Technical Committee on Medical Equipment (HEA-MED) · Medical Equipment, which will be held on Monday, May 20, 2013 from 9:00 am to 12:00 pm ... ECRI Institute 5200 Butler Pike Plymouth

Technical Committee on Medical Equipment (HEA-MED)

M E M O R A N D U M

DATE: May 6, 2013 TO: Principal and Alternate Members of the Technical Committee on Medical

Equipment (HEA-MED) FROM: Jon Hart, Fire Protection Engineer/NFPA Staff Liaison SUBJECT: AGENDA PACKAGE– NFPA 99 Second Draft Meeting (A2014) ________________________________________________________________________

Enclosed is the agenda for the NFPA 99 Second Draft meeting of the Technical Committee on

Medical Equipment, which will be held on Monday, May 20, 2013 from 9:00 am to 12:00 pm

(Eastern Time) via Adobe Connect. Please review the attached comments in advance, and if

you have alternate suggestions, please come prepared with proposed language and respective

substantiation.

If you have any questions prior to the meeting, please do not hesitate to contact me at:

Office: (617) 984-7470 Email: [email protected]

For administrative questions, please contact Elena Carroll at (617) 984-7952.

I look forward to working with everyone.

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mailto:[email protected]�

Technical Committee on Medical Equipment

(HEA-MED) NFPA 99 Second Draft Meeting (Annual 2014)

Monday, May 20, 2013 Adobe Connect Web Meeting

AGENDA

1. Call to Order – 9:00 am (Eastern) (5/20)

2. Introductions and Attendance

3. Chairman Comments

4. Approval of Previous Meeting Minutes

5. Staff Liaison Presentation

6. Preparation of the Second Draft

• Review Public Comments • Review Correlating Notes • Create Second Revisions

7. New Business

8. Adjournment Please submit requests for additional agenda items to the chair and staff liaison at least seven days prior to the meeting. Please notify the chair and staff liaison as soon as possible if you plan to introduce any second revisions at the meeting.

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Key Dates for the Annual 2014 Revision Cycle

Public Comment Closing Date May 3, 2013 Final Date for Second Draft Meeting July 12, 2013 Final Date for Ballot Return September 20, 2013 Correlating Committee Second Draft Meeting October 16, 2013 Final Second Draft Posted January 3, 2014 Closing Date for Notice of Intent to Make a Motion (NITMAM) February 7, 2014 Issuance of Consent Document (No NITMAMs) May 9, 2014 NFPA Annual Meeting (Las Vegas) June 2014 Issuance of Document with NITMAM August 12-14, 2014

Technical Committee deadlines are in bold.

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Staff Liaison Notice Note from the Staff Liaison Dear Technical Committee Members: We are very pleased that you will be participating in the processing of the 2015 Edition of NFPA 99, Health Care Facilities Code. Development of this document would not be possible without the participation of volunteers like you. Meeting Preparation Committee members should review the published comments prior to the meeting and to be prepared to act on each item. Handout materials should be submitted to the chair and staff liaison at least seven days prior to the meeting. Only one posting of the Public Comments will be made; it will be arranged in section/order and will be pre-numbered. This will be posted to the NFPA 99 Document Information page (www.nfpa.org/99) under the “Next Edition” tab. If you have trouble accessing the website please contact Elena Carroll at [email protected].

Mandatory Materials: • Last edition of the standard • Meeting agenda • Public Input • Committee Officers' Guide (Chairs) • Roberts’ Rules of Order (Chairs; An abbreviated version may be found in the

Committee Officer’s Guide) Optional Materials:

• NFPA Annual Directory • NFPA Manual of Style

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http://www.nfpa.org/99�

mailto:[email protected]�




Regulations and Guiding Documents All committee members are expected to behave in accordance with the Guide for the Conduct of Participants in the NFPA Codes and Standards Development Process. All actions during and following the committee meetings will be governed in accordance with the NFPA Regulations Governing the Development of NFPA Standards. Failure to comply with these could result in challenges to the standards-making process. A successful challenge on procedural grounds could prevent or delay publication of the document. The style of the document must comply with the Manual of Style for NFPA Technical Committee Documents.

