Medical suction equipment

Appareils d’aspiration médicale

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ISO/FDIS 10079-4 - Medical suction equipment
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FINAL
INTERNATIONAL ISO/FDIS
DRAFT
STANDARD 10079-4
ISO/TC 121/SC 8
Medical suction equipment —
Secretariat: SA
Voting begins on:
Part 4:
2021-04-30
General requirements
Voting terminates on:
2021-06-25
Appareils d’aspiration médicale —
Partie 4: Exigences générales
ISO/CEN PARALLEL PROCESSING
RECIPIENTS OF THIS DRAFT ARE INVITED TO
SUBMIT, WITH THEIR COMMENTS, NOTIFICATION
OF ANY RELEVANT PATENT RIGHTS OF WHICH
THEY ARE AWARE AND TO PROVIDE SUPPOR TING
DOCUMENTATION.
IN ADDITION TO THEIR EVALUATION AS
Reference number
BEING ACCEPTABLE FOR INDUSTRIAL, TECHNO-
ISO/FDIS 10079-4:2021(E)
LOGICAL, COMMERCIAL AND USER PURPOSES,
DRAFT INTERNATIONAL STANDARDS MAY ON
OCCASION HAVE TO BE CONSIDERED IN THE
LIGHT OF THEIR POTENTIAL TO BECOME STAN-
DARDS TO WHICH REFERENCE MAY BE MADE IN
NATIONAL REGULATIONS. ISO 2021
---------------------- Page: 1 ----------------------
ISO/FDIS 10079-4:2021(E)
COPYRIGHT PROTECTED DOCUMENT
© ISO 2021

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ii © ISO 2021 – All rights reserved
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ISO/FDIS 10079-4:2021(E)
Contents Page

Foreword ..........................................................................................................................................................................................................................................v

Introduction ................................................................................................................................................................................................................................vi

1 Scope ................................................................................................................................................................................................................................. 1

2 Normative references ...................................................................................................................................................................................... 1

3 Terms and definitions ..................................................................................................................................................................................... 2

4 General requirements ..................................................................................................................................................................................... 4

4.1 Risk management ................................................................................................................................................................................. 4

4.2 Usability ........................................................................................................................................................................................................ 5

4.3 Clinical studies ........................................................................................................................................................................................ 5

4.4 Biophysical or modelling research ........................................................................................................................................ 5

4.5 Test methods ............................................................................................................................................................................................. 5

5 Materials ....................................................................................................................................................................................................................... 5

5.1 Natural rubber latex ........................................................................................................................................................................... 5

5.2 Cleaning disinfection and sterilization ............................................................................................................................... 6

6 Design requirements ........................................................................................................................................................................................ 6

6.1 General ........................................................................................................................................................................................................... 6

6.2 Collection containers ....................................................................................................................................................................... 6

6.2.1 Capacity (See also Annex A Subclause 6.2.1 for rationale).......................................................... 6

6.2.2 Strength ................................................................................................................................................................................... 7

6.3 Connections ............................................................................................................................................................................................... 7

6.3.1 Tubing connectors .......................................................................................................................................................... 7

6.3.2 Collection container inlet ports ....................................................................................................................... 7

6.3.3 Collection container exhaust ports .............................................................................................................. 7

6.4 Suction tubing and intermediate tubing (See also Annex A Subclause 6.4 for rationale) 8

6.5 Vacuum level indicators .................................................................................................................................................................. 8

6.6 Environmental conditions for transport and storage ............................................................................................ 9

7 Performance requirements ....................................................................................................................................................................10

7.1 Operating position ............................................................................................................................................................................10

7.2 Protection devices .............................................................................................................................................................................10

7.2.1 Contamination protection .....................................................................................................................................10

7.2.2 Overfill protection devices ................................................................................................................................10

7.2.3 Pressure protection ....................................................................................................................................................10

7.3 Noise .............................................................................................................................................................................................................11

7.4 Air leakage ...............................................................................................................................................................................................11

7.5 Vacuum levels and free air flows .......................................................................................................................................11

7.6 Accuracy .....................................................................................................................................................................................................11

