Medical Electrical Equipment — Part 1-12: General requirements for basic safety and essential performance — Collateral Standard: Requirements for medical electrical equipment and medical electrical systems used in the emergency medical services environment

IEC 60601-1-12:2014 constitutes a collateral standard to IEC 60601-1: Medical electrical equipment - Part 1: General requirements for basic safety and essential performance hereafter referred to as the general standard. Medical practice is increasingly using medical electrical equipment and medical electrical systems for monitoring, treatment or diagnosis of patients in the emergency medical services environment. The safety of medical electrical equipment in this uncontrolled, rough environment is a cause for concern. This collateral standard was developed with contributions from clinicians, engineers and regulators. The terminology, requirements, general recommendations and guidance of this collateral standard are intended to be useful for manufacturers of medical electrical equipment and medical electrical systems and for technical committees responsible for the development of particular standards. This International Standard applies to the basic safety and essential performance of medical electrical equipment and medical electrical systems, hereafter referred to as ME equipment and ME systems, which are intended, as indicated in the instructions for use by their manufacturer, for use in the EMS environment (Emergency Medical Services environment). The object of this collateral standard is to provide general requirements for ME equipment and ME systems carried to the scene of an emergency and used there, as well as in transport, in situations where the ambient conditions differ from indoor conditions. The object of this collateral standard is to specify general requirements that are in addition to those of the general standard and to serve as the basis for particular standards.

Appareils électromédicaux — Partie 1-12: Exigences générales pour la sécurité de base et les performances essentielles — Norme collatérale: Exigences pour les appareils électromédicaux et les systèmes électromédicaux utilisés dans l'environnement des soins d'urgence

L'IEC 60601-1-12:2014 constitue une norme collatérale de l'IEC 60601-1: Appareils électromédicaux - Partie 1: Exigences générales pour la sécurité de base et les performances essentielles désignée ci-après par norme générale. La pratique médicale utilise de plus en plus des appareils électromédicaux et des systèmes électromédicaux pour la surveillance, le traitement ou le diagnostic des patients dans l'environnement des services médicaux d'urgence. La sécurité des appareils électromédicaux dans cet environnement particulièrement difficile et non contrôlé, est source de préoccupation. La présente norme collatérale a été élaborée grâce aux contributions de médecins cliniciens, d'ingénieurs et d'autorités de tutelle. La terminologie, les exigences, les recommandations générales et les lignes directrices contenues dans la présente norme collatérale ont pour objectif d'être utiles aux fabricants d'appareils électromédicaux et de systèmes électromédicaux et aux comités techniques responsables de l'élaboration des normes particulières. La présente Norme internationale s'applique à la sécurité de base et aux performances essentielles des appareils électromédicaux et des systèmes électromédicaux, désignés ci-après par appareils EM et systèmes EM, destinés, comme indiqué dans les instructions d'utilisation, par leur fabricant à être utilisés dans l'environnement SMU (environnement des Services Médicaux d'Urgence). L'objet de la présente norme collatérale est de fournir des exigences générales pour les appareils EM et les systèmes EM acheminés et utilisés sur les lieux d'une intervention en urgence, ainsi que pour leur transport, dans des situations où les conditions ambiantes sont différentes des conditions intérieures. La présente norme collatérale est destinée à spécifier des exigences générales qui viennent s'ajouter à celles de la norme générale et à servir de base pour les normes particulières.

General Information

Status
Published
Publication Date
17-Nov-2015
Current Stage
9093 - International Standard confirmed
Completion Date
03-Dec-2020
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IEC 60601-1-12
Edition 1.0 2014-06
INTERNATIONAL
STANDARD
NORME
INTERNATIONALE
colour
inside
Medical electrical equipment –
Part 1-12: General requirements for basic safety and essential performance –
Collateral Standard: Requirements for medical electrical equipment and medical
electrical systems intended for use in the emergency medical services
environment

Appareils électromédicaux –
Partie 1-12: Exigences générales pour la sécurité de base et les performances
essentielles – Norme collatérale: Exigences pour les appareils électromédicaux
et les systèmes électromédicaux destinés à être utilisés dans l'environnement
des services médicaux d'urgence

IEC 60601-1-12:2014-06(en-fr)

---------------------- Page: 1 ----------------------
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IEC 60601-1-12


