With the growing popularity of home healthcare, enforcing such a policy
is impossible. The medical regulatory
bodies, like the FDA (Food and Drug Administration), are now requiring
equipment manufacturers to design and test their products to avoid any
potential risk of patient harm. This
also includes electrostatic discharge (ESD), radio interference, voltage surges
and power interruptions.
In 2014 an update to IEC 60601-1-2 was published and it “applies to
basic safety and essential performance of medical equipment and systems in the
presence of electromagnetic disturbances and to electromagnetic disturbances
emitted by that equipment and systems”.
Product categories were added and higher EMC test levels
introduced. Manufacturers must submit
risk analysis documentation for both normal and abnormal use of their equipment
and systems. This standard is often
referred to as the “4th edition”.
The “life-supporting equipment” category has been removed from the
standard, and it has been replaced by electromagnetic environments of “intended
use”. According to IEC 60601-1 (2012) it
is defined as “use for which a product, process or service is intended
according to the specifications, instructions and information provided by the
manufacturer”. These intended use
environments are:
1) Professional
healthcare facilities with attending medical staff, and include hospitals,
dental surgeries, surgery rooms and intensive care.
2) Home
healthcare which is defined by IEC 60601-1-11 as dwelling places where patients
live or places where patients are present - excluding (1)
3) “Special”
environments are those that exclude (1) and (2), but include heavy industrial
plants or medical treatment areas with high powered medical electrical
equipment (such as short wave therapy equipment).
As far as timing for the update, EN 60601-1-2:2007 3rd Edition is
scheduled to be withdrawn on December 31st, 2018, and will be replaced with the
2015 version of EN 60601-1-2. This is
also the FDA compliance date in the US, after several recent delays from July
2014, aligning it with the European Union Medical Devices Directive 93/42/EEC. The FDA has urged manufacturers to test for
compliance as quickly as possible.
Power supplies are not medical devices and the Medical Device Directive
cannot be documented on the CE Declaration of Conformity, even for an external
power supply. It is highly recommended
that power supply manufacturers comply with IEC 60601-1-2: 2014, to avoid
failures in the end equipment or system.
Most are testing and working to meet the higher levels of
susceptibility, as the changes to emissions are relatively minor.
The susceptibility changes are based on the IEC 61000-4 set of standards
and include:
IEC 61000-4-2 (Electrostatic Discharge): Test levels for contact discharge increased
from ±6kV to ±8kV and air discharge levels nearly doubled to ±15kV from ±8kV. This is to cover higher levels of ESD that
will occur with home use.
IEC 61000-4-3 (Radiated RF Electromagnetic Fields): Again this is aimed at home healthcare use where
the 3V/m test has been extended to 10V/m. The RF susceptibility test has been
extended from 80 MHz to 2.7 GHz, because of potential proximity to wireless
communication equipment, including Bluetooth and WLAN.
IEC 61000-4-4 (Electrical Fast Transients): The pulse repetition frequency rose from 5 kHz
to 100 kHz, to reflect real operating environments.
IEC 61000-4-5 (Surge Immunity) + ISO 7637-2 (Electrical transient
conduction along supply lines): Changes
here were made to include permanently connected DC input devices, for
applications such as ambulances.
IEC 61000-4-6 (Conducted RF Immunity):
It is here where the differentiation has been eliminated between life
support and industrial, scientific and medical.
Testing has to be made at a potential risk frequency, for example where
the equipment might be used in proximity with ham radios.
IEC 61000-4-8 (Power Frequency Magnetic Fields): Test levels for power frequency magnetic
fields have risen from 3 A/m to 10 A/m for all environments, but only for
equipment that may be sensitive to magnetic fields, containing relays or hard
disc drives for example.
IEC 61000-4-11 (Voltage Dips and Interruptions): This is where the risk management
documentation will be often used.
Although tests must now be made at multiple phase-angles (not just at 0o
and 180o) the percentage dip in line voltage, and number of periods,
have also been changed for some devices.
The 5 second interruption requirement will need to be met at the
equipment level as it is highly unlikely that a standard power supply will
continue to operate with the input being removed for 5 seconds. The equipment manufacturer for a heart rate
monitor could document that this will not be a problem, since battery back-up is
in place.
Power supply manufacturers will qualify their products as “compliant”,
and provide a test report detailing the results. For example, for the 5 second interruption in
IEC 61000-4-11, it will be stated that the power supply will shut down, and
automatically recover.
Power Guy