MED.B.015 Respiratory System

• Regulation (EU) 2019/27 found in: Aircrew (1178/2011) Part-FCL Part-MED Part-CC Part-ARA Part-ORA Part-DTO (Aug 2023)
• Regulation (EU) 2024/2076 found in: Aircrew (1178/2011) Part-FCL Part-MED Part-CC Part-ARA Part-ORA Part-DTO (Dec 2024)

MED.B.015 Respiratory System Regulation (EU) 2019/27 (a) Applicants with significant impairment of pulmonary function shall be assessed as unfit. However, they may be assessed as fit once pulmonary function has recovered and is satisfactory. (b) Applicants for a class 1 medical certificate shall undertake pulmonary morphological and functional tests at the initial examination and when clinically indicated. (c) Applicants for a class 2 medical certificate shall undertake pulmonary morphological and functional tests when clinically indicated. (d) Applicants with a medical history or diagnosis of any of the following medical conditions shall undertake respiratory evaluation with a satisfactory result before they may be assessed as fit: (1) asthma requiring medication; (2) active inflammatory disease of the respiratory system; (3) active sarcoidosis; (4) pneumothorax; (5) sleep apnoea syndrome; (6) major thoracic surgery; (7) pneumonectomy; (8) chronic obstructive pulmonary disease. Before further consideration is given to their application, applicants with an established diagnosis of any of the medical conditions specified in points (3) and (5) shall undergo satisfactory cardiological evaluation. (e) Aero-medical assessment (1) Applicants for a class 1 medical certificate with any of the medical conditions specified in point (d) shall be referred to the medical assessor of the licensing authority. (2) Applicants for a class 2 medical certificate with any of the medical conditions specified in point (d) shall be assessed in consultation with the medical assessor of the licensing authority. (f) Applicants for a class 1 medical certificate who have undergone a pneumonectomy shall be assessed as unfit. MED.B.015 Respiratory System Regulation (EU) 2024/2076 (a)     Applicants with significant impairment of pulmonary function shall be assessed as unfit. However, they may be assessed as fit once pulmonary function has recovered and is satisfactory. (b)     Applicants for a class 1 medical certificate shall undertake pulmonary morphological and functional tests at the initial examination and when clinically indicated. [applicable until 12 February 2025 - Regulation (EU) 2019/27] (b)     Applicants for a class 1 medical certificate shall undertake pulmonary functional tests at the initial examination and when clinically indicated. *[applicable from 13 February 2025 - Regulation (EU) 2024/2076]* (ba)   For class 1 medical certificate holders involved in single-pilot HEMS operations, pulmonary functional tests and obstructive sleep apnoea (OSA) screening shall be completed at the first revalidation or renewal examination after the age of 60. *[applicable from 13 February 2025 - Regulation (EU) 2024/2076]* (c)      Applicants for a class 2 medical certificate shall undertake pulmonary morphological and functional tests when clinically indicated. [applicable until 12 February 2025 - Regulation (EU) 2019/27] (c)      Applicants for a class 2 medical certificate shall undertake pulmonary morphological and functional tests when clinically or epidemiologically indicated. *[applicable from 13 February 2025 - Regulation (EU) 2024/2076]* (d)     Applicants with a medical history or diagnosis of any of the following medical conditions shall undertake respiratory evaluation with a satisfactory result before they may be assessed as fit: (1)     asthma requiring medication; (2)     active inflammatory disease of the respiratory system; (3)     active sarcoidosis; (4)     pneumothorax; (5)     sleep apnoea syndrome; (6)     major thoracic surgery; (7)     pneumonectomy; (8)     chronic obstructive pulmonary disease. Before further consideration is given to their application, applicants with an established diagnosis of any of the medical conditions specified in points (3) and (5) shall undergo satisfactory cardiological evaluation. (e)     Aero-medical assessment (1)     Applicants for a class 1 medical certificate with any of the medical conditions specified in point (d) shall be referred to the medical assessor of the licensing authority. (2)     Applicants for a class 2 medical certificate with any of the medical conditions specified in point (d) shall be assessed in consultation with the medical assessor of the licensing authority. (f)      Applicants for a class 1 medical certificate who have undergone a pneumonectomy shall be assessed as unfit. #### MED.B.015 Respiratory System *Regulation (EU) 2024/2076* (a) Applicants with significant impairment of pulmonary function shall be assessed as unfit. However, they may be assessed as fit once pulmonary function has recovered and is satisfactory. (b) Applicants for a class 1 medical certificate shall undertake pulmonary functional tests at the initial examination and when clinically indicated. (ba) For class 1 medical certificate holders involved in single-pilot HEMS operations, pulmonary functional tests and obstructive sleep apnoea (OSA) screening shall be completed at the first revalidation or renewal examination after the age of 60. (c) Applicants for a class 2 medical certificate shall undertake pulmonary morphological and functional tests when clinically or epidemiologically indicated. (d) Applicants with a medical history or diagnosis of any of the following medical conditions shall undertake respiratory evaluation with a satisfactory result before they may be assessed as fit: (1) asthma requiring medication; (2) active inflammatory disease of the respiratory system; (3) active sarcoidosis; (4) pneumothorax; (5) sleep apnoea syndrome; (6) major thoracic surgery; (7) pneumonectomy; (8) chronic obstructive pulmonary disease. Before further consideration is given to their application, applicants with an established diagnosis of any of the medical conditions specified in points (3) and (5) shall undergo satisfactory cardiological evaluation. (e) Aero-medical assessment (1) Applicants for a class 1 medical certificate with any of the medical conditions specified in point (d) shall be referred to the medical assessor of the licensing authority. (2) Applicants for a class 2 medical certificate with any of the medical conditions specified in point (d) shall be assessed in consultation with the medical assessor of the licensing authority. (f) Applicants for a class 1 medical certificate who have undergone a pneumonectomy shall be assessed as unfit.