Edition 1.0 2014-06




INTERNATIONAL



STANDARD




NORME



INTERNATIONALE
colour

inside










Medical electrical equipment –

Part 1-12: General requirements for basic safety and essential performance –

Collateral Standard: Requirements for medical electrical equipment and medical


electrical systems intended for use in the emergency medical services

environment




Appareils électromédicaux –

Partie 1-12: Exigences générales pour la sécurité de base et les performances

essentielles – Norme collatérale: Exigences pour les appareils électromédicaux

et les systèmes électromédicaux destinés à être utilisés dans l'environnement

des services médicaux d'urgence








INTERNATIONAL

ELECTROTECHNICAL

COMMISSION


COMMISSION

ELECTROTECHNIQUE

PRICE CODE
INTERNATIONALE

CODE PRIX XA


ICS 11.040 ISBN 978-2-8322-1654-5



Warning! Make sure that you obtained this publication from an authorized distributor.

Attention! Veuillez vous assurer que vous avez obtenu cette publication via un distributeur agréé.

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– 2 – IEC 60601-1-12:2014 © IEC 2014
CONTENTS

FOREWORD . 4
INTRODUCTION . 7
1 Scope, object and related standards . 8
1.1 * Scope . 8
1.2 * Object . 8
1.3 Related standards . 9
1.3.1 IEC 60601-1 . 9
1.3.2 Particular standards . 9
2 Normative references . 9
3 Terms and definitions . 10
4 General requirements . 11
4.1 * Additional requirements for SUPPLY MAINS for ME EQUIPMENT and ME SYSTEMS . 11
4.2 * Environmental conditions for ME EQUIPMENT . 11
4.2.1 * Environmental conditions of transport and storage between uses . 12
4.2.2 * Environmental operating conditions . 13
5 * Classification of ME EQUIPMENT and ME SYSTEMS . 15
6 ME EQUIPMENT identification, marking and documents . 16
6.1 * Additional requirements for legibility of markings . 16
6.2 * Additional requirements for marking of IP classification . 16
6.3 * Instructions for use . 16
6.3.1 Additional general requirements . 16
6.3.2 * Additional requirements for an electrical power source . 17
6.3.3 Additional requirements for ME EQUIPMENT start-up PROCEDURE . 17
6.3.4 * Additional requirements for operating instructions . 18
6.3.5 Additional requirements for ME EQUIPMENT messages . 18
6.4 Technical description – FIXED or PERMANENTLY INSTALLED CLASS I
ME EQUIPMENT . 18
7 * Protection against electrical HAZARDS from ME EQUIPMENT . 18
8 Protection against excessive temperatures and other HAZARDS . 19
8.1 Additional requirements for ingress of water or particulate matter into
ME EQUIPMENT and ME SYSTEMS . 19
8.1.1 * Ingress of water or particulate matter into ME EQUIPMENT . 19
8.1.2 * Ingress of water or particulate matter into ME SYSTEMS . 19
8.2 Additional requirements for interruption of the power supply to ME EQUIPMENT
and ME SYSTEM . 19
8.3 * Additional requirements for INTERNAL ELECTRICAL POWER SOURCE for
ME EQUIPMENT . 20
9 * Accuracy of controls and instruments and protection against hazardous outputs . 21
10 Construction of ME EQUIPMENT . 21
10.1 * Additional requirements for mechanical strength of ME EQUIPMENT intended
for the EMS ENVIRONMENT . 21
10.1.1 General requirements for mechanical strength . 21
10.1.2 * Requirements for mechanical strength for FIXED or PERMANENTLY
INSTALLED ME EQUIPMENT intended for use in a road ambulance . 22
10.1.3 * Requirements for mechanical strength for TRANSPORTABLE
ME EQUIPMENT . 23

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IEC 60601-1-12:2014 © IEC 2014 – 3 –
10.1.4 * Requirements for mechanical strength for ME EQUIPMENT intended for
airborne use . 24
10.2 Requirements for mounting of ME EQUIPMENT . 25
11 Additional requirements for electromagnetic compatibility of ME EQUIPMENT and
ME SYSTEMS . 25
Annex A (informative) General guidance and rationale . 26
A.1 General guidance . 26
A.2 Rationale for particular clauses and subclauses . 28
Annex B (informative) Guide to marking and labelling requirements for ME EQUIPMENT
and ME SYSTEMS . 42
B.1 Marking on the outside of ME EQUIPMENT, ME SYSTEMS or their parts . 42
B.2 ACCOMPANYING DOCUMENTS, instructions for use . 42
B.3 ACCOMPANYING DOCUMENTS, technical description . 43
Annex C (informative) Symbols on marking . 44
Bibliography . 46
Index of defined terms used in this collateral standard . 48

