Compliance with appropriate suspension levels should also be verified at times other than installation. Examples include after significantly reconfiguring or updating equipment, following major maintenance, following an alert raised during quality control measurements, before significant changes in intended use, and otherwise as required12 . When equipment fails to meet the criteria it must be suspended from use with patients. This must be undertaken in a way that is proportionate to the criteria that have not been met, the clinical needs in the institution and national circumstances. A risk assessment of the various possible options must be prepared by the.