Medical institutions
Electrical Safety Inspection and Functional Compliance Testing and Evaluation of Medical X-ray Equipment (in accordance with the requirements of the Republic of Latvia Cabinet Regulation No. 482 of August 19, 2014, “Regulations on Protection Against Ionizing Radiation in Medical Exposure”):
– For angiography X-ray equipment;
– For computed tomography (CT) X-ray equipment;
– For dental X-ray equipment;
– For fluorography X-ray equipment;
– For surgical X-ray equipment;
– For mammography X-ray equipment;
– For mobile X-ray equipment in vehicles;
– For pantomography X-ray equipment;
– For portable X-ray equipment;
– For stationary X-ray equipment.
Physical Testing of Isotopic and Non-isotopic Sources and Their Surrounding Environment (Occupational Radiation Monitoring) (in accordance with the requirements of the Republic of Latvia Cabinet Regulation No. 1284 of November 12, 2013, “Procedures for Control and Accounting of Employee Exposure”):
– For all types of medical equipment emitting ionizing radiation.
Electrical Safety Inspection and Functional Compliance Testing and Evaluation of Radiotherapeutic Equipment and Nuclear Medicine Equipment (in accordance with the requirements of the Republic of Latvia Cabinet Regulation No. 482 of August 19, 2014, “Regulations on Protection Against Ionizing Radiation in Medical Exposure”):
– For nuclear medicine equipment;
– For radiotherapeutic equipment.
Surface Radioactive Contamination Measurements (in accordance with the requirements of the Republic of Latvia Cabinet Regulation No. 149 of April 9, 2002, “Regulations on Protection Against Ionizing Radiation”):
– Measurement of surface alpha, beta, and gamma radiation contamination.
Calibration of Dosimeters, Radiometers, Therapy Ionization Chambers (in accordance with the requirements of the Republic of Latvia Cabinet Regulation No. 693 of August 25, 2008, “Regulations on the Calibration of Measuring Instruments”) and Calibration of Dose-Area Product Meters (Patient Dose Meters) (in accordance with the requirements of the Republic of Latvia Cabinet Regulation No. 693 of August 25, 2008, and Cabinet Regulation No. 482 “Regulations on Protection Against Ionizing Radiation in Medical Exposure”):
– Calibration of activity meters;
– Calibration of dose-area product meters (patient dose meters);
– Calibration of therapy ionization chambers;
– Calibration of surface contamination measurement equipment;
– Calibration of other dosimeters and radiometers.
Testing of Personal Protective Equipment, Determining Lead (Pb) Equivalence and Mechanical Defects (in accordance with the requirements of the Republic of Latvia Cabinet Regulation No. 482 of August 19, 2014, “Regulations on Protection Against Ionizing Radiation”) and Testing of Non-Personal Protective Equipment, Determining Lead (Pb) Equivalence and Mechanical Defects:
– Testing of lead collars;
– Testing of lead aprons;
– Testing of lead gonad shields;
– Testing of lead skirts;
– Testing of lead shields;
– Testing of lead rubber;
– Testing of lead jackets;
– Testing of lead gloves;
– Testing of large lead curtains;
– Testing of large lead aprons;
– Testing of lead-free and environmentally friendly protective equipment;
– Testing of other materials (determining lead equivalence and mechanical defects).
Technical Supervision of Medical Equipment (Electrical Safety Inspection, Functional Compliance Testing, and Evaluation) in accordance with the Republic of Latvia Cabinet Regulation No. 689 of November 28, 2017, “Procedures for Registration, Compliance Evaluation, Distribution, Operation, and Technical Supervision of Medical Devices”:
– For all equipment and inspections listed in Annex 23 of the regulations;
– For anesthesia inhalation equipment;
– For ventilators (except manually operated devices);
– For centralized medical gas supply systems;
– For external pacemakers;
– For defibrillators;
– For medical electroshock devices;
– For electroanesthesia (electrosleep) devices;
– For laser surgical and laser therapy devices;
– For photocoagulation devices;
– For high-frequency electrosurgical devices;
– For cryosurgery devices;
– For artificial circulation devices;
– For hypothermia devices;
– For hyperbaric chambers and other devices using high or intermittent pressure for more than half of the body;
– For neuromuscular stimulation devices (therapeutic and diagnostic);
– For high-pressure injection devices;
– For infusion and perfusion pumps;
– For intracardiac examination devices (phonocardiography, ECG, and other intracardiac examinations);
– For sterilization and disinfection devices under high pressure (stationary equipment, including autoclaves);
– For electrically heated beds and other body warming devices;
– For infant incubators (stationary and portable);
– For dialysis machines;
– For magnetic resonance imaging (MRI) equipment;
– For physical electrotherapy devices;
– For radiation therapy devices (ultraviolet, infrared, and other radiation);
– For infant phototherapy devices;
– For endoscopy devices;
– For patient monitors, pulse oximeters;
– For electrocardiographs;
– For spirometry equipment;
– For oxygen concentrators;
– For enteral feeding pumps;
– For centrifuges;
– For cardiotocography equipment;
– For hot air sterilizers;
– For washing and disinfection devices;
– For steam sterilizers (autoclaves);
– For ophthalmic devices;
– For high-frequency electrotherapy devices;
– For transfusiology devices;
– For electroencephalography devices;
– For magnetic and ultrasound blood flow examination devices;
– For ultrasound therapy equipment;
– For ultrasound diagnostic equipment;
– For vacuum pumps;
– For all other medical devices that include any of the aforementioned modules.
Other Services:
– QAP – Development and Implementation of a Quality Assurance Program (in accordance with the requirements of the Republic of Latvia Cabinet Regulation No. 482 of August 19, 2014, “Regulations on Protection Against Ionizing Radiation in Medical Exposure”);
– Re-verification of Sphygmomanometers (Blood Pressure Meters), Manometers, and Non-automatic Scales, as well as other metrological inspections (in accordance with the requirements of the Republic of Latvia Cabinet Regulation No. 981 of December 5, 2006, “Regulations on the Re-verification of Measuring Instruments, Verification Certificates, and Verification Marks”);
– Preparation and Submission of Client Documentation to the Radiation Safety Center of the Ministry of Environmental Protection and Regional Development of the Republic of Latvia (VARAM VVD) for Obtaining a License or Registration Certificate for Activities with Ionizing Radiation Sources (as well as for license amendments);
– Development and Approval of X-ray Equipment Installation Plans in coordination with a radiation safety or medical physics expert;
– Radiation Safety and Medical Physics Expert Services (for the approval of X-ray equipment installation plans, issuance of initial and updated expert opinions, etc.);
– Calculation of Potential Ionizing Radiation Dose received by personnel working with ionizing radiation sources;
– Consultations on Laboratory Services and Additional Services;
– Implementation of Patient Dose Accounting in Medical Institutions, including data processing and analysis.