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The bare metal base block behind the pin guide contained multiple indentations.
With these changes, the gas outlet remains foolproof if the plastic pin guide is lost.
Using a parallel pin guide has been definitively shown to improve the accuracy of pin insertion.
This test revealed that the plastic pin guide could be dislodged by applying 29.4 N [18.6 54.175] (median [interquartile range]) of vertical force.
Therefore, each socket is covered with a gas-specific plastic pin guide, which makes the sockets gas-specific (Fig. 1a, b).
First, they will make two small ridges around the outer periphery of the plastic pin guide, which is held by the front panel, so as not to dislodge.
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The remaining pins are then inserted, and the pin guides are removed.
The pin guides are inserted into the clamps and tightened to keep them parallel.
Most of the products with a pin-index system have a metal socket with pin guides, unlike this product.
A subsequent verification test performed by engineers of the system's manufacturer revealed that the plastic pin guides could be dislodged by applying 29.4 N of vertical force.
However, while checking an anesthesia machine in accordance with the guidelines developed by the Japanese Society of Anesthesiologists, an anesthesiologist found that one of the gas-specific plastic pin guides covering the wall-mounted gas outlets had disappeared; and hence, the gas outlet system was no longer foolproof.
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