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BS EN 1789:2020+A1:2023:2024 Edition

BS EN 1789:2020+A1:2023:2024 Edition

$198.66

Medical vehicles and their equipment. Road ambulances

Published By Publication Date Number of Pages
BSI 2024 64
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This European Standard specifies requirements for the design, testing, performance and equipping of road ambulances used for the transport, monitoring, treatment and care of patients. It contains requirements for the patient’s compartment in terms of the working environment, ergonomic design and the safety of the crew and patients.This European Standard does not cover the training of the staff which is the responsibility of the authority/authorities in the country where the ambulance is to be registered. This European Standard is applicable to road ambulances capable of transporting at least one person on a stretcher and excludes the transportation of hospital beds. This standard also specifies requirements for ambulances intended to carry transport incubator systems. The European Standard covers the specific requirements of each type of road ambulance which are designated according to the patient condition e.g. patient transport road ambulance types A1, A2, B and C. This European Standard gives general requirements for medical devices carried in road ambulances and used therein and outside hospitals and clinics in situations where the ambient conditions can differ from normal indoor conditions.

PDF Catalog

PDF Pages PDF Title
2 undefined
8 European foreword
9 Introduction
10 1 Scope
2 Normative references
13 3 Terms and definitions
14 4 Requirements
4.1 General requirements
4.2 Electrical requirements
4.2.1 General
15 4.2.2 Electromagnetic compatibility (EMC)
4.2.3 Battery and alternator
Table 1 — Minimum capacity/power
16 4.2.4 Electrical installation
Table 2 — 12 V connections for medical devices in patient’s compartment
17 4.2.5 Visual warning system and audible warning system (siren)
4.2.5.1 General
4.2.5.2 Visual warning system
4.2.5.3 Audible warning systems (siren)
4.2.6 Reversing systems
4.2.7 Exterior illumination lights
18 Figure 1 — Exterior lighting for type B and type C
4.3 Vehicle body
4.3.1 Fire safety
4.3.2 Driver’s seat configuration
4.3.3 Minimum passenger capacity
Table 3 — Minimum passenger capacity
19 4.3.4 Bulkhead
4.3.5 Openings (doors, windows, emergency exits)
4.3.5.1 General
Table 4 — Minimum opening dimensions in the patient’s compartment
4.3.5.2 Emergency exits
4.3.5.3 Doors
20 4.3.5.4 Windows
4.3.6 Loading area
Table 5 — Loading area dimensions
21 Figure 2 — Tailgate height (in the open position)
22 4.4 Patient’s compartment
4.4.1 General
4.4.2 Safety
4.4.3 Hygiene
23 4.4.4 Patient’s compartment dimensions
4.4.4.1 General
4.4.4.2 Patient’s compartment dimensions for type A1, A2 and B road ambulances
Figure 3 — Patient’s compartment dimensions for type A1 (schematic)
24 Figure 4 — Patient’s compartment dimensions for type A2 (schematic)
25 Figure 5 — Patient’s compartment dimensions for type B (schematic)
26 4.4.4.3 Patient’s compartment and treatment area dimensions for type C
27 Figure 6 — Treatment area dimensions for type C
28 4.4.5 Patient and crew seating
Table 6 — Number of patient and crew seats
Table 7 — Minimum dimensions for seating
29 4.4.6 Ventilation and anaesthetic gas scavenging systems
4.4.6.1 Ventilation system
4.4.6.2 Anaesthetic gas scavenging system (AGSS)
4.4.7 Temperature control system
4.4.7.1 General
4.4.7.2 Heating
4.4.7.3 Cooling
30 4.4.8 Interior lighting
Table 8 — Patient’s compartment illumination
4.4.9 Interior noise level
4.4.10 Holding system for infusion
31 4.4.11 Retention, fixation and restraint systems
