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Gulf StandardGSO IEC 60364-7-710:2015
Gulf StandardGSO IEC 60364-7-710:2015
Gulf StandardGSO IEC 60364-7-710:2015
GSO IEC 60364-7-710:2015Gulf Standard
International StandardIEC 60364-7-710:2002 ED1
Electrical installations of buildings - Part 7-710: Requirements for special installations or locations - Medical locations
710Medical locations
710.1Scope
The particular requirements of this part of IEC 60364 apply to electrical installations in medical locations so as to ensure safety of patients and medical staff. These requirements, in the main, refer to hospitals, private clinics, medical and dental practices, health care centres and dedicated medical rooms in the work place.
NOTE 1It may be necessary to modify the existing electrical installation, in accordance with this standard, when a change of utilization of the location occurs. Special care should be taken where intracardiac procedures are performed in existing installations.
NOTE 2Where applicable this standard can also be used in veterinary clinics. The requirements of this part do not apply to medical electrical equipment.
NOTE 3For medical electrical equipment, refer to the IEC 60601 series.
710.2Normative references
The following referenced documents are indispensable for the application of this document. For dated references, only the edition cited applies. For undated references, the latest edition of the referenced document (including any amendments) applies.
IEC 60364‑4‑41:2001, Electrical installations of buildings – Part 4-41: Protection for safety – Protection against electric shock
IEC 60364‑5‑55:2001, Electrical installations of buildings – Part 5-55: Selection and erection of electrical equipment – Other equipment
IEC 60364‑6‑61:2001, Electrical installations of buildings – Part 6-61: Verification – Initial verification
IEC 60601‑1:1988, Medical electrical equipment – Part 1: General requirements for safety
Amendment 2 (1995)
IEC 60601‑1‑1:2000, Medical electrical equipment – Part 1: General requirements for safety – Collateral standard: Safety requirements for medical electrical systems
IEC 60617‑1:1985, Graphical symbols for diagrams – Part 1: General information, general index – Cross-reference tables
IEC 60617‑11(DB), 1 Graphical symbols for diagrams – Part 11: Architectural and topographical installation plans and diagrams IEC 61082‑1:1991, Preparation of documents used in electrotechnology – Part 1: General requirements
IEC 61557‑8:1997, Electrical safety in low voltage distribution systems up to 1 000 V a.c. and 1 500 V d.c. – Equipment for testing, measuring or monitoring of protective measures – Part 8: Insulation monitoring devices for IT systems
IEC 61558‑2‑15:1999, Safety of power transformers, power supply units and similar – Part 2-15: Particular requirements for isolating transformers for the supply of medical locations
710.3Definitions
For the purposes of this part of IEC 60364, the following definitions apply.
710.3.1
location intended for purposes of diagnosis, treatment (including cosmetic treatment), monitoring and care of patients
Note 1 to entry: To ensure protection of patients from possible electrical hazards, additional protective measures need to be applied in medical locations. The type and description of these hazards can vary according to the treatment being administered. The manner in which a room is to be used necessitates some division into different areas for differing medical procedures.
710.3.2
living being (person or animal) undergoing medical or dental investigation or treatment
(adapted from 2.12.4 of IEC 60601‑1)
Note 1 to entry: The person under treatment for cosmetic purposes may be considered, as far as this standard is concerned, as a patient.
710.3.3
medical electrical equipment
electrical equipment, provided with not more than one connection to a particular supply mains and intended to diagnose, treat or monitor the patient under medical supervision and which
–
makes physical or electrical contact with the patient, and/or
–
transfers energy to or from the patient, and/or
–
detects such energy transfer to or from the patient.
Note 1 to entry: The equipment includes those accessories defined by the manufacturer as being necessary to enable normal use of the equipment.
