Here is an answer for the whole community.

Best regards,

Dave Osborn
PM-CMS
Philips Medical Systems
PMS-158 3178
+1 978 659 3178
fax +1 978 685 5624
[email protected]

                                                                           
                                                                           
                                                                           
                                                                        To 
                                       <[email protected]>             
                                       "Jon Griver" <[email protected]>  
     "Mike Schmidt"                                                     cc 
     <[email protected]              Dave Osborn/ANR/MS/PHILIPS@PHILIPS  
     >                                                             Subject 
                                       FW: 60601-1 and patient leakage     
     10/11/2005 01:46 PM               current                             
                                                            Classification 
      Please respond to                                                    
     <[email protected]                                                  
              >                                                            
                                                                           
                                                                           
                                                                           
                                                                           




Dear Doug,

As Secretary of IEC/SC 62D (Subcommittee that published 60601-2-38) and as
the former convener of the hospital bed working group, I would like to
provide some insights on your question about measuring leakage currents for
hospital beds.

Your question regarding note 3 suggests that you've misunderstood the note
or that your bed is extremely unusual in how it connects to the mains. Note
3 addresses equipment that is permanently installed. This means that the
connection to mains and protective earth are "hard wired" into the
institution's mains voltage and protective earth (and protective earth)
distribution system (not connected by a standard power cord). The bed would
have to be connected to mains and protective earth such that a tool would
be
required to disconnect the bed to qualify under Note 3. I have never seen
such an arrangement for a hospital bed. The requirement of clause 52.5.4
(interruption of protective earth) of 60601-1 is performed for all
equipment
connected to the mains through a plug/outlet.

Patient leakage currents (under the single fault condition of interruption
of protective earth and normal condition) are measured from all applied
parts (in essence the surface & siderails of the bed) to earth. Enclosure
leakage is measured from the rest of the bed to earth. Patient auxiliary
current is measured between parts of the applied part. Where the applied
part or enclosure are made of plastic or other non-conductive materials,
those parts are covered by foil and leakage is measured from the foil.

60601-2-38 does not modify the leakage current measurement requirements of
the general standard (other than identifying what is considered the applied
part), so the same requirements apply for beds that apply for any other
medical electrical equipment.

If in fact your bed is hard wired into the hospital mains and protective
earth distribution system, the higher limits for earth leakage current
(leakage current flowing through the protective earth conductor for the
whole device) would apply.

I hope this proves helpful. Feel free to contact me if you have further
questions.

If you do not have a copy of the 60601-2-38, I strongly suggest you acquire
one because there are many requirements that do go beyond the requirements
of the general standard.

Best regards,
Mike Schmidt
Strategic Device Compliance Services
www.devicecompliance.com

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