Practical Guide To Iec 60601
Practical Guide To Iec 60601
rigelmedical.com
RIGEL MEDICAL
CONTENTS
03 Foreword 16 Appendix A - IEC 60601-1
test limits
04 Introduction to IEC 60601
17 Appendix B - IEC 60601
04 Local adaptation body model
05 Commonly used
17 Appendix C - IEC 60601
definitions within IEC
test standards (Table 1)
60601
18 Appendix D - IEC 60601
06 Symbols and markings
test standards (Table 2)
07 Visual inspection
24 Appendix E - Patient
07 Ground bond (ground environment
continuity) testing
25 Products in the Rigel
08 Leakage measurements Medical range
12 Patient leakage
13 Patient auxiliary current © Copyright 2019 - All rights reserved. Nothing from
this edition may be multiplied, or made public in any
form or manner, either electronically, mechanically, by
14 Record keeping photocopying, recording, or in any manner, without
prior written consent from Seaward Electronic Ltd. This
also applies to accompanying drawings and diagrams.
14 Conclusion
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end of the production line is vitally important, requirements. In essence, all standards have
but what about when the equipment enters one thing in common: to control the safety of
service? medical devices for use in the treatment, care
and diagnosis of patients and/or individuals.
IEC 62353 Medical Electrical Equipment
- Recurrent Test and Test After Repair of
Medical Equipment equipment defines the
Commonly used
requirements for electrical safety testing of definitions within
medical electrical (ME) equipment and systems
during routine intervals.
IEC 60601
Equipment under test (EUT)
Following the need for a unified approach to
The equipment which is the subject of testing.
routine testing, the first edition of IEC 62353
brought together a set number of tests to allow
Device under test (DUT)
its users to test means of operator protection
The device which is the subject of testing.
(MOOP) and means of patient protection
(MOPP) dielectric integrity via two distinct
Applied part
leakage current tests.
Part of the medical equipment which is
In meeting this requirement the IEC 62353 designed to, or likely to, come into physical
incorporates tests beyond those of type testing. contact with the patient e.g. EKG leads.
Specifically, it seeks to provide a uniformed and
unambiguous means of assessing the safety Patient connection
of medical equipment, while maintaining the Individual physical connections and/or metal
relevance to IEC 60601-1 and minimizing the parts intended for connection with the patient
risks to the person conducting the assessment. which form (part of) an applied part.
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commonly used symbols is displayed below: ∙∙ Housing enclosure – look for damage, cracks
etc.
∙∙ Contamination – look for obstruction of
Class I Class II moving parts, connector pins etc.
∙∙ Cabling (supply, applied parts etc.) – Look
for cuts, wrong connections etc.
Ground i.e. ∙∙ Fuse rating – check correct values after
reference “Conformité replacement
point Européenne” ∙∙ Markings and labeling – check the integrity
of safety markings
Type B Defibrillation ∙∙ Integrity of mechanical parts – check for any
applied proof type B obstructions
part applied part
Visual inspection is a relatively easy procedure The test current is applied between the
to support your assessment that the medical Ground pin of the mains supply plug and any
equipment in use still conforms to the accessible metal part, including the Ground
specifications as released by the manufacturer reference point, with a dedicated Ground bond
and has not suffered from any external damage test lead using a crocodile clip or probe.
and/or contamination.
The IEC 60601-1 (clause 8.6.4) requires a
These can include the following inspections: minimum test current of either 25A AC or 1.5
times the highest rated current of the relevant
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circuit(s), whichever is greater. The open circuit that current, not voltage, is often the source of
voltage of the current source should not exceed injury or death.
6V.
When an electrical current flows through the
A test current of 25A AC is most commonly human body the effect is influenced by two
used. Due to the exposure of high current, main factors: First, the amount of current, and
some parts of the equipment could be secondly, the length of time the current flows.
damaged and therefore requires a lower test
current. However, the Ground bond test is For example, the heart stops if the current
designed to stress the connection under fault persists for 250mS at 40mA, 100mS at 100mA,
conditions. or 50mS at 200mA.
