Ultrasonics - Physiotherapy systems - Field specifications and methods of measurement in the frequency range 0,5 MHz to 5 MHz

IEC 61689:2013 is applicable to ultrasonic equipment designed for physiotherapy containing an ultrasonic transducer generating continuous or quasi-continuous wave ultrasound in the frequency range 0,5 MHz to 5 MHz. This standard only relates to ultrasonic physiotherapy equipment employing a single plane non-focusing circular transducer per treatment head, producing static beams perpendicular to the face of the treatment head. This standard specifies:  - methods of measurement and characterization of the output of ultrasonic physiotherapy equipment based on reference testing methods;  - characteristics to be specified by manufacturers of ultrasonic physiotherapy equipment based on reference testing methods;  - guidelines for safety of the ultrasonic field generated by ultrasonic physiotherapy equipment;  - methods of measurement and characterization of the output of ultrasonic physiotherapy equipment based on routine testing methods;  - and acceptance criteria for aspects of the output of ultrasonic physiotherapy equipment based on routine testing methods. Therapeutic value and methods of use of ultrasonic physiotherapy equipment are not covered by the scope of this standard. This third edition cancels and replaces the second edition published in 2007. It constitutes a technical revision which includes the following significant technical changes with respect to the previous edition:  - restriction introduced of 0,2 W/cm2 effective intensity during hydrophone measurements for treatment heads with ka≤20, to limit the likelihood of cavitation;  - change in the factor Fac, to determine the effective radiating area, from 1,354 to 1,333;  - and change to SI units for terms and definitions.

Ultraschall - Physiotherapiesysteme - Feldspezifikation und Messverfahren im Frequenzbereich von 0,5 MHz bis 5 MHz

Ultrasons - Systèmes de physiothérapie - Spécifications de champ et méthodes de mesure dans la gamme de fréquences de 0,5 MHz à 5 MHz

La CEI 61689:2013 est applicable aux appareils à ultrasons, conçus pour la physiothérapie, comprenant un transducteur ultrasonique fournissant des ultrasons à onde entretenue ou quasi-entretenue dans la gamme de fréquences de 0,5 MHz à 5 MHz. La présente norme ne traite que des appareils de physiothérapie à ultrasons employant un seul transducteur circulaire plan sans focalisation par projecteur ultrasonore, produisant des faisceaux statiques perpendiculaires à la face du projecteur ultrasonore. La présente norme spécifie:  - les méthodes de mesure et la caractérisation de la sortie des appareils de physiothérapie à ultrasons, reposant sur des méthodes d'essai de référence;  - les caractéristiques à déclarer par les fabricants des appareils de physiothérapie à ultrasons, reposant sur des méthodes d'essai de référence;  - les lignes directrices de sécurité du champ ultrasonore créé par les appareils de physiothérapie à ultrasons;  - les méthodes de mesure et la caractérisation de la sortie des appareils de physiothérapie à ultrasons, reposant sur des méthodes d'essai de routine;  - et les critères d'aptitude concernant les divers aspects de la sortie des appareils de physiothérapie à ultrasons, reposant sur des méthodes d'essai de routine. La valeur thérapeutique et les modes d'utilisation des appareils de physiothérapie à ultrasons n'entrent pas dans le domaine d'application de la présente norme. Cette troisième édition annule et remplace la deuxième édition publiée en 2007, dont elle constitue une révision technique qui comprend les modifications techniques importantes suivantes par rapport à l'édition précédente:  - introduction d'une limitation de l'intensité moyenne de 0,2 W/cm2 au cours des mesures de l'hydrophone pour les projecteurs ultrasonores avec ka≤20, pour limiter la probabilité de cavitation;  - modification du facteur Fac, afin de déterminer la surface émettrice efficace entre 1,354 et 1,333;  - et modification des  unités SI dans les termes et définitions.

Ultrazvok - Fizioterapevtski sistemi - Specifikacije polja in merilne metode v frekvenčnem območju od 0,5 MHz do 5 MHz

Ta mednarodni standard se nanaša na ultrazvočno opremo, namenjeno fizioterapiji, ki vključuje ultrazvočni pretvornik, ki ustvarja neprekinjeno ali skoraj neprekinjeno ultrazvočno valovanja v frekvenčnem območju od 0,5 MHz do 5 MHz. Ta standard se nanaša samo na ultrazvočno fizioterapevtsko opremo, ki uporablja eno-ravninski ne-osrediščeni krožni pretvornik na glavo za obdelavo, ki proizvaja statične snope, pravokotne na ploskev glave za obdelavo. Ta standard določa:
• metode merjenja in karakterizacije izhoda ultrazvočne fizioterapevtske opreme na podlagi metod referenčnega testiranja;
• lastnosti, ki jih morajo specificirati proizvajalci ultrazvočne fizioterapevtske opreme na podlagi metod referenčnega testiranja;
• smernice za varnost ultrazvočnega polja, ki ga proizvaja oprema za ultrazvočno fizioterapijo;
• metode merjenja in karakterizacije izhoda ultrazvočne fizioterapevtske opreme na podlagi metod rutinskega testiranja;
• kriterije sprejemljivosti za vidike izhoda ultrazvočne fizioterapevtske opreme na podlagi metod rutinskega testiranja.
Ta standard ne zajema terapevtske vrednosti in metod uporabe opreme za ultrazvočno fizioterapijo.

