Utilisation sûre des dispositifs et des systèmes médicaux électrochirurgicaux dans les soins de santé

Numéro de référence:
Z387
Catégorie de norme:
Norme nationale du Canada - Norme canadienne
Type d’activité d’élaboration de normes:
Nouvelle version
Statut:
En cours d'élaboration
Date de début de la période de commentaires OEN:
Date de fin de la période de commentaires des OEN:
Affiché le:

Porté:

Champ d’application

1.1
This Standard applies to the use of medical devices and systems for the application of electrosurgical energy. It applies to all procedures in all health care settings where such medical devices and systems are used, including, but not limited to, the following:

a) surgical facilities;

b) dental clinics;

c) medical offices;

d) veterinary facilities;

e) laboratories and other research facilities;

f) cosmetic treatment facilities;

g) teaching facilities; and

h) professional exhibitions and trade shows.

1.2
This Standard provides requirements for the education, training, purchasing, installation, use, service, and maintenance of electrosurgical units (ESUs).

1.3
This Standard does not include requirements for

a) aspects of laser safety (see CSA Z386);

b) aspects of other energy-based medical device safety not utilizing electricity to deliver a therapeutic effect (e.g., ultrasonic scalpels); and

c) surgical plume.

1.4
In this Standard, "shall" is used to express a requirement, i.e., a provision that the user is obliged to satisfy in order to comply with the standard; "should" is used to express a recommendation or that which is advised but not required; and "may" is used to express an option or that which is permissible within the limits of the standard.

Notes accompanying clauses do not include requirements or alternative requirements; the purpose of a note accompanying a clause is to separate from the text explanatory or informative material.

Notes to tables and figures are considered part of the table or figure and may be written as requirements.

Annexes are designated normative (mandatory) or informative (nonmandatory) to define their application

Raison d’être du projet

Raison d’être du projet
Electrosurgery produces “heat” that desiccates tissue, coagulates blood vessels, and can be used in a variety of different methods for minimally invasive or open procedures. The use of radio frequency (RF) electrical energy can be hazardous, and medical and nursing personnel need to understand the basics of electricity and electrosurgical units (ESUs), how these units function, and how to utilize them as safely as possible. The majority of surgical procedures involve the use of energy-based devices (most commonly ESUs and related accessories). ESU procedures can also result in greater amounts of surgical plume than other energy-based devices. Positive patient outcomes depend on knowledgeable staff and the safe and effective use of electrosurgical medical devices in the perioperative setting. This standard is necessary to ensure that the use of ESU is carried out safely with minimal risk to patients and staff.

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