GB 9706.290-2022 Medical electrical equipment—Part 2-90:Particular requirements for basic safety and essential performance of respiratory high flow therapy equipment (English Version)
General Administration of Quality Supervision, Inspection and Quarantine of the People‘s Republic of China
Latest
GB 9706.290-2022
Scope
There are key scenario differences between high-flow respiratory therapy devices and ventilators intended for use by ventilator-dependent patients. One of these differences is the patient's ability to maintain adequate voluntary ventilation of the lungs, and another is the relationship between mechanical ventilation and other important lifestyle functions (e.g., diet, speech, psychosocial aspects, and general physical activity). balance between. When selecting and configuring modes, circuits, and alarm states, supervising clinicians and patients need to balance awareness and certainty of mechanical ventilation based on factors such as the patient's clinical needs, autonomy, and lifestyle. There is a growing interest in alternatives to traditional oxygen therapy (ie, heated and humidified high-flow oxygen therapy). This form of respiratory support can be provided by a variety of airway devices. This support typically delivers a mixture of air and oxygen to the patient at higher delivery rates than in traditional oxygen therapy and is designed to minimize entrainment of room air. Clinicians often refer to this approach as "high-flow nasal oxygen therapy," "nasal high-flow therapy," "high-flow oxygen therapy," or "humidified high-flow therapy." Several physiological effects of the use of high-flow respiratory therapy devices have been described previously: — flushing of throat dead space; — reduction of nasopharyngeal resistance; — positive expiratory pressure effect; — alveolar recruitment ; - improved humidity, comfort, and patient tolerance; - better control of lung oxygen concentrations; and - mucociliary clearance. [ ] See ISO/TR2195417 for additional information. High-flow respiratory therapy devices conforming to this document are expected to provide adequate gas exchange for a wide range of patients. These may include patients with pulmonary vascular dysfunction, such as patients with 2019-nCoV with an oxygen-dependent phenotype. Positive pharyngeal pressure has been observed to be generated by delivering high flow through nasal cannula, and a flow of 10 L/min during exhalation typically produces a positive pressure of up to about 1 hPa. The pressure generated depends not only on the flow rate, but also on the ratio of the cross-sectional area of the prongs to the nostrils, and whether the mouth is closed. High-flow respiratory therapy equipment usually consists of 5 parts: 1) gas source connection: ---air; and ---oxygen; Note 1: gas source includes medical gas pipeline system, gas cylinders, oxygen generator and ambient air. 41 GB9706.290—2022
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GB 9706.290-2022 history
2022GB 9706.290-2022 Medical electrical equipment—Part 2-90:Particular requirements for basic safety and essential performance of respiratory high flow therapy equipment