Dear Paolo ,

In 60601-1 2nd edition, philosophy was that currents intended to produce
physiological effect are functional currents, as oppose to leakage
currents which are unintentional (see Appendix 2.5.4).  
Leakage current requirements will apply to the unintentional patient
currents.  
Functional patient currents would be tested against design
specifications.  
I don't think that the presence of a functional current obviates the
need to restrict leakage currents, which might be very different in
nature (eg: HF electrosurgical functional current v. power-frequency
leakage currents).
I think your quote from the 3rd edition is consistent with the
principles of the 2nd edition - my interpretation would be that nothing
has changed in this respect.

Regards,

Ged Dean
Nottingham University Hospitals NHS Trust 



From: [email protected] [mailto:[email protected]] On Behalf Of Paolo
Peruzzi
Sent: 12 June 2007 10:52
To: [email protected]
Subject: patient leakage current limits exemption

Dear group,

As concerns leakage current limits, IEC 60601-1 third edition states at
paragraph 8.4.1:
"The limits specified in 8.4.2 do not apply to currents that are
intended to flow through the body of the patient to produce a
physiological effect during normal use" 

One could argue that this clause is not a new one, since the (very
useful) mapping document between the second edition and the third
edition, links it to the point 16.a.1) of the second edition.

But I think they are different requirements, since 16.a.1 in the 2dn
edition doesn't say anything about exclusion from leakage current
limits. 

Does it means that any medical system which delivers intentionally a
current through the patient body is exempted from patient leakage
current limits 
only in the newest standard, and it is not according to the old one?   

Thanks in advance,

Paolo Peruzzi
Regulatory Medical R&D
El.En. S.p.A.
Via Baldanzese, 17
50041 Calenzano (FI)
Italy

Tel. +39 055 8826807
FAX  +39 055 8832884
http://www.elengroup.com/

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