中 華 民 國 高 壓 暨 海 底 醫 學 會 - hbo.org.tw

1 ASSOCIATION OF HYPERBARIC AND undersea MEDICINE, 2012/08/06 1 : 1. walk-in chamber Ducom chamber (NFPA) Type A- Type B- Type C- 3 constant purging & recycling ( Vicker s chamber) (1) (2) (3) (4) (5) (1) (2) (3) Sechrist Perry air break (1) (2) (3) (4) (5) air break (6)

2 6 (1) (FDA) FDA (CDRH) 510(K) Premarket Notification (2) UHMS (3) ASME ASSOCIATION OF HYPERBARIC AND undersea MEDICINE, 2012/08/06 2 (4) (NFPA) 2. US FDA (1) ASME standard PVHO-1 (2) NFPA code 99 ASME Section VIII Division I or II PVHO-1 Section II Section V PVHO-1 PVHO ASME PVHO-1 Section VIII Division 1 PVHO-1 PVHO-2 PVHO-1 acrylic windows PVHO-2 acrylic windows U Stamp ASME VIII Division 1 ASME CODAP Code for the Design and Construction of Unfired Pressure Vessels,SNCT DIN 13256 Part 2 - Pressure Vessels for Human Occupancy Accessible Pressure Vessels for Hyperbaric Therapy Safety Requirements and Testing,German Institute of Standards VSR Rules- Collection (Raccolta VSR)

3 Concerning Design Rules for Pressure Vessels Higher Institute for Accident Prevention and Safety at Work JIS B8243- Construction of Pressure Vessels, Japanese Industrial Standards acrylic window 30-122-PVHO-BL-D-002-2011 30 30 psi 122 PVHO BL Blanson Blanson acrylic window viewport PVHO-1 (BSI) (Germanischer Lloyd) (DNV) 3. (1) (2) (Horizontal cylindrical) 2-3 8-10 6-10 7-8 ASSOCIATION OF HYPERBARIC AND undersea MEDICINE, 2012/08/06 3 3 (66 ) 6 (165 ) (SA 516-70) (double lock) (medical lock ) ( )

4 Penetrations penetrations 4. O2/CO2 (1) (2) (3) ( NFPA99 6 ) 5 50 (125-250 psi) CO rotary compressor Teflon piston ring piston compressor NFPA 99 CGA Grade E (Compressed Gas Association)

5 20-22% 1000 ppm 10 ppm 25 ppm 24 ppm 5mg/m3 Type K & Type L Type K 200-300 psi , compression fittings ASSOCIATION OF HYPERBARIC AND undersea MEDICINE, 2012/08/06 4 Teflon tape 125 psi 100% 1/3 BIBS( ) overboard dumping system (1) (2) overboard dump system (3)

6 Demand valve oxygen mask ( ) (4) (tight fitting) (5) NFPA 3 1 3 1 6 2 O2/CO2 intercom intercom ( 72-75 50-70 %) CO2 Scrubber CO2 ( ) 65 ASSOCIATION OF HYPERBARIC AND undersea MEDICINE, 2012/08/06 5 ( ) 5.

7 (10+2 ) 10-12 30 5 kg/cm2 kg/cm2 ( ) kg/cm2 ( ) kg/cm2 ( ) 6. (1) (2) (3) (4) (5) T(T= ) (6) ASME PVHO-1 10 10,000 40,000 (7) PVHO-2 Inspection program 10 10,000 7. (chamber fires) ASME PVHO-1 NFPA Sheffiel PJ & Desautels DA 1997 (1) 1980 chamber fires electrical ignition 1980 chamber fires (2) chamber fire ( 28 %) chamber fire ( ) 1976 1989 7 5 electrical grounding NFPA 1997 chamber fire 11 (1) (2) (3) (4) (1) ( ) ASSOCIATION OF HYPERBARIC AND undersea MEDICINE, 2012/08/06 6 (2) (O2 ) (3)

8 ( ) (4) (5) ( ) (Swiss Cheese Model) chamber fire 8. (NFPA) 99-HealthCare Facilities Code Chapter 14-Hyperbaric facilities (1) (2) (3) ( ) (4) (1) (2) NFPA-70 National Electric Code Article 500 Class I Division I (3) (4) (Tincture, solvent) (5) halogenated polymer hydrocarbon type (6) NFPA 50/50% cotton/polyester fabrics (7) (epoxy) (8) ( ) (9) (10) 23% 25% (11) ( ) (12)

9 (1) (2) ( CO2) (3) NFPA ASSOCIATION OF HYPERBARIC AND undersea MEDICINE, 2012/08/06 7 9. ( ) electrical grounding 1 NFPA 99 electrical grounding NFPA 99 NFPA 99 ( ) 10. (1) ASME PVHO-1 NFPA (2) 40 3 (3) SOP (4) : 1.

10 Workman TW. Hyperbaric Facility Safety: A Practical Guide. Flagstaff: Best Publishing Co., 1999: 1- 60. 2. Kindwall EP, The mutiplace chamber. In: Kindwall EP, Whelan, HT, eds. HYPERBARIC MEDICINE PRACTICE. 3rd ed. Flagstaff : Best Publishing Co., 2008:191-208. 3. Jain KK, Hyperbaric Chambers: Equipment, Technique, and Safety. In:Jain KK ed. Textbook of Hyperbaric Medicine. 5th revised and updated : Hogrefe Publishin, 2009:59-73. 4. Sheffield PJ, Desautels. Hyperbaric and hypobaric chamber fires: a 73-year analysis. undersea Hyper Med 1997; 24(3):153-164. 5. National Fire Protection Association (NFPA), Code 99, Chapter 14, 2011.