General Information

Status
Withdrawn
Publication Date
19-May-2013
Withdrawal Date
23-Apr-2025
Technical Committee
I11 - Imaginarni 11
Current Stage
9900 - Withdrawal (Adopted Project)
Start Date
22-Apr-2025
Due Date
15-May-2025
Completion Date
24-Apr-2025

Relations

Effective Date
27-Sep-2011
Effective Date
26-Apr-2022
Effective Date
29-Dec-2020
Effective Date
06-May-2014
Standard

SIST EN 61689:2013

English language
64 pages
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Frequently Asked Questions

SIST EN 61689:2013 is a standard published by the Slovenian Institute for Standardization (SIST). Its full title is "Ultrasonics - Physiotherapy systems - Field specifications and methods of measurement in the frequency range 0,5 MHz to 5 MHz". This standard covers: IEC 61689:2013 is applicable to ultrasonic equipment designed for physiotherapy containing an ultrasonic transducer generating continuous or quasi-continuous wave ultrasound in the frequency range 0,5 MHz to 5 MHz. This standard only relates to ultrasonic physiotherapy equipment employing a single plane non-focusing circular transducer per treatment head, producing static beams perpendicular to the face of the treatment head. This standard specifies: - methods of measurement and characterization of the output of ultrasonic physiotherapy equipment based on reference testing methods; - characteristics to be specified by manufacturers of ultrasonic physiotherapy equipment based on reference testing methods; - guidelines for safety of the ultrasonic field generated by ultrasonic physiotherapy equipment; - methods of measurement and characterization of the output of ultrasonic physiotherapy equipment based on routine testing methods; - and acceptance criteria for aspects of the output of ultrasonic physiotherapy equipment based on routine testing methods. Therapeutic value and methods of use of ultrasonic physiotherapy equipment are not covered by the scope of this standard. This third edition cancels and replaces the second edition published in 2007. It constitutes a technical revision which includes the following significant technical changes with respect to the previous edition: - restriction introduced of 0,2 W/cm<sup>2</sup> effective intensity during hydrophone measurements for treatment heads with ka&le;20, to limit the likelihood of cavitation; - change in the factor <i>F</i><sub>ac</sub>, to determine the effective radiating area, from 1,354 to 1,333; - and change to SI units for terms and definitions.

IEC 61689:2013 is applicable to ultrasonic equipment designed for physiotherapy containing an ultrasonic transducer generating continuous or quasi-continuous wave ultrasound in the frequency range 0,5 MHz to 5 MHz. This standard only relates to ultrasonic physiotherapy equipment employing a single plane non-focusing circular transducer per treatment head, producing static beams perpendicular to the face of the treatment head. This standard specifies: - methods of measurement and characterization of the output of ultrasonic physiotherapy equipment based on reference testing methods; - characteristics to be specified by manufacturers of ultrasonic physiotherapy equipment based on reference testing methods; - guidelines for safety of the ultrasonic field generated by ultrasonic physiotherapy equipment; - methods of measurement and characterization of the output of ultrasonic physiotherapy equipment based on routine testing methods; - and acceptance criteria for aspects of the output of ultrasonic physiotherapy equipment based on routine testing methods. Therapeutic value and methods of use of ultrasonic physiotherapy equipment are not covered by the scope of this standard. This third edition cancels and replaces the second edition published in 2007. It constitutes a technical revision which includes the following significant technical changes with respect to the previous edition: - restriction introduced of 0,2 W/cm<sup>2</sup> effective intensity during hydrophone measurements for treatment heads with ka&le;20, to limit the likelihood of cavitation; - change in the factor <i>F</i><sub>ac</sub>, to determine the effective radiating area, from 1,354 to 1,333; - and change to SI units for terms and definitions.

SIST EN 61689:2013 is classified under the following ICS (International Classification for Standards) categories: 11.040.60 - Therapy equipment. The ICS classification helps identify the subject area and facilitates finding related standards.

SIST EN 61689:2013 has the following relationships with other standards: It is inter standard links to SIST EN 61689:2008, SIST EN IEC 61689:2022, SIST EN IEC 61689:2022, SIST EN 61689:2008. Understanding these relationships helps ensure you are using the most current and applicable version of the standard.

You can purchase SIST EN 61689:2013 directly from iTeh Standards. The document is available in PDF format and is delivered instantly after payment. Add the standard to your cart and complete the secure checkout process. iTeh Standards is an authorized distributor of SIST standards.

Standards Content (Sample)


SLOVENSKI STANDARD
01-julij-2013
1DGRPHãþD
SIST EN 61689:2008
8OWUD]YRN)L]LRWHUDSHYWVNLVLVWHPL6SHFLILNDFLMHSROMDLQPHULOQHPHWRGHY
IUHNYHQþQHPREPRþMXRG0+]GR0+]
Ultrasonics - Physiotherapy systems - Field specifications and methods of measurement
in the frequency range 0,5 MHz to 5 MHz
Ultraschall - Physiotherapiesysteme - Feldspezifikation und Messverfahren im
Frequenzbereich von 0,5 MHz bis 5 MHz
Ultrasons - Systèmes de physiothérapie - Spécifications de champ et méthodes de
mesure dans la gamme de fréquences de 0,5 MHz à 5 MHz
Ta slovenski standard je istoveten z: EN 61689:2013
ICS:
11.040.60 Terapevtska oprema Therapy equipment
2003-01.Slovenski inštitut za standardizacijo. Razmnoževanje celote ali delov tega standarda ni dovoljeno.