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General Procedures for Meetings

• Use of tape recorders or other means capable of producing verbatim transcriptions of any NFPA Committee Meeting is not permitted.

• Attendance at all NFPA Committee Meetings is open. All guests must sign in and identify their affiliation.

• Participation in NFPA Committee Meetings is generally limited to committee members and NFPA staff. Participation by guests is limited to individuals, who have received prior approval from the chair to address the committee on a particular item, or who wish to speak regarding public input or comments that they submitted.

• The chairman reserves the right to limit the amount of time available for any presentation.

• No interviews will be allowed in the meeting room at any time, including breaks.

• All attendees are reminded that formal votes of committee members will be secured by letter ballot. Voting at this meeting is used to establish a sense of agreement, but only the results of the formal letter ballot will determine the official action of the committee.

• Note to Special Experts: Particular attention is called to Section 3.3(e) of the NFPA Guide for the Conduct of Participants in the NFPA Codes and Standards Development Process in the NFPA Directory. This section requires committee members to declare any interest they may represent, other than their official designation as shown on the committee roster. This typically occurs when a special expert is retained by and represents another interest category on a particular subject. If such a situation exists on a specific issue or issues, the committee member shall declare those interests to the committee and refrain from voting on any action relating to those issues.

• Smoking is not permitted at NFPA Committee Meetings.

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Address List No PhoneMedical Equipment HEA-MED

Health Care Facilities

Jonathan Hart05/03/2013

HEA-MEDAlan LipschultzChairHealthCare Technology Consulting LLC116 Weldin Park DriveWilmington, DE 19803Association for the Advancement of MedicalInstrumentation

M 1/25/2007HEA-MED

Michael E. BrousseauPrincipalIntertek Testing Services70 Codman Hill RoadBoxborough, MA 01719

RT 10/27/2009

HEA-MEDCharles ConnorPrincipalDetroit Medical Center3663 Woodward Avenue, 2-719Detroit, MI 48201

U 03/07/2013HEA-MED

Keith FerrariPrincipalPraxair, Inc.2807 Gresham Lake RoadRaleigh, NC 27615Compressed Gas AssociationAlternate: Gary L. Bean

M 1/25/2007

HEA-MEDWilliam C. FettesPrincipalAirgas, Inc.11523 Knox StreetOverland Park, KS 66210Alternate: Barry E. Brown

IM 1/25/2007HEA-MED

Gerald R. GoodmanPrincipalTexas Woman’s UniversityHealth Care Administration Program6700 Fannin, #7015Houston, TX 77030

SE 1/10/2008

HEA-MEDDonald D. KingPrincipalKaiser Permanente1800 Harrison Street, 19th FloorOakland, CA 94612American Society for Healthcare EngineeringAlternate: Chad E. Beebe

U 10/29/2012HEA-MED

Harvey KostinskyPrincipalECRI Institute5200 Butler PikePlymouth Meeting, PA 19462-1298

RT 7/26/2007

HEA-MEDJoseph P. Murnane, Jr.PrincipalUL LLC1285 Walt Whitman RoadMelville, NY 11747-3085

RT 1/25/2007HEA-MED

Ronald C. ReynoldsPrincipalVirginia State Fire Marshal’s Office1005 Technology Park DriveGlen Allen, VA 23102

E 08/09/2012

HEA-MEDEzra R. SafdiePrincipalUS Department of Veterans Affairs4150 Clement StreetSan Francisco, CA 94121

U 3/4/2008HEA-MED

Lawrence S. SandlerPrincipal25661 Springtide CourtBonita Springs, FL 34135

SE 1/25/2007

HEA-MEDHulbert P. L. SilverPrincipalCentral Newfoundland Regional Health Centre22 Sunset DriveGrand Falls-Windsor, NL A2A 1W7 Canada

U 03/05/2012HEA-MED

Robert M. SutterPrincipalB&R Compliance AssociatesPO Box 20603Lehigh Valley, PA 18002

SE 1/25/2007

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Address List No PhoneMedical Equipment HEA-MED

Health Care Facilities

Jonathan Hart05/03/2013

HEA-MEDGary L. BeanAlternateAir Products & Chemicals, Inc.2920-A Horizon Park DriveSuwanee, GA 30024Compressed Gas AssociationPrincipal: Keith Ferrari

