Personally right now being a newer CCR diver I'm planning to follow the guidelines set by my two instructors and change cells every 12 months and not go beyond the manufacturer's recommend expiration date. But honestly, I don't like it and I really see tbone's point of view. Based on my medical knowledge and regularly being the one using and maintaining medical equipment (that is the exact same equipment as the human side of medicine), I see getting rid of cells prior to any abberation as wasteful. There's a very serious necessity to cover your butt in the medical field, and maunfacturers of any consumable equipment really pads expiration dates and manufacturer recommendations heavily to cover themselves. There is study data that they use to come to the decision as to when to expire products, which is often arbitrarily assigned to be earlier than what the data shows in order to pad safety. In very large hospital and university settings, they absolutely follow the guidelines to the t to protect themselves. Having knowledge of what happens inside of outpatient facilities and surgery centers, I can say that not all areas of human medicine follow manufacturer's guidelines as big universities and large public and private hospitals do. I've had many conversations with technical services doctors, sales reps, and technicians for anesthesia and patient monitoring companies, and often when discussing recommendations vs real world usage, their recommendations vary greatly than what they deem as realistically safe.
Having said that, I have alot of employees and clients that rely on me and family that doesn't want me gone, that makes me currently follow the guidelines set by the cell manufacturers and my instructors. It's a little tough to separate the knowledge that I have from outside of the diving world from what's recommended in diving, and not be tempted to keep using that cell that's working perfectly. I recently changed cells, and they totally suck compared to my old ones that were still working perfectly. I also don't want to be "that guy" that gets posted about that died because he used an outdated cell. I have heard some of the cases of deaths associated with divers using out of date cells. To be honest, I have questions that will never get answered such as how often or how did they test their cells for linearity and limiting. Maybe there's things I don't know about those cases, but I question what else was going on there, So I will keeo following guidelines, but I do think Tom is not wrong either. We're still somewhat in the infancy of using a medical device in a diving environment. I don't disagree that we're still learning how to utilize cells for diving, somewhat like Tom eluded. There's a good chance I'll always adhere to the guidelines, but I don't know that in another 10-15 years the guidelines aren't going to change and support the idea that it's not necessary to change cells unless there's an obvious issue or change in the cell when tested. I could be wrong, but I don't think Tom's ideas are foolish. Not the norm, and not supported by those that make the recommendations, but not necessarily 100% wrong