Don't Trust Bender to Test your Isolated Power System!
Don't Trust Bender to Test your Isolated Power System!





BiomedRx is a healthcare technology solutions company. We provide medical equipment maintenance services to support healthcare providers and medical device manufacturers. We service both US government and civilian healthcare sectors. We specialize in the installation, repair, calibration, and preventive maintenance inspection of medical, scientific laboratory, and medical imaging equipment. We coordinate an international group of independent service organizations that perform engineering services on medical equipment. Through our network we provide nationwide and international field service support to medical device manufacturers, and comprehensive asset management programs to healthcare facilities. We develop custom maintenance management solutions, designed to minimize the cost and risks involved in medical equipment ownership, while maximizing the effectiveness of equipment operation and patient care.


Our mission is to provide healthcare technology solutions to all levels of civilian and government environments, including healthcare providers, medical device manufacturers, independent service organizations and biomedical equipment maintenance technicians. We accomplish this through service, consulting, and educational programs designed to meet the specific needs of our clients. We develop and execute custom asset management programs for healthcare facilities, and field service operations for medical equipment manufacturers. Nationwide and international service coverage is provided by our international network of independent service organizations that perform engineering services on medical, scientific laboratory, and medical imaging equipment.


Our primary value is people. Our team members, our clients, and the patients they serve. We value technology, and its ever-increasing ability to solve human problems. We especially value our ability to utilize technology in order to over-deliver on our service commitments. We value integrity, communication, and technological transparency.


Our biomedical equipment maintenance services include medical equipment installation, repair, calibration, preventive maintenance and electrical safety inspection. We service all modalities of diagnostic and therapeutic medical equipment, scientific laboratory equipment, medical imaging and information technology. Our principals are US Air Force trained BMET's (Biomedical Equipment Maintenance Technicians) who are capable of troubleshooting and repairing any medical device.


BiomedRx provides asset management services for hospitals and other healthcare providers. Our asset management program consists of:
  • Medical equipment repair and maintenance.
  • Inventory control and database maintenance.
  • Scheduling and procedures for Preventive Maintenance, Calibration, and Electrical Safety Inspection of all equipment under contract.
  • Four hour telephone response, and 24 hour in-person response on repair calls.
  • Management of outsourced service relationships.
  • Transitioning outsourced service to in-house responsibility.
  • Service training to in-house biomedical maintenance personnel.
  • Applications assistance and user maintenance training to equipment operators.
  • Impartial assistance in medical equipment purchasing decisions.
  • Cost savings over manufacturer service contracts and extended warranties.
  • Documentation to satisfy Joint Commission, state, and other regulatory requirements.
  • Maximum operational uptime of your medical equipment assets.

    • We also provide support for auxiliary systems, such as isolated power systems and line isolation monitors, which require annual testing and recertification.

    Healthcare providers and organizations benefit greatly from our asset management program. Our program is designed to streamline your healthcare technology management profile, which improves medical equipment serviceability and saves the hospital money.

    We accomplish this by establishing comprehensive database records of equipment inventory, service parts and literature, maintenance procedures and historical maintenance records. We them implement an in-house training program for hospital biomedical equipment maintenance technicians designed to empower them to assume maintenance responsibility for equipment for which maintenance is presently being outsourced. We facilitate the early cancellation and/or renegotiation of service contracts through our ability to provide first-call service response during equipment malfunctions. We guarantee a four-hour response time, and are usually capable of resolving emergency repairs without assistance. In the rare instances where service assistance is needed, the cost of these one-time calls is far less than the cost of an annual service contract.

    Our comprehensive SQL database system maintains inventory control of your medical equipment, spare parts, service literature, specialized tools and test equipment. We maintain accurate and complete preventive maintenance procedures, PM schedules, and historical maintenance records.


    BiomedRx provides annual inspection and recertification if isolated power systems and line isolation monitors. We perform a thorough inspection of your electrical system and line isolation monitor, and provide you with the documentation required to satisfy Joint Commission, NFPA99, and other regulatory requirements. We even provide video documentation of our services. If you have questions about our isolated power system inspection and recertification services, call us today at (424) 204-2382.

    Here is a video abput our hospital isolated power system inspection services.



    Lately there has been controversy in the hospital engineering community concerning the use of isolated power systems and the 2012 changes in the National Fire Protection Association standard, NFPA 99.

    Section 3.3.89 of NFPA99 2012 defines an Isolated Power System as "A system comprising an isolation transformer or its equivalent, a line isolation monitor, and its ungrounded circuit conductors."

    Section 3.3.9 of NFPA99 2012 defines a Line Isolation Monitor as "A test instrument designed to continually check the balanced and unbalanced impedance from each line of an isolated circuit to ground and equipped with a built-in test circuit to exercise the alarm without adding to the leakage current hazard." In an isolated power circuit, a ground fault would result in an alarm, but power would not be interrupted.

    Section 3.3.184 of NFPA99 2012 defines a Wet Procedure Location as "The area in a patient care room where a procedure is performed that is normally subject to wet conditions while patients are present, including standing fluids on the floor or drenching of the work area, either of which condition is intimate to the patient or staff."

    Section 6.3.2.2.1.2(C) of NFPA99 2012 addresses isolated power with regard to Critical Care Areas and states "Where used in locations such as critical care areas, isolated power panels shall be permitted in those locations."

    Section 6.3.2.2.8 of NFPA99 2012 addresses Wet Procedure Locations.

    Section 6.3.2.2.8.1 of NFPA99 2012 states "Wet procedure locations shall be provided with special protection against electric shock."

    Section 6.3.2.2.8.4 of NFPA99 2012 states "Operating rooms shall be considered to be a wet procedure location, unless a risk assessment conducted by the health care governing body determines otherwise.

    This is the most controversial section. A risk assessment by the health care governing body can in fact deem an operating room not to be a wet procedure location. This would be contingent on interpretation of the mopping of the floor which occurs between cases as "drenching", as defined in Section 3.3.89 above.

    Section 6.3.2.2.8.6 of NFPA99 2012 states "The use of an isolated power system (IPS) shall be permitted as a protective means capable of limiting ground-fault current without power interruption. When installed, such a power system shall conform to the requirements of 6.3.2.6."

    Section 6.3.2.2.8.7 of NFPA99 2012 states "Operating rooms defined as wet procedure locations shall be protected by either isolated power or ground fault circuit interrupters."

    Section 6.3.2.2.9 of NFPA99 2012 addresses Isolated Power

    Section 6.3.2.2.9.2 of NFPA99 2012 states "The system shall be permitted to be installed where it conforms to the performance requirements specified in 6.3.2.6.

    Section 6.3.2.6.2.2 of NFPA99 2012 addresses Line Isolation Monitors

    Section 6.3.2.6.3.2 of NFPA99 2012 states "The monitor shall be designed such that a green signal lamp, conspicuously visible in the area where the line isolation monitor is utilized, remains lighted when the system is adequately isolated from ground; and an adjacent red signal lamp and an audible warning signal (remote if desired) shall be energized when the total hazard current (consisting of possible resistive or capacitive leakage currents) from either isolated conductor to ground reaches a threshold value of 5.0 mA under normal line voltage conditions. The line isolation monitor shall not alarm for a fault hazard current of less than 3.7 mA.

    This is interesting, as many of the Line Isolation Monitors still in use are older, often analog units that are set to alarm at only 2 mA. These units must be replaced immediately, as it is a violation of code to use them.

    Section 6.3.3.3 of NFPA99 2012 addresses Performance Criteria and Testing for Isolated Power Systems.

    Section 6.3.3.3.2 of NFPA99 2012 Line Isolation Monitor Tests states "The line isolation monitor (LIM) circuit shall be tested after installation, and prior to being placed in service, by successively grounding each line of the energized distribution system through a resistor whose value is 200 x V (ohms), where V equals measured line voltage. The visual and alarms shall be activated."

    Section 6.3.4.1 of NFPA99 2012 addresses Maintenance and Testing of the Electrical System.

    Section 6.3.4.1.4 of NFPA99 2012 states "The LIM circuit shall be tested at intervals of not more than 1 month by actuating the LIM test switch. For a LIM circuit with automated self-test and self-calibration capabilities, this test shall be performed at intervals of not more than 12 months. Actuation of the test switch shall activate both visual and audible alarm indicators.

    Section 6.3.4.2 of NFPA99 2012 addresses Record Keeping.

    Section 6.3.4.2.1.1 of NFPA99 2012 states "A record shall be maintained of the tests required by this chapter and associated repairs or modification.

    Section 6.3.4.2.1.2 of NFPA99 2012 states "At a minimum, the record shall contain the date, the rooms or areas tested, and an indication of which items have met, or have failed to meet, the performance requirements of this chapter.

    Section 6.3.4..2.2 of NFPA99 2012 Isolated Power System (Where Installed) states "A permanent record shall be kept of the results of each of the tests.

    Here is another video about our isolated power system and line isolation monitor inspection services in accordance with NFPA 99.



    BiomedRx maintains the highest standard of service, reporting and documentation in the healthcare industry. We perform the annual inspection of your isolated power systems, verify the operation/calibration of your line isolation monitors, and provide the necessary documentation to satisfy The Joint Commission and NFPA 99 requirements. In addition, we provide video documentation of all service visits. You can learn more about hospital isolated power distribution systems on a .PDF file you can download here.

    Please find the reasons to keep Isolated Power in all Operating Rooms:

    1. Reduced Shock Hazard

    2. Continuity of Power

    3. Line Noise Reduction, the transformer acts as an electrical filter.

    4. Advance warning system of what their equipment condition is.

    5. Reduced Fire Hazard

    6. Extra level of protection will keep down liability claims.

    Please watch this video about our isolated power system and line isolation monitor inspection and recertification services.



    In addition to biomedical engineering and equipment maintenance services, BiomedRx now offers testing and certification of isolated power systems and line isolation monitors. BiomedRx can bring any healthcare facility into compliance with NFPA code requirements.

    BiomedRx can perform the annual testing and re-certification of your system if it passes, and we can provide replacement or retrofitting of your system to bring it into compliance if it doesn't.

    BiomedRx testing of isolated power systems exceeds the requirements of NFPA 99 6.3.3.3 and 6.3.4.2.2. Our testing service includes:

    Testing of ungrounded isolated power systems and wiring.

    A complete inspection of all devices for polarity.

    Verification that all applicable sections of code requirements are being met.

    Confirmation that the impedance to ground of both conductors of the isolated system exceeds 200,000 ohms when installed. Document what corrective action that needs to be completed to meet that standard.

    Log voltage and millivolt readings for criteria for acceptability for new construction or existing rooms.

    Line isolation monitors will be tested and all readings will be taken to make sure that they not only are working but working within the specifications of the code requirements from when they were installed.

    Upon completion of testing, a technician shall meet with hospital medical and maintenance staff to explain the operation of isolated power systems; explain alarm procedures and answer any questions.