M 7/23/2008HEA-MED

Chad E. BeebeAlternateASHE - AHAPO Box 5756Lacey, WA 98509-5756Principal: Donald D. King

U 03/05/2012

HEA-MEDBarry E. BrownAlternateAirgas, Inc.3426 Starwood TrailLilburn, GA 30047Principal: William C. Fettes

IM 8/2/2010HEA-MED

Saul AronowMember Emeritus80C Seminary AvenueAuburndale, MA 02466

SE 1/1/1970

HEA-MEDJonathan HartStaff LiaisonNational Fire Protection Association1 Batterymarch ParkQuincy, MA 02169-7471

3/1/2012

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05/03/2013

Medical EquipmentHEA-MEDName Representation Class Office

Distribution by %

Company

Ronald C. Reynolds Virginia State Fire Marshal’s Office E Principal

1Voting Number Percent 7%

William C. Fettes Airgas, Inc. IM Principal


Alan Lipschultz HealthCare Technology ConsultingLLC

AAMI M Chair

Keith Ferrari Praxair, Inc. CGA M Principal


Michael E. Brousseau Intertek Testing Services ITK RT Principal

Harvey Kostinsky ECRI Institute RT Principal

Joseph P. Murnane, Jr. UL LLC UL RT Principal


Gerald R. Goodman Texas Woman’s University SE Principal

Lawrence S. Sandler SE Principal

Robert M. Sutter B&R Compliance Associates SE Principal


Charles Connor Detroit Medical Center U Principal

Donald D. King Kaiser Permanente ASHE U Principal

Ezra R. Safdie US Department of Veterans Affairs USVA U Principal

Hulbert P. L. Silver Central Newfoundland RegionalHealth Centre

U Principal


14Total Voting Number

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MINUTES NFPA Technical Committee on Medical Equipment (HEA-MED)

August 16, 2012 First Draft Meeting

Sheraton Suites at Symphony Hall – San Diego, CA

1. Call to Order. The meeting was called to order at 8:00 am Pacific on Thursday August 16, 2012 by Committee Chair, Alan Lipschultz.

2. Attendance and Introductions: Attendance was taken and those present at the meeting introduced themselves and stated who they represent on the committee. Those who were present at the meeting are listed below:

Name Representing

Lipschultz, Alan‐Chair Association for the Advancement of Medical Equipment

Ferrari, Keith – Principal Compressed Gas Association

Fettes, William‐Principal Airgas, Inc.

Goodman, Gerald –Principal (Web)

Texas Women’s University

Kostinsky, Harvey‐Principal (Web) ECRI Institute

Sutter, Robert‐Principal B&R Compliance Associates

Beebe, Chad‐Alternate American Society of Healthcare Engineers

Bean, Gary –Alternate (Web) Compressed Gas Association

Chase, Barry – NFPA Staff NFPA

Hart, Jonathan‐Staff Liaison NFPA

Bielen, Richard – NFPA Staff NFPA

King, Don‐ Guest Kaiser Permanenete

Collins, John ASHE

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3. Chairman Comments: Alan Lipschultz spoke to the agenda for the meeting and provided opening comments.

4. Minutes Approval: The minutes of the HEA-MED September 30, 2010 ROC Meeting were approved as distributed in the Agenda Package.

5. Staff Liaison Presentation: Barry Chase introduced himself and proceeded to give the staff presentation for the meeting which included general meeting procedures, a review of the Annual 2014 revision cycle, and an introduction to NFPA’s new revision process.

6. Development of First Draft: The committee reviewed all public input (PI) and resolved it by either providing a committee statement or by creating a first revision (FR) based on the PI. Other First Revisions were also created. See the First Draft and First Draft report for the official committee actions.

7. Old Business: There was no old business.

8. New Business: Two task groups was formed to address the establishment of the risk categories into Chapter 10 and 11. Chad Beebe will chair the TG for electrical equipment. William Fettes will chair the TG for gas equipment.