Faults in the detachable power cord account Consider the following examples of the effect
for 80-90% of all Ground bond failures, as most of current on the human body when applied to
molded power cables are prone to stress when the skin (non-invasive):
the cables are pulled from wall outlet at an
angle or otherwise stressed.
0.9-1.2mA Current just perceptible.
For fixed installations, such as MRI or x-ray
equipment) a point-to-point continuity 15.0-20.0mA Release impossible. Cannot be
measurement can be made. The resistance tolerated over 15 minutes.
is then measured between two probes: one
connected to the incoming ground reference 50.0-100.0mA Ventricular fibrillation.
point and one placed on accessible, metal parts Respiratory arrest, leading directly to death.
of the medical installation.
100.0-200.0mA Serious burns and muscular
Test limits are set at 0.1Ω for fixed power cords contraction of such a degree that the
and 0.2Ω for equipment with a detachable thoracic muscles constrict the heart.
power cord. See Appendix A for a full overview
of the IEC 60601-1 test limits.
Compare these values to the fact that 250mA
Prolonged use of testing at high currents can of current is required to power a 25 watt lamp.
lead to a high probe temperature. Care should
be taken to avoid touching the probe tip under For this reason, the IEC 60601 committee has
these conditions. set stringent rules on the design of medical
equipment to prevent any patient or operator
being exposed to currents not part of the
Leakage measurements functional operation of the device. These
currents are referred to as leakage currents.
It takes only a small amount of current to cause
major consequences. Research has shown IEC 60601 defines leakage current of three
Enclosure leakage: current flowing to Ground The following tests find their origin from the
through a person by touching the medical IEC 60601-1 but are specific to the AAMI and
equipment/system or part of (may be referred NFPA 99 standards (USA):
to as touch leakage).
∙∙ Patient leakage (applied part to ground):
Applied part or patient leakage: current Similar to patient leakage (see description
flowing through a person to Ground from above).
the applied part, or current flowing from a ∙∙ Patient leakage (applied part to case):
person to Ground through the applied part by Similar to patient leakage (see description
applying unintended voltage from an external above) with leakage current path coming
source. from the applied parts, through the patient,
to the casing of the EUT/DUT.
Applied part/patient leakage can be classed ∙∙ Patient Auxiliary (applied part to applied
into number of measurements such as: part or lead to lead): Similar to patient
auxiliary current (see description above).
∙∙ Patient leakage (please refer to the ∙∙ Patient Auxiliary (applied part to all):
corresponding paragraph) Similar to patient auxiliary current (see
∙∙ Patient F-Type leakage (please refer to the description above). For the purpose of this
corresponding paragraph) booklet, the focus will be on the directly
∙∙ Patient auxiliary leakage (please refer to the related leakage measurements as per IEC
corresponding paragraph) 60601-1.
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IEC 60601-1 body model normal and single fault conditions. A typical
part of the electrical safety testing procedures is
to perform the test as follows:
To ensure a traceable simulation of current as if
passing through a human body, measurement
1. Normal supply voltage (No SFC)
circuits have been designed to simulate the
2. Normal supply voltage (Open neutral)
average typical electrical characteristics of the
3. Normal supply voltage (Open Ground)
human body. These measurement circuits
4. Reversed supply voltage (No SFC)
are referred to as body models or measuring
5. Reversed supply voltage (Open neutral)
devices (MD in IEC 60601-1).
6. Reversed supply voltage (Open Ground)
Ground leakage, normal conditions This test Diagram B shows a schematic interpretation
measures the Ground leakage current under of the Ground leakage measurement including
normal conditions. The current is measured the relays operating the single fault conditions.
through the measuring device with S1 closed,
S5 normal, and then S5 reversed.
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Enclosure leakage, single fault, supply open separately. However, for Type B and Type BF
This test measures the enclosure leakage equipment, the patient leakage current is
current with a single fault condition (Ground measured with all applied parts connected
open). The current is measured through the together.
measuring device with S1 open, S8 closed and
S5 in normal and then S5 reversed. Diagram C shows a schematic interpretation
of the patient leakage measurement, including
Enclosure leakage, single fault, Ground open the relays operating the single fault conditions.
