice and your institution will need to make its
own decision.

 

Regards,

Leigh Baker

Manager Medical Engineering and Physics



St Vincent's Hospital

P.O. Box 2900

Fitzroy Victoria 3065

Phone: (03) 9288 4254

Fax: (03) 9288 4347

Email: leigh.ba...@svhm.org.au

 

 

 

From: Sullivan, Michael R [mailto:michael.sulli...@dhhs.tas.gov.au] 
Sent: Wednesday, 30 September 2009 12:45 PM
To: Ruff, Megan; Porter, John R; bmelist@bme.asn.au
Subject: RE: [bmelist] Renal Unit Body Protect or Cardiac Protect Wiring

 

Hi guys,

I'm not a BME, but if clinicians are going to be inserting short to medium
term central lines, in this unit, then there is a direct path right to the
'source'.

I'm pretty sure if this was the case, (insertions), then cardiac protection
would be in order.

 

I reckon that you need the scope of use / practice defined.

 

M

  _  

From: Ruff, Megan [mailto:megan.r...@mh.org.au] 
Sent: Wednesday, 30 September 2009 11:12 AM
To: Porter, John R; bmelist@bme.asn.au
Subject: RE: [bmelist] Renal Unit Body Protect or Cardiac Protect Wiring

 

Hi John,

 

We specify Body Protection.  The flowchart contained in AS/NZS 2500 (section
and figure 4.5 in the 2004 edition) requires cardiac protection 'if the
applied part makes contact with the LV or RV of the heart'.  As the fluid
lines are completely electrically isolated from the machine I'm not sure if
they are even considered an Applied Part.  However, if you consider them an
Applied Part on the basis that because they contain conductive fluid they
are a potential conductor, dialysis falls into the category of a Body
procedure under the above criteria even if you're dialysing a patient with a
permacath that has been placed very close to the atrium.  The machines
themselves are Type B equipment (Gambros are, anyway, I haven't got anything
else handy to check), and if you have a look at the requirements for home
dialysis installations in 2500 and 3003, Body Protection is specified, not
cardiac.  

 

I hope that helps.

 

Regards,

 

Megan Ruff

Dialysis Service Technician

Melbourne Health/North West Dialysis Service

ph) 0437 009 708

 

 

  _  

From: Porter, John R [mailto:john.por...@dhhs.tas.gov.au] 
Sent: Wednesday, 30 September 2009 8:48 AM
To: bmelist@bme.asn.au
Subject: [bmelist] Renal Unit Body Protect or Cardiac Protect Wiring

We are establishing a new Satellite Renal Unit and my recommendation is that
it only needs to be wired as Body Protected, outlined in AS/NZS 3003. Other
individuals believe that is should be Cardiac Protected which I believe is
unnecessary.

 

What are the views of others on this issue and what level of protection are
most Renal Units wired? 

 

John Porter

Team Leader Electrical/Mechanical

Building & Engineering

Launceston General Hospital

 

Ph: 03 6348 7433

Fx: 03 6348 7430

 

Email: john.por...@dhhs.tas.gov.au

 

 

CONFIDENTIALITY NOTICE AND DISCLAIMER 

The information in this transmission may be confidential and/or protected by
legal professional privilege, and is intended only for the person or persons
to whom it is addressed. If you are not such a person, you are warned 

RE: [bmelist] Renal Unit Body Protect or Cardiac Protect Wiring

2009-09-30 Thread Bruce Morrison
Hi John

 

I agree with Megan and have been fighting this battle for a long time
usually with hospital planners who seem to be nearly always nurses. This is
particularly problematic in EDs where they always want to put CF everywhere
and it's not necessary.

 

Bruce.

 

From: Ruff, Megan [mailto:megan.r...@mh.org.au] 
Sent: Wednesday, 30 September, 2009 10:12 AM
To: Porter, John R; bmelist@bme.asn.au
Subject: RE: [bmelist] Renal Unit Body Protect or Cardiac Protect Wiring

 

Hi John,

 

We specify Body Protection.  The flowchart contained in AS/NZS 2500 (section
and figure 4.5 in the 2004 edition) requires cardiac protection 'if the
applied part makes contact with the LV or RV of the heart'.  As the fluid
lines are completely electrically isolated from the machine I'm not sure if
they are even considered an Applied Part.  However, if you consider them an
Applied Part on the basis that because they contain conductive fluid they
are a potential conductor, dialysis falls into the category of a Body
procedure under the above criteria even if you're dialysing a patient with a
permacath that has been placed very close to the atrium.  The machines
themselves are Type B equipment (Gambros are, anyway, I haven't got anything
else handy to check), and if you have a look at the requirements for home
dialysis installations in 2500 and 3003, Body Protection is specified, not
cardiac.  

