ASTM F1559-94(2015)

This international standard was developed in accordance with internationally recognized principles on standardization established in the Decision on Principles for the
Development of International Standards, Guides and Recommendations issued by the World Trade Organization Technical Barriers to Trade (TBT) Committee.
Designation: F1559 − 94 (Reapproved 2015)
Standard Guide for
Characteristics for Cervical Spine Immobilization Collar(s)
(CSIC)
This standard is issued under the fixed designation F1559; the number immediately following the designation indicates the year of
original adoption or, in the case of revision, the year of last revision. A number in parentheses indicates the year of last reapproval. A
superscript epsilon (´) indicates an editorial change since the last revision or reapproval.
INTRODUCTION
The objective of this guide is to begin to address the recognized need to support and immobilize the
components of the spine or spinal cord. Although this guide does not quantitatively address
performance standards for this device, it does address the characteristics of the device(s) used to
provide support and immobilization of the components of the central nervous system for the patient
suspected of receiving trauma to that body system.
1. Scope 2.2 Centers for Disease Control Standard:
Guidelines for Prevention of Transmission of HIV and HBV
1.1 This guide establishes minimum standards for devices,
to Healthcare and Public Safety Workers
designated here as cervical spine immobilization collar(s)
2.3 OSHA Standard:
(CSIC), commonly referred to as cervical collars. The CSIC is
29 CFR 1910.1030 Occupational Exposure to Bloodborne
used as the initial device for immobilization of the cervical
Pathogens; Final Rule
spine, of a patient by emergency medical service personnel.
1.2 This guide does not identify specific degrees of limita-
3. Terminology
tion of motion achieved by placement of a CSIC on a patient.
3.1 Definitions:
Definitiverequirementsforimmobilizationofthespine,and,in
3.1.1 retention system—a retention system is an adjunct to
particular, the degree of limitation associated with the use of a
or an integral part of the primary platform that allows the
CSIC, have not been established in the medical literature.
patient to be securely attached to that platform used in
1.3 This standard does not purport to address all of the
whatever configuration and size necessary to accomplish the
safety concerns, if any, associated with its use. It is the
goal, while still allowing reasonable and necessary access to
responsibility of the user of this standard to establish appro-
the patient.
priate safety and health practices and determine the applica-
3.1.2 spinal immobilization—spinalimmobilizationshallre-
bility of regulatory limitations prior to use.
fer to immobilization of the spine and its contiguous structures,
the pelvis, and skull.
2. Referenced Documents
3.1.3 spine—the spine shall include the cervical, thoracic,
2.1 ASTM Standards:
lumbar, and sacral vertebrae.
F1177 Terminology Relating to Emergency Medical Ser-
vices
3.2 Definitions of Terms Specific to This Standard:
3.2.1 cervical spine immobilization collar—a device that
This guide is under the jurisdiction of ASTM Committee F30 on Emergency
can be applied and secured to a patient to support and
Medical Services and is the direct responsibility of Subcommittee F30.01 on EMS
immobilize the cervical spine during immobilization and
Equipment.
transportation.
CurrenteditionapprovedJune1,2015.PublishedJuly2015.Originallyapproved
in 1994. Last previous edition approved in 2007 as F1559 – 94(2007). DOI:
10.1520/F1559-94R15.
2 3
For referenced ASTM standards, visit the ASTM website, www.astm.org, or Available from Centers for Disease Control & Prevention (CDC), 1600 Clifton
contact ASTM Customer Service at service@astm.org. For Annual Book of ASTM Rd., Atlanta, GA 30333, http://www.cdc.gov.
Standards volume information, refer to the standard’s Document Summary page on Available from Superintendent of Documents, U.S. Government Printing
the ASTM website. Office, Washington, DC 20402.
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F1559 − 94 (2015)
3.2.2 directions of movement—directions include flexion, 5.7 Because during rapid extrication there may only be time
extension, rotation, distra
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