710.3.4
part of the medical electrical equipment which in normal use
–
necessarily comes into physical contact with the patient for the equipment to perform its function, or
–
can be brought into contact with the patient, or
–
needs to be touched by the patient
(adapted from
2.1.5 of amendment 2 to IEC 60601‑1)
710.3.5
medical location where no applied parts are intended to be used
710.3.6
medical location where applied parts are intended to be used as follows:
–
invasively to any part of the body, except where
710.3.7 applies
710.3.7
medical location where applied parts are intended to be used in applications such as intracardiac procedures, operating theatres and vital treatment where discontinuity (failure) of the supply can cause danger to life
Note 1 to entry: An intracardiac procedure is a procedure whereby an electrical conductor is placed within the heart of a patient or is likely to come into contact with the heart, such conductor being accessible outside the patient's body. In this context, an electrical conductor includes insulated wires such as cardiac pacing electrodes or intracardiac ECG electrodes, or insulated tubes filled with conducting fluids.
710.3.8
medical electrical system
combination of items of equipment, at least one of which is an item of medical electrical equipment and inter-connected by functional connection or use of a multiple portable socket-outlet
Note 1 to entry: The system includes those accessories which are needed for operating the system and are specified by the manufacturer.
710.3.9
any volume in which intentional or unintentional contact can occur between patient and parts of the system or between patient and other persons touching parts of the system (for illustration see Figure 710A)
Note 1 to entry: This applies when the patient’s position is pre-determined, if not, all possible patient positions should be considered.
710.3.10
board in the building which fulfils all the functions of a main electrical distribution for the supply building area assigned to it and where the voltage drop is measured for operating the safety services
710.3.11
IT electrical system having specific requirements for medical applications
710.30Assessment of general characteristics
The classification of a medical location shall be made in agreement with the medical staff, health organization concerned or body responsible for the safety of workers in accordance with national regulations. In order to determine the classification of a medical location, it is necessary that the medical staff indicate which medical procedures will take place within the location. Based on the intended use, the appropriate classification for the location shall be determined (the possibility that certain medical locations may be used for different purposes which necessitate a higher group should be addressed by risk management).
NOTE 1Classification of a medical location should be related to the type of contact between applied parts and the patient, as well as the purpose for which the location is used (see Annex B).
NOTE 2Applied parts are defined by the particular standards for medical electrical equipment.
710.31Purposes, supplies and structure
710.312.2Types of system earthing
The TN-C system is not allowed in medical locations and medical buildings downstream of the main distribution board.
710.313Power supply
710.313.1General
In medical locations the distribution system should be designed and installed to facilitate the automatic change-over from the main distribution network to the electrical safety source feeding essential loads (according to IEC 60364‑5‑55, clause 556).
710.4Protection for safety
710.41Protection against electric shock
710.411Protection against both direct and indirect contact
710.411.1SELV and PELV
When using SELV and/or PELV circuits in medical locations of group 1 and group 2, the nominal voltage applied to current-using equipment shall not exceed 25 V r.m.s. a.c. or 60 V ripple free d.c. Protection by insulation of live parts according to 412.1 of IEC 60364‑4‑41 and by barriers or enclosures according to 412.2 of the same standard is essential.
In medical locations of group 2, exposed-conductive-parts of equipment (e.g. operating theatre luminaires), shall be connected to the equipotential bonding conductor.
710.412Protection against direct contact
710.412.3Obstacles
Protection by obstacles is not permitted.
710.412.4Placing out of reach
Protection by placing out of reach is not permitted.
Only protection by insulation of live parts or protection by barriers or enclosures are permitted.
710.413Protection against indirect contact
710.413.1Automatic disconnection of supply
710.413.1.1General
710.413.1.1.1Disconnection of supply
In medical locations of group 1 and group 2, the following shall apply:
–
for IT, TN and TT systems, the conventional touch voltage UL shall not exceed 25 V (UL ≤ 25 V);
–
for TN and IT systems, table 41C of IEC 60364‑4‑41 shall apply.
NOTEDisconnection of supply when overload or short-circuit conditions occur, can be achieved by different design methods within the procedures of the general rules in order to satisfy the required safety level.
710.413.1.3TN systems
In final circuits of group 1 rated up to 32 A residual current devices with a maximum residual operating current of 30 mA shall be used (additional protection).
