Ultra Controlo Medical gas library

Vacuum and AGSS

What flow should a hospital suction outlet provide?

What free-air flow should a hospital vacuum outlet provide?

Short answer

The NHS England guidance HTM 02-01 (2026) designs each hospital vacuum terminal unit for 40 L/min, with at least 315.5 mmHg of vacuum at the front of the outlet at that flow; an operating room is designed for 80 L/min because the surgical team and the anaesthetist may use suction at the same time.

The 40 L/min figure is the flow each terminal unit should be capable of passing, not the plant capacity: the plant is sized from the diversified flow of the areas it serves (see how a vacuum plant is sized). Vacuum pump capacity is stated as free air aspirated in L/min (HTM 02-01, 10.27).

Design flows by area (HTM 02-01, Table 10)

AreaDesign flow per terminal unitDiversified flow Q
Emergency department, resuscitation room (per trolley space)40 L/minQ = 40 + [(n − 1)10]
Anaesthetic room40 L/minNo additional flow
Operating room80 L/min per room (40 L/min per terminal unit)Q = 80
Post-anaesthesia recovery40 L/minQ = 40 + [(n − 1)10]
Critical care areas40 L/minQ = 40 + [(n − 1)10]
Radiology anaesthetic and procedure rooms40 L/minQ = 40 + [(n − 1)5]

Here n is the number of beds, treatment spaces or single rooms where the procedure is performed, not the number of terminal units. No extra flow is added for the anaesthetic room, because needing to clear an airway there while a patient in the operating room is still anaesthetised is considered extremely unlikely (4.118).

Dental suction is a different system

Dental high volume suction is based on 300 L/min at each chair cannula connector, against a typical 40 L/min for medical vacuum, and HTM 02-01 asks for a dedicated dental vacuum system for extracting bodily fluids during dental procedures (11.9, 11.39 and 10.14).

The outlet itself

Terminal units are covered by ISO 9170-1:2017, which deals with their gas-specific assembly, flow, leakage and pressure drop, among other properties. HTM 02-01 refers to BS EN ISO 9170-1 for the outlet vacuum requirement. On the supply side, ULTRAVAC plant capacity is given per pump, from 3 to 1,600 m³/h, in the ULTRAVAC datasheet.

More questions

Why does an operating room get 80 L/min?

Because the surgical team and the anaesthetist may use vacuum at the same time, and each terminal unit should pass 40 L/min (HTM 02-01, 4.117).

What vacuum must the outlet hold at that flow?

At least 315.5 mmHg at the front of each terminal unit at a design flow of 40 L/min (HTM 02-01, 4.46).

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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