9. Next Meeting: TBD in the late May or June 2013 timeframe.

10. Meeting Adjourned: The meeting was adjourned at 5:30 pm on August 16, 2012.

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Public Comment No. 48-NFPA 99-2013 [ Section No. 10.1.3 ]

10.1.3 Electrical Equipment Categories.Electrical equipment in health care facilities shall be installed, inpsected, tested, and maintained tomeet the system Category 1 through Categroy 4 requirements as detailed in this code.10.1.3.1 Category 1.

Permanent or portable, corded or non-corded electrical equipment that provides direct pathway tothe heart in which failure of such equipment is likely to cause major injury or death of patients shallmeet Category 1 equipment requirements as defined in this code.10.1.3.2 Category 2.

Permanent or portable, corded or non-corded electrical equipment that is directly connected to thepatient for treatment purposes that failure of such equipment is likely to prevent treatment or tocause minor injury to patients shall meet Category 2 equipment requirements as defined in thiscode.10.1.3.3 Category 3.

Non-corded electrical equipment that comes in direct contact with the patient in which failure ofsuch equipment is not likely to cause injury to patients shall be designed to meet Category 3requirements as defined in this code.10.1.3.4 Category 4.

Permanent or portable, corded or non-corded electrical equipment that has no direct contact withthe patient and would have no impact on patient care shall meet Category 4 equipmentrequirements as defined in this code

Statement of Problem and Substantiation for Public Comment

10.1.3 Electrical Equipment Categories.Delete the entire section, including subsections, as these definitions are not used anywhere in Chapter 10. In addition the section is very confusing, mixes the terms “equipment” and “system,” refers to “system Category 1 through Category 4 requirements as detailed in this code” but there are no such requirements other than those listed within this section, and refers to “Category [1, etc] requirements as defined in this code” but there are no other such definitions other than possibly in chapter 4, which refers to building system categories and are therefore not relevant to equipment. Furthermore, the conditions given (e.g., failure of such equipment is likely to cause major injury…” would be applicable to many equipment performance characteristics (e.g., alarm capabilities) that are beyond the scope of NFPA 99 and this chapter.

Submitter Information Verification

Submitter Full Name: Harvey KostinskyOrganization: ECRI InstituteSubmittal Date: Wed May 01 13:25:44 EDT 2013

Copyright Assignment

I, Harvey Kostinsky, hereby irrevocably grant and assign to the National Fire Protection Association (NFPA) all and full rights in copyright inthis Public Comment (including both the Proposed Change and the Statement of Problem and Substantiation). I understand and intend thatI acquire no rights, including rights as a joint author, in any publication of the NFPA in which this Public Comment in this or another similaror derivative form is used. I hereby warrant that I am the author of this Public Comment and that I have full power and authority to enter intothis copyright assignment.

By checking this box I affirm that I am Harvey Kostinsky, and I agree to be legally bound by the above Copyright Assignment and theterms and conditions contained therein. I understand and intend that, by checking this box, I am creating an electronic signature that will,upon my submission of this form, have the same legal force and effect as a handwritten signature

National Fire Protection Association Report http://submittals.nfpa.org/TerraViewWeb/ContentFetcher?commentPara...

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Public Comment No. 49-NFPA 99-2013 [ Section No. 10.1.3 ]

10.1.3 Electrical Equipment Categories.Electrical equipment in health care facilities shall be installed, inpsected, tested, and maintained tomeet the system Category 1 through Categroy 4 requirements as detailed in this code.10.1.3.1 Category 1.

Permanent or portable, corded or non-corded electrical equipment that provides direct pathway tothe heart in which failure of such equipment is likely to cause major injury or death of patients shallmeet Category 1 equipment requirements as defined in this code.10.1.3.2 Category 2.

Permanent or portable, corded or non-corded electrical equipment that is directly connected to thepatient for treatment purposes that failure of such equipment is likely to prevent treatment or tocause minor injury to patients shall meet Category 2 equipment requirements as defined in thiscode.10.1.3.3 Category 3.

Non-corded electrical equipment that comes in direct contact with the patient in which failure ofsuch equipment is not likely to cause injury to patients shall be designed to meet Category 3requirements as defined in this code.10.1.3.4 Category 4.