This test measures the enclosure leakage
current with a single fault condition (Ground
open). The current is measured through the
measuring device with S1 closed, S8 open and
S5 in normal and then S5 reversed.
Patient leakage
The patient leakage current is the current
flowing from the applied part via the patient
Diagram C - Test circuit for patient leakage current
to Ground, or flowing from the patient via an
applied part to Ground originating from an Patient leakage, normal condition This test
unintended voltage appearing on an external measures the patient leakage current under
source. normal conditions. The current is measured
through the measuring device with S1 and S8
IEC 60601-1 specifies that the measurements
closed, S5 normal, and then S5 reversed.
must be done under normal and reverse
operation of the mains supply and single fault Patient leakage, single fault, supply open
conditions open neutral circuit and open This test measures the patient leakage current
Ground. The patient leakage test is valid for with a single fault condition (Ground open). The
both Class I and Class II equipment with Type current is measured through the measuring
B, Type BF and Type CF applied. device with S1 closed, S8 open, S5 normal, and
then S5 reversed.
Appendix A shows the pass/fail limits as per IEC
60601-1 requirements. Patient leakage, single fault, Ground open
This test measures the patient leakage current
with a single fault condition (Ground open). The
Note: For Class II equipment, the single fault current is measured through the measuring
Ground open tests are not required. device with S1 closed, S8 open, S5 normal, and
then S5 reversed.
This test involves applying a current limited Diagram D - Test circuit for patient leakage current mains on
mains potential (110% of mains input voltage) applied part
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Patient leakage
NA 5000μA NA NA NA NA
(mains on SIP/SOP)
* The pass/fail limit for Ground Leakage in the 4th edition of IEC 60601 has been increased from
500μA under normal condition to 5000μA for Class I equipment with NO exposed metal parts
that may become live when a fault appears.
z (f = 10)
z (f)
Note: The network and voltage measuring instrument above are replaced by the symbol
in the following figures:
a) Non-inductive components
b) Impedance >> measuring impedance Z
c) Z (f) is the transfer impedance of the network, i.e. V out/in, for a current frequency f
Diagram F - Example of a measuring device according to IEC 60601-1 and its frequency characteristics
IEC 60601-1
Medical electrical equipment - Part 1: General requirements for basic safety and essential
performance
IEC 60601-1-2
Medical electrical equipment - Part 1-2: General requirements for basic safety and essential
performance - Collateral Standard: Electromagnetic disturbances - Requirements and tests
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IEC 60601-1-3
Medical electrical equipment - Part 1-3: General requirements for basic safety and essential
performance - Collateral Standard: Radiation protection in diagnostic X-ray equipment
IEC 60601-1-6
Medical electrical equipment - Part 1-6: General requirements for basic safety and essential
performance - Collateral standard: Usability
IEC 60601-1-8
Medical electrical equipment - Part 1-8: General requirements for basic safety and essential
performance - Collateral Standard: General requirements, tests and guidance for alarm systems in
medical electrical equipment and medical electrical systems
IEC 60601-1-9
Medical electrical equipment - Part 1-9: General requirements for basic safety and essential
performance - Collateral Standard: Requirements for environmentally conscious design
IEC 60601-1-10
Medical electrical equipment - Part 1-10: General requirements for basic safety and essential
performance - Collateral Standard: Requirements for the development of physiologic closed-loop
controllers
IEC 60601-1-11
Medical electrical equipment – Part 1-11: General requirements for basic safety and essential
performance – Collateral Standard: Requirements for medical electrical equipment and medical
electrical systems used in the home healthcare environment
IEC 60601-1-12
Medical electrical equipment - Part 1-12: General requirements for basic safety and essential
performance - Collateral Standard: Requirements for medical electrical equipment and medical
electrical systems intended for use in the emergency medical services environment
IEC 60601-2-1
Medical electrical equipment - Part 2-1: Particular requirements for the basic safety and essential
performance of electron accelerators in the range 1 MeV to 50 MeV
