Station Outlet
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Station Outlets (US) or Terminal Units (ISO, CSA) consist of an outlet port with color-coded faceplate attached to a
medical gas supply Medical gas supply systems in hospitals and other healthcare facilities are utilized to supply specialized gases and gas mixtures to various parts of the facility. Products handled by such systems typically include: *Oxygen * Medical air *Nitrou ...
line, and primary and secondary
check valve A check valve, non-return valve, reflux valve, retention valve, foot valve, or one-way valve is a valve that normally allows fluid (liquid or gas) to flow through it in only one direction. Check valves are two-port valves, meaning they have t ...
s which open and close automatically upon use and disengagement from the system.CSA Z7396.1-17 - Medical gas pipeline systems - Part 1: Pipelines for medical gases, medical vacuum, medical support gases, and anaesthetic gas scavenging systems In most jurisdictions, Station Outlets are required to be equipped with safety systems that prevent ''cross-connection'' errors, such as connecting a Medical air
flowmeter Flow measurement is the quantification of bulk fluid movement. Flow can be measured in a variety of ways. The common types of flowmeters with industrial applications are listed below: * a) Obstruction type (differential pressure or variable area) ...
to an
Oxygen Oxygen is the chemical element with the symbol O and atomic number 8. It is a member of the chalcogen group in the periodic table, a highly reactive nonmetal, and an oxidizing agent that readily forms oxides with most elements as wel ...
port. Hospitals mainly use ''DISS'' connections, though a wide variety of '' quick-connect'' adapters, based on male strikers and female outlet ports, are still in use today. These latter types are easier to connect, but are more prone to leaks and failure.


Types


Diameter Index Safety System (DISS)

The Diameter Index Safety System, or DISS, was designed by the
Compressed Gas Association The Compressed Gas Association (CGA) is an American trade association for the industrial and medical gas supply industries. The CGA publishes standards and practices that codify industry practices. In cases where government regulation is inspeci ...
specifically for medical gases at 200
psig The pound per square inch or, more accurately, pound-force per square inch (symbol: lbf/in2; abbreviation: psi) is a unit of pressure or of stress based on avoirdupois units. It is the pressure resulting from a force of one pound-force applied to ...
or less. It uses unique, gas-specific threaded connections to fit equipment to station outlets. It is also used for the connection of additional features to equipment, such as in fixing a
suction Suction is the colloquial term to describe the air pressure differential between areas. Removing air from a space results in a pressure differential. Suction pressure is therefore limited by external air pressure. Even a perfect vacuum cannot ...
canister to a suction ( Medical vacuum) regulator. Although DISS takes more time to affix, this has become the most popular choice as a threaded connection cannot disengage on its own.


Puritan-Bennett

The Puritan-Bennett/Beacon quick-connect system uses geometrically-coded probes. Equipment is disengaged by pressing, and releasing, a button on the station outlet. Persistent attempts to remove equipment while keeping the button pressed has potential to result in damage leading to latching/connection malfunctions.


Ohio Diamond

The female outlet port for the Ohio/Medaes system consists of a disk with slots placed at positions unique to each specific gas. After insertion, male strikers may be disengaged by twisting the inlet so as to activate a spring-release mechanism. The flat outlet ports ensure no injury if a patient or health-care worker should fall into the wall; a consideration when dealing with the mentally ill or those with neuro- or musculodegenerative disorders. However, the twisting of the disengage mechanism may result in the tangling of wires or other equipment in crowded areas.


NCG/Chemetron

The NCG system resembles a simple electrical plug in appearance. Although it is very easy to connect and disconnect, this advantage poses a risk should it be dislodged accidentally. Additionally, its straight valve does not allow for the connection of flowmeters, necessitating the purchase and use of additional equipment.


Hansen Schrader

This unusual system consists of steel strikers and ports. The ports have a spring-loaded collar, which will be pulled back to expose a series of balls located on the inner lip of the port. The positioning of these balls is specific to each gas. At this point, the male striker may be inserted. It is possible this system never caught on due to its lack of colour-coding and labels, along with the difficulty of engaging the striker.


Oxequip Medstar/ Canadian Liquid Air (CLA)

These consist of steel strikers ("bayonets") with holes for inlet ports. Like keys, the strikers have grooves and ridges in variable positions. They lack colour-coding and are easily disengaged.


References

{{Reflist *Branson, Richard D., et al. 'Respiratory Care Equipment, 2nd Edition'. Cont. Banner et al. pp. 35–36. (Philadelphia: Lippincott Williams & Wilkins, 1999). *Cairo, J.M., et Pilbeam, Susan. 'Mosby's Respiratory Care Equipment'. Ed. Kelli Chronister et al. pp. 47. (St. Louis, Missouri: Mosby Elsevier, 2010). *Wilkins, Robert L. et al. 'Egan's Fundamentals of Respiratory Care, Ninth Edition'. Ed. Lucy Kester et al. pp. 862–865, 898-899. (St. Louis, Missouri: Mosby Elsevier, 2009). Medical equipment Respiratory system procedures