Amendment 1 - Medical electrical equipment - Part 2-19: Particular requirements for the basic safety and essential performance of infant incubators

Amendement 1 - Appareils électromédicaux - Partie 2-19: Exigences particulières pour la sécurité de base et les performances essentielles des incubateurs pour nouveau-nés

General Information

Status
Published
Publication Date
28-Apr-2016
Drafting Committee
MT 21 - TC 62/SC 62D/MT 21
Current Stage
DELPUB - Deleted Publication
Start Date
02-Sep-2020
Completion Date
26-Oct-2025

Relations

Effective Date
05-Sep-2023
Effective Date
05-Sep-2023

Overview

IEC 60601-2-19:2009/AMD1:2016 is an important international amendment to the standard for medical electrical equipment, specifically addressing the basic safety and essential performance of infant incubators. Published by the International Electrotechnical Commission (IEC), this amendment enhances and clarifies safety requirements, measurement criteria, and testing procedures to ensure the protection and well-being of newborns in clinical environments. It reflects updates necessary for improved regulatory compliance and enhanced functionality of infant incubators in healthcare settings.

Key Topics

  • Scope and Standard References
    The amendment updates normative references, replacing outdated citations with current ones such as IEC 60601-1 and IEC 60601-1-2, and removes references to standards that no longer apply, including IEC 60601-1-10. It clarifies collateral and particular standards applicable to infant incubators to streamline compliance requirements.

  • Sensor and Measurement Requirements
    Critical updates include definitions and requirements related to skin temperature sensors used in baby-controlled incubators. These sensors and their displayed values are explicitly not considered clinical thermometers as per ISO 80601-2-56 unless extended to measure body temperature expressly.

  • Warnings and Safety Notices
    The amendment mandates new safety notices, including alerts that infant incubators cannot distinguish between fever (increased core temperature with cold skin) and hypothermia (low core and skin temperature). It recommends continuous monitoring of the patient's temperature separately to enhance patient safety.

  • Electromagnetic Compatibility (EMC)
    Testing and immunity levels for electromagnetic interference have been updated. Infant incubators must maintain their intended functions under radiated RF electromagnetic fields up to 3 V/m within specified frequency ranges per the revised IEC 60601-1-2 standard.

  • Audible Alarm Requirements
    The amendment refines alarm sound level measurements by allowing testing in semi-anechoic chambers with adjusted threshold levels. This update better reflects real-world acoustic environments such as intensive care nurseries and improves reproducibility of sound measurements.

  • Removal of Physiologic Closed-Loop Controller Requirements
    Clause 210, addressing physiologic closed-loop controllers, has been deleted to simplify requirements and focus on core safety essentials.

  • Annex AA Guidance
    The informative Annex AA provides detailed rationale and visual representation of key requirements, including accuracy tolerances for temperature controls and alarms, sensor placement, and temperature display accuracy. This aids manufacturers in understanding the safety concept behind the standard’s specifications.

Applications

This amendment is directly applicable to manufacturers and designers of infant incubators used in clinical and hospital environments, ensuring that devices:

  • Maintain precise control of incubator temperature based on skin temperature sensors for neonatal care.
  • Provide reliable alarms and safety notices to caregivers to prevent hazards such as overheating or device malfunction.
  • Are robust against electromagnetic disturbances common in medical settings, ensuring uninterrupted performance.
  • Comply with global safety and performance standards to facilitate regulatory approvals and market access.
  • Enhance patient safety by incorporating warnings and operational guidelines specific to neonatal physiology.

Healthcare providers and biomedical engineers benefit from this Standard Amendment by ensuring equipment meets the highest safety benchmarks. Regulatory bodies rely on IEC 60601-2-19:2009/AMD1:2016 to assess conformity and certification, fostering trust in infant incubator technologies worldwide.

Related Standards

  • IEC 60601-1: Medical Electrical Equipment - General requirements for basic safety and essential performance
    This serves as the foundational framework for safety in medical electrical devices, referenced extensively within the amendment.

  • IEC 60601-1-2: Electromagnetic Compatibility Requirements
    Defines the EMC standards relevant to infant incubators, supporting continuous operation in complex electromagnetic environments.

  • ISO 80601-2-56: Clinical Thermometers for Body Temperature Measurement
    Differentiated from skin temperature sensors used in incubators, yet important for understanding clinical thermometer requirements.

  • IEC 60601-2-20, IEC 60601-2-21, IEC 60601-2-50
    Related parts covering particular requirements for other medical electrical equipment, referenced for cross-compatibility.

Conclusion

IEC 60601-2-19:2009/AMD1:2016 amendment provides critical clarifications and updates that reinforce the safety, performance, and reliability of infant incubators. Aligning with global safety standards and addressing advances in sensor technology and electromagnetic compatibility, it is essential for manufacturers and healthcare professionals aiming to deliver optimal neonatal care. Understanding and implementing the requirements of this amendment support compliance, patient safety, and improved healthcare outcomes.

