Anaesthetic and respiratory equipment - Low-flow nasal cannulae for oxygen therapy (ISO 23368:2022)

This document specifies requirements for low-flow nasal cannulae, used in both home care and hospital environments for the administration of oxygen therapy.
This document does not include requirements to prevent the proliferation of fire within the tubing but does specify a user-detachable connection that can be used to fit a fire-activated oxygen shut-off device.

Anästhesie- und Beatmungsgeräte - Nasenbrillen für die Atemtherapie (ISO 23368:2022)

Dieses Dokument legt Anforderungen an Nasenbrillen fest, die sowohl in der häuslichen Pflege als auch in Krankenhausumgebungen für die Sauerstofftherapie verwendet werden.
Dieses Dokument enthält keine Anforderungen zur Verhinderung der Ausbreitung von Feuer in den Schläuchen, definiert jedoch ein vom Benutzer lösbares Verbindungsstück, das zum Einbau einer feueraktivierten Sauerstofffluss-Stoppvorrichtung verwendet werden kann.

Matériel d'anesthésie et d'assistance respiratoire - Canules nasales à faible débit pour oxygénothérapie (ISO 23368:2022)

Le présent document spécifie les exigences applicables aux canules nasales à faible débit utilisées dans les environnements de soins à domicile et dans les environnements hospitaliers pour l’oxygénothérapie.
Le présent document n’inclut pas d’exigences de prévention de la propagation de l’incendie dans la tubulure mais spécifie un raccordement détachable par l’utilisateur qui peut être utilisé pour fixer un dispositif de coupure de l’oxygène activé par un incendie.

Anestezijska in dihalna oprema - Nosni kateter za kisikovo terapijo (ISO 23368:2022)

Ta standard za naprave določa zahteve za nosni kateter, ki se uporablja za izvajanje kisikove terapije pri oskrbi na domu in v bolnišnicah.

General Information

Status
Published
Public Enquiry End Date
08-Sep-2019
Publication Date
10-Oct-2022
Technical Committee
Current Stage
6060 - National Implementation/Publication (Adopted Project)
Start Date
04-Oct-2022
Due Date
09-Dec-2022
Completion Date
11-Oct-2022

Overview

EN ISO 23368:2022 - Anaesthetic and respiratory equipment: Low‑flow nasal cannulae for oxygen therapy - specifies design, safety and performance requirements for low‑flow nasal cannulae used in home care and hospital settings. The standard defines low‑flow cannulae as patient interfaces designed for use with flows ≤ 6 L/min and requires devices to operate normally up to 15 L/min. It does not set requirements to prevent fire propagation in tubing, but it requires a user‑detachable connection to allow fitting of a fire‑activated oxygen shut‑off device.

Key topics and technical requirements

  • Scope and definitions
    • Applies to low‑flow nasal cannulae (adult, paediatric, neonatal) used for oxygen therapy.
    • Defines inlet connector, integral vs user‑detachable cannulae, and oxygen therapy terms.
  • Materials and biological safety
    • Gas pathways must be assessed for biocompatibility per ISO 18562‑1.
  • Design requirements
    • Cannulae may be integral with therapy tubing (min. length 1.8 m) or user‑detachable with inlet connector located close to the bifurcation.
    • Operation specified for flows ≤15 L/min.
  • Flow and resistance
    • Therapy tubing resistance: ≤ 0.9 kPa/m at 4 L/min (adult), 3 L/min (paediatric), 2 L/min (neonatal).
    • Headset resistance: ≤ 10 kPa at the same respective flows.
    • Bending test: flow reduction must not exceed 25% when tubing is bent into a semicircle with diameter three times its smallest outside diameter.
  • Connectors and mechanical tests
    • Inlet connectors for integral cannulae must be compatible with specified nipple profile and resist detachment under a static internal pressure of (200 ± 10) kPa. Specified engagement forces and torques are used in testing.
  • Sterility, packaging and information
    • Requirements cover sterility claims, packaging and mandatory manufacturer information supplied with the device.

Applications and who uses this standard

  • Manufacturers and product designers of nasal cannulae and oxygen therapy tubing - for design, testing and technical documentation.
  • Medical device testing laboratories - to verify resistance‑to‑flow, connector security and bending performance per normative test methods (Annex A/B).
  • Procurement and clinical engineering in hospitals and home‑care services - to specify compliant equipment.
  • Regulatory bodies and conformity assessors - to assess conformity with European and international requirements for respiratory patient interfaces.