 

I hope that helps.

 

Regards,

 

Megan Ruff

Dialysis Service Technician

Melbourne Health/North West Dialysis Service

ph) 0437 009 708

 

 

  _  

From: Porter, John R [mailto:john.por...@dhhs.tas.gov.au] 
Sent: Wednesday, 30 September 2009 8:48 AM
To: bmelist@bme.asn.au
Subject: [bmelist] Renal Unit Body Protect or Cardiac Protect Wiring

We are establishing a new Satellite Renal Unit and my recommendation is that
it only needs to be wired as Body Protected, outlined in AS/NZS 3003. Other
individuals believe that is should be Cardiac Protected which I believe is
unnecessary.

 

What are the views of others on this issue and what level of protection are
most Renal Units wired? 

 

John Porter

Team Leader Electrical/Mechanical

Building & Engineering

Launceston General Hospital

 

Ph: 03 6348 7433

Fx: 03 6348 7430

 

Email: john.por...@dhhs.tas.gov.au

 

 

CONFIDENTIALITY NOTICE AND DISCLAIMER 

The information in this transmission may be confidential and/or protected by
legal professional privilege, and is intended only for the person or persons
to whom it is addressed. If you are not such a person, you are warned that
any disclosure, copying or dissemination of the information is unauthorised.
If you have received the transmission in error, please immediately contact
this office by telephone, fax or email, to inform us of the error and to
enable arrangements to be made for the destruction of the transmission, or
its return at our cost. No liability is accepted for any unauthorised use of
the information contained in this transmission. If the transmission contains
advice, the advice is based on instructions in relation to, and is provided
to the addressee in connection with, the matter mentioned above.
Responsibility is not accepted for reliance upon it by any other person or
for any other purpose. 

  _  

WARNING: This message originated from outside the Northern/Melbourne/Western
Health e-mail network. The sender cannot be validated. Caution is advised.
Contact IT Services (+61 3 ) 9342  for more information. 

No virus found in this incoming message.
Checked by AVG - www.avg.com
Version: 8.5.409 / Virus Database: 270.13.113/2400 - Release Date: 09/28/09
05:51:00



RE: [bmelist] Renal Unit Body Protect or Cardiac Protect Wiring

2009-09-29 Thread Ruff, Megan
Hi Michael,
 
insertions themselves are not done in the dialysis unit, particularly
not in a satellite unit which is usually set up solely for routine
treatment of otherwise stable dialysis patients.  
 
Megan Ruff
 


From: Sullivan, Michael R [mailto:michael.sulli...@dhhs.tas.gov.au] 
Sent: Wednesday, 30 September 2009 12:45 PM
To: Ruff, Megan; Porter, John R; bmelist@bme.asn.au
Subject: RE: [bmelist] Renal Unit Body Protect or Cardiac Protect Wiring



Hi guys,

I'm not a BME, but if clinicians are going to be inserting short to
medium term central lines, in this unit, then there is a direct path
right to the 'source'.

I'm pretty sure if this was the case, (insertions), then cardiac
protection would be in order.

 

I reckon that you need the scope of use / practice defined.

 

M



From: Ruff, Megan [mailto:megan.r...@mh.org.au] 
Sent: Wednesday, 30 September 2009 11:12 AM
To: Porter, John R; bmelist@bme.asn.au
Subject: RE: [bmelist] Renal Unit Body Protect or Cardiac Protect Wiring

 

Hi John,

 

We specify Body Protection.  The flowchart contained in AS/NZS 2500
(section and figure 4.5 in the 2004 edition) requires cardiac protection
'if the applied part makes contact with the LV or RV of the heart'.  As
the fluid lines are completely electrically isolated from the machine
I'm not sure if they are even considered an Applied Part.  However, if
you consider them an Applied Part on the basis that because they contain
conductive fluid they are a potential conductor, dialysis falls into the
category of a Body procedure under the above criteria even if you're
dialysing a patient with a permacath that has been placed very close to
the atrium.  The machines themselves are Type B equipment (Gambros are,
anyway, I haven't got anything else handy to check), and if you have a
look at the requirements for home dialysis installations in 2500 and
3003, Body Protection is specified, not cardiac.  

 

I hope that helps.