In medical locations of group 2, protection by automatic disconnection of supply by means of residual current protective devices with the rated residual-operating-current not exceeding 30 mA shall only be used on the following circuits:
–
circuits for the supply of operating tables;
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circuits for X-ray units;
NOTEThe requirement is mainly applicable to mobile X-ray units brought into group 2 locations.
–
circuits for large equipment with a rated power greater than 5 kVA;
–
circuits for non-critical electrical equipment (non life support).
Care shall be taken to ensure that simultaneous use of many items of such equipment connected to the same circuit cannot cause unwanted tripping of the residual current protective device (RCD).
In medical locations of group 1 and group 2, where RCDs are required by this subclause, only type A or type B shall be selected, depending on the possible fault-current arising.
NOTEIt is recommended that TN-S systems are monitored to ensure the insulation level of all live conductors.
710.413.1.4TT systems
In medical locations of group 1 and group 2, the requirements of TN systems (see
710.413.1.3) apply and in all cases residual current protective devices shall be used.
710.413.1.5Medical IT system
NOTE 1In the United States such a system is identified as an “Isolated Power System”.
In group 2 medical locations, the medical IT system shall be used for circuits supplying medical electrical equipment and systems intended for life support, surgical applications and other electrical equipment located in the "patient environment", excluding equipment listed in 713.413.1.3.
For each group of rooms serving the same function, at least one separate medical IT system is necessary. The medical IT system shall be equipped with an insulation monitoring device in accordance with IEC 61557‑8 with the following specific requirements:
–
the a.c. internal impedance shall be at least 100 kΩ;
–
the test voltage shall not be greater than 25 V d.c.;
–
the injected current, even under fault conditions, shall not be greater than 1 mA peak;
–
indication shall take place at the latest when the insulation resistance has decreased to 50 kΩ. A test device shall be provided;
NOTE 2In Germany, an indication is required if the earth or wiring connection is lost.
NOTE 3The necessary additional requirements on IMDs given above are at this time not covered in the equipment standard IEC 61557‑8. They will be removed from this publication as soon as they have been treated in the relevant equipment standard.
For each medical IT system, an acoustic and visual alarm system incorporating the following components shall be arranged at a suitable place so that it can be permanently monitored (audible and visual signals) by the medical staff:
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a green signal lamp to indicate normal operation;
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a yellow signal lamp which lights when the minimum value set for the insulation resistance is reached. It shall not be possible for this light to be cancelled or disconnected;
–
an audible alarm which sounds when the minimum value set for the insulation resistance is reached. This audible alarm may be silenced.
–
the yellow signal shall go out on removal of the fault and when the normal condition is restored.
Where only one equipment is supplied from one single dedicated IT transformer, the latter can be installed without an insulation monitoring device.
Monitoring of overload and high temperature for the medical IT transformer is required.
710.413.1.6Supplementary equipotential bonding
710.413.1.6.1In each medical location of group 1 and group 2, supplementary equipotential bonding conductors shall be installed and connected to the equipotential bonding bus bar for the purpose of equalizing potential differences between the following parts, located in the "patient environment":
–
extraneous-conductive-parts;
–
screening against electrical interference fields, if installed;
–
connection to conductive floor grids, if installed;
–
metal screen of the isolating transformer, if any.
NOTEFixed conductive non-electrical patient supports such as operating theatre tables, physiotherapy couches and dental chairs should be connected to the equipotential bonding conductor unless they are intended to be isolated from earth.
710.413.1.6.2In medical locations of group 2, the resistance of the conductors, including the resistance of the connections, between the terminals for the protective conductor of socket-outlets and of fixed equipment or any extraneous-conductive-parts and the equipotential bonding bus bar shall not exceed 0,2 Ω.
NOTEThis resistive value can also be determined by the use of a suitable cross-sectional area of the conductor.
710.413.1.6.3The equipotential bonding bus bar shall be located in or near the medical location. In each distribution board or in its proximity, an additional equipotential bonding bar shall be provided to which the supplementary equipotential bonding conductor and protective earth conductor shall be connected. Connections shall be so arranged that they are clearly visible and easily disconnected individually.
710.422Fire protection
National legislation providing additional requirements may exist.
710.5Selection and erection of electrical equipment