Figure A.1 – Saturation water vapour pressure as function of temperature . 31

Table 1 – Mechanical strength test applicability . 22
Table A.1 – Saturation water vapour pressure as function of temperature . 32
Table B.1 – Marking on the outside of ME EQUIPMENT, ME SYSTEMS or their parts . 42
Table B.2 – ACCOMPANYING DOCUMENTS, instructions for use . 42
Table B.3 – ACCOMPANYING DOCUMENTS, technical description . 43
Table C.1 – General symbols . 44

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– 4 – IEC 60601-1-12:2014 © IEC 2014
INTERNATIONAL ELECTROTECHNICAL COMMISSION
_______________

MEDICAL ELECTRICAL EQUIPMENT –

Part 1-12: General requirements for basic
safety and essential performance –
Collateral Standard: Requirements for medical electrical
equipment and medical electrical systems intended for use
in the emergency medical services environment

FOREWORD
1) The International Electrotechnical Commission (IEC) is a worldwide organization for standardization comprising
all national electrotechnical committees (IEC National Committees). The object of IEC is to promote
international co-operation on all questions concerning standardization in the electrical and electronic fields. To
this end and in addition to other activities, IEC publishes International Standards, Technical Specifications,
Technical Reports, Publicly Available Specifications (PAS) and Guides (hereafter referred to as “IEC
Publication(s)”). Their preparation is entrusted to technical committees; any IEC National Committee interested
in the subject dealt with may participate in this preparatory work. International, governmental and non-
governmental organizations liaising with the IEC also participate in this preparation. IEC collaborates closely
with the International Organization for Standardization (ISO) in accordance with conditions determined by
agreement between the two organizations.
2) The formal decisions or agreements of IEC on technical matters express, as nearly as possible, an international
consensus of opinion on the relevant subjects since each technical committee has representation from all
interested IEC National Committees.
3) IEC Publications have the form of recommendations for international use and are accepted by IEC National
Committees in that sense. While all reasonable efforts are made to ensure that the technical content of IEC
Publications is accurate, IEC cannot be held responsible for the way in which they are used or for any
misinterpretation by any end user.
4) In order to promote international uniformity, IEC National Committees undertake to apply IEC Publications
transparently to the maximum extent possible in their national and regional publications. Any divergence
between any IEC Publication and the corresponding national or regional publication shall be clearly indicated in
the latter.
5) IEC itself does not provide any attestation of conformity. Independent certification bodies provide conformity
assessment services and, in some areas, access to IEC marks of conformity. IEC is not responsible for any
services carried out by independent certification bodies.
6) All users should ensure that they have the latest edition of this publication.
7) No liability shall attach to IEC or its directors, employees, servants or agents including individual experts and
members of its technical committees and IEC National Committees for any personal injury, property damage or
other damage of any nature whatsoever, whether direct or indirect, or for costs (including legal fees) and
expenses arising out of the publication, use of, or reliance upon, this IEC Publication or any other IEC
Publications.
8) Attention is drawn to the Normative references cited in this publication. Use of the referenced publications is
indispensable for the correct application of this publication.
9) Attention is drawn to the possibility that some of the elements of this IEC Publication may be the subject of
patent rights. IEC shall not be held responsible for identifying any or all such patent rights.
International standard IEC 60601-1-12 has been prepared by a joint working group of
IEC subcommittee 62A: Common aspects of electrical equipment used in medical practice, of
IEC technical committee 62: Electrical equipment in medical practice, and ISO subcommittee
SC3: Lung ventilators and related devices, of ISO technical committee 121: Anaesthetic and
respiratory equipment.
This first edition constitutes a collateral standard to IEC 60601-1 (third edition): Medical
electrical equipment – Part 1: General requirements for basic safety and essential
performance hereafter referred to as the general standard.

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IEC 60601-1-12:2014 © IEC 2014 – 5 –
The text of this collateral standard is based on the following documents:
FDIS Report on voting
62A/932/FDIS 62A/938/RVD

Full information on the voting for the approval of this collateral standard can be found in the
report on voting indicated in the above table. In ISO, this International Standard has been
approved by 18 P-members out of 19 having cast a vote.
This publication has been drafted in accordance with the ISO/IEC Directives, Part 2.
In the 60601 series of publications, collateral standards specify general requirements for
safety applicable to:
– a subgroup of MEDICAL ELECTRICAL EQUIPMENT (e.g. radiological equipment); or
– a specific characteristic of all MEDICAL ELECTRICAL EQUIPMENT, not fully addressed in the
general standard (e.g. ALARM SYSTEMS).
In this collateral standard, the following print types are used:
– requirements and definitions: roman type.
– test specifications: italic type.
informative material appearing outside of tables, such as notes, examples and references: in smaller type.