 

Regards,

 

Megan Ruff

Dialysis Service Technician

Melbourne Health/North West Dialysis Service

ph) 0437 009 708

 

 



From: Porter, John R [mailto:john.por...@dhhs.tas.gov.au] 
Sent: Wednesday, 30 September 2009 8:48 AM
To: bmelist@bme.asn.au
Subject: [bmelist] Renal Unit Body Protect or Cardiac Protect Wiring

We are establishing a new Satellite Renal Unit and my recommendation is
that it only needs to be wired as Body Protected, outlined in AS/NZS
3003. Other individuals believe that is should be Cardiac Protected
which I believe is unnecessary.

 

What are the views of others on this issue and what level of protection
are most Renal Units wired? 

 

John Porter

Team Leader Electrical/Mechanical

Building & Engineering

Launceston General Hospital

 

Ph: 03 6348 7433

Fx: 03 6348 7430

 

Email: john.por...@dhhs.tas.gov.au

 

 

CONFIDENTIALITY NOTICE AND DISCLAIMER 

The information in this transmission may be confidential and/or
protected by legal professional privilege, and is intended only for the
person or persons to whom it is addressed. If you are not such a person,
you are warned that any disclosure, copying or dissemination of the
information is unauthorised. If you have received the transmission in
error, please immediately contact this office by telephone, fax or
email, to inform us of the error and to enable arrangements to be made
for the destruction of the transmission, or its return at our cost. No
liability is accepted for any unauthorised use of the information
contained in this transmission. If the transmission contains advice, the
advice is based on instructions in relation to, and is provided to the
addressee in connection with, the matter mentioned above. Responsibility
is not accepted for reliance upon it by any other person or for any
other purpose. 



WARNING: This message originated from outside the
Northern/Melbourne/Western Health e-mail network. The sender cannot be
validated. Caution is advised. Contact IT Services (+61 3 ) 9342 
for more information. 

CONFIDENTIALITY NOTICE AND DISCLAIMER 

The information in this transmission may be confidential and/or
protected by legal professional privilege, and is intended only for the
person or persons to whom it is addressed. If you are not such a person,
you are warned that any disclosure, copying or dissemination of the
information is unauthorised. If you have received the transmission in
error, please immediately contact this office by telephone, fax or
email, to inform us of the error and to enable arrangements to be made
for the destruction of the transmission, or its return at our cost. No
liability is accepted for any unauthorised use of the information
contained in this transmission. If the transmission contains advice, the
advice is based on instructions in relation to, and is provided to the
addressee in connection wi

RE: [bmelist] Renal Unit Body Protect or Cardiac Protect Wiring

2009-09-29 Thread BAKER Leigh
Hi Michael,

If you have a look at AS2500 page 23 you will see clearly that central line 
insertion is not considered a cardiac type procedure. As for the type of 
procedure being clearly defined  essentially it is does electrical 
contact with the ventricle occur? If so - cardiac, if not body. Note it must be 
the ventricle.

From AS2500.

"Placement of a central venous catheter into the superior vena cava is not a 
cardiac-type
procedure even if the catheter is connected to an electrical device such as a 
pressure
transducer. However, placement of a Swann-Ganz pulmonary catheter through the 
right
ventricle requires cardiac protection.

In procedures in which a subclavian catheter is inserted, e.g. for 
haemodialysis access, with
the intention that the catheter tip will be positioned in the superior vena 
cava, care needs to
be taken that the tip does not enter the heart, since such positioning may 
raise the
classification of subsequent procedures to cardiac-type. Radiographic 
verification of the
positioning of the catheter should be performed.
Measurement by a liquid manometer of right atrial pressures with a 
saline-filled catheter
does not have to be done in a cardiac-or body-protected area as there is no 
electrical
connection.
The use of electrical pressure transducers to measure radial arterial pressure 
is a body-type
procedure and not a cardiac-type procedure."


N.B. This is by no means advice and your institution will need to make its own 
decision.

Regards,
Leigh Baker
Manager Medical Engineering and Physics
[cid:image001.gif@01CA41CE.724148F0]
St Vincent's Hospital
P.O. Box 2900
Fitzroy Victoria 3065
Phone: (03) 9288 4254
Fax: (03) 9288 4347
Email: leigh.ba...@svhm.org.au



From: Sullivan, Michael R [mailto:michael.sulli...@dhhs.tas.gov.au]
Sent: Wednesday, 30 September 2009 12:45 PM
To: Ruff, Megan; Porter, John R; bmelist@bme.asn.au
Subject: RE: [bmelist] Renal Unit Body Protect or Cardiac Protect Wiring

Hi guys,
I'm not a BME, but if clinicians are going to be inserting short to medium term 
central lines, in this unit, then there is a direct path right to the 'source'.
I'm pretty sure if this was the case, (insertions), then cardiac protection 
would be in order.