Standard

IEC 60601-2-19:2009/AMD1:2016 - Amendment 1 - Medical electrical equipment - Part 2-19: Particular requirements for the basic safety and essential performance of infant incubators

English and French language
13 pages
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Frequently Asked Questions

IEC 60601-2-19:2009/AMD1:2016 is a standard published by the International Electrotechnical Commission (IEC). Its full title is "Amendment 1 - Medical electrical equipment - Part 2-19: Particular requirements for the basic safety and essential performance of infant incubators". This standard covers: Amendment 1 - Medical electrical equipment - Part 2-19: Particular requirements for the basic safety and essential performance of infant incubators

Amendment 1 - Medical electrical equipment - Part 2-19: Particular requirements for the basic safety and essential performance of infant incubators

IEC 60601-2-19:2009/AMD1:2016 is classified under the following ICS (International Classification for Standards) categories: 11.040.10 - Anaesthetic, respiratory and reanimation equipment. The ICS classification helps identify the subject area and facilitates finding related standards.

IEC 60601-2-19:2009/AMD1:2016 has the following relationships with other standards: It is inter standard links to IEC 60601-2-19:2009, IEC 60601-2-19:2020. Understanding these relationships helps ensure you are using the most current and applicable version of the standard.

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Standards Content (Sample)


IEC 60601-2-19 ®
Edition 2.0 2016-04
INTERNATIONAL
STANDARD
NORME
INTERNATIONALE
AM ENDMENT 1
AM ENDEMENT 1
Medical electrical equipment –
Part 2-19: Particular requirements for the basic safety and essential performance
of infant incubators
Appareils électromédicaux –
Partie 2-19: Exigences particulières pour la sécurité de base et les performances
essentielles des incubateurs pour nouveau-nés

IEC 60601-2-19:2009-02/AMD1:2016-04(en-fr)

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IEC 60601-2-19 ®
Edition 2.0 2016-04
INTERNATIONAL
STANDARD
NORME
INTERNATIONALE
AM ENDMENT 1
AM ENDEMENT 1
Medical electrical equipment –

Part 2-19: Particular requirements for the basic safety and essential performance

of infant incubators
Appareils électromédicaux –
Partie 2-19: Exigences particulières pour la sécurité de base et les performances

essentielles des incubateurs pour nouveau-nés

INTERNATIONAL
ELECTROTECHNICAL
COMMISSION
COMMISSION
ELECTROTECHNIQUE
INTERNATIONALE
ICS 11.040.10 ISBN 978-2-8322-3342-9

– 2 – IEC 60601-2-19:2009/AMD1:2016
© IEC 2016
FOREWORD
This amendment has been prepared by subcommittee 62D: Electromedical equipment of IEC
technical committee 62: Electrical equipment in medical practice.
The text of this amendment is based on the following documents:
FDIS Report on voting
62D/1324/FDIS 62D/1345/RVD
Full information on the voting for the approval of this amendment can be found in the report
on voting indicated in the above table.
The committee has decided that the contents of this amendment and the base publication will
remain unchanged until the stability date indicated on the IEC website under
"http://webstore.iec.ch" in the data related to the specific publication. At this date, the
publication will be
• reconfirmed,
• withdrawn,
• replaced by a revised edition, or
• amended.
_____________
INTRODUCTION
Replace, in the second paragraph, “IEC 60601-1:2005” by “IEC 60601-1”.
201.1 Scope, object and related standards
Replace, in footnote 1), “IEC 60601-1:2005” by “IEC 60601-1”.
201.1.3 * Collateral standards
Delete the asterisk (*) from the title.
Replace the second paragraph by the following text:
IEC 60601-1-2 applies as modified in Clause 202. IEC 60601-1-3 and IEC 60601-1-10 do not
apply. All other published collateral standards in the IEC 60601-1 series apply as published.
201.1.4 Particular standards
Add an asterisk at the beginning of the title, as follows:

© IEC 2016
201.1.4 * Particular standards
Add the following paragraph at the end of this subclause:
SKIN TEMPERATURE SENSORS which are applied to operate a BABY CONTROLLED INCUBATOR
including the displayed value are considered to be not a CLINICAL THERMOMETER in the sense
of the particular standard ISO 80601-2-56.
201.2 Normative references
Replace “IEC 60601-1-2:2007” by “IEC 60601-1-2”.
Delete the IEC 60601-1-10:2007 reference.
201.3 Terms and definitions
Replace, in the first paragraph, “IEC 60601-1:2005” by “IEC 60601-1”.
201.3.204
BABY CONTROLLED INCUBATOR
Remove the note at the end of the entry.
201.7.9.2.2 * Warning and safety notices
Add, after the existing text, the following new text:
*l) a statement that the INFANT INCUBATOR cannot differentiate between an increase in core
temperature with a cold skin (fever) and a low core and SKIN TEMPERATURE (hypothermia),
and a recommendation to monitor the temperature of the PATIENT.
201.12.1.109 * Accuracy of indication of relative humidity
Replace, in the first paragraph, “of actual measured value” by “relative humidity”.
202 Electromagnetic compatibility – Requirements and tests
Replace, in the first paragraph, “IEC 60601-1-2:2007” by “IEC 60601-1-2”.
202.6.2.3 Radiated RF electromagnetic fields
Replace the number, title and entire text by the following new subclause number, title and
text:
202.8.9 IMMUNITY TEST LEVELS
Addition:
For radiated radio-frequency electromagnetic fields, the INFANT INCUBATOR and/or system shall
– continue to perform its intended function as specified by the MANUFACTURER at a level up
to 3 V/m for the frequency range of the collateral standard for EMC.