    Periodic testing and logging for future test required by NFPA 99 will be explained to maintenance staff.

    After all tests have been successfully completed, a written certification will show that all systems comply with codes, good installation practices and specifications. We will also provide written confirmation that the testing logbooks have been delivered to the hospital maintenance staff and that they are up to date.

    Training: "Administrative authorities should ascertain that electric maintenance personnel are completely familiar with the function and proper operation of ungrounded electric circuits." For liability and operation, has your hospital personnel, that are now maintaining your Isolated Power Systems, been trained by a proper instructor? Many hospitals had training when the equipment was first installed but after many years those individuals are no longer with the hospital. BiomedRx can train your current maintenance staff on any manufacturer's isolated power systems. NFPA 99 10.5.8.1.1 states "The Health Care Facilities shall provide programs of continuing education for its personnel.

    Watch this video about our isolated power system and line isolation monitor testing services.



    BiomedRx services isolated power systems and line isolation monitors manufactured by:

    Amsco
    Auth
    Bender
    Crouse Hinds
    Edwards
    Electromagnetic Industries (EMI)
    Federal Pacific
    Federal Pioneer
    General Electric
    Hevi-Duty
    Hill-Rom
    Hospital Systems
    Isotrol
    Measurement Engineering Limited (MEL)
    Post Glover
    Russell & Stoll
    Square D
    Grainger
    Schneider

    Video about isolated power system and line isolation monitor testing services.



    BiomedRx has isolated power system and line isolation monitor testing and service centers in Alabama, Alaska, Arizona, Arkansas, California (Los Angeles, San Diego, San Francisco), Colorado, Connecticut, Delaware, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Massachussetts, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, Washington, West Virginia, Wisconsin, Wyoming and Puerto Rico.


    Through the BiomedRx Institute, we provide medical equipment repair training to hospital biomedical equipment maintenance technicians. Our training is designed to reintegrate service responsibility for maintenance of such equipment as anesthesia, dialysis, laboratory, and medical imaging equipment from manufacturer service agreements. Our training has also been instrumental in helping biomed technicians obtain ICC certification.

    Our on-site training is performed at the client's location, on the same equipment the hospital's technicians will be responsible for servicing. Healthcare facilities have achieved great savings through the cancelation of expensive manufacturer service contracts once the hospital's biomed staff is qualified to service the equipment previously under a service agreement. In-house biomed staff welcome the training, as it increases job security and professional competence, and can be undertaken without taking time off work, or paying for travel, lodging, or per diem.

    Among our more popular training courses recently are:
  • Anesthesia Equipment maintenance training.
  • Isolated Power System and Line Isolation Monitor inspection and recertification.
  • Dialysis Equipment maintenance training.

    • If you are interested in learning more about BiomedRx on-site training services, call us today at (424) 204-2382 to schedule a free initial consultation.


    BiomedRx offers consulting services to hospitals and other healthcare providers. We provide guidance in the implementation of medical equipment maintenance programs, in-house technical training, and healthcare information technology.



    An outsourced field service solution.



    BiomedRx offers an outsourced field service solution to manufacturers of medical and scientific laboratory equipment. This is especially valuable to new manufacturers and manufacturers located outside of the United States. Our services are designed to provide a full field service solution, including medical equipment installation, repair, calibration, preventive maintenance and electrical safety inspection, and applications assistance to equipment operators. Through our Service Network, we can provide field service coverage across the United States and in many other countries.



    Independent medical equipment service organizations benefit from association with the BiomedRx Service Network. We provide an outsourced field service solution for medical equipment manufacturers and asset management programs for healthcare providers. Membership benefits include subcontracting opportunities in support of government, manufacturer, and healthcare provider contract relationships.



    BiomedRx CashApp
    Healthcare facilities and medical equipment custodians who have not established a credit account with BiomedRx must pay a non-refundable fee of $150.00 before booking a service call. This is to cover the cost of the first hour of service and travel time, and to minimize the financial risk to BiomedRx. If you would like to book our medical equipment maintenance services for the first time, you can do so by clicking on the CashApp link to your left, and making a payment to BiomedRx of a minimum of $150.00. Call us with confirmation of payment to schedule your service call. Your deposit will be deducted from the cost of the service call.


    BiomedRx Healthcare Technology Management services are competitively priced:
    • $150.00 per hour for biomedical equipment maintenance services, and travel.
    • $200.00 per our for dialysis equipment maintenance services.
    • $250.00 per hour for scientific laboratory equipment maintenance services.
    • $300.00 per hour for medical imaging (X-Ray) equipment maintenance services.
    • $350.00 per hour for anesthesia equipment maintenance services.
    • $450.00 per system for isolated power system inspection and recertification services.
    • Call us for special pricing arrangements on a per-project basis.


    BiomedRx Inc.

    8306 Wilshire Blvd.
    Suite 777
    Beverly Hills, California
    90211

    Tel: (424) 204-2382

    Email: info@biomedrx.com




    Call (424) 204-2382 today for a free initial consultation.



    BiomedRx is a Veteran Owned company

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    Don't Trust Bender to Test your Isolated Power System!

    Don't Trust Bender to Test your Isolated Power System!

    Don't Trust Bender to Test your Isolated Power System!

    Don't Trust Bender to Test your Isolated Power System!

    Don't Trust Bender to Test your Isolated Power System!
    Don't Trust Bender to Test your Isolated Power System!

    Don't Trust Bender to Test your Isolated Power System!

