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EE 507 Advanced Topics in  Biomedical Systems Electrical safety in Hospitals(P5) By SuhasDeshpande
Overview Energy Electrical Hazards Macroshock and Microshock Electrical Susceptible Patient Physiological effect of Electricity Leakage current Patient Isolator design Ground Fault Interupter Other Protective Ckts Medical device Classification Area classification Power distribution
Energy in hospitals Lighting and HVAC take up largest share of hospital energy bills The energy requirement s in hospitals are sensitive and 24-7 [3]
Electrical Hazards Ignition or Explosion of flammables Electric shocks due to ground breaking Breakdown of electrical equipment Patient safety [4]
Microshock and Macroshock Macroshock Hazards  When the point of contact is on/inside/near the heart Microshock Hazards When the point of contact is away from the heart [3]
Electrical Susceptible patients Insertion of a pacemaker catheter electrode from an externally worn pacemaker. Use of a fluid-filled catheter Insertion of an electrode into one of the cardiac chambers for intracardiac ECG measurement. [3]
Physiological effects of electricity ,[object Object]
Skin resistance
Let go Current
InjuryPhysiological effects of electricity Threshold or estimated mean values are given for each effect in a 70 kg human for a 1 to 3 s exposure to 60 Hz current applied via copper wires grasped by the hands.Medical Instrumentation:Application and design, Webster [3]
Leakage current Capacitive coupling exists between the chasis and power line [4]
Patient Isolator design Patient in ICU/CCU have been designed to be Electrically Isolated No conductive path is present between isolated and other sections of the instrument [5]
Ground Fault Interupter Normal conditions INeutral=Ihot If the difference becomes more than a fixed value (5mA) The fault interrupter goes off [3]
Protective ckts [3],[5]
Medical device classificaltion Equipment Function and Risk Risk based classification Class I Class II Class III [6]
Medical device classification Classification by Insulation ,[object Object]
Class 2
Class 3Classification by safety arrangements Type H Type B Type C [6]

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Power and Electrical Safety in Hospitals

  • 1. EE 507 Advanced Topics in Biomedical Systems Electrical safety in Hospitals(P5) By SuhasDeshpande
  • 2. Overview Energy Electrical Hazards Macroshock and Microshock Electrical Susceptible Patient Physiological effect of Electricity Leakage current Patient Isolator design Ground Fault Interupter Other Protective Ckts Medical device Classification Area classification Power distribution
  • 3. Energy in hospitals Lighting and HVAC take up largest share of hospital energy bills The energy requirement s in hospitals are sensitive and 24-7 [3]
  • 4. Electrical Hazards Ignition or Explosion of flammables Electric shocks due to ground breaking Breakdown of electrical equipment Patient safety [4]
  • 5. Microshock and Macroshock Macroshock Hazards When the point of contact is on/inside/near the heart Microshock Hazards When the point of contact is away from the heart [3]
  • 6. Electrical Susceptible patients Insertion of a pacemaker catheter electrode from an externally worn pacemaker. Use of a fluid-filled catheter Insertion of an electrode into one of the cardiac chambers for intracardiac ECG measurement. [3]
  • 7.
  • 10. InjuryPhysiological effects of electricity Threshold or estimated mean values are given for each effect in a 70 kg human for a 1 to 3 s exposure to 60 Hz current applied via copper wires grasped by the hands.Medical Instrumentation:Application and design, Webster [3]
  • 11. Leakage current Capacitive coupling exists between the chasis and power line [4]
  • 12. Patient Isolator design Patient in ICU/CCU have been designed to be Electrically Isolated No conductive path is present between isolated and other sections of the instrument [5]
  • 13. Ground Fault Interupter Normal conditions INeutral=Ihot If the difference becomes more than a fixed value (5mA) The fault interrupter goes off [3]
  • 15. Medical device classificaltion Equipment Function and Risk Risk based classification Class I Class II Class III [6]
  • 16.
  • 18. Class 3Classification by safety arrangements Type H Type B Type C [6]
  • 19. Medical device classification Based on contact with patient Class C Class S Class G [6]
  • 20. Area classification Cardiac Protected Area The equipment has direct contact with Heart Body Protected Area The equipment lowers the natural resistance of skin [2]
  • 21. Area Grouping in Hospitals Group 0: An allocation to this group implies that these rooms are of considerable importance to the course of medical processes. Group 1: includes all rooms and areas in which patients whose condition and type of medical treatment places substantial demands on the electrical installation are cared for. An unexpected interruption to the power supply does not expose the patient to immediate danger and a repetition of the examination is possible at any time. Group 2: In these rooms diagnoses and therapy are performed on the patient where the type of medical treatment may directly or indirectly be dangerous for the patient [1]
  • 23. References 1)  http://www.medical.siemens.com/siemens/en_INT/cs_healthcare_cons_FBAs/files/brochures/Innovative_Power_Distribution_for_Hospitals_May_2009.pdf 2) http://www.rch.org.au/bme_rch/safety.cfm?doc_id=4698 3) F. Weibell, "ELECTRICAL SAFETY IN THE HOSPITAL - 1974." Ann. Biomed. Eng., vol. 2, pp. 126-148, 1974. 4) J. A. Hopps, “Electrical hazards in hospitals”  Medical and Biological Engineering and Computin.,  vol. 9, pp. 549-556, 1971 5) G. FRIEDLANDER, "Electricity in hospitals. Elimination of lethal hazards," IEEE Spectrum, vol. 8, pp. 40-51, 1971. 6) M. R. Ortiz-Posadas, "Electrical safety priority index for medical equipment," Annual International Conference of the IEEE Engineering in Medicine and Biology - Proceedings, pp. 6614-6617, 2006.