IEC 60601-2-2
Medical electrical equipment - Part 2-2: Particular requirements for the basic safety and essential
performance of high frequency surgical equipment and high frequency surgical accessories
IEC 60601-2-3
Medical electrical equipment - Part 2-3: Particular requirements for the basic safety and essential
performance of short-wave therapy equipment
IEC 60601-2-4
Medical electrical equipment - Part 2-4: Particular requirements for the basic safety and essential
performance of cardiac defibrillators
IEC 60601-2-5
Medical electrical equipment - Part 2-5: Particular requirements for the basic safety and essential
performance of ultrasonic physiotherapy equipment
IEC 60601-2-6
Medical electrical equipment - Part 2-6: Particular requirements for the basic safety and essential
performance of microwave therapy equipment
IEC 60601-2-8
Medical electrical equipment - Part 2-8: Particular requirements for the basic safety and essential
performance of therapeutic X-ray equipment operating in the range 10kV to 1MV
IEC 60601-2-10
Medical electrical equipment - Part 2-10: Particular requirements for the basic safety and essential
performance of nerve and muscle stimulators
IEC 60601-2-11
Medical electrical equipment - Part 2-11: Particular requirements for the basic safety and essential
performance of gamma beam therapy equipment
IEC 60601-2-16
Medical electrical equipment - Part 2-16: Particular requirements for basic safety and essential
performance of haemodialysis, haemodiafiltration and haemofiltration equipment
IEC 60601-2-17
Medical electrical equipment - Part 2-17: Particular requirements for the basic safety and essential
performance of automatically-controlled brachytherapy after loading equipment
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IEC 60601-2-18
Medical electrical equipment - Part 2-18: Particular requirements for the basic safety and essential
performance of endoscopic equipment
IEC 60601-2-19
Medical electrical equipment - Part 2-19: Particular requirements for the basic safety and essential
performance of infant incubators
IEC 60601-2-20
Medical electrical equipment - Part 2-20: Particular requirements for the basic safety and essential
performance of infant transport incubators
IEC 60601-2-21
Medical electrical equipment - Part 2-21: Particular requirements for the basic safety and essential
performance of infant radiant warmers
IEC 60601-2-22
Medical electrical equipment - Part 2-22: Particular requirements for basic safety and essential
performance of surgical, cosmetic, therapeutic and diagnostic laser equipment
IEC 60601-2-23
Medical electrical equipment - Part 2-23: Particular requirements for the basic safety and essential
performance of transcutaneous partial pressure monitoring equipment
IEC 60601-2-24
Medical electrical equipment - Part 2-24: Particular requirements for the basic safety and essential
performance of infusion pumps and controllers
IEC 60601-2-25
Medical electrical equipment - Part 2-25: Particular requirements for the basic safety and essential
performance of electrocardiographs
IEC 60601-2-26
Medical electrical equipment - Part 2-26: Particular requirements for the basic safety and essential
performance of electroencephalographs
IEC 60601-2-27
Medical electrical equipment - Part 2-27: Particular requirements for the basic safety and essential
performance of electrocardiographic monitoring equipment
IEC 60601-2-28
Medical electrical equipment - Part 2-28: Particular requirements for the basic safety and essential
performance of X-ray tube assemblies for medical diagnosis
IEC 60601-2-29
Medical electrical equipment - Part 2-29: Particular requirements for the basic safety and essential
performance of radiotherapy simulators
IEC 60601-2-31
Medical electrical equipment - Part 2-31: Particular requirements for the basic safety and essential
performance of external cardiac pacemakers with internal power source
IEC 60601-2-33
Medical electrical equipment - Part 2-33: Particular requirements for the basic safety and essential
performance of magnetic resonance equipment for medical diagnosis
IEC 60601-2-34
Medical electrical equipment - Part 2-34: Particular requirements for the basic safety and essential
performance of invasive blood pressure monitoring equipment
IEC 60601-2-36
Medical electrical equipment - Part 2-36: Particular requirements for the basic safety and essential
performance of equipment for extra corporeally induced lithotripsy
IEC 60601-2-37
Medical electrical equipment - Part 2-37: Particular requirements for the basic safety and essential
performance of ultrasonic medical diagnostic and monitoring equipment