7.7 Pharyngeal suction equipment .............................................................................................................................................12

8 Additional/alternative requirements for suction equipment, suction tubing and

intermediate tubing designed for field use or transport use ................................................................................12

8.1 Physical requirements (See also Annex A, Subclause 8.1 for rationale) ............................................12

8.2 Strength ......................................................................................................................................................................................................12

8.3 Stability .......................................................................................................................................................................................................12

8.4 Environmental conditions during operation (See also Annex A, Subclause 8.4 for

rationale)...................................................................................................................................................................................................12

8.5 Collection container capacity ................................................................................................................................................13

9 Information supplied by the manufacturer ..........................................................................................................................13

9.1 General ........................................................................................................................................................................................................13

9.2 Symbols ......................................................................................................................................................................................................14

9.3 Marking ......................................................................................................................................................................................................14

9.4 Instructions for use ..........................................................................................................................................................................15

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ISO/FDIS 10079-4:2021(E)

Annex A (Informative) Rationale ...........................................................................................................................................................................17

Annex B (Normative) Test methods ...................................................................................................................................................................19

Annex C (informative) Schematic of medical suction equipment ........................................................................................34

Bibliography .............................................................................................................................................................................................................................35

iv © ISO 2021 – All rights reserved
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ISO/FDIS 10079-4:2021(E)
Foreword

ISO (the International Organization for Standardization) is a worldwide federation of national standards

bodies (ISO member bodies). The work of preparing International Standards is normally carried out

through ISO technical committees. Each member body interested in a subject for which a technical

committee has been established has the right to be represented on that committee. International

organizations, governmental and non-governmental, in liaison with ISO, also take part in the work.

ISO collaborates closely with the International Electrotechnical Commission (IEC) on all matters of

electrotechnical standardization.

The procedures used to develop this document and those intended for its further maintenance are

described in the ISO/IEC Directives, Part 1. In particular, the different approval criteria needed for the

different types of ISO documents should be noted. This document was drafted in accordance with the

editorial rules of the ISO/IEC Directives, Part 2 (see www .iso .org/ directives).

Attention is drawn to the possibility that some of the elements of this document may be the subject of

patent rights. ISO shall not be held responsible for identifying any or all such patent rights. Details of

any patent rights identified during the development of the document will be in the Introduction and/or

on the ISO list of patent declarations received (see www .iso .org/ patents).

Any trade name used in this document is information given for the convenience of users and does not

constitute an endorsement.

For an explanation of the voluntary nature of standards, the meaning of ISO specific terms and

expressions related to conformity assessment, as well as information about ISO's adherence to the

World Trade Organization (WTO) principles in the Technical Barriers to Trade (TBT), see www .iso .org/

iso/ foreword .html.

This document was prepared by Technical Committee ISO/TC 121, Anaesthetic and respiratory

equipment subcommittee SC 8, Suction equipment, in collaboration with the European Committee for

Standardization (CEN) Technical Committee CEN/TC 215, Respiratory and anaesthetic equipment, in

accordance with the Agreement on technical cooperation between ISO and CEN (Vienna Agreement).

A list of all parts in the ISO 10079 series can be found on the ISO website.

Any feedback or questions on this document should be directed to the user’s national standards body. A

complete listing of these bodies can be found at www .iso .org/ members .html.
© ISO 2021 – All rights reserved v
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ISO/FDIS 10079-4:2021(E)
Introduction
[2]

Previously the ISO 10079 series of medical suction equipment standards comprised parts ISO 10079-1,

[3] [4]

ISO 10079-2 and ISO 10079-3 which had many common requirements. It was thought that

combining these common requirements into this new part 4 would prevent the inconsistencies that had

resulted from developing three different parts with common requirements and would make any future

revision/amendment easier to manage.

