Designation:F1558−94(Reapproved2015)StandardGuideforCharacteristicsforAdjunctCervicalSpineImmobilizationDevices(ACSID)1ThisstandardisissuedunderthefixeddesignationF1558;thenumberimmediatelyfollowingthedesignationindicatestheyearoforiginaladoptionor,inthecaseofrevision,theyearoflastrevision.Anumberinparenthesesindicatestheyearoflastreapproval.Asuperscriptepsilon(´)indicatesaneditorialchangesincethelastrevisionorreapproval.INTRODUCTIONTheobjectiveofthisguideistobegintoaddresstherecognizedneedtosupportandimmobilizethecomponentsofthespineorspinalcord.Althoughthisguidedoesnotquantitativelyaddressperformancestandardsforthisdevice,itdoesaddressthecharacteristicsofthedevice(s)usedtoprovidesupportandimmobilizationofthecomponentsofthecentralnervoussystemforthepatientsuspectedofreceivingtraumatothatbodysystem.1.Scope1.1Thisguideestablishesminimumstandardsfordevicesdesignatedhereasadjunctcervicalspineimmobilizationde-vice(ACSID);alateralstabilizerfortheheadisanexampleofthistypeofdevice.TheACSIDisdesignedtobeusedtoassistintheimmobilizationofthecervicalspine,byemergencymedicalservicespersonnel.1.2Thisguidedoesnotidentifyspecificdegreesoflimita-tionofmotionachievedbyplacementofanACSIDonapatient.Definitiverequirementsforimmobilizationofthespine,and,inparticular,thedegreeoflimitationassociatedwiththeuseofanACSID,havenotbeenestablishedinthemedicalliterature.1.3Thisstandarddoesnotpurporttoaddressallofthesafetyconcerns,ifany,associatedwithitsuse.Itistheresponsibilityoftheuserofthisstandardtoestablishappro-priatesafetyandhealthpracticesanddeterminetheapplica-bilityofregulatorylimitationspriortouse.2.ReferencedDocuments2.1ASTMStandards:2F1177TerminologyRelatingtoEmergencyMedicalSer-vices2.2OSHAStandard:20CFR1910.1030OccupationalExposuretoBloodbornePathogens;FinalRule32.3CentersforDiseaseControlStandard:GuidelinesforPreventionofTransmissionofHIVandHBVtoHealthcareandPublicSafetyWorkers43.Terminology3.1Definitions:3.1.1retentionsystem—anadjuncttooranintegralpartoftheprimaryplatformtha...