I reckon that you need the scope of use / practice defined.

M

From: Ruff, Megan [mailto:megan.r...@mh.org.au]
Sent: Wednesday, 30 September 2009 11:12 AM
To: Porter, John R; bmelist@bme.asn.au
Subject: RE: [bmelist] Renal Unit Body Protect or Cardiac Protect Wiring

Hi John,

We specify Body Protection.  The flowchart contained in AS/NZS 2500 (section 
and figure 4.5 in the 2004 edition) requires cardiac protection 'if the applied 
part makes contact with the LV or RV of the heart'.  As the fluid lines are 
completely electrically isolated from the machine I'm not sure if they are even 
considered an Applied Part.  However, if you consider them an Applied Part on 
the basis that because they contain conductive fluid they are a potential 
conductor, dialysis falls into the category of a Body procedure under the above 
criteria even if you're dialysing a patient with a permacath that has been 
placed very close to the atrium.  The machines themselves are Type B equipment 
(Gambros are, anyway, I haven't got anything else handy to check), and if you 
have a look at the requirements for home dialysis installations in 2500 and 
3003, Body Protection is specified, not cardiac.

I hope that helps.

Regards,

Megan Ruff
Dialysis Service Technician
Melbourne Health/North West Dialysis Service
ph) 0437 009 708



From: Porter, John R [mailto:john.por...@dhhs.tas.gov.au]
Sent: Wednesday, 30 September 2009 8:48 AM
To: bmelist@bme.asn.au
Subject: [bmelist] Renal Unit Body Protect or Cardiac Protect Wiring
We are establishing a new Satellite Renal Unit and my recommendation is that it 
only needs to be wired as Body Protected, outlined in AS/NZS 3003. Other 
individuals believe that is should be Cardiac Protected which I believe is 
unnecessary.

What are the views of others on this issue and what level of protection are 
most Renal Units wired?

John Porter
Team Leader Electrical/Mechanical
Building & Engineering
Launceston General Hospital

Ph: 03 6348 7433
Fx: 03 6348 7430

Email: john.por...@dhhs.tas.gov.au<mailto:john.por...@dhhs.tas.gov.au>


CONFIDENTIALITY NOTICE AND DISCLAIMER
The information in this transmission may be confidential and/or protected by 
legal professional privilege, and is intended only for the person or persons to 
whom it is addressed. If you are not such a person, you are warned that any 
disclosure, copying or dissemination of the information is unauthorised. If you 
have received the transmission in error, please immediately contact this office 
by telephone, fax or email, to inform us of the error and to enable 
arrangements to be made for the destruction of 

RE: [bmelist] Renal Unit Body Protect or Cardiac Protect Wiring

2009-09-29 Thread Sullivan, Michael R
Hi guys,

I'm not a BME, but if clinicians are going to be inserting short to
medium term central lines, in this unit, then there is a direct path
right to the 'source'.

I'm pretty sure if this was the case, (insertions), then cardiac
protection would be in order.

 

I reckon that you need the scope of use / practice defined.

 

M



From: Ruff, Megan [mailto:megan.r...@mh.org.au] 
Sent: Wednesday, 30 September 2009 11:12 AM
To: Porter, John R; bmelist@bme.asn.au
Subject: RE: [bmelist] Renal Unit Body Protect or Cardiac Protect Wiring

 

Hi John,

 

We specify Body Protection.  The flowchart contained in AS/NZS 2500
(section and figure 4.5 in the 2004 edition) requires cardiac protection
'if the applied part makes contact with the LV or RV of the heart'.  As
the fluid lines are completely electrically isolated from the machine
I'm not sure if they are even considered an Applied Part.  However, if
you consider them an Applied Part on the basis that because they contain
conductive fluid they are a potential conductor, dialysis falls into the
category of a Body procedure under the above criteria even if you're
dialysing a patient with a permacath that has been placed very close to
the atrium.  The machines themselves are Type B equipment (Gambros are,
anyway, I haven't got anything else handy to check), and if you have a
look at the requirements for home dialysis installations in 2500 and
3003, Body Protection is specified, not cardiac.  

 

I hope that helps.