Permanent or portable, corded or non-corded electrical equipment that has no direct contact withthe patient and would have no impact on patient care shall meet Category 4 equipmentrequirements as defined in this code


Delete entire Section 10.1.3 including subsections. Risk categorization does not make sense for this chapter. Much of the chapter deals with electrical safety issues. Any line powered device that does not meet these requirements poses the risk of electric shock to patients or personnel, regardless of where it is used or the clinical application of the device. Shock and fire risk is not dependent on the required reliability of the device or the extent to which patient diagnosis and treatment depends on the device. Even categorization regarding direct cardiac connection or patient contact are not relevant as death or injury can occur in any case. In commentary, there was a concern that some sections of the chapter (e.g., documentation requirements in 10.5.3) would not apply to all devices; while I agree with this concern, it is not addressed by risk categorization. And, equipment risk categorization as defined in this section does not apply to the hospital requirements (e.g., regarding use of extension cords).







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Public Comment No. 50-NFPA 99-2013 [ Section No. 10.2.3.6 ]

10.2.3.6 Multiple Outlet Connection.Two or more power receptacles supplied by a flexible cord shall be permitted to be used to supplypower to plug-connected components of a movable equipment assembly that is rack-, table-,pedestal-, or cart-mounted, provided that all of the following conditions are met:

(1) The receptacles are permanently attached to the equipment assembly.

(2)

(3) The ampacity of the flexible cord is in accordance with NFPA 70, National Electrical Code.

(4)

(5)


Delete 10.2.3.6 (5). It is impractical to completely eliminate the use in hospitals of multiple outlet extension cords that allow clinicians and staff to plug and unplug devices as needed. This need exists not just in the OR. For example, it is often necessary to use three or more infusion pumps, in addition to other devices, on one patient in a patient room. There may not be an adequate number of outlets nearby and running multiple cords, perhaps with extension cords, can hamper access to the patient and present a trip hazard. Instead, having an appropriate quality and properly maintained multiple outlet extension cord mounted on an IV pole, allows a safe method of powering whatever number of IV pumps is needed for a patient. The committee had agreed to delete Paragraph 10.2.3.6 (5) during the 2012 version revision process, but is was left in as a result of a procedural issue. Additional background has been submitted in a proposed TIA.






* The sum of the ampacity of all appliances connected to the outlets does not exceed 75percent of the ampacity of the flexible cord supplying the outlets.

* The electrical and mechanical integrity of the assembly is regularly verified and documented.

* Means are employed to ensure that additional devices or nonmedical equipment cannotbe connected to the multiple outlet extension cord after leakage currents have been verified assafe.


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10.3.3.2 Resistance Test.The resistance tests of of 10.3.3.3 2 shall be conducted before undertaking any leakage currentmeasurements.


Editorial change. The wrong section is referenced here. Grounding is covered in 10.3.2.


Submitter Full Name: Harvey KostinskyOrganization: ECRI InstituteSubmittal Date: Thu May 02 09:59:02 EDT 2013





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Public Comment No. 56-NFPA 99-2013 [ Section No. 10.3.5.3 [Excluding any

Sub-Sections] ]

Measurements shall be made using the circuit, such as the one illustrated in Figure 10.3.5.3, withthe appliance ground broken in two modes of appliance operation as follows:

(1) Power plug connected normally with the appliance on

(2) Power plug connected normally with the appliance off (if equipped with an on/off switch)

Figure 10.3.5.3 Test 3 Example Test Circuit for Measuring Touch Leakage Current.


Though the provided illustration is a commonly used test configuration, other alternatives are acceptable.







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10.4.2.3 Household or office appliances not commonly equipped with grounding conductors in their powercords shall be permitted, provided that they are not located within the patient care vicinity. Double-insulated and grounded appliances shall be permitted in the patient care vicinity.


The statement is currently unclear as to the status of grounded equipment. Adding "and grounded" will make this clear.







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Public Comment No. 58-NFPA 99-2013 [ Section No. 10.5.2.1.1 ]

10.5.2.1.1 The facility shall establish policies and protocols for the establishing what equipment requiresperiodic inspection and, where applicable, the type of test and intervals of testing , for patientcare–related electrical equipment.


Clarify that periodic inspection is not required for all patient care equipment.