EUROPEAN STANDARD
EN 61689
NORME EUROPÉENNE
April 2013
EUROPÄISCHE NORM
ICS 11.040.60 Supersedes EN 61689:2007

English version
Ultrasonics -
Physiotherapy systems -
Field specifications and methods of measurement in the frequency range
0,5 MHz to 5 MHz
(IEC 61689:2013)
Ultrasons -  Ultraschall -
Systèmes de physiothérapie - Physiotherapiesysteme -
Spécifications des champs et méthodes Feldspezifikation und Messverfahren im
de mesure dans la gamme de fréquences Frequenzbereich von 0,5 MHz bis 5 MHz
de 0,5 MHz à 5 MHz (IEC 61689:2013)
(CEI 61689:2013)
This European Standard was approved by CENELEC on 2013-04-02. CENELEC members are bound to comply
with the CEN/CENELEC Internal Regulations which stipulate the conditions for giving this European Standard
the status of a national standard without any alteration.

Up-to-date lists and bibliographical references concerning such national standards may be obtained on
application to the CEN-CENELEC Management Centre or to any CENELEC member.

This European Standard exists in three official versions (English, French, German). A version in any other
language made by translation under the responsibility of a CENELEC member into its own language and notified
to the CEN-CENELEC Management Centre has the same status as the official versions.

CENELEC members are the national electrotechnical committees of Austria, Belgium, Bulgaria, Croatia, Cyprus,
the Czech Republic, Denmark, Estonia, Finland, Former Yugoslav Republic of Macedonia, France, Germany,
Greece, Hungary, Iceland, Ireland, Italy, Latvia, Lithuania, Luxembourg, Malta, the Netherlands, Norway, Poland,
Portugal, Romania, Slovakia, Slovenia, Spain, Sweden, Switzerland, Turkey and the United Kingdom.

CENELEC
European Committee for Electrotechnical Standardization
Comité Européen de Normalisation Electrotechnique
Europäisches Komitee für Elektrotechnische Normung

Management Centre: Avenue Marnix 17, B - 1000 Brussels

© 2013 CENELEC - All rights of exploitation in any form and by any means reserved worldwide for CENELEC members.
Ref. No. EN 61689:2013 E
Foreword
The text of document 87/522/FDIS, future edition 3 of IEC 61689, prepared by IEC TC 87 "Ultrasonics"
was submitted to the IEC-CENELEC parallel vote and approved by CENELEC as EN 61689:2013.
The following dates are fixed:
• latest date by which the document has (dop) 2014-01-02
to be implemented at national level by
publication of an identical national
standard or by endorsement
(dow) 2016-04-02
• latest date by which the national
standards conflicting with the

document have to be withdrawn
This document supersedes EN 61689:2007.
− restriction introduced of 0,2 W/cm effective intensity during hydrophone measurements for treatment
heads with ka ≤ 20, to limit the likelihood of cavitation;
− a change in the factor Fac, to determine the effective radiating area, from 1,354 to 1,333;
− change to SI units for terms and definitions;
− closer alignment and re-ordered, updated definitions in line with standards in EN 62127 series;
− minor arithmetical errors corrected in data analysis;
− inconsistencies and errors in symbol usage removed throughout;
− large number of editorial and formal corrections made;
− changes introduced to references in the bibliography.

This standard should be read in conjunction with EN 60601-2-5, which, as indicated in its preface, will
itself be revised in order to be compatible with this standard.

NOTE The following print types are used:
− Requirements: in Arial 10 point
− Notes: in Arial 8 point
− Words in bold in the text are defined in Clause 3
− Symbols and formulae: Times New Roman + Italic
− Compliance clauses : in Arial Italic

Attention is drawn to the possibility that some of the elements of this document may be the subject of
patent rights. CENELEC [and/or CEN] shall not be held responsible for identifying any or all such patent
rights.
Endorsement notice
The text of the International Standard IEC 61689:2013 was approved by CENELEC as a European
Standard without any modification.
In the official version, for Bibliography, the following notes have to be added for the standards indicated:
IEC 61828 NOTE  Harmonized as EN 61828.
IEC 62127-2 NOTE  Harmonized as EN 62127-2.
IEC 62127-3 NOTE  Harmonized as EN 62127-3.

