AS ISO 5366.

1—2004
AS ISO 5366.1

Australian Standard™
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Anaesthetic respiratory equipment—

Tracheostomy tubes

Part 1: Tubes and connectors for use in

adults (ISO 5361-1:2000, MOD)
 This Australian Standard was prepared by Committee HE-019, Anaesthetic and
Breathing Equipment. It was approved on behalf of the Council of Standards
Australia on 13 February 2004 and published on 29 March 2004.

The following are represented on Committee HE-019:

Australasian Society of Anaesthesia Paramedical Officers
Australian Chamber of Commerce and Industry
Australian College of Operating Room Nurses
Australian Industry Group
Australian Society of Anaesthetists
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Australian and New Zealand College of Anaesthetists

College of Biomedical Engineering Institution of Engineers Australia
Commonwealth Department of Health and Ageing
Health Department of Western Australia
NSW Health Department

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2001.

This Standard was issued in draft form for comment as DR 03497.

 AS ISO 5366.1—2004

Australian Standard™
This is a free 7 page sample. Access the full version at http://infostore.saiglobal.com.

Anaesthetic respiratory equipment—

Tracheostomy tubes

Part 1: Tubes and connector for use in

adults (ISO 5361-1:2000, MOD)

First published as AS ISO 5366.1—2004.

COPYRIGHT
© Standards Australia International
All rights are reserved. No part of this work may be reproduced or copied in any form or by any
means, electronic or mechanical, including photocopying, without the written permission of the
publisher.
Published by Standards Australia International Ltd
GPO Box 5420, Sydney, NSW 2001, Australia
ISBN 0 7337 5789 8
 ii

PREFACE
This Standard was prepared by the Australian members of the Joint Standards Australia/Standards
New Zealand Committee HE-019, Anaesthetic and Breathing Equipment. After consultation with
stakeholders in both countries, Standards Australia and Standards New Zealand decided to develop
this Standard as an Australian, rather than an Australian/New Zealand Standard.
This Standard is an adoption with national modifications and has been reproduced from
ISO 5366-1:2000, Anaesthetic and respiratory equipment—Tracheostomy tubes, Part 1: Tubes and
connectors for use in adults. The modification, as set out in item (d) below was necessary because a
particular edition of EN 556 was referenced in a requirement. That edition has since been superseded.
Only the referenced document designation and title have changed. The text of the requirement is
technically identical. The change is indicated in the text by a marginal bar.
The objective of this Standard is to specify requirements for tracheostomy tubes made of plastics
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materials and/or rubber having inside diameters of 6.5 mm or greater. Such tubes are primarily
designed for patients who require anaesthesia, artificial ventilation or other respiratory support, but
need not be restricted to these uses.
The terms ‘normative’ and ‘informative’ are used to define the application of the annex to which they
apply. A normative annex is an integral part of a standard, whereas an informative annex is only for
information and guidance.
As this Standard is reproduced from an international Standard, the following applies:
(a) Its number does not appear on each page of text and its identity is shown only on the cover and
title page.
(b) In the source text ‘this part of ISO 5366’ should read ‘this Australian Standard’.
(c) A full point substitutes for a comma when referring to a decimal marker.
(d) In Clause 7.1 delete ‘EN 556:1994’ and replace with ‘EN 556-1:2001’.
References to International Standards and European Standards should be replaced by references to
Australian or Australian/New Zealand Standards as follows:
Reference to International or European Standard Australian Standard
ISO AS
594 Conical fittings with a 6% (Luer) taper 1600 Medical equipment—Conical fittings
for syringes, needles and certain other with a 6 percent (Luer) taper for
medical equipment syringes, needles and certain other
medical equipment
594-1 Part 1: General requirements 1600.1 Part 1: General requirements
AS ISO
10993 Biological evaluation of medical 10993 Biological evaluation of medical
devices devices
10993-1 Part 1: Guidance on selection of tests 10993.1 Part 1: Evaluation and testing
EN AS EN
556 Sterilization of medical devices— 556 Sterilization of medical devices—
Requirements for medical devices to be Requirements for medical devices to be
designated ‘STERILE’ designated ‘STERILE’
556-1 Part 1: Requirements for terminally 556.1 Part 1: Requirements for terminally
sterilized medical devices sterilized medical devices
Only International or European references that have been adopted as Australian Standards have been
listed.
 iii

CONTENTS

1 Scope ............................................................................................................................................................... 1
2 Normative references ....................................................................................................................................... 1
3 Terms and definitions ........................................................................................................................................ 1
4 Size designation and dimensions ..................................................................................................................... 4
5 Materials ........................................................................................................................................................... 6
6 Design and finish .............................................................................................................................................. 6
7 Requirements for tracheostomy tubes supplied sterile ..................................................................................... 7
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8 Marking and labelling ........................................................................................................................................ 8

