Codes & standards 5
HTM 02-01NFPA 99AS 2896ISO 7396-1EN 13348
Regions 3
AustraliaNew ZealandInternational
Views
2D3D4D
Q&A506 Plumbing questions →Site cases46 Plumbing site cases →
PLB-706 · PLUMBING · HEALTHCARE

Medical Gas Systems Lab

Count the beds and rooms by department, get the terminal units for oxygen, medical air, surgical air, vacuum and nitrous oxide, then the diversified design flows, the main pipe sizes and the plant: liquid oxygen VIE, cylinder reserve, air compressors and vacuum pumps. Links to the Healthcare Electrical Lab for essential power.

HTM 02-01NFPA 99ISO 7396-1AS 2896BCGA CP36DHA / DoH guidelines

How to use: edit the department list (beds or rooms, flows for the first and each extra bed), then the pipe lengths and plant settings. Flows are typical HTM 02-01 style values to check against the current tables. Tap i for help.

1. Inputs

Departments

Flows in L/min: design flow = first + (n - 1) x each extra. Outlets per bed for O2, medical air and vacuum.

Pipework
Plant

2. Medical gas system

Zone schematic from plant to terminal units, a 3D hospital with risers and the liquid oxygen level between deliveries.

3. Checks

    4. Terminal units and design flows

    5. Mains and plant

    6. How it works

    Terminal units and diversity

    Each bed or room gets terminal units for the gases its clinical use needs: typically oxygen, medical air and vacuum at every ward bed, with surgical air and nitrous oxide in theatres. Not every outlet flows at once, so HTM 02-01 gives design flows as a first-bed figure plus a smaller amount for each extra bed. The lab uses that form with editable typical values.

    Pipe sizing

    Oxygen, medical air (MA4) and nitrous oxide run at a nominal 400 kPa, surgical air (SA7) at 700 kPa, and vacuum at about -60 kPa or lower. Mains are degreased medical copper (EN 13348) sized so the drop from plant to the furthest terminal stays small. Each zone has an area valve service unit (AVSU) and an area alarm.

    Plant

    Oxygen usually comes from a liquid oxygen vacuum insulated evaporator (VIE) with a cylinder manifold as secondary and an emergency reserve. One litre of liquid oxygen gives about 861 litres of gas. Medical air and vacuum plant use several machines so the design flow is met with one out of service. All medical gas plant and alarms go on the essential (generator backed) supply.

    Concept sizing tool. Final terminal unit schedules, design flows and plant come from HTM 02-01 (or NFPA 99 or AS 2896) tables, the clinical brief, the medical gas supplier and the authority (DHA, DoH, MOHAP or the NZ DHB).

    About this lab: Medical Gas Systems Lab

    Medical Gas Systems Lab

    Work out medical gas terminal units by department, HTM 02-01 style diversified flows for oxygen, medical air, surgical air, vacuum and nitrous oxide, main pipe sizes and plant: VIE, reserve cylinders, compressors and vacuum pumps.

    Topics you can explore

    • Terminal units by department
    • HTM 02-01 diversified flows
    • Medical copper pipe sizing
    • Area valve service units and alarms
    • VIE and cylinder reserve
    • Medical air compressors and vacuum pumps
    • Essential power for medical gases

    Practical engineering example

    A 183 bed hospital with 120 ward beds, 20 critical care beds, 6 theatres, 12 recovery bays and 25 emergency bays needs about 780 L/min of oxygen on the HTM 02-01 style rules used here, carried by a 28 mm main within a 20 kPa drop. At 30% average use that is about 340 m³ of gas a day, so a 10,000 litre VIE covers 14 days with margin, backed by 28 J size reserve cylinders and triplex air compressors and vacuum pumps.

    Developed by Eng. Mannan Maqsood. Verify against current project requirements and the applicable authority rules.

    Standards and regions covered

    Built around HTM 02-01 with NFPA 99, ISO 7396-1, AS 2896 and BCGA CP36 practice used in DHA, DoH and MOHAP healthcare projects and in New Zealand and Australian hospitals. Engineers use it on projects in Dubai, Abu Dhabi, Sharjah and the Northern Emirates, Saudi Arabia and Qatar, and in Auckland, the rest of New Zealand and Australia. Always confirm the edition your authority or client has adopted before relying on a result.

    NEXT STEP

    Where to go from here

    Related labs that pick up where this one ends.

    Healthcare Electrical LabEssential power for medical gases.E-132 →Seismic Restraint LabHospitals stay operational after quakes.MEP-803 →Fire Stopping SelectorMedical gas pipes through compartments.MEP-804 →LPG & Gas Piping LabKitchen gas in the same hospital.PLB-705 →
    Your work in each lab is saved in this browser.Save or move my progress · All 127 labs · Ask the Copilot