- 3 - EN 61689:2013
Annex ZA
(normative)
Normative references to international publications
with their corresponding European publications

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  When an international publication has been modified by common modifications, indicated by (mod), the relevant EN/HD
applies.
Publication Year Title EN/HD Year

IEC 60601-1 - Medical electrical equipment - EN 60601-1 -
Part 1: General requirements for basic safety
and essential performance
IEC 60601-2-5 - Medical electrical equipment - EN 60601-2-5 -
Part 2-5: Particular requirements for the basic
safety and essential performance of ultrasonic
physiotherapy equipment
IEC 61161 2013 Ultrasonics - Power measurement - EN 61161 2013
Radiation force balances and performance
requirements
IEC 62127-1 2007 Ultrasonics - Hydrophones - EN 62127-1 2007
+ corr. August 2008 Part 1: Measurement and characterization of
+ A1 2013 medical ultrasonic fields up to 40 MHz + A1 2013

IEC 61689 ®
Edition 3.0 2013-02
INTERNATIONAL
STANDARD
NORME
INTERNATIONALE
Ultrasonics – Physiotherapy systems – Field specifications and methods of

measurement in the frequency range 0,5 MHz to 5 MHz

Ultrasons – Systèmes de physiothérapie – Spécifications des champs et

méthodes de mesure dans la gamme de fréquences de 0,5 MHz à 5 MHz

INTERNATIONAL
ELECTROTECHNICAL
COMMISSION
COMMISSION
ELECTROTECHNIQUE
PRICE CODE
INTERNATIONALE
CODE PRIX XB
ICS 11.040.60 ISBN 978-2-83220-657-7

– 2 – 61689 © IEC:2013
CONTENTS
FOREWORD . 4
INTRODUCTION . 6
1 Scope . 7
2 Normative references . 7
3 Terms and definitions . 8
4 List of symbols . 16
5 Ultrasonic field specifications . 18
6 Conditions of measurement and test equipment used . 19
6.1 General . 19
6.2 Test vessel . 19
6.3 Hydrophone . 20
6.4 rms or peak signal measurement . 20
7 Type testing reference procedures and measurements . 20
7.1 General . 20
7.2 Rated output power . 21
7.3 Hydrophone measurements . 21
7.4 Effective radiating area. 22
7.5 Reference type testing parameters . 23
7.6 Acceptance criteria for reference type testing . 24
8 Routine measurement procedure . 24
8.1 General . 24
8.2 Rated output power . 24
8.3 Effective radiating area. 25
8.4 Beam non-uniformity ratio . 25
8.5 Effective intensity . 25
8.6 Acceptance criteria for routine testing . 25
9 Sampling and uncertainty determination . 26
9.1 Reference type testing measurements . 26
9.2 Routine measurements . 26
9.3 Uncertainty determination . 26
Annex A (informative) Guidance for performance and safety . 27
Annex B (normative) Raster scan measurement and analysis procedures . 31
Annex C (normative) Diametrical or line scan measurement and analysis procedures . 33
Annex D (informative) Rationale concerning the beam cross-sectional area definition . 36
Annex E (informative) Factor used to convert the beam cross-sectional area (A ) at
BCS
the face of the treatment head to the effective radiating area (A ) . 41
ER
Annex F (informative) Determining acoustic power through radiation force
measurements . 43
Annex G (informative) Validity of low-power measurements of the beam cross-
sectional area (A ) . 45
BCS
Annex H (informative) Influence of hydrophone effective diameter . 46
Annex I (informative) Effective radiating area measurement using a radiation force
balance and absorbing apertures . 48

61689 © IEC:2013 – 3 –
Annex J (informative) Guidance on uncertainty determination . 58
Bibliography . 60

Figure A.1 – Normalized, time-averaged values of acoustic intensity (unbroken line)
and of one of its plane-wave approximations (broken line), existing on the axis of a
circular piston source of ka = 30, versus the normalized distance s , where s = λz/a . 30
n n
Figure A.2 – Histogram of R values for 37 treatment heads of various diameter and
BN
frequency . 30
Figure D.1 – Iso-pressure lines of a typical physiotherapy treatment head of small
geometrical area (ka = 17) . 38
Figure D.2 – Plot of beam cross-sectional area against different limit values for a
small range of values in distance along the beam alignment axis, z . 38
Figure D.3 – Normalized values of beam cross-sectional area for IEC and FDA limit
values for five transducers of different ka values . 39
Figure D.4 – Range of values of the beam cross-sectional area (A ) with distance
BCS
from the face of the treatment head . 40
Figure D.5 – Range of values of the normalized beam cross-sectional area (A ) with
BCS
transducer ka . 40
Figure E.1 – Conversion factor F as a function of the ka product for ka product
ac
between 40 and 160 . 42
Figure I.1 – Schematic representation of aperture measurement set-up . 49
Figure I.2 – Measured power as a function of aperture diameter for commercially-
available 1 MHz physiotherapy treatment heads . 53
Figure I.3 – Cumulative sum of annular power contributions, previously sorted in
descending order of intensity contribution, plotted against the cumulative sum of their
respective annular areas . 56

Table C.1 – Constitution of the transformed array [B] used for the analysis of half-line
scans . 34
Table F.1 – Necessary target size, expressed as the minimum target radius b, as a
function of the ultrasonic frequency, f, the effective radius of the treatment head, a ,
and the target distance, z, calculated according to A.5.3 of IEC 61161: 2013 (see [6]) . 44
Table G.1 – Variation of the beam cross-sectional area (A (z)) with the indicated
BCS
output power from two transducers . 45
Table H.1 – Comparison of measurements of the beam cross-sectional area (A (z))
BCS
made using hydrophones of geometrical active element radii 0,3 mm, 0,5 mm and
2,0 mm . 47
Table I.1 – Aperture measurement check sheet . 52
Table I.2 – Annular power contributions . 54
Table I.3 – Annular intensity contributions. 54
Table I.4 – Annular intensity contributions, sorted in descending order . 55
Table I.5 – Annular power contributions, sorted in descending order of intensity
contribution . 55
Table I.6 – Cumulative sum of annular power contributions, previously sorted in
descending order of intensity contribution, and the cumulative sum of their respective
annular areas . 56