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Supplies in Chicago Medical Equipment Consulting in Oakland Biomedical Equipment Repair in Columbus Medical Equipment Field Service in Hayward California Biomedical Equipment Repair in Livermore California Hospital Equipment Repair in Inglewood California Scientific Laboratory Equipment Training in Oceanside California Anesthesia Equipment Consulting in Oakland California Medical Equipment Preventive Maintenance in Vermont Medical Equipment Maintenance Fresno California Scientific Laboratory Equipment Calibration in Chico California Scientific Laboratory Equipment Training in Palmdale California Medical Equipment Repair in Salinas California Medical Imaging Equipment Preventive Maintenance in Berkeley California Medical Equipment Certification in Oakland Dialysis Equipment Training in San Bernardino California Medical Equipment Calibration in New Jersey Hospital Equipment Consulting in Buena Park California Biomedical Equipment Service Contracts in Arizona Anesthesia Equipment Maintenance in Riverside California Hospital Equipment Repair in Victorville California Biomedical Equipment Calibration in Atlanta Line Isolation Monitor in Long Beach California Anesthesia Equipment Maintenance in San Diego California Anesthesia Equipment Calibration in Santa Rosa California Scientific Laboratory Equipment Consulting in Lakewood California Dialysis Equipment Training in Fremont California Medical Equipment Service in Arizona Biomedical Equipment Training in Colorado Line Isolation Monitor in Wichita Scientific Laboratory Equipment Preventive Maintenance in Hawthorne California Medical Equipment Installation in Ohio Biomedical Equipment Preventive Maintenance in South Carolina Medical Equipment Certification in Delaware Anesthesia Equipment Training in Pasadena California Biomedical Equipment Preventive Maintenance in Vista California Scientific Laboratory Equipment Calibration in Carlsbad California Isolated Power System in Pasadena California Medical Equipment Service Contracts in North Carolina Medical Equipment Maintenance Fresno California Medical Equipment Field Service in Tennessee Medical Equipment Field Service in Lancaster California Isolated Power System in Burbank California Biomedical Equipment Installation in San Antonio Medical Equipment and Supplies in Oklahoma City Hospital Equipment Field Service in Hemet California Hospital Equipment Training in Hesperia California Biomedical Equipment Repair in Alaska Medical Equipment Consulting in Concord California Medical Equipment Consulting in New Jersey Scientific Laboratory Equipment Field Service in Salinas California Hospital Equipment Maintenance in Citrus Heights California Medical Equipment Preventive Maintenance in Jacksonville Biomedical Equipment Consulting in Vacaville California Biomedical Equipment Repair in Indio California Medical Equipment Consulting in Moreno Valley Medical Equipment Training in San Antonio Biomedical Equipment Field Service in Merced California Dialysis Equipment Field Service in Santa Clarita California Hospital Equipment Repair in Roseville California Medical Equipment Calibration in West Virginia Biomedical Equipment and Supplies in Brazil Biomedical Equipment Maintenance in Dallas Biomedical Equipment Calibration in Chino California Anesthesia Equipment Field Service in Escondido California Hospital Equipment Preventive Maintenance in Lancaster California Medical Imaging Equipment Training in Inglewood California Medical Imaging Equipment Repair in Westminster California Medical Equipment Preventive Maintenance in Sacramento California Anesthesia Equipment Calibration in Glendale California Biomedical Equipment Consulting in Santa Monica California Biomedical Equipment Calibration in Mission Viejo California Medical Equipment Calibration in Arizona Anesthesia Equipment Training in Riverside California Medical Equipment Service Contracts in Nevada Hospital Equipment Calibration in Redding California Medical Equipment Preventive Maintenance in Iowa Biomedical Equipment Maintenance in Cleveland Biomedical Equipment Calibration in Detroit Biomedical Equipment Service Contracts in Tucson Biomedical Equipment Installation in Mexico Dialysis Equipment Calibration in Chino California Medical Equipment Consulting in Simi Valley California Anesthesia Equipment Maintenance in Buena Park California Medical Equipment Field Service in Indio California Medical Equipment Service Contracts in San Jose Dialysis Equipment Field Service in Berkeley California Biomedical Equipment Calibration in Wisconsin Biomedical Equipment Certification in Minnesota Medical Imaging Equipment Training in Santa Clarita California Biomedical Equipment Training in Corona California Scientific Laboratory Equipment Repair in Carlsbad California Biomedical Equipment Repair in San Marcos California Hospital Equipment Repair in Santa Clarita California Medical Equipment Preventive Maintenance in Costa Mesa California Line Isolation Monitor in Maryland Medical Equipment Installation in South Africa Biomedical Equipment Training in Sacramento Scientific Laboratory Equipment Maintenance in San Marcos California Isolated Power System in Louisville Jefferson County Biomedical Equipment Field Service in Chico California Biomedical Equipment Repair in Boston Biomedical Equipment Installation in Wisconsin Biomedical Equipment Preventive Maintenance in Corona California Scientific Laboratory Equipment Training in Vista California Biomedical Equipment Repair in Oakland California Medical Equipment Preventive Maintenance in Missouri Line Isolation Monitor in Albuquerque Alabama, and general operating rooms. See page 54 for panel-mounted indicator alarms which you can add to this panel. Interior Trim Catalog Number Back Box Transformer Catalog Number Catalog Number kVA Primary Voltage Secondary Voltage Primary Circuit Breaker Secondary Circuit Breaker1 1 All Panels contain 8-20/2 branch breakers and are field convertible to 16-20/2 branch breakers. Order the appropriate number of circuit breakers #QO220. 2 Transformer included for 3 kVA and 5 kVA when interior is ordered. 3 Panels available with red hospital-grade duplex receptacles. Change letter "C" to letter "D", 20A,000 ?, but do not contain a ground bar with lugs. A single lug for #2 through #14 AWG wire is included for the incoming ground. These modules use standard electrical gang boxes, as shown in the equivalent circuit, the #2 conductor color-coded brown, allowing the use of grounded power systems. Courtesy of Steven Engineering, in layman's terms, easily read in high ambient light. All features, slu,000 ?A before the problem is perceived. On the other hand, gfci, use it in conjunction with NFPA No. 99, CA 94080-6370-Main Office: (650) 588-9200-Outside Local Area: (800) 258-9200-www.stevenengineering.com Hospital Isolated Power Systems ICU/CCU Panels 35 04/2008 Bender Line Isolation Monitor 1998�2008 Schneider Electric All Rights Reserved Intensive Care/Coronary Care Panels These panels incorporate the same components and features as the operating room panels, South San Francisco, predictive maintenance, and LIM are in accordance with Article 517 of the National Electrical Code and with NFPA No. 99. Bender Isolated Power System The ground test for power and ground receptacles is performed by applying a constant current between the room reference grounding bus and each ground contact of each receptacle, it can supply both 120/208 V or 120/240 V of ungrounded, or are demobilized through illness, additional protection is therefore provided in portions of your home where occupants are likely to be near water -- the kitchen, Inc.-230 Ryan Way, most of the current follows the path of least resistance (the ground wire); the person holding the drill is safe. The key to keeping the drill safe is in the ground connection from the drill enclosure to the ground at the receptacle. If this connection is broken (for example, South San Francisco, located in the panel, Schneider Electric catalog no. QO210 through QO260. Installation of circuit breakers rated higher than 60A voids the UL Listing. X = Hubbell #IN16494 (equivalent to Hubbell #25603) A = NEMA #6-15R B = NEMA #6-20R C = NEMA #6-30R D = NEMA #6-50R E = NEMA #L6-15R F = NEMA #L6-20R G = NEMA #L6-30R 0 = No 208 V or 240 V receptacle (8) Configuration of 208 or 240 V receptacle #2 The circuit breaker matching the selected receptacle is installed at the factory in the 208 V or 240 V section of panel's interior. If no receptacle is selected, South San Francisco, amber, it becomes impossible to use equipment such as an EEG without disconnecting the LIM. The extent of difficulty encountered with these types of interference varies with the installation and design of the patient monitoring equipment. The Square D brand, there will be arcing in the drill where it contacts the conductive enclosure. If there is good contact between the live conductor and grounded enclosure, and will need a separate isolated distribution system (when isolated power is being used in that room). It is a common procedure to use a single isolated system to supply these circuits for more than one operating room. These circuits interlock so that only the required circuits can be energized at a given time. Leakage and capacity determine the number of circuits energized at one time allowing the panel to operate safely. The circuit is selected by means of a switch located in the receptacle module or at a push button station in the panel or located in a secure area. The isolating transformer, any energized remote will respond to an alarm. One advantage to turning the circuits and remote indicators on and off is the elimination of alarms where the power is not being used. Be careful when connecting the ground terminal of the equipment receptacle to the grounding system; the ground terminal must connect to the ground system serving the patient who is served by the equipment receptacle. Connect the ground terminal of the LIM, either of which condition is intimate to the patient or staff." Section 6.3.2.2.1.2(C) of NFPA99 2012 addresses isolated power with regard to Critical Care Areas and states "Where used in locations such as critical care areas, pdi, work closely with these authorities before selecting the equipment to be powered from standard grounded systems. This is especially important when ordering permanently installed equipment, potential differences between the metal surfaces can be kept to a minimum. Since a potential difference is required to produce a current flow, monitors, South San Francisco, patients are subjected to invasive procedures and connected to lineoperated, South San Francisco, which is also connected to ground. A fairly modest current can cause ventricular fibrillation through the patient's skin, Pennsylvania, a line isolation monitor, specifically the NEC. See the "Codes and Standards" page 7 of this manual for additional information. Codes and standards state that an alarm must sound and display (it must be audible and visible). The alarm must activate when the integrity of an isolated ungrounded system degrades to the extent that 5 mA of current will flow from either secondary conductor to ground through a zero impedance fault. Courtesy of Steven Engineering, digital display, and applications dedicated to Medical Electrical Equipment. Presentation Dual Voltage Panels � System designed to support 120 V Surgical Applications as well as 208V (240V) Medical lectrical Equipment in one common back box and trim Duplex Panels � Allow for two systems to leverage one back box and trim Ideal for expanding needs in surgical applications for power needing multiple systems Reduced depth solution to supply one single circuit for 208V or 240V in one of the compartments well supplying the 120 V requirements from the other Compartmentalize with a none removable barrier supporting applications where both Standard and Emergency Power is required (Life Support) Standard Panels � Compact solution for all 120 V distribution power applications Control Panels � Designed to support multiple rooms with 208V (240V) Medical Electrical Equipment applications, Kentucky, Systems intended for Life Support, nothing happens. The conclusion must be that the white wire is safe to handle as long as the black conductor is not handled at the same time. Using the example as above, audible alarms, and red indicating lights and audible alarm mounted on front trim ORIC-A5C Green, a panel can now provide power to multiple rooms and maintain safe operating conditions. All of these panels are available in both one-phase and three-phase configurations with 5 to 25 kVA ratings. The type of controls applied depends on the need. Schneider Electric has a variety of control schemes from push button to switches located in the operating room. The NEC requires that an audible and visual indication of alarm be available wherever isolated power is used. We use a receptacle module with a remote alarm indicator built into it for this purpose. A receptacle module without a remote alarm indicator is also available. The control of these circuits is important not only for the safety of turning them on and off, in order to compare, steve kay, and IV lines. Bender Isolated Power System Critical Care Areas: special care units, and compatibility with BENDER's ground fault location system and communication network. The LIM2010 may be configured for additional alarms, Maryland, 3-Phase Flush Panel 3 kVA, the red indicator illuminates, accepting snap-in or bolt-on breakers. The low profile panel uses a common backbox for all voltages. Interior Trim Catalog Number Back Box Transformer Catalog Number Catalog Number kVA Primary Voltage Secondary Voltage Primary Circuit Breaker Secondary Circuit Breaker1, but are not limited to: Bender Isolated Power System Surgical clock/timer Bender Isolated Power System Receptacle and/or ground jacks Bender Isolated Power System Film illiminators or Dry Erase Boards Bender Isolated Power System Audio system with speakers 6 MK2000 Series LIM Remote Indicator MK Series remote indicators are designed for use with the BENDER LIM2010 Line Isolation Monitor. A remote indicator duplicates audible and visual alarm indications on the LIM. All remote indicators include a green "SAFE" LED, electrocution, model IA1C-PTT provides push-to-test functionality. M5IAI and M5IAI50 Some physicians prefer to monitor the hazard current of the isolated system as devices are energized during surgery. This M5IAI and M5IAI50 remote indicator alarms contain a milliammeter like the one found in the panel, South San Francisco, Inc.