 

Regards,

 

Megan Ruff

Dialysis Service Technician

Melbourne Health/North West Dialysis Service

ph) 0437 009 708

 

 



From: Porter, John R [mailto:john.por...@dhhs.tas.gov.au] 
Sent: Wednesday, 30 September 2009 8:48 AM
To: bmelist@bme.asn.au
Subject: [bmelist] Renal Unit Body Protect or Cardiac Protect Wiring

We are establishing a new Satellite Renal Unit and my recommendation is
that it only needs to be wired as Body Protected, outlined in AS/NZS
3003. Other individuals believe that is should be Cardiac Protected
which I believe is unnecessary.

 

What are the views of others on this issue and what level of protection
are most Renal Units wired? 

 

John Porter

Team Leader Electrical/Mechanical

Building & Engineering

Launceston General Hospital

 

Ph: 03 6348 7433

Fx: 03 6348 7430

 

Email: john.por...@dhhs.tas.gov.au

 

 

CONFIDENTIALITY NOTICE AND DISCLAIMER 

The information in this transmission may be confidential and/or
protected by legal professional privilege, and is intended only for the
person or persons to whom it is addressed. If you are not such a person,
you are warned that any disclosure, copying or dissemination of the
information is unauthorised. If you have received the transmission in
error, please immediately contact this office by telephone, fax or
email, to inform us of the error and to enable arrangements to be made
for the destruction of the transmission, or its return at our cost. No
liability is accepted for any unauthorised use of the information
contained in this transmission. If the transmission contains advice, the
advice is based on instructions in relation to, and is provided to the
addressee in connection with, the matter mentioned above. Responsibility
is not accepted for reliance upon it by any other person or for any
other purpose. 



WARNING: This message originated from outside the
Northern/Melbourne/Western Health e-mail network. The sender cannot be
validated. Caution is advised. Contact IT Services (+61 3 ) 9342 
for more information. 



CONFIDENTIALITY NOTICE AND DISCLAIMER

The information in this transmission may be confidential and/or protected by 
legal professional privilege, and is intended only for the person or persons to 
whom it is addressed. If you are not such a person, you are warned that any 
disclosure, copying or dissemination of the information is unauthorised. If you 
have received the transmission in error, please immediately contact this office 
by telephone, fax or email, to inform us of the error and to enable 
arrangements to be made for the destruction of the transmission, or its return 
at our cost. No liability is accepted for any unauthorised use of the 
information contained in this transmission. If the transmission contains 
advice, the advice is based on instructions in relation to, and is provided to 
the addressee in connection with, the matter mentioned above. Responsibility is 
not accepted for reliance upon it by any other person or for any other purpose.


RE: [bmelist] Renal Unit Body Protect or Cardiac Protect Wiring

2009-09-29 Thread Ruff, Megan
Hi John,
 
We specify Body Protection.  The flowchart contained in AS/NZS 2500
(section and figure 4.5 in the 2004 edition) requires cardiac protection
'if the applied part makes contact with the LV or RV of the heart'.  As
the fluid lines are completely electrically isolated from the machine
I'm not sure if they are even considered an Applied Part.  However, if
you consider them an Applied Part on the basis that because they contain
conductive fluid they are a potential conductor, dialysis falls into the
category of a Body procedure under the above criteria even if you're
dialysing a patient with a permacath that has been placed very close to
the atrium.  The machines themselves are Type B equipment (Gambros are,
anyway, I haven't got anything else handy to check), and if you have a
look at the requirements for home dialysis installations in 2500 and
3003, Body Protection is specified, not cardiac.  
 
I hope that helps.
 
Regards,
 
Megan Ruff
Dialysis Service Technician
Melbourne Health/North West Dialysis Service
ph) 0437 009 708
 
 


From: Porter, John R [mailto:john.por...@dhhs.tas.gov.au] 
Sent: Wednesday, 30 September 2009 8:48 AM
To: bmelist@bme.asn.au
Subject: [bmelist] Renal Unit Body Protect or Cardiac Protect Wiring



We are establishing a new Satellite Renal Unit and my recommendation is
that it only needs to be wired as Body Protected, outlined in AS/NZS
3003. Other individuals believe that is should be Cardiac Protected
which I believe is unnecessary.

 

What are the views of others on this issue and what level of protection
are most Renal Units wired? 

 

John Porter

Team Leader Electrical/Mechanical

Building & Engineering

Launceston General Hospital

 

Ph: 03 6348 7433

Fx: 03 6348 7430

 

Email: john.por...@dhhs.tas.gov.au

 

 

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