This document contains those requirements that are common to electrically, manually and gas-powered

medical suction equipment.
vi © ISO 2021 – All rights reserved
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FINAL DRAFT INTERNATIONAL STANDARD ISO/FDIS 10079-4:2021(E)
Medical suction equipment —
Part 4:
General requirements
1 Scope

This document specifies general requirements for medical suction equipment that are common to all

parts of the ISO 10079 series.
This document is not applicable to the following:

a) end-pieces such as suction catheters, drains, curettes, Yankauer suckers and suction tips;

b) syringes;
c) dental suction equipment;
d) anaesthetic gas scavenging systems;
e) laboratory suction;
f) autotransfusion systems;
g) mucus extractors including neonatal mucus extractors;

h) suction equipment where the collection container is downstream of the vacuum pump;

i) ventouse (obstetric) equipment;
j) suction equipment marked for endoscopic use only
k) plume evacuation systems.
2 Normative references

The following documents are referred to in the text in such a way that some or all of their content

constitutes requirements of this document. For dated references, only the edition cited applies. For

undated references, the latest edition of the referenced document (including any amendments) applies.

ISO 3744, Acoustics — Determination of sound power levels and sound energy levels of noise sources using

sound pressure — Engineering methods for an essentially free field over a reflecting plane

ISO 5356-1, Anaesthetic and respiratory equipment — Conical connectors — Part 1: Cones and sockets

ISO 7000, Graphical symbols for use on equipment — Registered symbols

ISO 10993-1, Biological evaluation of medical devices — Part 1: Evaluation and testing within a risk

management process

ISO 14155, Clinical investigation of medical devices for human subjects — Good clinical practice

ISO 14971, Medical devices — Application of risk management to medical devices
ISO 20417, Medical devices — Information to be provided by the manufacturer
© ISO 2021 – All rights reserved 1
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ISO/FDIS 10079-4:2021(E)

ISO 80369-2, Small-bore connectors for liquids and gases in healthcare applications — Part 2: Connectors

for respiratory applications

ISO 80369-3, Small-bore connectors for liquids and gases in healthcare applications — Part 3: Connectors

for enteral applications

ISO 80369-6, Small bore connectors for liquids and gases in healthcare applications — Part 6: Connectors

for neuraxial applications

ISO 80369-7, Small-bore connectors for liquids and gases in healthcare applications—Part 7 Connectors for

intravascular or hypodermic applications

I EC 6 06 01-1:20 05+A 1: 2012+ A 2: 2020, Medical electrical equipment — Part 1: General requirements for

safety
IEC 61672-1, Electroacoustics - Sound level meters — Part 1: Specifications

IEC 80369-5, Small-bore connectors for liquids and gases in healthcare applications—Part 5 Connectors

limb cuff inflation applications

EN 15986, Symbol for use in the labelling of medical devices - Requirements for labelling of medical devices

containing phthalates
3 Terms and definitions
For the purposes of this document, the following terms and definitions apply:

ISO and IEC maintain terminological databases for use in standardization at the following addresses:

— ISO Online browsing platform: available at https:// www .iso .org/ obp
— IEC Electropedia: available at http:// www .electropedia .org/
3.1
collection container
container in which liquids and solid particles are collected
3.2
collection container assembly
collection container and its closure with connectors for suction
3.3
drainage
removal of liquid, solid particles or gas from a body cavity or wound
3.4
end-piece

part of the suction equipment applied to the patient which begins at the site where material is drawn in

and ends at the first detachable connection
EXAMPLE Commonly used end-pieces include Yankauer sucker, suction catheters.
[1]
[Source: ISO 4135:2001, 8.2.7]
3.5
exhaust port
opening through which exhaust gas is discharged
3.6
field use

use of suction equipment in situations outside of a healthcare facility or home environment

2 © ISO 2021 – All rights reserved
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ISO/FDIS 10079-4:2021(E)
3.7
filter
device for retention of particulate matter
3.8
free air flow
rate of unrestricted flow of air through a designated inlet
3.9
high flow
free air flow ≥ 20 l/min
3.10
high vacuum
vacuum level of 60 kPa or stronger (absolute pressure 0 to 40 kPa)
3.11
inlet port
opening through which liquid, solid particles or gas enters
3.12
intermediate tubing
tubing between the collection container and the vacuum source
3.13
intermittent vacuum

suction in which the negative pressure applied to the end-piece is automatically and periodically

returned to atmospheric pressure
3.14
low flow
free air flow < 20 l/min
3.15
low vacuum
vacuum level of 20 kPa or weaker (absolute pressure 80 kPa to 100 kPa)
3.16
medium vacuum
vacuum level between 20 kPa and 60 kPa (absolute pressure 40 kPa to 80 kPa)
3.17
overfill protection device

device to prevent liquid or solid particles from entering the intermediate tubing

3.18
single fault condition

condition in which a single means for protection against a safety hazard in equipment is defective or a

single external abnormal condition is present

Note 1 to entry: Note to entry: Maintenance of equipment is considered a normal condition.