4.4.12 Mass reserve
5 Testing
5.1 General
5.2 Testing of the interior noise level
5.2.1 Specific measurement conditions
32 5.2.2 Measurements
5.3 Testing of retention systems and fixation of the equipment in the patient’s compartment
5.3.1 General
33 Figure 7 — Test directions for dynamic test
34 5.3.2 Testing of the stretcher fixation on the vehicle floor
5.3.3 Testing of the medical devices fixation
5.3.4 Testing of furniture
35 5.3.5 Test procedure
36 Figure 8 — Acceleration impulse
5.4 Testing of rounded edges and radius inside the patient’s compartment
5.4.1 Testing of rounded edges
Figure 9 — Protrusion test ball
37 Figure 10 — Examples of protrusions
5.4.2 Testing of radius inside the patient’s compartment
Figure 11 — Radius test tool (example)
5.5 Procedure to verify the patient’s compartment specifications
5.6 Procedure to verify the loading area specifications
5.6.1 General
5.6.2 Procedure to verify the loading angle of 16
38 Figure 12 — Verification of the loading angle
39 Figure 13 — Ramp strength test – application of the load
5.7 Procedure to verify the dimensions of the patient’s compartment
5.7.1 Type A and B road ambulances
5.7.2 Type C road ambulances
40 5.8 Procedure to verify the seats dimensions of the patient’s compartment
Figure 14 — Checking of the seat dimensions
Figure 15 — Measurement of 450 mm width
5.9 Testing of the ventilation system
41 5.10 Testing of the heating system
5.11 Testing of the cooling system
5.11.1 Test procedure
42 5.11.2 Testing of independent air conditioning system
5.12 Testing of interior lighting
5.13 Testing of infusion holding system
43 6 Equipment and medical devices
6.1 Provision of medical devices
6.2 Medical devices storage
6.3 Requirements for medical devices
6.3.1 General
6.3.2 Temperature
6.3.3 Humidity and ingress of liquids
6.3.4 Mechanical strength
44 6.3.5 Fixation of devices
6.3.6 Electrical safety
6.3.7 User interface
6.3.8 Gas installation
6.3.8.1 Source of supply
45 6.3.8.2 Medical gas piping
6.3.8.3 Flexible hoses for connecting devices
6.3.8.4 Flexible hoses for medical gas supply
6.3.8.5 Stationary oxygen supply
6.3.8.6 Portable oxygen supply
6.3.8.7 Pressure regulators and flow metering devices
6.3.8.8 Terminal units
6.3.8.9 Pneumatic power supply
46 6.3.8.10 Additional outlet connectors
6.3.8.11 Pin-index cylinder values
6.3.8.12 Alarms
6.3.8.13 Test pressure for mechanical integrity
6.3.8.14 Test pressure for leakage
6.3.9 Marking and instructions
6.3.10 Maintenance
6.4 List of equipment
47 Table 9 — Type of patient handling equipment
Table 10 — Type of immobilization equipment
48 Table 11— Type of ventilation/respiration equipment
49 Table 12 — Type of diagnostics equipment
Table 13 — Type of drug
50 Table 14 — Type of infusion material or equipment
Table 15 — Type of equipment for managing of life-threatening problems
52 Table 16 — Bandaging and nursing
54 Table 17 — Storage for personal protection equipment (for each member of the crew for protection and to identify the crew as road ambulance personnel)0F
55 Table 18 — Rescue and protection material
Table 19 — Communication
56 Annex A (informative) Test summary1F
57 Annex B (informative) Recognition
B.1 Recognition and visibility of ambulances
B.2 Recognition of crew
58 Annex C (informative) Hygiene
59 Annex D (informative) A–deviations
D.1 Deviation in Spain
60 !Annex E (normative) Electric propelled vehicles
61 Annex ZA (informative) Relationship between this European Standard and the essential requirements of Directive 93/42/EEC [OJ L 169] aimed to be covered
Table ZA.1 — Correspondence between this European Standard and Annex I of Directive 93/42/EEC [OJ L 169]
62 Bibliography

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