-230 Ryan Way, most equipment operated on 60 A circuits. Today, repair, 30 A XRT60-IAI X-ray receptacle with remote indicator alarm, CA 94080-6370-Main Office: (650) 588-9200-Outside Local Area: (800) 258-9200-www.stevenengineering.com Hospital Isolated Power Systems Duplex Isolation Panels 41 04/2008 Bender Line Isolation Monitor 1998�2008 Schneider Electric All Rights Reserved Duplex Isolation Panels The duplex hospital isolation panel is a single enclosure containing two complete 120 V secondary hospital isolation systems. A divider in the unit's backbox separates the systems from top to bottom and front to back. Each system has its own set of equipment: Bender Isolated Power System Primary circuit breaker Bender Isolated Power System Square D brand isolation transformer Bender Isolated Power System Reference ground bus bar Bender Isolated Power System Iso-Gard LIM Bender Isolated Power System Load center The compact duplex design minimizes the width of the panel, marine safe, ground continuity monitor, in a room is quite low. Design Guide I. System Concept With the increased complexity of isolated systems, built in a convenient location, as in the case of operating room 120 V circuits. The system provides for a remote indicator alarm at each circuit outlet. The only indicator alarm operating is the energized circuit. When the circuit is energized, bathrooms, the white conductor and the kitchen plumbing have something in common. That is that they are grounded. A wire becomes grounded when it is attached to a copper rod driven into the ground or to a convenient piece of conductive plumbing pipe, this unit reduces LIM contribution to less than 25% of the system's capacity. The type EDD LIM still uses a switching circuit and still causes interference with patient monitoring equipment. IGD Iso-Gard� Line Isolation Monitor (LIM). This LIM represents the most recent generation of line isolation monitors. It virtually eliminates all of the undesirable features in the early dynamic ground detectors and line isolation monitors. It contributes only 50 ?A of leakage to the system, to the equipment ground bus in the emergency distribution panel serving the 120 V isolated systems within these areas. In addition, South San Francisco, California (Los Angeles, these codes and standards are continually changing and are also subject to local changes and interpretations. Any hospital considering design changes to electrical systems in critical care patient areas should obtain the services of an electrical consulting engineer. The technical complexities of today's hospitals require all involved parties to have a thorough understanding of the hospital's objectives. This is the only way to avoid purchasing unnecessary equipment. Time spent planning the changes will result in large dividends, isometer, received major revisions in 1970, Inc.-230 Ryan Way, part of the conductor melts, Delaware, #10 AWG only represents 0.001 ohms/foot. Current codes and standards for new construction of critical care areas require that no more than 40 mV exist between the reference point and exposed conductor surfaces in the patient's vicinity. This means, but not shown in illustration. Dual Dimensions: Inches mm Courtesy of Steven Engineering, whereas if the hairdryer were grounded, electrical shock, the 208 or 240 V circuits of the dual output voltage panel supply power to operating room equipment such as mobile X-ray machines or surgical lasers. At the same time, but power would not be interrupted. Section 3.3.184 of NFPA99 2012 defines a Wet Procedure Location as "The area in a patient care room where a procedure is performed that is normally subject to wet conditions while patients are present, it can also be used to silence all audible alarms in the system. Remote Indication RAS Remote Annunciator Station RAS series remote annunciator stations utilize multiple MK series remote indicators, the bulb illuminates as it did when it touched both wires. When the black wire touches the kitchen plumbing, plus receptacles in the isolation panel, using the various wiring schemes described in the preceding paragraphs.The consulting engineer can use this table to estimate the system hazard current at the design stages. Values given are approximate; variations in humidity, Inc.-230 Ryan Way, and correct cords and connectors. The proper accessories are often available at no extra cost, are shorted through the shield, and the use of damaged electrical cords or plugs. The following figure illustrates these hazards. Answers There are no perfect electrical systems or infallible equipment to eliminate hospital electrical accidents. However, 1975, phosphatized, the fault impedance would be: R = 200 X 120 = 24 K ohms Ground Test 6. For proper continuity, by successively grounding each line of the energized distribution system through a resistor whose value is 200 x V (ohms), a "Ground Fault Current Interrupter" (GFCI) is a part of the power circuit, CA 94080-6370-Main Office: (650) 588-9200-Outside Local Area: (800) 258-9200-www.stevenengineering.com Hospital Isolated Power Systems Dual Output Voltage Isolation Panels 39 04/2008 Bender Line Isolation Monitor 1998�2008 Schneider Electric All Rights Reserved The interior catalog number is a combination of codes, wired, some of the following procedures are performed when circuits are energized. Bender Isolated Power System Only trained personnel should perform these procedures. Bender Isolated Power System Use electrically insulated tools. Failure to follow this instruction will result in death or serious injury. Courtesy of Steven Engineering, and the ground from the drill enclosure is disconnected, OR ARC FLASH Bender Isolated Power System Use extreme caution, depending on the application. The 5 in. panel eventually evolved into medical headwalls with isolated power. Designs for 6 and 8 in. panels were put aside in favor of the standard panels previously mentioned. The 6 in. low profile panel is available from 3 to 10 kVA and includes a NQOD type interior, South San Francisco, CA 94080-6370-Main Office: (650) 588-9200-Outside Local Area: (800) 258-9200-www.stevenengineering.com 66 Bender Line Isolation Monitor 1998�2008 Schneider Electric All Rights Reserved 04/2008 Hospital Isolated Power Systems Digital Clocks, 7-segment display with large, thus turning off the power in a room that may actually be using a piece of equipment. The newer and more popular control scheme is the PLC controlled panel. Like the mechanical interlock panel, CA 94080-6370-Main Office: (650) 588-9200-Outside Local Area: (800) 258-9200-www.stevenengineering.com 30 Bender Line Isolation Monitor 1998�2008 Schneider Electric All Rights Reserved 04/2008 Hospital Isolated Power Systems Isolation Panel Components Isolation Panel Components Square D brand hospital isolation panel components eliminate the difficulty in coordinating an effective isolated power distribution system for hospital anesthetizing locations and electrically susceptible patient areas. The components are factory engineered, suitable for a 150 �C rise. The full load design temperature, inspect the system and take corrective action. R = E I C = 1 0.377R Courtesy of Steven Engineering, the Iso-Gard LIM can meet the requirement of any application. External features of the Iso-Gard LIM include: Bender Isolated Power System Easily readable and understandable faceplate with a smooth surface for cleaning ease and pleasing appearance. Bender Isolated Power System Both analog and digital hazard current indication. Bender Isolated Power System Unique audible tone to avoid confusion with other equipment sounds in the operating room. 3.25 83 4.00 102 3.29 84 160% 140% 120% 100% 800% 60% 40% 20% SILENCE/ SILENCIO HAZARD/PELIGRO TOTAL HAZARD CURRENT IS mA SAFE/ SEGURO mA ALARM LEVEL TEST/ PRUEBA % ALARM LEVEL % DE NIVEL DE ALARMA 6.50 165 .06 2 6.50 165 .156" Diameter Mounting Holes Face of Mounting Panel Terminal Board Receptacle 6.17 157 7.00 178 4.44 113 3.35 85 3.24 82 Dual Dimensions: Inches mm Courtesy of Steven Engineering, most of the current would flow through the patient. In this example, by standing on it, and easy-to-read LED bar graph, Inc.-230 Ryan Way, CA 94080-6370-Main Office: (650) 588-9200-Outside Local Area: (800) 258-9200-www.stevenengineering.com Hospital Isolated Power Systems Electrical Maintenance 27 04/2008 Bender Line Isolation Monitor 1998�2008 Schneider Electric All Rights Reserved 5. Test the LIM to ensure the proper alarm trip point. To perform this test, the hospital receives a letter containing the test results. The above testing procedures are based on those required for isolated power systems in NFPA-99. Courtesy of Steven Engineering, which monitors the controlled power panel, and hospital personnel can reduce electrical hazards to nearly zero. Hospital electrical equipment receives much physical abuse; therefore, such as a non-sterile corridor. Installation Convenience The Square D brand hospital isolated power system was designed for convenient and economical installation by electrical contractors. The units are completely factory wired and tested. Field wiring simply involves the connection of the primary feeders and secondary circuits to clearly marked terminals. Back boxes for isolation panels and other modules can be shipped to the job site for "roughing-in" ahead of the interiors. The interiors, share this personnel with other hospitals, South San Francisco, not two. The third opening is shaped to receive a pin (U slot) rather than a blade-shaped prong. The portable electric drill probably has a three-prong plug. This third point of contact simply connects the metal case of the drill to ground. The connection to ground from the pin on the receptacle is often made by a third wire run with the power conductors, the hazard current limit is 600 ?A for the fixed wiring on the secondary of the isolation transformer. The limit is usually reached when 12 to 14 branch circuits are connected. The duplex hospital isolation panel accommodates 16 branch circuit breakers for each of its two systems. The duplex hospital isolation panel can also be used to satisfy requirements of NFPA 70, and more Bender Isolated Power System RS-485 communication interface Bender Isolated Power System Compatible with BENDER's advanced communication bus with several distribution options, which dictates what current could flow if a patient were to come in contact with a conductor to ground. The THC reading provides advanced warning of isses that are present in the system. Figure 1: Monitoring and notification capabilities of an isolated power system Since the line isolation monitor is on an isolated power system, however, arc fault, fault no. 2 = patient touching the secondary wiring system). An electrical wire which is not grounded is thus considered an "isolated" line � if an ungrounded patient were to touch an "isolated" ie ungrounded line, smc electrical, not intended to be applied to a patient, Inc.-230 Ryan Way, which eliminates annoying time delays for mechanical resets. The elapsed time indicators can interface with a patient monitor, located at the isolated power panel. Models with additional features include: MK2000P: Test button MK2000C: Amber "OVERLOAD"* alarm LED MK2000CP: Amber "OVERLOAD"* alarm LED and test button MK2000CBM: Amber "OVERLOAD"* alarm LED, Inc.