– 4 – IEC 60601-2-19:2009/AMD1:2016
© IEC 2016
NOTE An INFANT INCUBATOR is not considered to be used in a HOME HEALTHCARE ENVIRONMENT.
210 Requirements for the development of physiologic closed-loop controllers
Delete the entire Clause 210.
Annex AA
(informative)
Particular guidance and rationale

Add, immediately after the annex title, the following new text and figure:
AA.1 Requirements and the safety concept of this standard
Compliance with the minimum safety requirements specified in this particular standard is
predominantly checked by measurement of physical quantities such as the temperature. In
most cases the spatial location of the measuring site or the temporal development of the
quantity is of interest. Therefore, the expert group of this standard considered it helpful to
provide a synopsis of the requirements of this standard. Hence, Figure AA.1 illustrates the
requirements and their schematic measuring sites or expected temporal development. The
requirements as given by their clauses are set in brackets.

© IEC 2016
0,8 °C
(201.12.1.105)
0,8 °C (201.12.1.102)
(1,0 °C tilted )
C
D
M
A B
Air: 0,5 °C
Skin: 0,25 °C
(201.7.4.2)
Air range
1,5 °C
SKIN TEMPERATURE
Display (201.15.4.2.2.101)
(201.12.1.106)
SENSOR
Skin range
36,3 °C
(201.15.4.2.2.102)
±0,3 °C
(201.12.1.103)
(201.12.2.101)
Setting of
CONTROL
0,7 °C
TEMPERATURE
(201.12.1.104)
THERMAL
CUT-OUT
(201.15.4.2.1)
Overshoot maximum
+2 °C (201.12.1.108)
±0,5 °C
(201.12.1.101)
Temperature alarm (201.15.4.2.1)
dd)
Air ±3 °C
ee)
Skin ±1 °C
Maximum surface
(201.11.1.2.2)
temperature
Room
temperature Interruption of power
(201.12.3.103)
Warm-up
supply alarm
time
Overtemperature alarm
(201.15.4.2.1)
(201.12.1.107)
Air controlled 38 °C
aa)
Baby controlled 40 °C bb)
IEC
NOTE Numbers in brackets indicate the relevant subclauses.
Figure AA.1 – Illustration of the main requirements of this standard
AA.2 Particular guidance
Subclause 201.1.3 – Collateral standards
Delete the title and entire text.
Add the following new text:
11 °C
°C
– 6 – IEC 60601-2-19:2009/AMD1:2016
© IEC 2016
Subclause 201.1.4 – Particular standards
It is the primary purpose of a BABY CONTROLLED INCUBATOR to maintain the temperature as
measured by a SKIN TEMPERATURE SENSOR. Hence, SKIN TEMPERATURE SENSORS which are
applied to operate a BABY CONTROLLED INCUBATOR including the displayed value are
considered to be not a CLINICAL THERMOMETER in the sense of the particular standard
ISO 80601-2-56 unless they are specifically extended to measure the body temperature.
The term body temperature is used for all other temperatures of the human body except SKIN
TEMPERATURE.
Subclause 201.7.9.2.2 – Warnings and safety notices
Replace the text in e) by the following new text:
e) The overloading of shelves could result in the INFANT INCUBATOR tipping over or
mechanical damage which could result in a HAZARD. Subclause 9.4.2.2 of IEC 60601-1
meets the test requirement necessary for INFANT INCUBATORS.
Add, after the existing text in k), the following new text:
l) The INFANT INCUBATOR cannot differentiate between an increase in core temperature with a
cold skin (fever) and a low core and SKIN TEMPERATURE (hypothermia). Therefore, in all
situations it is recommended that the temperature of the PATIENT be monitored separately.
Subclause 201.9.6.2.1.102 – Audible alarm sound level
Add, after the existing text, the following new text:
Reflecting rooms represent the acoustic situation in an intensive care nursery more
realistically than non-reflecting or semi-anechoic rooms that are very often used for sound
pressure measurements. However, reflecting rooms are not well defined and deliver less
reproducible values due to their variable size and geometry. The more i
...

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