Normative text of tables is also in a smaller type.
– TERMS DEFINED IN CLAUSE 3 OF THE GENERAL STANDARD, IN THIS COLLATERAL STANDARD OR AS
NOTED: SMALL CAPITALS.
In referring to the structure of this standard, the term
– “clause” means one of the numbered divisions within the table of contents, inclusive of all
subdivisions (e.g. Clause 7 includes subclauses 7.1, 7.2, etc.);
– “subclause” means a numbered subdivision of a clause (e.g. 7.1, 7.2 and 7.3.1 are all
subclauses of Clause 7).
References to clauses within this standard are preceded by the term “Clause” followed by the
clause number. References to subclauses within this collateral standard are by number only.
In this standard, the conjunctive “or” is used as an “inclusive or” so a statement is true if any
combination of the conditions is true.
The verbal forms used in this standard conform to usage described in Annex H of the ISO/IEC
Directives, Part 2. For the purposes of this standard, the auxiliary verb:
– “shall” means that compliance with a requirement or a test is mandatory for compliance
with this standard;
– “should” means that compliance with a requirement or a test is recommended but is not
mandatory for compliance with this standard;
– “may” is used to describe a permissible way to achieve compliance with a requirement or
test.
Clauses, subclauses and definitions for which a rationale is provided in informative Annex A
are marked with an asterisk (*).
A list of all parts of the IEC 60601 series, published under the general title: Medical electrical
equipment, can be found on the IEC website.

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– 6 – IEC 60601-1-12:2014 © IEC 2014
The committee has decided that the contents of this publication will remain unchanged until
the stability date indicated on the IEC web site 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.
NOTE The attention of Member Bodies and National Committees is drawn to the fact that equipment
manufacturers and testing organizations may need a transitional period following publication of a new, amended or
revised ISO or IEC publication in which to make products in accordance with the new requirements and to equip
themselves for conducting new or revised tests. It is the recommendation of the committee that the content of this
publication be adopted for implementation nationally not earlier than 3 years from the date of publication.

IMPORTANT – The 'colour inside' logo on the cover page of this publication indicates
that it contains colours which are considered to be useful for the correct
re print this document using a
understanding of its contents. Users should therefo
colour printer.

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IEC 60601-1-12:2014 © IEC 2014 – 7 –
INTRODUCTION
Medical practice is increasingly using MEDICAL ELECTRICAL EQUIPMENT and MEDICAL ELECTRICAL
SYSTEMS for monitoring, treatment or diagnosis of PATIENTS in the EMERGENCY MEDICAL
SERVICES ENVIRONMENT (see 3.1). The safety of MEDICAL ELECTRICAL EQUIPMENT in this
uncontrolled, rough environment is a cause for concern.
This collateral standard was developed with contributions from clinicians, engineers and
regulators. The terminology, requirements, general recommendations and guidance of this
collateral standard are intended to be useful for MANUFACTURERS of MEDICAL ELECTRICAL
EQUIPMENT and MEDICAL ELECTRICAL SYSTEMS and for technical committees responsible for the
development of particular standards.

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– 8 – IEC 60601-1-12:2014 © IEC 2014
MEDICAL ELECTRICAL EQUIPMENT –

Part 1-12: General requirements for basic
safety and essential performance –
Collateral Standard: Requirements for medical electrical
equipment and medical electrical systems intended for use
in the emergency medical services environment