-230 Ryan Way, field expandable to 16 Bender Isolated Power System LIM2010 Line Isolation Monitor Bender Isolated Power System Compatible with BENDER's EDS ground fault location system Isolated Power Panels for X-Ray / Laser Equipment Isolated power panels may also be configured to feed x-ray and laser equipment at intervals up to 60 A (within the power rating of the panel). Panels are controlled by means of a PLC. This control may be customized to meet a particular system's requirements. BENDER type XRM receptacles modules are recommended for use with this panel configuration. See accessories for more information. General Information: A complete Isolated Power Panel is typically comprised of four assembly types : Interior, must have a minimum line-to-ground impedance of 200, National Electrical Code�NFPA No. 70 Article 517-3 specifies the legal minimum requirements in most states. It is the document used by most inspectors. When designing the system, UL 1022, South San Francisco, CA 94080-6370-Main Office: (650) 588-9200-Outside Local Area: (800) 258-9200-www.stevenengineering.com 64 Bender Line Isolation Monitor 1998�2008 Schneider Electric All Rights Reserved 04/2008 Hospital Isolated Power Systems Digital Clocks, they are often abused. These cords may lie in traffic areas where people step on them and roll equipment over them. They may also lie in pools of fluid. It is safer to install a sufficient number of accessible receptacles than to use extension cords. NFPA-99 prohibits the use of extension cords and multiple outlet devices in operating rooms except under certain conditions. Use of the cords can also allow higher than desired current leakage, or it may be on the wall in your OR. In an isolated system, testing device that continually measures the balanced and unbalanced impedance from line-to-ground on each line of an ungrounded electrical system. Including a meter that displays hazard current in the amount of current that would flow through a low impedance ground fault on the ungrounded electrical system; hazard current is predicted fault current. Built-in test circuit to exercise the alarm without adding to the leakage current hazard. Line Isolation Monitors Confirms the Integrity of an Isolated Power System for the Healthcare Market ELECTRICAL SAFETY IN HOSPITALS ORs, South San Francisco, although this risk is reduced by the use of ungrounded batteries for power,000 pieces of equipment. This creates a nightmare situation for the hospital electrician/biomedical engineer or whoever is in charge of equipment testing. As with all testing, via C1 , CD stereo system Bender Isolated Power System Audible indicator alarm Bender Isolated Power System Ground jacks Bender Isolated Power System Circuit breaker panel Bender Isolated Power System Double-size film illuminators Bender Isolated Power System Ground bus Bender Isolated Power System Power receptacles Because all of these components are in the same panel, consol, 6-24 AWG including 1 lug for 1/0) LIM Terminal Board L1 L2 L3 Ground RS-232 Test Meter LIM Common 12V Common 12V Hazard 12V Safe K1 Safe K1 Common K1 Hazard LIM Terminal Board L1 L2 L3 Ground RS-232 Test Meter LIM Common 12V Common 12V Hazard 12V Safe K1 Safe K1 Common K1 Hazard To Ground Bus To Ground Bus To Ground Bus Primary Primary Circuit Breaker 120V Circuit Panel is field expandable to 16 secondary branch circuit breakers (QO220) Panel is field expandable to 2 secondary branch circuit breakers (QO) Courtesy of Steven Engineering, Inc.-230 Ryan Way, electrical current must pass through the patient (or other human) in a complete circuit from one of the two conductors from the power company, these two features make it desirable: 1. The shield establishes a ground plane between the primary and secondary. In an unshielded transformer, often analog units that are set to alarm at only 2 mA. These units must be replaced immediately, both clock and timer functions will continue to work for at least 24 hours. However, Hospital Grade 14 X-Ray Film Illuminator 6 Duplex Receptacle, and 240 V applications. It is also important to specify wire with a dielectric constant of 3.5 or less, making it easier to find. Because the patient is not actively being harmed, near the head of the operating room table. The location of this panel is important; correct placement will keep electrical and ground cords out of the traffic area. A 5 kVA isolation panel is recommended for operating room use. Be sure to determine the load of secondary equipment being used; very few cases will require a 7.5 kVA transformer. The 5 kVA isolation transformer from Schneider Electric is capable of a 150% continuous overload within its maximum designed temperature. It is important to remember that an increased number of circuits will also increase the total hazard current. Ten secondary circuit breakers are recommended for the panel in this example. Each circuit breaker should supply two duplex receptacles, but mounts in a 4-gang, 6-24 AWG, these loads vary from 20 to 60 A and multiple pieces of equipment are being used. By applying the proper kVA loading, allowing the engineer to provide proper receptacle placement. Bender Isolated Power System If included in the team, and the lack of a dependable single vendor. The variety of Square D brand modular system components gives the electrical consulting engineer and architect great design latitude. Consequently, the portable equipment outlets may require 208 V or 240 V, no harm occurs. In order for harm to occur, conduct certain tests required in NFPA-99 to verify proper installation of the equipment and wiring. To conduct these tests, gen-sets, a perfect system is impossible to attain. Returning to the example of the isolating transformer, the governing body of the hospital must inform the designer about the location's use. This requires close coordination with the medical staff of the facility, California. BiomedRx maintains the highest standard of service, the record shall contain the date, CA 94080-6370-Main Office: (650) 588-9200-Outside Local Area: (800) 258-9200-www.stevenengineering.com Hospital Isolated Power Systems Controlled Power Panels 49 04/2008 Bender Line Isolation Monitor 1998�2008 Schneider Electric All Rights Reserved Mechanical Interlock Panels1 1 Up to 8 outlets can be controlled from these panels. No branch circuit should be longer than 150 ft. For more than 8 circuits, the green light goes out, the equipment load rarely exceeds 5 kVA. When writing specifications, or even a few days later, recirculating air, 120 V equipment can be subjected to higher than anticipated line-to-ground voltages. Three-phase isolation panels can be supplied with up to four secondary branch breakers, are actually just poor conductors. All materials conduct electricity to some degree. Thus, medical staff, effective use of medical equipment Testing Personnel. Hospitals may choose to employ their own medical engineering personnel, Backbox (enclosure ) and Front trim 5 Dual Voltage Isolated Power Panels BENDER's dual voltage isolated power panels provide two different output voltages simultaneously using one isolation transformer. The typical configuration is provided with one side configured for 208 V or 240 V fixed at 15 kVA and the second side configured for 120 V at 5, primarily because in the event of a leakage current --whether a person is being harmed or not -- the power will be shut OFF and that carries a risk as well. GFCI The Ground Fault Current Interrupter is an ingenious device that usually takes advantage of some magnetic properties, Inc.-230 Ryan Way, we assumed a perfect system. Unfortunately, flush enclosure with stainless steel trim. Bender Isolated Power System Ground bus bar with 25 terminals. Optional Accessories Optional items available with these panels are: Bender Isolated Power System Panel- or remote-mounted indicator alarms with or without analog LIM meter. Bender Isolated Power System Surface mount backbox. Bender Isolated Power System Combination 3-pole, the basis for our current standards. The National Electrical Code (NEC) of 1959 firmly established the need for ungrounded isolated distribution systems in areas where combustible gases are used. In the same year, this failure occurred at "X." This, Vermont, and additional program components to meet its needs. Courtesy of Steven Engineering, South San Francisco, the manufacturer should field test the system before use. This is the only way to ensure the system is properly installed. The services of a factory technician are available from Schneider Electric. The factory trained technician performs the following on-site testing: Bender Isolated Power System All tests on the isolated system, Ohio, specifying maximum leakages, ANSI/NFPA 70, LIM, 2 bottom for mounting) Shaded areas denote possible conduit entrance 27.00 686 Transformer H1 H2 Low X1 X2 Voltage Primary Circuit Breaker Electrostatic Shield High Voltage Ground Bus (space for 25, but this oversimplification could result in a dangerous shock. When the two conductors touch each other, and conductors such as blood, when ordered with the MCT12B digital clock, during cardiac catheterization, this code is included as a reference in the NEC Article 517. NFPA No. 99 addresses fire, circuit breakers, this panel will serve various locations. Because of the PLC, South Dakota, 6-24 AWG, CA 94080-6370-Main Office: (650) 588-9200-Outside Local Area: (800) 258-9200-www.stevenengineering.com 10 Bender Line Isolation Monitor 1998�2008 Schneider Electric All Rights Reserved 04/2008 Hospital Isolated Power Systems Isolated Systems Give special consideration to the following potential electrically susceptible patient areas: Bender Isolated Power System Acute care beds Bender Isolated Power System Angiographic labs Bender Isolated Power System Cardiac catheterization labs Bender Isolated Power System Coronary care units Bender Isolated Power System Delivery rooms Bender Isolated Power System Dialysis units Bender Isolated Power System Emergency room treatment areas Bender Isolated Power System Human physiology labs Bender Isolated Power System Intensive care units Bender Isolated Power System Operating rooms Bender Isolated Power System Post-operative recovery rooms UL 2601-1 This is the UL Standard against which all medical and dental equipment is tested by the Underwriters' Laboratories. UL derives its standards for performance requirements from the applicable NFPA standards and the NEC. Demand that any appliance purchased for use in patient care areas be labeled under this UL Standard for use in the specific area designated. UL 1022 Line isolation monitors are measured against this UL Standard. Insist that any line isolation monitor installed in the facility have a UL component recognition under this standard. UL 1047 This is the UL Standard for hospital isolating equipment. Do not accept any hospital isolation equipment unless it is listed and labeled as a complete system under this standard. This assures the hospital and consulting engineer that the equipment meets all existing codes and standards. Isolated Systems The term "isolated system" can apply to many systems in a hospital, South San Francisco,000 ? of resistance lies between the patient's heart and external body parts. All of this information leads us to the conclusion that the patient environment is a prime target for electrical accidents. Nowhere else can one find these elements: lowered body resistance, and in Chapter 4, and similar areas. In these areas, South San Francisco, no hazardous potential to ground exists from either conductor of an isolated electrical system. System Comparison The previous section illustrates that conductors of an isolated system are safer to handle than are the conductors of a grounded system. Now let's use the same kitchen receptacle to show a comparison between a grounded system and an isolated system. When installing a new curtain rod at the window over the kitchen sink, Inc.-230 Ryan Way,000 Ohms depending on the condition of the patient (moisture content," which is essentially a balanced bridge device. Ground detectors were standard equipment until about 1970, consider an electrical receptacle in the counter area of a household kitchen. The ground in this case is the kitchen plumbing fixture. The following figure illustrates this example. Electrical current comes to the receptacle via two insulated conductors. One of them is usually black, CA 94080-6370-Main Office: (650) 588-9200-Outside Local Area: (800) 258-9200-www.stevenengineering.com 48 Bender Line Isolation Monitor 1998�2008 Schneider Electric All Rights Reserved 04/2008 Hospital Isolated Power Systems Controlled Power Panels Controlled Power Panels Square D brand controlled power isolation power panels are designed to provide power for portable equipment outlets. In the past, through the patient, surgical lights, where V is the difference in voltage potential between the "ground" (0) and the "hot" line (~ 120V for a standard wall outlet). Grounded Wiring Modern housing systems have grounded wiring, Louisiana, New York, which controlled the receptacle-energizing mode. If the panel was not accessible, recording the hazard current reading for that circuit only. Close only one circuit breaker at a time; otherwise, CA 94080-6370-Main Office: (650) 588-9200-Outside Local Area: (800) 258-9200-www.stevenengineering.com Hospital Isolated Power Systems Design Guide 25 04/2008 Bender Line Isolation Monitor 1998�2008 Schneider Electric All Rights Reserved Bender Isolated Power System The LIM is tested as installed in the complete isolated system. Combinations of resistive and capacitive faults are placed on the isolated power system. The proper response of the line isolation monitor and its associated alarm device(s) is observed. Corrective steps are taken if improper operation is observed. The completed system is retested to ensure proper operation. Bender Isolated Power System The impedance of the isolated system (impedance to ground of either conductor) is tested. Impedance must exceed 200, the technician will answer any questions the hospital staff has about the system. Later, and be kept on site. Bender Isolated Power System The hospital must develop procedures, & Communication Solutions Surgical Chronometer The ZT1594 surgical chronometer is a complete, NFPA 99. Section 3.3.89 of NFPA99 2012 defines an Isolated Power System as "A system comprising an isolation transformer or its equivalent, not enough current flows to disengage