3.19
suction
application of vacuum to remove liquid, solid particles or gas
3.20
suction tubing

tubing for conduction of liquid, solid particles or gas between the end-piece and the collection container

© ISO 2021 – All rights reserved 3
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ISO/FDIS 10079-4:2021(E)
3.21
thoracic drainage

drainage of liquid and gas from the thoracic cavity by application of suction to the thoracic cavity of the

patient
3.22
transport use
use during patient transport outside of a healthcare facility
EXAMPLE ambulance or aeroplane.
3.23
vacuum level
pressure less than atmospheric pressure
3.24
vacuum level indicator
device for displaying the vacuum level
3.25
vacuum regulator
device for controlling the applied vacuum level
3.26
vacuum source
component of device for generating vacuum
4 General requirements
4.1 Risk management

4.1.1 An established risk management process, (e.g. ISO 14971), shall be applied to the design of the

suction equipment. The risk management process shall include the following elements:

— risk analysis;
— risk evaluation; and
— risk control;
— production and post-production information.
Check conformance by inspection of the risk management file.

4.1.2 Suction equipment shall, when transported, stored, installed, operated in normal use and

maintained according to the instructions for use, present no risks that are not reduced to an acceptable

level using risk management procedures in accordance with ISO 14971 and which are associated with

their intended application in normal and in single fault condition.

NOTE A situation in which a fault is not detected is considered a normal condition. Fault conditions/

hazardous situations might remain undetected over a period of time and as a consequence, might lead to an

unacceptable risk. In that case, a subsequent detected fault condition is considered a single fault condition. Specific

risk control measures to deal with such situations can be determined within the risk management process.

Check conformance by inspection of the risk management file.
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ISO/FDIS 10079-4:2021(E)

4.1.3 Where requirements refer to freedom from unacceptable risk, the acceptability or unacceptability

of this risk shall be determined by the manufacturer in accordance with their policy for determining

acceptable risk.
Check conformance by inspection of the risk management file.
4.2 Usability

The manufacturer shall apply a usability engineering process to assess and mitigate any risks caused

[5]

by usability problems associated with correct use (i.e. normal use) and use errors (e.g. IEC 60601-1-6

[8]
and IEC 62366-1 ).
Check conformance by inspection of the usability engineering file.
4.3 Clinical studies

Where appropriate, clinical studies shall be performed under the conditions for which performance

is claimed and documented in the risk management file. The clinical studies shall comply with the

requirements of ISO 14155.
NOTE Clinical data can be sourced from the following:
— clinical investigation(s) of the device concerned;

— clinical investigation(s) or other studies reported in the scientific literature of a similar device for

which equivalence to the device in question can be demonstrated or

— published and/or unpublished reports on other clinical experience of either the device in question

or a similar device for which equivalence to the device in question can be demonstrated.

Check conformance by inspection of the risk management and technical files.
4.4 Biophysical or modelling research

Where appropriate, validated biophysical or modelling research shall be performed under the

conditions for which performance is claimed and documented in the risk management file.

NOTE Biophysical or modelling research is the application of validated physical methods and theories to

biological problems. Examples include the use of a combination of models, i.e. mathematical, computer, physical,

cell and tissue culture, and animal, in a complementary and interactive manner to simulate the performance of

medical devices.
Check conformance by inspection of the technical file.
4.5 Test methods

Manufacturers can use type tests different from those detailed within this document if an equivalent

degree of safety is obtained. Alternative test methods shall be validated against the test methods

specified in Annex B.
5 Materials
5.1 Natural rubber latex

If any components of the suction equipment incorporate natural rubber latex, the manufacturer

shall provide a specific justification for using this substance in their technical file. See also 9.3 g) for

additional marking requirements.
Check conformance by inspection of the technical file.
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ISO/FDIS 10079-4:2021(E)
5.2 Cleaning disinfection and sterilization

5.2.1 Parts of the suction equipment which can be subject to contamination shall either be for single

use or capable of being cleaned and disinfected or sterilized as appropriate.
Check conformance by inspection of the technical file.