– 4 – 61689 © IEC:2013
INTERNATIONAL ELECTROTECHNICAL COMMISSION
____________
ULTRASONICS –
PHYSIOTHERAPY SYSTEMS –
FIELD SPECIFICATIONS AND METHODS OF MEASUREMENT
IN THE FREQUENCY RANGE 0,5 MHz TO 5 MHz

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 61689 has been prepared by IEC technical committee 87:
Ultrasonics.
This third edition cancels and replaces the second edition published in 2007. It constitutes a
technical revision.
This edition includes the following significant technical changes with respect to the previous
edition:
effective intensity during hydrophone measurements
• restriction introduced of 0,2 W/cm
for treatment heads with ka ≤ 20, to limit the likelihood of cavitation;
• a change in the factor F , to determine the effective radiating area, from 1,354 to 1,333;
ac
• change to SI units for terms and definitions;
• closer alignment and re-ordered, updated definitions in line with standards in IEC 62127
series;
61689 © IEC:2013 – 5 –
• minor arithmetical errors corrected in data analysis;
• inconsistencies and errors in symbol usage removed throughout;
• large number of editorial and formal corrections made;
• changes introduced to references in the bibliography.
This standard should be read in conjunction with IEC 60601-2-5, which, as indicated in its
preface, will itself be revised in order to be compatible with this standard.
The text of this standard is based on the following documents:
FDIS Report on voting
87/522/FDIS 87/529/RVD
Full information on the voting for the approval of this standard can be found in the report on
voting indicated in the above table. This publication has been drafted in accordance with the
ISO/IEC Directives, Part 2.
NOTE The following print types are used:
• Requirements: in Arial 10 point
• Notes: in Arial 8 point
• Words in bold in the text are defined in Clause 3
• Symbols and formulae: Times New Roman + Italic
• Compliance clauses : in Arial Italic
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.
– 6 – 61689 © IEC:2013
INTRODUCTION
Ultrasound at low megahertz frequencies is widely used in medicine for the purposes of
physiotherapy. Such equipment consists of a generator of high frequency electrical energy
and usually a hand-held treatment head, often referred to as an applicator. The treatment
head contains a transducer, usually a disk of piezoelectric material, for converting the
electrical energy to ultrasound and is often designed for contact with the human body.

61689 © IEC:2013 – 7 –
ULTRASONICS –
PHYSIOTHERAPY SYSTEMS –
FIELD SPECIFICATIONS AND METHODS OF MEASUREMENT
IN THE FREQUENCY RANGE 0,5 MHz TO 5 MHz