Related standards

  • ISO 4135 (vocabulary), ISO 18190 (general airway requirements), ISO 18562‑1 (biocompatibility of breathing gas pathways), ISO 80369‑2 (small‑bore connectors for respiratory applications).

Keywords: EN ISO 23368:2022, low‑flow nasal cannulae, oxygen therapy, nasal cannula, resistance to flow, user‑detachable connection, home care, hospital.

Standard
SIST EN ISO 23368:2022
English language
17 pages
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Frequently Asked Questions

SIST EN ISO 23368:2022 is a standard published by the Slovenian Institute for Standardization (SIST). Its full title is "Anaesthetic and respiratory equipment - Low-flow nasal cannulae for oxygen therapy (ISO 23368:2022)". This standard covers: This document specifies requirements for low-flow nasal cannulae, used in both home care and hospital environments for the administration of oxygen therapy. This document does not include requirements to prevent the proliferation of fire within the tubing but does specify a user-detachable connection that can be used to fit a fire-activated oxygen shut-off device.

This document specifies requirements for low-flow nasal cannulae, used in both home care and hospital environments for the administration of oxygen therapy. This document does not include requirements to prevent the proliferation of fire within the tubing but does specify a user-detachable connection that can be used to fit a fire-activated oxygen shut-off device.

SIST EN ISO 23368:2022 is classified under the following ICS (International Classification for Standards) categories: 11.040.10 - Anaesthetic, respiratory and reanimation equipment. The ICS classification helps identify the subject area and facilitates finding related standards.

SIST EN ISO 23368:2022 is associated with the following European legislation: EU Directives/Regulations: 2017/745, 93/42/EEC; Standardization Mandates: M/023. When a standard is cited in the Official Journal of the European Union, products manufactured in conformity with it benefit from a presumption of conformity with the essential requirements of the corresponding EU directive or regulation.

You can purchase SIST EN ISO 23368:2022 directly from iTeh Standards. The document is available in PDF format and is delivered instantly after payment. Add the standard to your cart and complete the secure checkout process. iTeh Standards is an authorized distributor of SIST standards.

Standards Content (Sample)


SLOVENSKI STANDARD
01-november-2022
Anestezijska in dihalna oprema - Nosni kateter za kisikovo terapijo (ISO
23368:2022)
Anaesthetic and respiratory equipment - Low-flow nasal cannulae for oxygen therapy
(ISO 23368:2022)
Anästhesie- und Beatmungsgeräte - Nasenbrillen für die Atemtherapie (ISO 23368:2022)
Matériel d'anesthésie et d'assistance respiratoire - Canules nasales à faible débit pour
oxygénothérapie (ISO 23368:2022)
Ta slovenski standard je istoveten z: EN ISO 23368:2022
ICS:
11.040.10 Anestezijska, respiratorna in Anaesthetic, respiratory and
reanimacijska oprema reanimation equipment
2003-01.Slovenski inštitut za standardizacijo. Razmnoževanje celote ali delov tega standarda ni dovoljeno.

EN ISO 23368
EUROPEAN STANDARD
NORME EUROPÉENNE
August 2022
EUROPÄISCHE NORM
ICS 11.040.10
English Version
Anaesthetic and respiratory equipment - Low-flow nasal
cannulae for oxygen therapy (ISO 23368:2022)
Matériel d'anesthésie et d'assistance respiratoire - Anästhesie- und Beatmungsgeräte - Nasenbrillen für
Canules nasales à faible débit pour oxygénothérapie die Atemtherapie (ISO 23368:2022)
(ISO 23368:2022)
This European Standard was approved by CEN on 9 July 2022.

CEN members are bound to comply with the CEN/CENELEC Internal Regulations which stipulate the conditions for giving this
European Standard the status of a national standard without any alteration. Up-to-date lists and bibliographical references
concerning such national standards may be obtained on application to the CEN-CENELEC Management Centre or to any CEN
member.
This European Standard exists in three official versions (English, French, German). A version in any other language made by
translation under the responsibility of a CEN member into its own language and notified to the CEN-CENELEC Management
Centre has the same status as the official versions.