Annexes
A Test method for the security of attachment of connector and neck-plate to tracheostomy tube...................... 10
A.1 Principle ...................................................................................................................................................... 10
A.2 Apparatus .................................................................................................................................................... 10
A.3 Procedure ................................................................................................................................................... 10
A.4 Expression of results ................................................................................................................................... 10
B Test method for determining the resting diameter of the cuff.......................................................................... 11
B.1 Principle ...................................................................................................................................................... 11
B.2 Apparatus .................................................................................................................................................... 11
B.3 Procedure ................................................................................................................................................... 11
B.4 Expression of results ................................................................................................................................... 11
C Guidance on materials and design ................................................................................................................. 12
C.1 Materials ..................................................................................................................................................... 12
C.2 Design ......................................................................................................................................................... 12
Bibliography........................................................................................................................................................... 13
 iv

INTRODUCTION

ISO 5366-1 is one of a series of International Standards dealing with anaesthetic equipment, and is concerned with
the basic requirements and method of size designation of tracheostomy tubes made of plastics materials and/or rub-
ber. Specialized tubes, for example those without a connector at the machine end intended for spontaneously breath-
ing patients, and those with reinforced walls or tubes made of metal are excluded from the scope of this part of
ISO 5366.

This part of ISO 5366 specifies requirements for tracheostomy tubes with an inside diameter of 6,5 mm or greater.
ISO 5366-3 specifies requirements for tracheostomy tubes with an inside diameter from 2,0 to 6,0 mm for paediatric
use.
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The method of describing tube dimensions and configuration has been devised in order to assist the clinician in the
selection of a suitable tube to conform as far as possible to a particular patient's anatomy. Size is designated by in-
side diameter, which is important because of its relation to resistance to gas flow. Because the stomal and tracheal
diameters are important when selecting tubes, it is considered essential that the outside diameter be stated for each
size of tube.

Cuffed tracheostomy tubes can be characterized by a combination of the tube inside and outside diameters and by
the cuff resting diameter.

The relationship of cuff and tracheal diameters dictates the intra-cuff pressures required to provide a seal. Excessive
pressure on the tracheal wall can obstruct capillary blood flow.

A range of cuff designs is available to meet the particular clinical requirements. This part of ISO 5366 requires that
the resting diameter of the cuff is marked on the unit package, as this information allows the clinician to match the
product to the application.

A 15 mm male conical connector in accordance with ISO 5356-1 should be used for tracheostomy tubes, as for tra-
cheal tubes, to ensure compatibility with the breathing system of an anaesthetic machine or ventilator.

The tracheostomy tube connector should be permanently attached to the tracheostomy tube to prevent inadvertent
disconnection of the connector from the tube.

Flammability of tracheostomy tubes, for example if flammable anaesthetics, electrosurgical units, or lasers are used
in oxidant-enriched atmospheres, is a well-recognized hazard1) that is addressed by appropriate clinical manage-
ment, and is outside the scope of this part of ISO 5366.

1) See ISO/TR 11991.

 1

AUSTRALIAN STANDARD

Anaesthetic and respiratory equipment—Tracheostomy tubes

Part 1:
Tubes and connectors for use in adults (ISO 5361-1:2000, MOD)

1 Scope

This part of ISO 5366 specifies requirements for tracheostomy tubes made of plastics materials and/or rubber having
inside diameters of 6,5 mm or greater. Such tubes are primarily designed for patients who require anaesthesia, arti-
This is a free 7 page sample. Access the full version at http://infostore.saiglobal.com.

ficial ventilation or other respiratory support, but need not be restricted to these uses.

This part of ISO 5366 is not applicable to specialized tubes, and does not address flammability of tracheostomy
tubes.

2 Normative references

The following normative documents contain provisions which, through reference in this text, constitute provisions of
this part of ISO 5366. For dated references, subsequent amendments to, or revisions of, any of these publications do
not apply. However, parties to agreements based on this part of ISO 5366 are encouraged to investigate the possi-
bility of applying the most recent editions of the normative documents indicated below. For undated references, the
latest edition of the normative document referred to applies. Members of ISO and IEC maintain registers of currently
valid International Standards.

ISO 594-1, Conical fittings with a 6 % (Luer) taper for syringes, needles and certain other medical equipment —
Part 1: General requirements.

ISO 4135, Anaesthetic and respiratory equipment — Vocabulary.

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

ISO 5361, Anaesthetic and respiratory equipment — Tracheal tubes and connectors.

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

ISO 11607, Packaging for terminally sterilized medical devices.

EN 556 :1994, Sterilization of medical devices — Requirements for medical devices to be labelled “STERILE”.

3 Terms and definitions

For the purposes of this part of ISO 5366, the terms and definitions given in ISO 4135 and the following apply.

3.1
tracheostomy tube
tube designed for insertion into the trachea through a tracheostomy

NOTE See Figure 1 a) and b) for an illustration of a typical tracheostomy tube and the associated nomenclature.

www.standards.com.au  Standards Australia

 This is a free preview. Purchase the entire publication at the link below:

AS ISO 5366.1-2004, Anaesthetic respiratory

equipment - Tracheostomy tubes Tubes and
connectors for use in adults (ISO 5366-1:2000,
This is a free 7 page sample. Access the full version at http://infostore.saiglobal.com.

MOD)

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