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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