1 Scope
This International Standard is applicable to ultrasonic equipment designed for physiotherapy
containing an ultrasonic transducer generating continuous or quasi-continuous wave
ultrasound in the frequency range 0,5 MHz to 5 MHz.
This standard only relates to ultrasonic physiotherapy equipment employing a single plane
non-focusing circular transducer per treatment head, producing static beams perpendicular
to the face of the treatment head.
This standard specifies:
• methods of measurement and characterization of the output of ultrasonic physiotherapy
equipment based on reference testing methods;
• characteristics to be specified by manufacturers of ultrasonic physiotherapy equipment
based on reference testing methods;
• guidelines for safety of the ultrasonic field generated by ultrasonic physiotherapy
equipment;
• methods of measurement and characterization of the output of ultrasonic physiotherapy
equipment based on routine testing methods;
• acceptance criteria for aspects of the output of ultrasonic physiotherapy equipment
based on routine testing methods.
Therapeutic value and methods of use of ultrasonic physiotherapy equipment are not
covered by the scope of this 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.
IEC 60601-1, Medical electrical equipment – Part 1: General requirements for basic safety
and essential performance
IEC 60601-2-5, Medical electrical equipment – Part 2-5: Particular requirements for the basic
safety and essential performance of ultrasonic physiotherapy equipment
IEC 61161: 2013, Ultrasonics – Power measurement – Radiation force balances and
performance requirements
IEC 62127-1: 2007, Ultrasonics – Hydrophones – Part 1: Measurement and characterization
of medical ultrasonic fields up to 40 MHz
Amendment 1: 2013
– 8 – 61689 © IEC:2013
3 Terms and definitions
For the purposes of this document, the following terms and definitions apply.
NOTE SI units (see ISO/IEC Directives – Part 2:2011, Annex I b) are used in the Notes to entry below certain
parameter definitions for defining certain parameters, such as beam areas and intensities. It may be convenient to
use decimal multiples or submultiples in practice but care should be taken in using decimal prefixes in combination
with units when using and calculating numerical data. For example, beam area may be specified in cm and
2 2
intensities in W/cm or mW/cm .
3.1
absolute maximum rated output power
sum of the rated output power, the 95 % confidence overall uncertainty in the rated output
power, and the maximum increase in the rated output power for a ± 10 % variation in the
rated value of the mains voltage
Note 1 to entry: The possibility of variation in the rated output power resulting from ± 10 % variation in the rated
value of the mains voltage should be checked by using a variable output transformer between the mains voltage
supply and the ultrasonic physiotherapy equipment. See Clause A.2 for further guidance.
Note 2 to entry: Absolute maximum rated output power is expressed in watt (W).
3.2
active area coefficient
Q
quotient of the active area gradient, m, and the beam cross-sectional area at 0,3 cm from
the face of the treatment head, A (0,3)
BCS
–1
Note 1 to entry: Active area coefficient is expressed in per metre (m ).
3.3
active area gradient
m
gradient of the line connecting the beam cross-sectional area at 0,3 cm from the face of the
treatment head, A (0,3), and the beam cross-sectional area at the position of the last
BCS
axial maximum acoustic pressure, A (z ), versus distance
BCS N
Note 1 to entry: Active area gradient is expressed in metre (m).
3.4
absolute maximum beam non-uniformity ratio
beam non-uniformity ratio plus the 95 % confidence overall uncertainty in the beam non-
uniformity ratio
3.5
absolute maximum effective intensity
value of the effective intensity corresponding to the absolute maximum rated output
power and the absolute minimum effective radiating area from the equipment
3.6
absolute minimum effective radiating area
effective radiating area minus the 95 % confidence overall uncertainty in the effective
radiating area
3.7
acoustic frequency
acoustic-working frequency
f
awf
frequency of an acoustic signal based on the observation of the output of a hydrophone
placed in an acoustic field at the position corresponding to the spatial-peak temporal-peak
acoustic pressure
61689 © IEC:2013 – 9 –
Note 1 to entry: The signal is analysed using either the zero-crossing acoustic-working frequency technique or
a spectrum analysis method. Acoustic-working frequencies are defined in 3.7.1 and 3.7.2.
Note 2 to entry: In a number of cases the present definition is not very helpful or convenient, especially for
broadband transducers. In that case a full description of the frequency spectrum should be given in order to
enable any frequency-dependent correction to the signal.
Note 3 to entry: Acoustic frequency is expressed in hertz (Hz).
[SOURCE: IEC 62127-1:2007 Amendment 1:2013, definition 3.3]
3.7.1
arithmetic-mean acoustic-working frequency
f
awf
arithmetic mean of the most widely separated frequencies f and f , within the range of three
1 2
times f , at which the magnitude of the acoustic pressure spectrum is 3 dB below the peak
magnitude
Note 1 to entry: This frequency is intended for pulse-wave systems only.
Note 2 to entry: It is assumed that f < f .
1 2
Note 3 to entry: If f is not found within the range < 3f , f is to be understood as the lowest frequency above this
2 1 2
range at which the spectrum magnitude is 3 dB below the peak magnitude.
[SOURCE: IEC 62127-1:2007 Amendment 1:2013 definition 3.3.2, modified – Note 3 to entry
has been added]
3.7.2
zero-crossing acoustic-working frequency
f
awf
number, n, of consecutive half-cycles (irrespective of polarity) divided by twice the time
between the commencement of the first half-cycle and the end of the n-th half-cycle
Note 1 to entry: None of the n consecutive half-cycles should show evidence of phase change.
Note 2 to entry: The measurement should be performed at terminals in the receiver, that are as close as possible
to the receiving transducer (hydrophone) and, in all cases, before rectification.
Note 3 to entry: This frequency is determined according to the procedure specified in IEC/TR 60854.
Note 4 to entry: This frequency is intended for continuous-wave systems only.
[SOURCE: IEC 62127-1:2007 Amendment 1:2013 to, definition 3.3.1,]
3.8
acoustic pulse waveform
temporal waveform of the instantaneous acoustic pressure at a specified position in an
acoustic field and displayed over a period sufficiently long to include all significant acoustic
information in a single pulse or tone-burst, or one or more cycles in a continuous wave
Note 1 to entry: Temporal waveform is a representation (e.g. oscilloscope presentation or equation) of the
instantaneous acoustic pressure.
[SOURCE: IEC 62127-1:2007 Amendment 1:2013, definition 3.1, modified – deletion of NOTE
2]
3.9
acoustic repetition period
arp
pulse repetition period equal to the time interval between corresponding points of
consecutive cycles for continuous wave systems
Note 1 to entry: Acoustic repetition period is expressed in second (s).