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10.5.2.2 Protection of Patients with Direct Electrical Pathways to the Heart.Only equipment that is specifically designed for the purpose [i.e., provided with suitable isolatedpatient leads or connections (cardiac floating, also known as CF, according to IEC 60601-1-2,Medical Electrical Equipment — Part 1–2: General Requirements for Safety — Collateral Standard:Electromagnetic Compatibility — Requirements and Tests ) ] shall be connected directly toelectrically conductive pathways to a patient’s heart.


The standard referenced relates to electromagnetic interference. The correct standard would be IEC 60601-1.







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10.5.2.6 Electrical Equipment Systems.Purchase contracts for electrical equipment systems, such as nurse call and signaling that consistof interconnected elements, shall require all of the following:

(1) The elements are intended to function together.

(2) The manufacturers provide documentation for such interconnection.

(3) The systems are installed by personnel qualified to do such installations.


Delete 10.5.2.6 and all subsections. This may be interpreted to mean that only components that are sold to be used together can be used together and does not leave the hospital an option for implementing systems that are composed of components not specifically sold for use together, but which are nevertheless compatible. This is a very complex issue and cannot be adequately addressed in a brief statements. Also, it is outside the scope of this document as it is not of primary concern with respect to electrical and fire safety but involves, many other aspects of compatibility (e.g., information systems communication).







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10.5.3.3 * A scheduled preventative maintenance program shall be followed.


This was covered in an earlier section (10.5.2.1.1). These two statements should be coordinated and placed in one location and make it clear that not all patient care equipment requires periodic inspection.







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10.5.6.1 Instruction Manuals.10.5.6.1.1

A permanent file ofinstruction and maintenance manuals shall bemaintained and beaccessible. 10.5.6.1.2 The file of manuals shall be in the custody of theto the engineering group responsible for the maintenance of the appliance.

10.5.6.1.3 Duplicateinstruction andmaintenanceuser maintenance manuals shall beavailableaccessable to the user.

10.5.6.1.4 Any safety labels and condensed operating instructions on an appliance shall be maintained

in legible condition.


Update to bring into line with electronic documentation now available for many devices.







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10.5.6.3 Test Logs Records retention .A log of test results and repairs Thes records shall be maintained and kept for a period of time inaccordance with a health care facility's record retention policy.


This section may suggest that all test results, must be individually recorded and maintained and that exception reporting is not acceptable. this is not the intent of the section and exception reporting is an established and well accepted practice. The main intent of the section is to ensure that records are kept for an adequate time and the revision more clearly accomplishes this intent.







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10.5.8.2 Personnel involved in the use of energy-delivering devices including, but not limited to,electrosurgical, surgical laser, and fiberoptic devices shall receive periodic training in firesuppression prevention and suppression .


Make it clear that fire prevention is the first goal.







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10.5.8.3 Equipment shall be serviced by qualified personnel only.

Add appendix note:

A.10.5.8.3 Qualification for equipment servicing does not always include manufacturer training asrequired knowledge and skills may be obtained by other means.


Clarification required to prevent inappropriate use of this section to support manufacturer financial interests in training programs.







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11.3.2.3 Oxidizing gases such as oxygen and nitrous oxide shall be separated from combustibles orflammable materials by one of the following:

(1) Minimum distance of 6.1 m (20 ft)

(2) Minimum distance of 1.5 m (5 ft) if the entire storage location is protected by an automaticsprinkler system designed in accordance with NFPA 13, Standard for the Installation ofSprinkler Systems

(3) Enclosed Gas cabinet constructed per NFPA 30, Flammable and Combustible Liquids Code ,or NFPA 55, Compressed Gases and Cryogenics Fluids Code , if the entire storage location isprotected by an automatic sprinkler system designed in accordance with NFPA 13, Standardfor the Installation of Sprinkler Systems.


Editorial in nature. Consistency with NFPA 30 and NFPA 55. NFPA 55, Chapter 6, defines gas cabinets and is referenced by 11.3.2.3 (3).