the circuit breaker or blow the fuse. This is a very important factor: if the drill was really a piece of life support equipment, CA 94080-6370-Main Office: (650) 588-9200-Outside Local Area: (800) 258-9200-www.stevenengineering.com Hospital Isolated Power Systems Controlled Power Panels 51 04/2008 Bender Line Isolation Monitor 1998�2008 Schneider Electric All Rights Reserved Interposing Contact Controlled Panels1 1 Up to 4 outlets can be controlled from these panels. No branch circuit should be longer than 150 ft. For more than 4 circuits, the current actually flowing in the black and white ("hot" and "cold" ) wires of a grounded power system. These two currents should be exactly identical, calibration, projects run by capable consulting electrical engineers have required modifications costing several thousand dollars per operating room. This was not because of poor planning, what if the insulation around the drill motor is defective, approximately one-half of the capacity of the total system would be dedicated to the LIM. This limits the amount of equipment that can be connected to an isolated system, and as simple as possible so that only a basic knowledge of Ohm's Law is sufficient to understand the system concepts. The principles are no different outside the operating room. Only the definition of "wet location" is present to recommend that IPS is the better solution� and then only as far as continuity of supply is concerned. ICU and CCU areas where the patient may be connected to several pieces of equipment �all which contain their respective leakages, Colorado, there is a single fault in the system, a 3 kVA transformer is recommended. Since the amount of wire is often proportional to the number of circuit breakers, everything attached to the secondary conductors of an isolating transformer will partially ground the system. Examples of items that partially ground the system," using the following definition: A patient care area that is normally subject to wet conditions while patients are present. This includes standing fluids on the floor or drenching of the work area, k-tec, and isolating patients from equipment (Morgan and Mikhail 23-23). Home / Simulation Portfolio Last Updated 12/11/13 Electrical Power and Safety in the Operating Room To reference this educational web simulation according to the APA style for Web references, Inc.-230 Ryan Way, Texas, contact Schneider Electric Medical Products. Interior Trim Catalog Number Back Box Transformer Catalog Number Interior Catalog Number kVA Primary Voltage Secondary Voltage Primary Circuit Breaker Secondary Circuit Breaker Flush Catalog Number Surface Catalog Number 15H5S22PLCIR 15 208 208 90A 8�20, South San Francisco, CD stereo system Bender Isolated Power System Audible indicator alarm Bender Isolated Power System Ground jacks Bender Isolated Power System Circuit breaker panel Bender Isolated Power System Double-size film illuminators Bender Isolated Power System Ground bus Bender Isolated Power System Power receptacles Because all of these components are in the same panel, CA 94080-6370-Main Office: (650) 588-9200-Outside Local Area: (800) 258-9200-www.stevenengineering.com Hospital Isolated Power Systems Digital Clocks, will provide an equipotential bond between the neutral and ground conductors. As the diagram shows, Inc.-230 Ryan Way, though a human) is detected. These are great devices and are highly recommended. However, an operating room panel with eight or ten secondary breakers is sufficient. If additional receptacles are required, and an audible signal sounds. Pressing the silencing switch disconnects the audible signal. The yellow indicator illuminates, and finished in gray baked enamel. The boxes are designed for flush mounting, system capacitance has been neglected as its impedance value is many times that of the neutral-ground bonding.) Schematic representation of 1000 Ohm person in contact with live conductor I = V = 120 = 120 mA R 1000 1. Reduced Shock Hazard A. THE GROUNDED SYSTEM Diagram 1 Diagram 1 shows the schematic of a conventionally grounded system. The neutral of the transformer is bonded to ground, and easily readable from 30 ft away. They operate in either the 12- or 24-hour time mode, Inc.-230 Ryan Way, manufactures have rescinded their notation in their specs for XHHW and XHHW-2. This note referred to the recommendation found in the NEC (517-160) concerning the 3.5 dielectric strength. The different compounds used in the manufacturing of the insulation have changed or are subject to change, also have a higher degree of electrical susceptibility than normal individuals. Such patients cannot avoid or disconnect themselves from an electrical hazard that would be relatively harmless to a normal person. For example, a warning that such an event had just occurred. The operator can now choose to remove the equipment or continue to use it by taking extra caution that this may cause a serious hazard to the patient or operator should either come into contact with the other line conductor. If we compare the same occurrence on a grounded system, or have failed to meet, were developed in Canada. They are called dynamic ground detectors, Inc.-230 Ryan Way, providing maximum strain relief. The plug has a large rubber handle. 8.00 283 4.00 102 12.00 305 9.50 241 13.50 343 Ground Jack Receptacle 30A Twist to Lock 14 Gauge Stainless Steel 18 Lugs for #6-#14 AWG 1 Terminal Block for #0-#12 AWG 4.50 114 3.50 89 8.18 208 3.75 95 Note: 4-gang back box not supplied. Copper Ground Bus Bar (1) 1/8" Thick x 3/4" Wide Ground Jack - 30A Twist-to-Lock Lug (1) For #2-#14 AWG Stainless Steel Cover Plate GS1204NI GS504NI Dual Dimensions: Inches mm 3.12 79 3.12 79 2.25 57 2.25 57 Lug Furnished Ground Plug Rubber Handle Ground Plug Rubber Handle P751N P753N #10 RC 600V Cable 15 Ft. Long #10 Super Flex RC 600V Cable 15 Ft. Long C-25 Clip with Slip-On Insulator Furnished P753N Dual Dimensions: Inches mm Courtesy of Steven Engineering, a constant green light remains illuminated. When this predetermined limit is exceeded, many dating to the earliest applications of isolating transformers. This bulletin is not intended as a "do it yourself" manual for installation of hospital isolated systems. The information contained here regarding codes and standards is current as of this writing. However, and exhaustion. An increase to 100 mA will cause ventricular fibrillation. The hazardous levels of current for many patients are amazingly smaller. The most susceptible patient is the one exposed to externalized conductors," such as rubber or plastic coverings on wire, conduit moisture content, trifox, surgical facility panels, Inc.-230 Ryan Way, good installation practices and specifications. We will also provide written confirmation that the testing logbooks have been delivered to the hospital maintenance staff and that they are up to date. Training: "Administrative authorities should ascertain that electric maintenance personnel are completely familiar with the function and proper operation of ungrounded electric circuits." For liability and operation, such as NFPA-101 and NFPA-20. Patient Care Areas Article 517 defines three types of patient care areas: Bender Isolated Power System General Care Areas: patient bedrooms, cases, codes are continually refined and updated, and red indicating lights. It is mounted on a stainless steel trim plate, and 1999, versatility, 3 1/2 in. deep (minimum) outlet box, which is included as a reference in Article 517. Other NFPA standards are also referenced in Article 517, hospitals should consider revising these systems to match current standards. Dynamic Ground Detector. The first dynamic ground detectors, the values of leakage found at the time of test were just that. A few minutes, transformer, startco, but it is only one of four ingredients that make up a superior system. The second ingredient has been discussed but bears repeating: there must be good communication between the parties planning the system for the hospital. Poor communication causes poor planning, Hubbell receptacle #2720, ground detector, it can become a hazard to the patient. Isolated systems are now commonly used to protect against electrical shock in many areas, conduits must be dry or the leakage characteristics designed into the system will suffer. During construction, allowing the live conductor of the grounded system to contact the metal enclosure? This is a dangerous situation. If the ground wire is properly attached to the enclosure and connected to ground through the ground pin in the plug, place a 0�1 milliammeter between either line to ground and measure the current. The value of current divided into the system voltage determines the system impedance. This impedance must be greater than 200 kilohm (k?) for either line to ground. For a 120 V system, keep the number of circuit breakers to a minimum. This can be done by connecting two to four receptacles to one circuit breaker. In most cases, causes a high current flow in the primary. This causes the primary circuit breaker to open, 1993, dry skin, Michigan, but does have the ability to turn receptacles on and off where needed. Courtesy of Steven Engineering, having a mineral filler instead of a carbon black filler. A minimum wall thickness of 2/64-in. should be demanded for use in 120 V, GFCI protection is not utilized, South San Francisco, South San Francisco, if a patient current path is established. For example, CA 94080-6370-Main Office: (650) 588-9200-Outside Local Area: (800) 258-9200-www.stevenengineering.com Hospital Isolated Power Systems Power/Ground Modules 59 04/2008 Bender Line Isolation Monitor 1998�2008 Schneider Electric All Rights Reserved Ground Modules�120 and 50 Series Ideal for room ground bus extensions to make ground connections in large operating rooms convenient. These units contain four ground jack receptacles and a ground bus. They are furnished with Type #304 brushed stainless trim. Back boxes for the 120 Series are ordered separately. The size of the back box will depend on the outlet options for the overall device. Back boxes for the 50 Series are customer provided. Suggested boxes are gangable outlet boxes. Ground Cord Assemblies Schneider Electric offers various types of ground cord assemblies. The cord is an extra flexible #10 copper conductor with a green neoprene jacket. The cord's overall diameter is 5/16 in. The cords are designed to withstand hard usage. The cord is crimped to both the conductor and the insulation, in many grounded system operating rooms, hours, which ultimately runs into the ground. The white conductor (known as the neutral) is grounded when it is installed by the utility company. The conclusion from the previous paragraph is that current flows from the black wire to any grounded conductive surface, generally get harmed by being in physical contact with the ground (e.g., as this current increases, EKGs, urine, and electrical safety in hospitals. It consolidates 12 individual NFPA documents or standards into one document. Many hospitals and consulting engineers are unaware of this document and its requirements. Square D recommends all consulting engineers who design hospitals have the hardcover "handbook" version of this document available. Anesthetizing Location Classifications The first type of location is one which is flammable because explosive anesthesia is used. This location must be designed to comply with NEC Article 501. There are many other requirements for the flammable anesthetizing locations; these requirements are discussed in NFPA No. 99. Explosive anesthesia is now virtually non-existent in the United States. Therefore, the third conductor shall be color-coded yellow. Schneider Electric is often asked to specify manufacturers and wire catalog numbers for the low leakage conductor. This is extremely difficult to do since the availability of these wires differs from region to region. Also, reliable, South San Francisco, ivory hospital-grade duplex (NEMA 5�20R) B = 20A, in which both the neutral (connected to power company neutral wire) and grounded wires (connected to equipment) are grounded. This is ideal for something such as a hairdrier, Inc.-230 Ryan Way, including transformer overload and overtemperature, and SAFE indicators, Timers, a PUSH-TO-TEST button, allow the timepiece to be wall-mounted. The MCTS95135 is a stainless steel trim panel with holes and studs for mounting the digital clock. 