1 Scope, object and related standards
1.1 * Scope
This International Standard applies to the BASIC SAFETY and ESSENTIAL PERFORMANCE of
MEDICAL ELECTRICAL EQUIPMENT and MEDICAL ELECTRICAL SYSTEMS, hereafter referred to as
ME EQUIPMENT and ME SYSTEMS, which are intended, as indicated in the instructions for use by
MANUFACTURER, for use in the EMS ENVIRONMENT (EMERGENCY MEDICAL SERVICES
their
ENVIRONMENT), as defined in 3.1.
NOTE 1 For the purposes of this standard, the intent of the MANUFACTURER is indicated in the instructions for use.
The RESPONSIBLE ORGANIZATION and the OPERATOR need to be aware that any other use outside the
MANUFACTURER’S INTENDED USE can result in a HAZARDOUS SITUATION for the PATIENT.
The EMS ENVIRONMENT includes
– responding to and providing life support at the scene of an emergency to a PATIENT
reported as experiencing injury or illness in a pre-hospital setting, and transporting the
PATIENT, while continuing such life support care, to an appropriate professional healthcare
facility for further care.
– providing monitoring, treatment or diagnosis during transport between professional
healthcare facilities.
This International Standard does not apply to ME EQUIPMENT and ME SYSTEMS intended solely
for use in the HOME HEALTHCARE ENVIRONMENT covered by IEC 60601-1-11 or solely for use in
professional healthcare facilities covered by IEC 60601-1 without the additions of
IEC 60601-1-11 or this collateral standard. ME EQUIPMENT and ME SYSTEMS are often not solely
intended for one environment. Such ME EQUIPMENT or ME SYSTEM can be intended for multiple
use environments, and as such, if also intended for use in the EMS ENVIRONMENT, are within
the scope of this standard.
EXAMPLE ME EQUIPMENT or ME SYSTEM intended for both the EMS ENVIRONMENT and the professional healthcare
facility environment.
NOTE 2 EMS ENVIRONMENT ME EQUIPMENT and ME SYSTEMS can be used in locations with unreliable electrical
sources and outdoor environmental conditions.
1.2 * Object
The object of this collateral standard is to provide general requirements for ME EQUIPMENT and
ME SYSTEMS carried to the scene of an emergency and used there, as well as in transport, in
situations where the ambient conditions differ from indoor conditions.
The object of this collateral standard is to specify general requirements that are in addition to
those of the general standard and to serve as the basis for particular standards.

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IEC 60601-1-12:2014 © IEC 2014 – 9 –
1.3 Related standards
1.3.1 IEC 60601-1
For ME EQUIPMENT and ME SYSTEMS, this collateral standard complements IEC 60601-1,
hereafter referred to as the general standard.
When referring to IEC 60601-1 or to this collateral standard, either individually or in
combination, the following conventions are used:
– "the general standard" designates IEC 60601-1 alone;
– "this collateral standard" designates IEC 60601-1-12 alone;
– "this standard" designates the combination of the general standard and this collateral
standard.
1.3.2 Particular standards
A requirement in a particular standard takes priority over the corresponding requirement in
this collateral standard.
2 Normative references
The following documents, in whole or in part, are normatively referenced in this document and
are indispensable for its application. For dated references, only the edition cited applies. For
undated references, the latest edition of the referenced document (including any
amendments) applies.
NOTE 1 The way in which these referenced documents are cited in normative requirements determines the extent
(in whole or in part) to which they apply.
NOTE 2 Informative references are listed in the bibliography on page 46.
IEC 60068-2-27:2008, Environmental testing – Part 2-27: Tests – Test Ea and guidance:
Shock
IEC 60068-2-31:2008, Environmental testing – Part 2-31: Tests – Test Ec: Rough handling
shocks, primarily for equipment-type specimens
IEC 60068-2-64:2008, Environmental testing – Part 2-64: Tests – Test Fh: Vibration,
broadband random and guidance
IEC 60529:1989, Degrees of protection provided by enclosures (IP Code)
1
IEC 60529:1989/AMD1:1999
IEC 60601-1:2005, Medical electrical equipment – Part 1: General requirements for basic
safety and essential performance
2
IEC 60601-1:2005/AMD1:2012
IEC 60601-1-2:2014, Medical electrical equipment – Part 1-2: General requirements for basic
safety and essential performance – Collateral standard: Electromagnetic disturbances –
Requirements and tests
______________
1
There exists a consolidated edition 2.1(2001) including IEC 60529:1989 and its Amendment 1:1999.
2
There exists a consolidated edition 3.1(2012) including IEC 60601-1:2005 and its Amendment 1:2012.

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– 10 – IEC 60601-1-12:2014 © IEC 2014
IEC 60601-1-6:2010, Medical electrical equipment – Part 1-6: General requirements for basic
safety and essential performance – Collateral standard: Usability
IEC 60601-1-6:2010/AMD1:2013
IEC 60601-1-8:2006, Medical electrical equipment – Part 1-8: General requirements for basic
safety and essential performance – Collateral standard: General requirements, tests and
guidance for alarm systems in medical electrical equipment and medical electrical systems
3
IEC 60601-1-8:2006/AMD1:2012
4
IEC 60601-1-11:— , Medi
...

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