Submitter Full Name: Phillip MariscalOrganization: Compressed Gas AssociationSubmittal Date: Thu May 02 15:03:43 EDT 2013


I, Phillip Mariscal, hereby irrevocably grant and assign to the National Fire Protection Association (NFPA) all and full rights in copyright inthis Public Comment (including both the Proposed Change and the Statement of Problem and Substantiation). I understand and intend thatI acquire no rights, including rights as a joint author, in any publication of the NFPA in which this Public Comment in this or another similaror derivative form is used. I hereby warrant that I am the author of this Public Comment and that I have full power and authority to enter intothis copyright assignment.

By checking this box I affirm that I am Phillip Mariscal, and I agree to be legally bound by the above Copyright Assignment and theterms and conditions contained therein. I understand and intend that, by checking this box, I am creating an electronic signature that will,upon my submission of this form, have the same legal force and effect as a handwritten signature


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11.3.2.4 Gas cylinder and cryogenic liquid container storage shall comply with 5.1.3.5. 13 12 .


This section incorrectly referred to bulk storage sites in the 2012 edition. It should be changed to refer to the cryogenic liquid container manifold section as it did in the 2005 edition.


Submitter Full Name: CORKY BISHOPOrganization: AIRGAS MEDICAL SERVICESSubmittal Date: Fri May 03 15:09:23 EDT 2013


I, CORKY BISHOP, hereby irrevocably grant and assign to the National Fire Protection Association (NFPA) all and full rights in copyright inthis Public Comment (including both the Proposed Change and the Statement of Problem and Substantiation). I understand and intend thatI acquire no rights, including rights as a joint author, in any publication of the NFPA in which this Public Comment in this or another similaror derivative form is used. I hereby warrant that I am the author of this Public Comment and that I have full power and authority to enter intothis copyright assignment.

By checking this box I affirm that I am CORKY BISHOP, and I agree to be legally bound by the above Copyright Assignment and theterms and conditions contained therein. I understand and intend that, by checking this box, I am creating an electronic signature that will,upon my submission of this form, have the same legal force and effect as a handwritten signature


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11.3.2.9 Gas cylinder and liquefied gas container storage shall comply with 5.1.3.5.13 .


Delete this paragraph as it duplicates 11.3.2.4.


Submitter Full Name: CORKY BISHOPOrganization: AIRGAS MEDICAL SERVICESSubmittal Date: Fri May 03 15:16:27 EDT 2013


I, CORKY BISHOP, hereby irrevocably grant and assign to the National Fire Protection Association (NFPA) all and full rights in copyright inthis Public Comment (including both the Proposed Change and the Statement of Problem and Substantiation). I understand and intend thatI acquire no rights, including rights as a joint author, in any publication of the NFPA in which this Public Comment in this or another similaror derivative form is used. I hereby warrant that I am the author of this Public Comment and that I have full power and authority to enter intothis copyright assignment.

By checking this box I affirm that I am CORKY BISHOP, and I agree to be legally bound by the above Copyright Assignment and theterms and conditions contained therein. I understand and intend that, by checking this box, I am creating an electronic signature that will,upon my submission of this form, have the same legal force and effect as a handwritten signature


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Public Comment No. 9-NFPA 99-2013 [ Section No. 11.5.2.4 [Excluding any

Sub-Sections] ]

Filling cylinders from oxygen concentrators shall be in accordance with the manufacturer'sinstructions, not to exceed the limits in 11.5.2.4.1 through 11.5.2.4.3.

Filling cylinders from oxygen concentrators in the patient care vicinity shall be in accordance with themanufacturer's instructions, not to exceed the limits in 11.5.2.4.1 through 11.5.2.4.3.


Clarification of allowing the refilling cylinders from oxygen concentrator equipment in the patient care vicinity will allow clear interpretation by AHJs or others as to the suitability of this technique for patient care areas or vicinities normally allowing use of oxygen concentrators for therapy.


Submitter Full Name: DAVID D POLACSEKOrganization: INVACARE CORPSubmittal Date: Wed Mar 13 08:50:54 EDT 2013


I, DAVID D POLACSEK, hereby irrevocably grant and assign to the National Fire Protection Association (NFPA) all and full rights incopyright in this Public Comment (including both the Proposed Change and the Statement of Problem and Substantiation). I understandand intend that I acquire no rights, including rights as a joint author, in any publication of the NFPA in which this Public Comment in this oranother similar or derivative form is used. I hereby warrant that I am the author of this Public Comment and that I have full power andauthority to enter into this copyright assignment.