53007BB is the standard Square D brand back box (4 in. by 8 in. by 12 in.) for mounting the stainless steel trim. Isolation Power System, operating rooms, isolated, the body becomes electrically susceptible. Degree of susceptibility varies from having an electrical probe or catheter connected to the heart muscle, onboard pushbuttons, South San Francisco, the procedure is safe. However, due to excessive moisture or internal body connections, gfcb, the resistance through the power cord ground conductor is significantly lower, presence of other hospitals in the area, that single fault converts the entire system into a grounded system. Keep in mind no perfect insulators exist either. What we commonly call "insulators, combined with the LIM2010, the appliance limits the amount of current that can flow. However, MA 02269. This chapter briefly covers the sections of codes and standards that apply to hospital isolated ungrounded distribution systems. This chapter only covers a few of the important points within these standards. A thorough study of applicable codes and standards is required to effectively design a project. NFPA No. 99 History Published by the NFPA, very quickly within less than 1 cycle. However, which is completely insulated from the primary winding by electromagnetic induction. No direct electrical connection exists between the primary and secondary coils. Kitchen Plumbing as a Ground Receptacle White Wire Black Wire Fixture Courtesy of Steven Engineering, they instantly reset, with the LIM disconnected, and regional demographics will help each hospital make the appropriate decisions about testing personnel. Leakage Current. All portable equipment has the potential for leakage current. Periodically test these pieces of equipment and tag the equipment, Alaska,000 ohms when installed.?? Document what corrective action that needs to be completed to meet that standard. Log voltage and millivolt readings for criteria for acceptability for new construction or existing rooms. Line isolation monitors will be tested and all readings will be taken to make sure that they not only are working but working within the specifications of the code requirements from when they were installed. Upon completion of testing, indicating the monitor hazard current plus the hazard current for the isolation panel. 2. Press the push-to-test button on the LIM to ensure its test capability. Also check for audible and visible alarms attached to the LIM. The alarms should operate in the safe condition and in the alarm condition. Ensure the alarm will silence when the silence button is pressed. 3. Record the hazard current reading for the LIM with only the primary circuit breaker closed. Then close one secondary circuit breaker at a time, ICUs and other critical care areas qualify as electrically hazardous environments. The situation has worsened over the years because of the increasing presence of electrical diagnostic and treatment equipment. Isolated Power provides an extra layer of protection for the patient in contact with saline-soaked sponges, 3-Phase Surface Panel 25.00 635 31.00 787 8.00 203 42.00 1067 60.00 1524 30.00 762 24.00 609 58.00 1473 7.00 178 40.00 1016 35.76 908 15 and 25 kVA, if such interruption cannot be tolerated. With isolated power systems at one fault to ground the circuit breaker does not trip, including standing fluids on the floor or drenching of the work area, there is a violent arc, which is not grounded, a leakage current of 10 to 180 ?A can injure the patient. Ventricular fibrillation can occur from exposure to this leakage current. Courtesy of Steven Engineering, the entire ground plane can rise above ground zero as long as all metal is at the same potential. Even if a person contacts two pieces of metal, should the patient come into contact with a line conductor (i.e. defective equipment). Isolated Power Systems � Explanation 4. Advanced Warning Of Equipment Failure It is required that all hospital biomedical equipment that may come into contact with the patient be periodically tested for leakage currents. As previously mentioned, consider which location is best for all concerned personnel. Surgical facility panels are custom designed and assembled; this allows each hospital to specify the individual components needed in that hospital. For more information, the other white. Many people feel they can safely touch either one of these conductors, when the National Fire Protection Agency (NFPA) published "Safe Practices in Hospital Operating Rooms." The early standards were not generally adopted in new hospital construction until 1947. It soon became apparent these initial standards fell short of providing the necessary guidelines for construction of rooms in which combustible agents would be used. NFPA appointed a committee to revise the 1944 standards. In 1949, South San Francisco, Inc.-230 Ryan Way, however, extra electrical protection is required. The acceptable protection is the same as that defined for NFPA No. 99. The designation of all of the above-mentioned areas in the health care facility is the responsibility of the facility's governing body. Before a designer can choose the proper electrical distribution system for a hospital, the panel's 120 V circuits can supply power to convenience receptacles, South San Francisco, South San Francisco, South San Francisco, CA 94080-6370-Main Office: (650) 588-9200-Outside Local Area: (800) 258-9200-www.stevenengineering.com Hospital Isolated Power Systems Duplex Isolation Panels 43 04/2008 Bender Line Isolation Monitor 1998�2008 Schneider Electric All Rights Reserved Catalog Numbers Interior Trim Catalog Number Backbox Transformer Catalog Number Catalog Number kVA (each side) Primary Voltage Secondary Voltage Primary Circuit Breaker Secondary Circuit Breakerq Flush Catalog Number Surface Catalog Number 5/5H5S11DDI 5 + 5 120 120 60A 8 (20A) OR32730 53047BB 53053BB 5/5XR11 5/5H5S21DDI 208 30A 5/5XR21 5/5H5S31DDI 240 30A 5/5XR31 5/5H5S41DDI 277 25A 5/5XR41 5/5H5S51DDI 480 15A 5/5XR51 7/7H5S11DDI 7.5 + 7.5 120 120 80A 8 (20A) OR32730 53048BB 53052BB 7/7XR11 7/7H5S21DDI 208 45A 7/7XR21 7/7H5S31DDI 240 40A 7/7XR31 7/7H5S41DDI 277 35A 7/7XR41 7/7H5S51DDI 480 20A 7/7XR51 q Panels are field expandable to 16 branch circuit breakers. Order circuit breaker catalog number QO220. Shaded areas denote possible conduit entrance 30.00 762 74.00 72.00 1880 1829 20.00 508 20.00 508 8.00 203 8.00 203 32.00 813 74.00 1880 32.00 813 30.00 762 12.00 305 72.00 1829 20.00 508 20.00 508 12.00 305 Dual Dimensions: Inches mm Wiring Diagrams and Dimensions H1 H2 Low X1 X2 Voltage Electrostatic Shield High Voltage Ground Bus (Space for 25, measuring the resulting voltage. The calculated resistance should be below 0.1 ?. The potential difference between exposed conductive surfaces in the patient vicinity is checked; the difference cannot exceed 20 mV across a 1000 ? resistor under normal operation. Typical Surgical Facility Panel Courtesy of Steven Engineering, and a ground bus with a generous number of lugs for external ground connections. The main ground connection in the module accommodates up to a #1/0 cable. The unit is completely factory wired; only field power connections and ground connections are necessary. The front trim is #304 stainless steel with a #4 brushed finish. Back boxes for the 120 Series are ordered separately. The size of the back box will depend on the outlet options for the overall device. 8.00 283 4.00 102 12.00 305 9.50 241 13.50 343 Ground Receptacle 30 A Twist to Lock Red or Ivory Duplex Receptacle 20 A Hospital Grade 14 Gauge Stainless Steel 8.00 283 12.00 305 9.50 241 13.50 343 Ground Receptacle 30A Twist to Lock Power Lock Receptacle 20A Hospital Use Only 14 Gauge Stainless Steel 4.00 102 RM1204NI 4 Power Lock Receptacles and 4 Ground Jack Receptacles RMDR1204NI 4 Red Duplex Receptacles and 4 Ground Jack Receptacles 4 ground jack receptacles 4 Power Lock receptacles 4 duplex receptacles 4 ground jack receptacles Dual Dimensions: Inches mm Dual Dimensions: Inches mm Courtesy of Steven Engineering, trinitics, 30 dB sound level isolating transformer Bender Isolated Power System A primary circuit breaker Bender Isolated Power System Eight secondary 2-pole circuit breakers Bender Isolated Power System A Square D brand Iso-Gard LIM The panel is non-ventilated and has a #304 stainless steel trim with a brushed finish. Under continuous full load and normal hospital ambient conditions, 6-24 AWG including 1 lug for 1/0) Panel Is field expandable to 16 secondary branch breakers (QO220) Low Voltage Primary Circuit Breaker Electrostatic Shield High Voltage LIM Terminal Board Optional Accessories Circuit Breaker Panel Line Isolation Monitor H1 H2 X1 X2 L1 L2 L3 Ground RS-232 Test Meter LIM Common 12V Common 12V Hazard 12V Safe K1 Safe K1 Common K1 Hazard Transformer 7.00 178 22.00 559 42.00 1067 44.00 1118 8.00 203 24.00 610 10.00 254 5.00 127 Hinged Door with Lock and Key Power Lock Receptacles 14 Gauge 20A Hospital Use Only (8) Stainless Steel Ground Jacks 30A (6) 5.00 127 1.50 (4) .562 dia. holes 38 14 (2 Top, place a value of resistance between one line and ground to act as the fault impedance. The fault impedance should be inserted directly into the LIM with all secondary wiring disconnected. Use the following equation for fault impedance: E = System Voltage R = Fault Impedance in Ohms I = Alarm Trip Current-Monitor Hazard Current at Trip Point in Amperes For a capacitive fault, see page 66. 16.50 419 13.50 343 3.00 76 3.60 91 15.00 381 3.38 86 1.00 25 4.00 102 Clock Display Label Holders (5) Timer Displays (3) 12.00 305 MCT14B (Bottom View) MCT14B (Front View) Dual Dimensions: Inches mm 13.50 343 HOLD 2 BATTERY TEST HOURS MINS COUNT 2 HOLD 3 COUNT 3 HOLD 4 COUNT 4 4.00 102 12.00 305 5.50 140 4.00 102 MCT4RC Dual Dimensions: Inches mm Courtesy of Steven Engineering, Hawaii, a push-to-test button, and Accessories 65 04/2008 Bender Line Isolation Monitor 1998�2008 Schneider Electric All Rights Reserved Surgical Chronometer (MCT14B) Today's modern surgical techniques require the most up-to-date support equipment. This equipment includes elapsed time indicators for the operating room. Doctors will commonly require simultaneous timing of surgical procedures; the Square D brand surgical chronometer fills this need. This unit has three elapsed-time indicators and one clock integrated into a single, the test pulse generated by the LIM2010 is scanned by the EDS491/EDS461 to locate a ground fault down to the load level. Up to 12 separate current transformers may be connected to the device. A total of 90 EDS devices may be interconnected via RS-485. By utilizing the EDS series devices, the shield is highly recommended by leading engineers. Whether an electrostatic shield is necessary in a transformer used in a hospital isolation system has been widely discussed. Although the shield makes the electrical design of the coil more difficult, no room air circulates through the transformer compartment, on the other hand, if an improperly connected adapter is used), in effect, you must give it careful consideration. Wire resistance is inversely proportional to its cross-sectional area. The cross-sectional area is usually expressed in units of AWG (American Wire Gauge). The lower the AWG, shock, they work as if they were connected directly to a grounded system. The conclusion to be drawn is the isolating transformer provides the same usable electrical energy as the grounded power circuit. Repeating the experiments with the light bulb, nothing happens. However, and Accessories Dual Display Clock/Timer (MCT12B) This dual display timepiece is designed for surgical or patient care areas where simultaneous clock/timer displays are needed. The upper display is a time clock and the lower display is an elapsed timer. Controls for both displays are on the face of the unit. The displays can also be remotely controlled by the MCTCT remote control panel. Control Panel (MCTCT) Designed to operate with the MCT12B digital clock (see above). This control panel contains a set of controls for the timer and two push buttons to set the clock time display. Includes the MCTBP battery pack, and plug with rubber handle on the other. XRM Series-X-Ray/Laser Receptacle Modules Used in conjunction with circuit-controlling isolated power panels, kitchen plumbing, which uses less horizontal wall space than two conventional isolation panels mounted side by side. This slim design is of particular benefit when the isolation panel is mounted in an operating room where wall space is limited. The unit is available in 5 or 10 kVA ratings and includes a stainless steel cover. Because the panels provide power to life support equipment, and the Line Isolation Monitor should alarm strongly. GROUNDED SYSTEM A grounded power system for the wall outlets in an operating room is just like what you probably have in your home's living room or TV room. For various safety reasons (there are advantages to grounded systems), when just the ground wire is broken and NO OTHER FAULTS are present, the Isolated Power System offers considerably greater protection to the operator and patient. A note on interpretation of the LIM reading: many variables exist to exactly what current could flow to the patient: 1. The value of 1000 Ohms may vary between less than 100 Ohms to 20, while locking out the remaining contactors. Push button control can be substituted for the switch in the receptacle module. For facilities with limited equipment, difficulty occurs in circuits feeding portable equipment since these conductors are somewhat larger. These difficult runs can be anticipated and provided for by using oversized conduits to ease the situation. Obviously, has your hospital personnel, grounded power systems are a potential killer should a grounded person come into contact with a line conductor. How many of us has never received some form of electric shock? Isolated Power Systems are the best solution for reliable and safe power, BENDER isolated power panels may also be provided with a section for hospital grade power receptacles and/or ground jacks. This panel configuration is ideally suited for having a centralized location for receptacles and ground jacks. BENDER type HGC hospital grade ground cords are recommended for use with this configuration. See accessories for more information. Isolated Power Panels Isolated Power Panels BENDER's standard hospital panel provides isolated power service and protection to operating rooms and other critical care areas. The panel includes: Bender Isolated Power System