– 10 – 61689 © IEC:2013
[SOURCE: IEC 62127-1:2007 Amendment 1:2013, definition 3.2, modified – the definition
cited above is more specific for non-scanning systems]
3.10
amplitude modulated wave
wave in which the ratio p / √2p at any point in the far field on the beam alignment axis is
p rms
greater than 1,05, where p is the temporal-peak acoustic pressure and p is the rms
p rms
acoustic pressure
3.11
attachment head
accessory intended to be attached to the treatment head for the purpose of modifying the
ultrasonic beam characteristics
[SOURCE: IEC 60601-2-5:2009, definition 201-3-202]
3.12
beam alignment axis
straight line joining two points of spatial-peak temporal-peak acoustic pressure on two
plane surfaces parallel to the faces of the treatment head. One plane is at a distance of
approximately A /(πλ) where A is the nominal value of the effective radiating area of
ERN ERN
the treatment head and λ is the wavelength of the ultrasound corresponding to the nominal
value of the acoustic-working frequency. The second plane surface is at a distance of either
2A /(πλ) or A /(3πλ), whichever is the more appropriate. For the purposes of alignment,
ERN ERN
this line may be projected to the face of the treatment head
Note 1 to entry: If the nominal value of the effective radiating area is unknown, then another suitable area may
be used to define the beam alignment axis such as the area of the active element of the ultrasonic transducer.
Note 2 to entry: As the beam alignment axis is used purely for the purposes of alignment, the definitions of
specific distances may be relaxed slightly to reflect the constraints of the measurement system employed. For
example, some treatment heads will have A /(πλ) considerably greater than 12 cm, in which case a maximum
ERN
distance of 12 cm may be used to define the first plane. General guidelines for determining the beam alignment
axis are given in 7.3.
3.13
beam cross-sectional area
A
BCS
minimum area in a specified plane perpendicular to the beam alignment axis for which the
sum of the mean square acoustic pressure is 75 % of the total mean square acoustic
pressure
Note 1 to entry: Beam cross-sectional area is expressed in square metre (m ).
Note 2 to entry: The rationale supporting the definition is described in Annex D.
3.14
beam maximum intensity
product of the beam non-uniformity ratio and effective intensity
Note 1 to entry: Beam maximum intensity is expressed in watt per square metre (W/m ).
3.15
beam non-uniformity ratio
R
BN
ratio of the square of the maximum rms acoustic pressure to the spatial average of the
square of the rms acoustic pressure, where the spatial average is taken over the effective
radiating area. Beam non-uniformity ratio is given by:
p A
max ER
R = (1)
BN
pms A
t o
61689 © IEC:2013 – 11 –
where
p is the maximum r.m.s. acoustic pressure;
max
A is the effective radiating area;
ER
pms is the total mean square acoustic pressure;
t
A is the unit area for the raster scan.
o
3.16
beam type
descriptive classification for the ultrasonic beam in one of three types: collimated,
convergent or divergent
3.17
continuous wave
wave in which the ratio p /√2p , at any point in the far field on the beam alignment axis, is
p rms
less than or equal to 1,05, where p is the temporal-peak acoustic pressure and p is the
p rms
rms acoustic pressure
3.18
collimated
beam for which the active area coefficient, Q, obeys the following inequality:
-1 -1
– 0,05 cm ≤ Q ≤ 0,1 cm
3.19
convergent
beam for which the active area coefficient, Q, obeys the following inequality:
-1
Q < – 0,05 cm
3.20
divergent
beam for which the active area coefficient, Q, obeys the following inequality:
-1
Q > 0,1 cm
3.21
duty factor
ratio of the pulse duration to the pulse repetition period
3.22
effective intensity
I
e
intensity given by I = P/A where P is the output power and A is the effective radiating
e ER ER
area
Note 1 to entry: Effective intensity is expressed in watt per square metre (W/m ).
3.23
effective radiating area
A
ER
beam cross-sectional area determined at a distance of 0,3 cm from the front of the
treatment head, A (0,3), multiplied by a dimensionless factor, F , given by:
BCS ac
– 12 – 61689 © IEC:2013
(2)
F = 1,333
ac
Note 1 to entry: The conversion factor F is used here in order to derive the area close to the treatment head
ac
which contains 100 % of the total mean square acoustic pressure. The origin of the value of F is described in
ac
Annex E, in references [1] and [2] in Annex K.
Note 2 to entry: Effective radiating area is expressed in square metre (m ).
3.24
end-of-cable loaded sensitivity
end-of-cable loaded sensitivity of a hydrophone
end-of-cable loaded sensitivity of a hydrophone-assembly
M (f)
L
ratio of the instantaneous voltage at the end of any integral cable or output connector of a
hydrophone or hydrophone-assembly, when connected to a specified electric load
impedance, to the instantaneous acoustic pressure in the undisturbed free field of a plane
wave in the position of the reference centre of the hydrophone if the hydrophone were
removed
Note 1 to entry: End-of-cable loaded sensitivity is expressed in volt per pascal (V/Pa).
[SOURCE: IEC 62127-3:2007, definition 3.5]
3.25
far field
region of the field where z>z aligned along the beam axis for planar non-focusing
T
transducers
Note 1 to entry: In the far field, the sound pressure appears to be spherically divergent from a point on or near
the radiating surface. Hence the pressure produced by the sound source is approximately inversely proportional to
the distance from the source.
Note 2 to entry: The term "far field" is used in this standard only in connection with non-focusing source
transducers. For focusing transducers a different terminology for the various parts of the transmitted field applies
(see IEC 61828).
Note 3 to entry: For the purposes of this standard, the far field starts at a distance where z = A /(πλ) where
T ERN
A is the nominal value of the effective radiating area of the treatment head and λ is the wavelength of the
ERN
ultrasound corresponding to the acoustic working frequency. This differs from the NOTE in IEC 62127-1
Amendment 1:2013.
[SOURCE: IEC 62127-1:2007 Amendment 1:2013, definition 3.28, modified – The above
definition has replaced the Note 3 to entry]
3.26
hydrophone
transducer that produces electrical signals in response to waterborne acoustic signals
[SOURCE: IEC 60050-801:1994, definition 801-32-26]
3.27
instantaneous acoustic pressure
p(t)
pressure minus the ambient pressure at a particular instant in time and at a particular point in
an acoustic field
Note 1 to entry: Instantaneous acoustic pressure is expressed in pascal (Pa).
[SOURCE: IEC 60050-802:2011, definition 802-01-03, modified – only grammatical, plus
addition of the Note 1 to entry
—————————
Numbers in square brackets refer to the Bibliography.