IEC 60601-2-39
Medical electrical equipment - Part 2-39: Particular requirements for basic safety and essential
performance of peritoneal dialysis equipment
IEC 60601-2-40
Medical electrical equipment - Part 2-40: Particular requirements for the basic safety and essential
performance of electromyographs and evoked response equipment
IEC 60601-2-41
Medical electrical equipment - Part 2-41: Particular requirements for the basic safety and essential
performance of surgical luminaires and luminaires for diagnosis
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IEC 60601-2-43
Medical electrical equipment - Part 2-43: Particular requirements for the basic safety and essential
performance of X-ray equipment for interventional procedures
IEC 60601-2-44
Medical electrical equipment - Part 2-44: Particular requirements for the basic safety and essential
performance of X-ray equipment for computed tomography
IEC 60601-2-45
Medical electrical equipment - Part 2-45: Particular requirements for basic safety and essential
performance of mammographic X-ray equipment and mammomagraphic stereotactic devices
IEC 60601-2-46
Medical electrical equipment - Part 2-46: Particular requirements for the basic safety and essential
performance of operating tables
IEC 60601-2-47
Medical electrical equipment - Part 2-47: Particular requirements for the basic safety and essential
performance of ambulatory electrocardiographic systems
IEC 60601-2-50
Medical electrical equipment - Part 2-50: Particular requirements for the basic safety and essential
performance of infant phototherapy equipment
IEC 60601-2-52
Medical electrical equipment - Part 2-52: Particular requirements for the basic safety and essential
performance of medical beds
IEC 60601-2-54
Medical electrical equipment - Part 2-54: Particular requirements for the basic safety and essential
performance of X-ray equipment for radiography and radioscopy
IEC 60601-2-57
Medical electrical equipment - Part 2-57: Particular requirements for the basic safety and essential
performance of non-laser light source equipment intended for therapeutic, diagnostic, monitoring
and cosmetic/aesthetic use
IEC 60601-2-62
Medical electrical equipment - Part 2-62: Particular requirements for the basic safety and essential
performance of high intensity therapeutic ultrasound (HITU) equipment
IEC 60601-2-63
Medical electrical equipment - Part 2-63: Particular requirements for the basic safety and essential
performance of dental extra-oral X-ray equipment
IEC 60601-2-64
Medical electrical equipment - Part 2-64: Particular requirements for the basic safety and essential
performance of light ion beam medical electrical equipment
IEC 60601-2-65
Medical electrical equipment - Part 2-65: Particular requirements for the basic safety and essential
performance of dental intra-oral X-ray equipment
IEC 60601-2-66
Medical electrical equipment - Part 2-66: Particular requirements for the basic safety and essential
performance of hearing instruments and hearing instrument systems
IEC 60601-2-68
Electrical medical equipment - Part 2-68: Particular requirements for the basic safety and
essential performance of X-ray-based image-guided radiotherapy equipment for use with electron
accelerators, light ion beam therapy equipment and radionuclide beam therapy equipment
IEC 60601-2-75
Medical electrical equipment - Part 2-75: Particular requirements for the basic safety and essential
performance of photodynamic therapy and photodynamic diagnosis equipment
IEC 60601-2-76
Medical electrical equipment - Part 2-76: Particular requirements for the basic safety and essential
performance of low energy ionized gas haemostasis equipment
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RIGEL MEDICAL
288+
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∙∙ Manual control of SFC, minimal power
cycling
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Accessories
Having the right accessories can streamline your testing processes and help you get the most from
your instrument. Our range of accessories includes scanners, Bluetooth enabled printers, a variety
of leads and adaptors, pass/fail labels and verification units.
To see the full range of Rigel Medical accessories available, visit www.rigelmedical.com/accessories
Training
Alongside our commitment to quality, we also offer peace of mind to our customers who know
that help and advice is always available. Part of that offering includes training to support and help
you get the most from your instrument.
www.rigelmedical.com/support
www.rigelmedical.com/service-centre
Notes
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