5.2.2 Parts of the suction equipment intended for re-use shall meet the requirements of Clause 7, as

appropriate, after those components have been subjected to 30 cycles of cleaning and disinfection or

sterilization as recommended by the manufacturer [see 9.4 g)].
Check conformance by the tests given in Annex B.
6 Design requirements
6.1 General

6.1.1 Suction equipment classified as medical electrical equipment, as defined in IEC 60601-1:2005+A1:

2012 +A2:2020: 3 .63 shall meet the relevant requirements of IEC 60601-1.

NOTE This applies not only to electrically powered suction equipment but also to suction equipment with

electrical components e.g. timers, indicators etc.
Check conformance by inspection of the technical file.

6.1.2 Suction equipment intended to be dismantled by the user (e.g. for cleaning) shall be designed to

facilitate correct assembly or marked to indicate correct reassembly.
Check conformance by inspection of the technical file.

6.1.3 Suction equipment shall meet the requirements of Clause 7, as appropriate, after dismantling and

reassembly in accordance with the manufacturer’s instructions.

Check conformance by the tests given in Annex B after the suction equipment has been reassembled.

6.1.4 Suction equipment shall be designed to be operated by one person, unaided.
Check conformance by functional testing.

6.1.5 Means shall be provided to prevent foam passing from the collection container into the vacuum

source.

NOTE This does not apply to suction equipment designed to continue to operate when the collection container

is full. [See 8.5 b)].
Check conformance by the tests given in B.2.3.
6.2 Collection containers
6.2.1 Capacity (See also Annex A Subclause 6.2.1 for rationale)
Collection containers shall:
a) clearly show the level of contents, and
b) have a usable volume ≥500 ml.
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ISO/FDIS 10079-4:2021(E)

NOTE 1 Transparent or translucent collection containers allow a qualitative assessment of the contents.

NOTE 2 See Clause 8 for additional/alternative requirements for the capacity of collection containers for

suction equipment for field use.
Check conformance by the tests given in B.2.
6.2.2 Strength

Collection containers shall not implode, crack or permanently deform and shall meet the requirements

of Clause 7, as appropriate, after being subjected to a pressure of either 120 % of the manufacturer’s

recommended maximum vacuum level or 95 kPa below atmospheric, whichever is the stronger vacuum

level, for 5 min.

Reusable collection containers shall be tested after 30 cycles of cleaning and disinfection or sterilization

as recommended by the manufacturer [see 9.4 g)].
Check conformance by the tests given in B.3.
6.3 Connections
6.3.1 Tubing connectors
Connectors for suction tubing and intermediate tubing shall:

a) be designed to facilitate correct assembly or clearly marked to indicate correct assembly when all

parts are mated and

b) have an inside diameter equal to or larger than the inside diameter of the largest suction tubing or

intermediate tubing size specified by the manufacturer [see 9.4 n)].

NOTE Incorrect connections have frequently been a cause of spill over into the vacuum source and a loss of

suction.
Check conformance by functional testing and inspection.
6.3.2 Collection container inlet ports
Collection container inlet ports shall:

a) not be compatible with any of the conical connectors specified in ISO 5356-1 or any of the small-

bore connectors specified in ISO 80369-2, ISO 80369-3, ISO 80369-4, ISO 80369-5, ISO 80369-6,

ISO 80369-7 and
b) have an inside diameter ≥6 mm.
Check conformance by functional testing.
6.3.3 Collection container exhaust ports

It shall not be possible to connect suction tubing or intermediate tubing to collection container exhaust

ports.
Check conformance by functional testing.
© ISO 2021 – All rights reserved 7
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