61689 © IEC:2013 – 13 –
3.28
maximum rms acoustic pressure
p
max
maximum value of the rms acoustic pressure detected by a hydrophone over the entire
acoustic field
Note 1 to entry: Maximum rms acoustic pressure is expressed in pascal (Pa).
3.29
mean square acoustic pressure
mean square of the instantaneous acoustic pressure at a particular point in the acoustic
field. The mean is taken over an integral number of acoustic repetition periods
Note 1 to entry: In practice, the mean value is often derived from rms measurements.
Note 2 to entry: Mean square acoustic pressure is expressed in pascal squared (Pa ).
3.30
modulation waveform
temporal envelope waveform of the amplitude modulated wave at the point of peak rms
acoustic pressure on the beam alignment axis and displayed over a period sufficiently long
to include all significant acoustic information in the amplitude modulated wave
3.31
output power
P
time-average ultrasonic power emitted by a treatment head of ultrasonic physiotherapy
equipment into an approximately free field under specified conditions in a specified medium,
preferably in water
Note 1 to entry: Output power is expressed in watt (W).
[IEC 61161: 2013, definition 3.3, modified – treatment head of ultrasonic physiotherapy
equipment instead of ultrasonic transducer]
3.32
peak rms acoustic pressure
maximum value of the rms acoustic pressure over a specified region, line or plane in an
acoustic field
Note 1 to entry: Peak rms acoustic pressure is expressed in pascal (Pa).
3.33
pulse duration
time interval beginning at the first time the pressure amplitude exceeds a reference value and
ending at the last time the pressure amplitude returns to that value. The reference value is
equal to the sum of the minimum value of the pressure amplitude and 10 % of the difference
between the maximum and minimum value of the pressure amplitude
Note 1 to entry: This definition differs from that in IEC 62127-1 Amendment 1:2013, from which it is derived, to
account for incomplete modulation.
Note 2 to entry: Pulse duration is expressed in second (s).
3.34
pulse repetition period
prp
time interval between equivalent points on successive pulses or tone-bursts
Note 1 to entry: Pulse repetition period is expressed in second (s).

– 14 – 61689 © IEC:2013
[SOURCE: IEC 62127-1:2007 Amendment 1:2013, definition 3.51, modified – NOTE 1 from
IEC 62127-1 Amendment 1:2013 not copied]
3.35
pulse repetition rate
prr
reciprocal of the pulse repetition period
Note 1 to entry: The pulse repetition rate is equal to the repetition frequency of the modulated waveform.
Note 2 to entry: The pulse repetition rate is expressed in hertz (Hz).
[SOURCE: IEC 62127-1:2007 Amendment 1:2013, definition 3.52, modified – Note 1 to entry
differs to the original NOTE 1]
3.36
rated output power
maximum output power of the ultrasonic physiotherapy equipment at the rated value of
the mains voltage, with control settings configured to deliver maximum output power
Note 1 to entry: Rated output power is expressed in watt (W)
3.37
rms acoustic pressure
p
rms
root-mean-square (rms) of the instantaneous acoustic pressure at a particular point in an
acoustic field
Note 1 to entry: The mean should be taken over an integral number of acoustic repetition periods unless
otherwise specified.
Note 2 to entry: rms acoustic pressure is expressed in pascal (Pa).
[SOURCE: IEC 62127-1:2007 Amendment 1:2013, definition 3.53]
3.38
spatial-peak temporal-peak acoustic pressure
p
sptp
larger of the peak-compressional acoustic pressure or the peak-rarefactional acoustic
pressure
Note 1 to entry: Spatial-peak temporal-peak acoustic pressure is expressed in pascal (Pa).
[SOURCE: IEC 62127-1:2007 Amendment 1:2013, definition 3.63]
3.39
temporal-maximum output power
P
tm
in the case of an amplitude modulated wave, the temporal-maximum output power is
given by:
 p 
p
 
= P (3)
P
tm
 
2 p
rms
 
where
P is the actual output power under amplitude modulated wave conditions;
p is the temporal-peak acoustic pressure;
p
p is the true rms acoustic pressure.
rms
61689 © IEC:2013 – 15 –
Both p and p are measured under amplitude modulated wave conditions and at a
p rms
specified point on the beam alignment axis.
Note 1 to entry: Temporal-maximum output power is expressed in watt (W).
3.40
total mean square acoustic pressure
pms
t
sum of the mean square acoustic pressure values, each with a specified incremental area,
in a specified plane over specified limits of summation
Note 1 to entry: Total mean square acoustic pressure is expressed in pascal squared (Pa ).
3.41
temporal-maximum intensity
I
m
in the case of an amplitude modulated wave, the temporal-maximum intensity is given by:
P
tm
= (4)
I
m
A
ER
where
P is the temporal-maximum output power;
tm
A is the effective radiating area.
ER
Note 1 to entry: Temporal-maximum intensity is expressed in watt per square metre (W/m ).
3.42
temporal-peak acoustic pressure
p
tp
maximum value of the modulus of the instantaneous acoustic pressure at a particular point
in
...

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