1、Designation: F 1558 94 (Reapproved 2007)Standard Guide forCharacteristics for Adjunct Cervical Spine ImmobilizationDevices (ACSID)1This standard is issued under the fixed designation F 1558; the number immediately following the designation indicates the year oforiginal adoption or, in the case of re
2、vision, the year of last revision. A number in parentheses indicates the year of last reapproval. Asuperscript epsilon (e) indicates an editorial change since the last revision or reapproval.INTRODUCTIONThe objective of this guide is to begin to address the recognized need to support and immobilize
3、thecomponents of the spine or spinal cord. Although this guide does not quantitatively addressperformance standards for this device, it does address the characteristics of the device(s) used toprovide support and immobilization of the components of the central nervous system for the patientsuspected
4、 of receiving trauma to that body system.1. Scope1.1 This guide establishes minimum standards for devicesdesignated here as adjunct cervical spine immobilization de-vice (ACSID); a lateral stabilizer for the head is an example ofthis type of device. The ACSID is designed to be used to assistin the i
5、mmobilization of the cervical spine, by emergencymedical services personnel.1.2 This guide does not identify specific degrees of limita-tion of motion achieved by placement of an ACSID on apatient. Definitive requirements for immobilization of thespine, and, in particular, the degree of limitation a
6、ssociatedwith the use of an ACSID, have not been established in themedical literature.1.3 This standard does not purport to address all of thesafety concerns, if any, associated with its use. It is theresponsibility of the user of this standard to establish appro-priate safety and health practices a
7、nd determine the applica-bility of regulatory limitations prior to use.2. Referenced Documents2.1 ASTM Standards:2F 1177 Terminology Relating to Emergency Medical Ser-vices2.2 OSHA Standard:20 CFR 1910.1030 Occupational Exposure to BloodbornePathogens; Final Rule32.3 Centers for Disease Control Stan
8、dard:Guidelines for Prevention of Transmission of HIV and HBVto Healthcare and Public Safety Workers43. Terminology3.1 Definitions:3.1.1 retention systeman adjunct to or an integral part ofthe primary platform that allows the patient to be securelyattached to that platform used in whatever configura
9、tion andsize necessary to accomplish the goal while still allowingreasonable and necessary access to the patient.3.1.2 spinal immobilizationimmobilization of the entirespine and its contiguous structures, the pelvis and skull.3.1.3 spinethe spine shall include the cervical, thoracic,lumbar, and sacr
10、al vertebrae.3.2 Definitions of Terms Specific to This Standard:3.2.1 directions of movementdirections include flexion,extension, rotation, distraction, lateral motion, and axial com-pression motion.3.2.2 immobilizationlimitation of motion.3.3 For definitions of other terms used in this guide, refer
11、 toTerminology F 1177.4. Significance and Use4.1 The intent of this guide is to identify characteristics thatan ACSID shall possess.1This guide is under the jurisdiction of ASTM Committee F30 on EmergencyMedical Services and is the direct responsibility of Subcommittee F30.01 on EMSEquipment.Current
12、 edition approved Feb. 1, 2007. Published February 2007. Originallyapproved in 1994. Last previous edition approved in 2002 as F 1558 94(2002).2For referenced ASTM standards, visit the ASTM website, www.astm.org, orcontact ASTM Customer Service at serviceastm.org. For Annual Book of ASTMStandards vo
13、lume information, refer to the standards Document Summary page onthe ASTM website.3Available from Superintendent of Documents, U.S. Government PrintingOffice, Washington, DC 20402.4Available from Centers for Disease Control spinal cord; spineASTM International takes no position respecting the validi
14、ty of any patent rights asserted in connection with any item mentionedin this standard. Users of this standard are expressly advised that determination of the validity of any such patent rights, and the riskof infringement of such rights, are entirely their own responsibility.This standard is subjec
15、t to revision at any time by the responsible technical committee and must be reviewed every five years andif not revised, either reapproved or withdrawn. Your comments are invited either for revision of this standard or for additional standardsand should be addressed to ASTM International Headquarte
16、rs. Your comments will receive careful consideration at a meeting of theresponsible technical committee, which you may attend. If you feel that your comments have not received a fair hearing you shouldmake your views known to the ASTM Committee on Standards, at the address shown below.This standard
17、is copyrighted by ASTM International, 100 Barr Harbor Drive, PO Box C700, West Conshohocken, PA 19428-2959,United States. Individual reprints (single or multiple copies) of this standard may be obtained by contacting ASTM at the aboveaddress or at 610-832-9585 (phone), 610-832-9555 (fax), or serviceastm.org (e-mail); or through the ASTM website(www.astm.org).F 1558 94 (2007)2
