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Medical gas categories and definitions

Learn about the building systems in health care facilities that must be designed to meet system Category 1 through 4 requirements as detailed in this code.

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NFPA 99-2018 – 4.1 Risk Categories

4.1 Risk Categories. Activities, systems, or equipment, shall be designed to meet Category 1 through Category 4 requirements, as detailed in this code.

  • 4.1.1 Category 1. Activities, systems, or equipment, whose failure is likely to cause major injury or death of patients, staff, or visitors, shall be designed to meet Category 1 requirements, as detailed in this code.
  • 4.1.2 Category 2. Activities, systems, or equipment, whose failure is likely to cause minor injury of patients, staff, or visitors, shall be designed to meet Category 2 requirements, as detailed in this code.
  • 4.1.3 Category 3. Activities, systems, or equipment, whose failure is not likely to cause injury to patients, staff, or visitors, but can cause discomfort, shall be designed to meet Category 3 requirements, as detailed in this code.
  • 4.1.4 Category 4. Activities, systems, or equipment, whose failure would have no impact on patient care, shall be designed to meet Category 4 requirements, as detailed in this code.

The category definitions apply to equipment operations and are not intended to consider intervention by caregivers or others. View examples of area/systems and their categories of risk below. A risk assessment should be conducted to evaluate the risk to the patients, staff, and visitors.

Example Category
  1. Ambulatory surgical center, with full OR services and piped Patient Medical Gases
Category 1
  1. Reconstructive surgeon's office with general anesthesia and piped Patient Medical Gases
Category 1
  1. Procedural sedation site for outpatient services, with piped Patient Medical Gases
Category 2
  1. Dental office, with oral surgery suite(s) and full sedation, with piped Patient Medical Gases
Category 2
  1. Dental office, with piped Nitrous Oxide (NO2) and/or Oxygen (O2)
Category 3
  1. Dental office, no general anesthesia, with piped Dental Air and Vacuum only (no Nitrous Oxide or Oxygen)
Category 3
  1. Typical doctor's office/exam room with no piped Patient Medical Gases (only Instrument Air or Vacuum permitted)
Category 4

Note: Per NFPA 99 definition, Patient Medical Gases include: Oxygen, Nitrous Oxide, Helium, Carbon Dioxide, and Medical Air that are used in the application of human respiration and the calibration of medical devices used for human respiration.

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