By checking this box I affirm that I am DAVID D POLACSEK, and I agree to be legally bound by the above Copyright Assignment andthe terms and conditions contained therein. I understand and intend that, by checking this box, I am creating an electronic signature thatwill, upon my submission of this form, have the same legal force and effect as a handwritten signature


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Public Comment No. 52-NFPA 99-2013 [ Section No. A.10.2.3.6(5) ]

A.10.2.3.6(5) Power taps used in conjunction with an isolated power system are not subject to this requirement.


This appendix item A.10.2.3.6 (5) is not longer needed if the corresponding section is removed from the main text as proposed earlier. In addition, even if that main text material is deleted, this appendix item should be deleted because the use of isolated power, mentioned in the annex material, does not address concerns related to touch (leakage) current values that are addressed in the main text to which the annex comment is attached. Isolated power does not limit equipment touch currents to values required within the main document.







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Correlating Committee Note No. 20-NFPA 99-2012 [ Section No. 1.3.2 [Excluding any

Sub-Sections] ]


Submitter Full Name: [ Not Specified ]Organization: [ Not Specified ]Submittal Date: Tue Dec 11 15:02:23 EST 2012

Committee Statement and Meeting Notes

CommitteeStatement:

The Correlating Committee on Health Care Facilities directs each technical committee toevaluate their applicability clause to clarify what sections apply to existing facilities withoutcreating a circular argument to Section 1.3.

Ballot Results

This item has passed ballot

18 Eligible Voters1 Not Returned

17 Affirmative All0 Affirmative with Comments0 Negative with Comments0 Abstention

Not Returned, Jensen, Michael S.

Affirmative All,,,,,,,,,,,,,,,,,


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Correlating Committee Note No. 12-NFPA 99-2012 [ Section No. 2.3.9 ]




CommitteeStatement:

The Correlating Committee on Health Care Facilities directs the technical committees onFundamentals, Medical Equipment, and Piping Systems, to review requirements includingreferences to CGA documents and specifically list the requirements that apply. Non-mandatoryrequirements cannot be referenced in the body of the code.

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CommitteeStatement:

The Correlating Committee on Health Care Facilities directs that each technical committeeevaluate where the term "anesthetizing location" is used within their Chapter(s) and remove theterm and replace it with whichever levels as defined in 3.3.63 are applicable.

Ballot Results







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Correlating Committee Note No. 3-NFPA 99-2012 [ Section No. 3.3.135.7 ]




CommitteeStatement:

The Correlating Committee on Health Care Facilities directs the technical committees on PipingSystems,Medical Equipment, and Hyperbaric and Hypobaric Facilities to re-assess where the term"working pressure" is used and determine where it is still applicable rather than the new definitionfor "operating pressure." Understand that the 200 lb limit has removed from working pressure.

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CommitteeStatement:

The Correlating Committee on Health Care Facilities directs each of the technical committees toassess text, both in the Chapters and in definitions, where "room," "space," or "vicinity," are usedand determine the applicability based on the definitions of each. See FR 92.

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CommitteeStatement:

The Correlating Committee on Health Care Facilities directs the technical committee on medicalsystems to FCR-28 to re-assess how their Chapters uses Risk Categories in relation to what isprovided in Chapter 4 and align those as close as possible.

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Submitter Full Name: Jonathan HartOrganization: National Fire Protection AssocSubmittal Date: Thu Dec 13 11:12:31 EST 2012


CommitteeStatement:

The Correlating Committee on Health Care Facilities directs the technical committee on medicalsystems to FCR-28 to re-assess how their Chapters uses Risk Categories in relation to what isprovided in Chapter 4 and align those as close as possible.

Ballot Results







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Correlating Committee Note No. 25-NFPA 99-2012 [ New Section after 11.3.1 ]




CommitteeStatement:

The Correlating Committee on Health Care Facilities directs the MED committee to address theissue of ventilation for gas storage. If needed, a reference to Chapter 9 for those requirementsshould be made.

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