CEN members are the national standards bodies of Austria, Belgium, Bulgaria, Croatia, Cyprus, Czech Republic, Denmark, Estonia,
Finland, France, Germany, Greece, Hungary, Iceland, Ireland, Italy, Latvia, Lithuania, Luxembourg, Malta, Netherlands, Norway,
Poland, Portugal, Republic of North Macedonia, Romania, Serbia, Slovakia, Slovenia, Spain, Sweden, Switzerland, Türkiye and
United Kingdom.
EUROPEAN COMMITTEE FOR STANDARDIZATION
COMITÉ EUROPÉEN DE NORMALISATION

EUROPÄISCHES KOMITEE FÜR NORMUNG

CEN-CENELEC Management Centre: Rue de la Science 23, B-1040 Brussels
© 2022 CEN All rights of exploitation in any form and by any means reserved Ref. No. EN ISO 23368:2022 E
worldwide for CEN national Members.

Contents Page
European foreword . 3

European foreword
This document (EN ISO 23368:2022) has been prepared by Technical Committee ISO/TC 121
"Anaesthetic and respiratory equipment" in collaboration with Technical Committee CEN/TC 215
“Respiratory and anaesthetic equipment” the secretariat of which is held by BSI.
This European Standard shall be given the status of a national standard, either by publication of an
identical text or by endorsement, at the latest by February 2023, and conflicting national standards
shall be withdrawn at the latest by February 2023.
Attention is drawn to the possibility that some of the elements of this document may be the subject of
patent rights. CEN shall not be held responsible for identifying any or all such patent rights.
Any feedback and questions on this document should be directed to the users’ national standards
body/national committee. A complete listing of these bodies can be found on the CEN website.
According to the CEN-CENELEC Internal Regulations, the national standards organizations of the
following countries are bound to implement this European Standard: Austria, Belgium, Bulgaria,
Croatia, Cyprus, Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece, Hungary, Iceland,
Ireland, Italy, Latvia, Lithuania, Luxembourg, Malta, Netherlands, Norway, Poland, Portugal, Republic of
North Macedonia, Romania, Serbia, Slovakia, Slovenia, Spain, Sweden, Switzerland, Türkiye and the
United Kingdom.
Endorsement notice
The text of ISO 23368:2022 has been approved by CEN as EN ISO 23368:2022 without any modification.

INTERNATIONAL ISO
STANDARD 23368
First edition
2022-07
Anaesthetic and respiratory
equipment — Low-flow nasal cannulae
for oxygen therapy
Matériel d'anesthésie et d'assistance respiratoire — Canules nasales à
faible débit pour oxygénothérapie
Reference number
ISO 23368:2022(E)
ISO 23368:2022(E)
© ISO 2022
All rights reserved. Unless otherwise specified, or required in the context of its implementation, no part of this publication may
be reproduced or utilized otherwise in any form or by any means, electronic or mechanical, including photocopying, or posting on
the internet or an intranet, without prior written permission. Permission can be requested from either ISO at the address below
or ISO’s member body in the country of the requester.
ISO copyright office
CP 401 • Ch. de Blandonnet 8
CH-1214 Vernier, Geneva
Phone: +41 22 749 01 11
Email: copyright@iso.org
Website: www.iso.org
Published in Switzerland
ii
ISO 23368:2022(E)
Contents Page
Foreword .iv
Introduction .v
1 Scope . 1
2 Normative references . 1
3  Terms and definitions . 1
4  General requirements . 2
5  Materials . 2
5.1 General . 2
5.2 Biological safety of gas pathways . 2
6 Design requirements .2
6.1 General . 2
6.2 Resistance to flow . . 4
6.3 Inlet connectors . 5
6.4 Nasal prongs . 6
7  Sterility . 7
8 Packaging. 7
9  Information supplied by the manufacturer . 7
Annex A (normative) Test method for resistance to flow . 8
Annex B (normative) Test methods for security of connectors and nasal prongs .9
iii
ISO 23368:2022(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 2, Airways and related 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).
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.
iv
ISO 2
...

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記事のタイトル:SIST EN ISO 23368:2022 - 麻酔および呼吸器具 - 酸素療法用の低流量鼻カニューレ(ISO 23368:2022) 記事の内容:このデバイスに特化した規格は、酸素療法に使用される鼻カニューレの要件を、家庭療養と病院の環境の両方で定めています。

The article discusses the device-specific standard SIST EN ISO 23368:2022, which pertains to nasal cannulae used for oxygen therapy in both home-care and hospital settings. The standard outlines the requirements for these nasal cannulae.

기사 제목 : SIST EN ISO 23368:2022 - 마취 및 호흡 장치 - 산소 요법용 저유량 비강 캐니클라 (ISO 23368:2022) 기사 내용 : 이 장치별 표준은 주로 산소 요법을 위해 가정에서나 병원 환경에서 사용되는 비강 캐니클라에 대한 요구 사항을 명시합니다.