Doug,

You are really asking if the product is Type B (earthed applied part) or Type 
BF (isolated ground part) according the the classification 
of IEC 60601-1.

The answer is that some types of medical equipment must be Type BF or even Type 
CF (direct cardiac contact) according to the 
appropriate particular standard, IEC 60601-2-X. For many types of equipment it 
is left to the manufacturer to decide.

Generally speaking the longer and more invasive the contact with the patient, 
the more likely that Type BF or CF is required. In 
particular, in situations where many medical instruments may be connected to 
the patient simutaneously, e.g. in the operating room 
or intensive care, there is a greater need for isolated patient applied parts. 
This is to prevent a fault in one device causing dangerous 
leakage currents through the patient to earth via another device.

Regards,


Jon Griver
http://www.601help.com
The Medical Device Developer's Guide to IEC 60601-1



One final question - if some product which uses 115/230vac mains 
power and if there is to be metal contact between that product and 
a patient in an operating room environment, is it a matter of accepted 
practice that the mfr can decide the metal is grounded/ungrounded 
or must it be grounded as dictated by some standard? 

Regards, Doug McKean 


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