Ultra Controlo Medical gas library

Vacuum and AGSS

What flow does an AGSS extract per operating room?

What extract flow does an anaesthetic gas scavenging system provide at each terminal unit?

Short answer

Under the NHS England guidance HTM 02-01 (2026), each AGSS terminal unit has a design flow of 130 L/min and an operating room with an anaesthetic room counts two units in use; a high-flow system should extract at least 80 L/min at 4 kPa and at most 130 L/min at 1 kPa.

HTM 02-01 states AGSS performance as extract flow at a specified resistance, and notes that the flow rates of the AGSS directly affect the flow induced on the patient's breathing system, so they have to be set up and kept correct.

Design flows (HTM 02-01, Table 12)

RoomDesign flow per terminal unitDiversified flow Q
Operating room with anaesthetic room130 L/minQ = 130 × 2
Operating room without anaesthetic room130 L/minQ = 130
Radiology procedure rooms130 L/minQ = 130n (n = number of rooms)

More than one AGS terminal unit may be fitted in a room, but only one per room is in use at a time. The anaesthetic room and operating room units are likely to run together, so the plant is sized for two terminal units per operating suite, and one AGSS serves at most six terminal units, or two theatres (12.25, 12.29 and 12.30).

Performance criteria (HTM 02-01, Table 22)

High-flow systemLow-flow system
Flow at 1 kPa pressure drop130 L/min maximum80 L/min maximum
Flow at the higher pressure drop80 L/min minimum at 4 kPa50 L/min minimum at 2 kPa
Maximum static pressure20 kPa negative15 kPa negative

HTM notes that these values differ from the BS EN ISO 7396-2 Type 1H and 1L values, to stay compatible with the receiving systems and anaesthetic equipment in use, and asks for pipelines to be designed to the high-flow criteria whatever equipment will be connected (12.19). Single-chair dental scavenging (DAGS) is different: its fan unit should produce no less than 80 L/min (12.43).

Plant capacity and terminal unit flow

The ULTRASEG datasheet gives plant capacity, not the flow per terminal unit: its table lists pump capacities from the H50 (50 m³/h at 50 Hz) to the E300 (315 m³/h at 50 Hz), at a suction level of −0.2 bar, and each ULTRASEG terminal unit has an adjustable orifice to set its flow. The plant model is selected from the number of terminal units it serves and their design flow.

More questions

Why design for high flow if the equipment is low-flow?

HTM 02-01 (2026) bases pipeline design on the high-flow criteria to allow future adaptability; a high-flow system can be adapted to low-flow equipment and is then marked as low-flow AGSS at the terminal unit.

Is the AGSS flow the same as the medical vacuum flow?

No. In HTM 02-01 a medical vacuum terminal unit is typically designed for 40 L/min, against 130 L/min for an AGSS terminal unit.

Sources

Ultra Controlo figures come from its technical datasheets. Third-party facts were read at the source on the date shown.

Reviewed: · Ultra Controlo engineering · Markdown version

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