Orin and Group:

 

So, you have an AC powered device that delivers energy in some form to the
patient and also has a connection to said patient, even if isolated.  Sounds
like a type BF Applied Part classification.  The CISPR Class A implies use in
hospitals only.

 

All the EMC tests you listed look appropriate to me. 

 

As for the 601-1 Particulars, the test lab may be just using certain
applicable parts of the -2-26 and -2-40 Particular Standards to evaluate
safety concerns (leakage currents, dielectric levels, etc.) not addressed in
the base Standard, due to the similarity of this product and full-blown EEGs
and/or EMGs.  This was common practice at UL a few years ago and I doubt the
lab thinks that the user will try to stimulate their own head – but stranger
things have happened (nurse plugs infant EKG lead into mains outlet…).  It
might be interesting if you’d included the first test lab’s list of
Standards, the one that prompted the second opinion and the resulting list in
your post.  Or were they rather similar?

 

Actually, the list seems to be missing -2-10: Medical electrical equipment -
Part 2-10: Particular requirements for the safety of nerve and muscle
stimulators

 

Probably also count on a software (60601-1-4) evaluation if S/W controls the
delivered energy and could cause a hazard (RF burns, etc.).  

 

OOO – Own Opinions Only, neither my current nor any previous employers’

 

Best,

 

 

Bryce

 

p.s. – Wanna see a test list that will knock your socks off?  Try testing
for an of hospital, direct cardiac-connected, rechargeable battery powered,
100-250 Vac mains powered and DC automotive powered, life support device that
users routinely take in airplanes (and medivac helicopters)!?!  

 

 


From: [email protected] [mailto:[email protected]] 
Sent: Monday, November 16, 2009 12:55 PM
To: [email protected]
Subject: [PSES] How much is enough?

 

One of the things I watch out for is over-testing of new products, because of
the cost and time implications.  Recently I was asked to comment on the test
requirements for a piece of medical gear.  Nothing in the technology is new,
similar devices have FDA approval, so the goal is to determine a minimum set
of tests that will likewise achieve approval.  The problem is that a local
test lab supplied a quote that basically amounted to saying "Medical device? 
Kaching!$!", and listed seemingly every test that might possibly apply, with a
price to match.  Then another test lab was asked if a more modest approach was
possible, and they came up with the following:

 

IEC 60601-1 (General Requirements for Safety) Including all applicable clauses

 

IEC 60601 -1-2  (Collateral Standard: Electromagnetic Compatibility) Including
–

a) CISPR 11 Class A Group 2 (Conducted and Radiated)

b) IEC 61000-3-2 Power Line Harmonics

c) IEC 61000-3-3 Power Line Flicker

d) IEC 61000-4-2 ESD

e) IEC 61000-4-3 Radiated Immunity

f) IEC 61000-4- 4 EFT

g) IEC 61000-4-5 Surge

h) IEC 61000-4-6 Conducted Immunity

i) IEC  61000-4-8 Magnetic Immunity

j) IEC 61000-4-11 Power Line Dips and Brownouts

 

IEC 60601-2-26 – (Particular Requirements for Safety of
Electroencephalographs) Scope of use limited by application of device.

 

 IEC 60601-2-40 – (Particular Req. for Safety of Electromyographs and Evoked
Response Equipment).  Scope of use limited by application of device.

 

This particular equipment uses a pulsed electric field for nerve stimulation
of a foot or hand.  Operation is contactless, so the patient is fully
insulated from the therapy circuitry.  To monitor the patient there is a 3
wire EMG sensor that is fully optically isolated and passes hipot and leakage
without any trouble.  Power draw is under 150W via a standard IEC power cord
plugged into a standard safety grounded receptacle.  There is a membrane
keyboard and VF display for control.  All of this is contained in a single
box, the EMG  leads and power cord being the only cables.

 

Comparing that against the test list, I question, for instance, the inclusion
of EEG requirements.  One might suppose that the box could be misused by
someone placing their forehead against the therapy surface to see if it feels
good, but the operation manual proscribes things like that.  The basic
question here is what can be dispensed with, and what seems to have been left
out.  I sense that community opinion ranges from a totally barebones approach
to fully developed CYA paranoia (in which case the hypothesized off-label
experiment might prove beneficial).

 

What think ye?

 

Orin Laney

 

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discussion list. To post a message to the list, send your e-mail to
<[email protected]>

All emc-pstc postings are archived and searchable on the web at
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Graphics (in well-used formats), large files, etc. can be posted to that URL. 

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Instructions: http://listserv.ieee.org/request/user-guide.html
List rules: http://www.ieee-pses.org/listrules.html 

For help, send mail to the list administrators:
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