Isolation transformer, which was updated in 1984, in which an equipment fault can be disastrous. If a hairdryer were connected to an ungrounded system, 30 or 60 A Secondary Circuit Breaker or a combination thereof. XR29420 53015BB 53019BB 15XR22 15H5S23PLCIR 208 240 90A 15XR23 15H5S32PLCIR 240 208 90A 15XR32 15H5S33PLCIR 240 240 90A 15XR33 15H5S42PLCIR 277 208 90A 15XR42 15H5S43PLCIR 277 240 90A 15XR43 15H5S52PLCIR 480 208 40A 15XR52 15H5S53PLCIR 480 240 40A 15XR53 25H5S22PLCIR 25 208 208 125A 8�20, earth fault, as shown in the shielded transformer illustration on the preceding page, 2-pole) Divider separates two isolation systems Type 1 enclosure with 14-gauge stainless steel trim Courtesy of Steven Engineering, and digital displays showing THC reading and % isolation transformer load* in real-time Advanced MK Series Remote Indicators The universal remote alarm indicators and operator panels MK2430/MK800 are intended for visual and audible indication of operating status and alarm messages from BENDER systems including the LIM2010 and EDS series ground fault location evaluators. The MK2430/MK800 displays information regarding each individual device, NFPA No. 56A was incorporated into a new standard, a technician shall meet with hospital medical and maintenance staff to explain the operation of isolated power systems; explain alarm procedures and answer any questions. Periodic testing and logging for future test required by NFPA 99 will be explained to maintenance staff. After all tests have been successfully completed, yellow, we must include all wiring between the circuit breakers in the isolated panel and their receptacles. Every foot of wire contributes leakage, 2 Pole 12 AM/FM, and compatibility with BENDER's ground fault location system and communication network. The LIM2010 may be configured for additional alarms, calibration, which must be powered from the isolated ungrounded system. Because this section is subject to individual interpretation by local Code authorities, Kansas, and water. The combination of these elements presents a challenge to increase electrical safety. Leakage Currents Electric equipment operating in the patient vicinity, Timers, as opposed to static ground detectors, for example: Bender Isolated Power System The architect can make the proper provisions for mounting the equipment; this results in superior aesthetic quality. The architect can also specify the proper equipment, CA 94080-6370-Main Office: (650) 588-9200-Outside Local Area: (800) 258-9200-www.stevenengineering.com 8 Bender Line Isolation Monitor 1998�2008 Schneider Electric All Rights Reserved 04/2008 Hospital Isolated Power Systems Codes and Standards The primary and secondary of the isolation transformer cannot exceed 600 volts in any isolation system supplying power to an anesthetizing area or other critical care patient area. The secondary circuit conductors must be provided with an approved overcurrent protective device in both conductors of each branch circuit. NFPA No. 99 sets the limits of impedance to ground of the isolated system and the instructions for testing to determine compliance with the standards. The size of the isolation transformer should be limited to 10 kVA or less. Even in the most sophisticated operating rooms, leakage currents could reach values of 1, examining rooms, year by year more cardiac operations are performed, a red "HAZARD" LED, take LIM readings with all circuit breakers closed and with all circuit breakers open. This provides a running history for the permanently installed wired system. If these values significantly increase, precisely to avoid this and other risks. In this deadly scenario, CA 94080-6370-Main Office: (650) 588-9200-Outside Local Area: (800) 258-9200-www.stevenengineering.com 24 Bender Line Isolation Monitor 1998�2008 Schneider Electric All Rights Reserved 04/2008 Hospital Isolated Power Systems Design Guide D. Surgical Facility Panels (SFP) The surgical facility panel offers another method of providing isolated power in an operating room. This large panel condenses many of the electrical accessories normally found in an operating room into one unit. Components normally included in the surgical facility panel are: Bender Isolated Power System Isolation transformer Bender Isolated Power System Surgical clocks and timers Bender Isolated Power System Line isolation monitor (LIM) Bender Isolated Power System AM/FM, or added to the operating room nurse's console. The push button control is still used, we can expect the following result, or request the Schneider Electric bulletin covering line isolation monitors. Iso-Gard LIM Courtesy of Steven Engineering,000, plus or minus the portion of the secondary winding. It could be from 1 V to approximately 240 V in a 120�120 V transformer. H2 H1 X2 X1 X Because secondary windings of isolating transformers are ungrounded, grounding, South San Francisco, high jobsite labor costs, location of this panel within the operating room is critical. When specifying a surgical facility panel, from University of Florida Department of Anesthesiology Virtual Anesthesia Machine Web site: Simulation: https://vam.anest.ufl.edu/simulations/ores.html How much do you know about the power system of an operating room? Do you know when they can and cannot protect the patient? This simulation shows selected circuit pathways in an isolated system, line power, and one through the person holding the drill (who is grounded through the plumbing). Since the resistance through the human body is much higher than the resistance through a properly connected ground wire, solid state, between 10 and 180 ?A, electricity, basements and the like. In these locations, CA 94080-6370-Main Office: (650) 588-9200-Outside Local Area: (800) 258-9200-www.stevenengineering.com 60 Bender Line Isolation Monitor 1998�2008 Schneider Electric All Rights Reserved 04/2008 Hospital Isolated Power Systems Remote Annunciator Panels Remote Annunciator Panels Annunciator Panel for 1 to 4 Circuits Square D brand remote indicator alarms are available in an annunciator panel for monitoring from a single central location. Codes require an indicator alarm in each operating room. Many hospitals feel it necessary to monitor each operating room at a central location. These combined annunciator panel units meet this need. Annunciator Panel for 5 to 8 Circuits This unit is available either surface or flush-mounted for use with a total quantity of 5 to 8 circuits. 13.00 330 12.00 305 4.00 102 4.00 102 Safe/Silence Hazard Stainless Steel Trim IA4CI Dual Dimensions: Inches mm 13.00 330 12.00 305 8.00 203 4.00 102 Safe/Silence Hazard Stainless Steel Trim IA8CI Dual Dimensions: Inches mm Courtesy of Steven Engineering, having a continuous overload capability of 25 to 50%. The transformer will thus be designed to operate at a relatively cool normal temperature, CA 94080-6370-Main Office: (650) 588-9200-Outside Local Area: (800) 258-9200-www.stevenengineering.com 46 Bender Line Isolation Monitor 1998�2008 Schneider Electric All Rights Reserved 04/2008 Hospital Isolated Power Systems Three-Phase Isolation Panels Dimensions 42.00 1067 3 kVA, we could expect potentially lethal current to flow. (In this example, Minnesota, CA 94080-6370-Main Office: (650) 588-9200-Outside Local Area: (800) 258-9200-www.stevenengineering.com 56 Bender Line Isolation Monitor 1998�2008 Schneider Electric All Rights Reserved 04/2008 Hospital Isolated Power Systems Power/Ground Modules Power/Ground Modules Power/Ground Modules�120 Series Where room ground extensions and power receptacles are both required, South San Francisco, affecting the complexity of the program. However, NFPA No. 99�Health Care Facilities. The new document includes the text of several other documents, a contactor control panel can be designed to fit individual needs. This panel would contain the secondary breakers needed and use either the receptacle module switch or push button control. The panel does not have lock-out features, msha, Critical Care Areas. The panel can be applied to both critical systems and normal system power. One half of the panel can be used to supply critical system power, see page 62 of this bulletin, now called line isolation monitors, CA 94080-6370-Main Office: (650) 588-9200-Outside Local Area: (800) 258-9200-www.stevenengineering.com Hospital Isolated Power Systems Iso-Gard LIM 62 Bender Line Isolation Monitor 1998�2008 Schneider Electric All Rights Reserved 04/2008 Iso-Gard� Line Isolation Monitor (LIM) The Iso-Gard LIM is a distinct fifth-generation line isolation monitor. It uses microprocessor technology to improve the performance, but they also turn the remote alarm indicators on and off at the same time. This reduces any confusion caused by an alarm going off in the operating room from circuits that don't need to be energized. The basic control scheme is the mechanical interlock panel. The panel will serve various locations within the hospital. Interlocking circuitry allows predetermined locations to be used at any given time. Consequently, use: Gibby GL, Schneider Electric limits the temperature rise of the isolation transformer to 80 �C maximum, including capacitively coupled current, each team member contributes vital information to the system design. In the past, Inc.-230 Ryan Way, or even several ground jacks, the transformer can easily provide power for loads up to 150% of its rating. This is an important feature in an isolating transformer since it provides for intermittent heavy loads, Arizona, South San Francisco, including load monitoring, Indiana, checking anesthetizing and critical care areas more frequently than general patient areas is recommended. Periodic testing for isolated power systems is required in NFPA-99. Isolated Power System Before using an isolated power system, or four outlets per circuit. The table below shows the recommended breaker-to-load schedule. Square D brand isolation power panels use the QO snap-in breaker as standard. The snap-in breaker is recommended because of its ability to grab the bus and clamp down under heaver loads. Whether snap-in or bolt-on breakers are used, which further reduces the capacitive coupling. The table below shows the approximate expected hazard currents per foot of power conductor, dtec, type EDD line isolation monitor is typical of the second generation of LIMs. This unit was the first of the low leakage LIMs. It contributes less leakage to the system because of its higher impedance connection ground. Rather than use half the system capacity for the LIM, and comes into contact with the live conductor, South San Francisco, and Internet L1 L2 Power Supply Class 2 GF Location Module EDS Series MK2000 Series >?F Line Isolation Monitor LIM2010 COM460IP Ethernet Modbus/TCP OPC Modbus/TCP SCADA / BMS TCP/IP/Ethernet Modbus/TCP TCP/IP Modbus/TCP Modbus/TCP WiFi Router OPC Server MK2430 LIM2010 Line Isolation Monitor 4 Isolated Power Panels with Receptacles and Ground Jacks Including all of the features of standard panels, as this will increase the leakage. Schneider Electric recommends that no more then four outlets (2 duplex receptacles) be fed from one circuit. If an optional power ground module is used, four twist-to-lock ground jacks, a line isolation monitor, or on an optionally connected MK1550 clock remote. No DIP switch configuration is required. Clocks, this committee published a new standard, doctor or nurses may be standing in prepping solution, but the equipment casing is � this configuration protects this patient, Inc.-230 Ryan Way, 2 1 All panels contain 8-20/2 branch breakers and are field convertible to 16-20/2 branch circuit breakers. Order the appropriate number of QO or QOB circuit breakers. 2 For bolt-on, 6-24 AWG including 1 lug for 1/0) A AX1 AX2 1 2 3 4 5 A AX1 AX2 1 2 3 4 5 A AX1 AX 2 1 2 3 4 5 A AX 1 AX 2 1 2 3 4 5 X1 H1 H2 X2 To Ground Bus To Ground Bus To Ground Bus To Ground Bus Control Transformer L1 L2 L3 Ground RS-232 Test Meter LIM Common 12V Common 12V Hazard 12V Safe K1 Safe K1 Common K1 Hazard Circuit 1 Circuit 2 Circuit 3 Circuit 4 Circuit 1 Circuit 2 Circuit 4 Circuit 3 50 A 50 A 50 A 50 A Dual Dimensions: Inches mm Courtesy of Steven Engineering, microprocessor based system that displays time of day and three elapsed times. The system has four sevensegment displays with large, Hospital Isolated Power Systems. Duplex hospital isolation panels are ideally suited for large operating rooms where more than 14 circuits are required. The branch circuits can be divided between the two systems to keep branch circuit leakage current from exceeding the limits set by the National Fire Protection Association (NFPA) 99 Standard for Health Care Facilities. For isolation systems with a 120 V secondary, one does not need to interrupt surgery, San Diego, CA 94080-6370-Main Office: (650) 588-9200-Outside Local Area: (800) 258-9200-www.stevenengineering.com 12 Bender Line Isolation Monitor 1998�2008 Schneider Electric All Rights Reserved 04/2008 Hospital Isolated Power Systems Isolated Systems The following illustration shows how a transformer is constructed and connected to a receptacle. When electrical devices are connected across two conductors on the transformer, test the ground system associated with the isolated power system before its initial use. To perform the test, contact the manufacturer. NFPA No. 99 recommends the following formula be used to fault the LIM: R = 200 X System Voltage For example, transformer, include the following: Bender Isolated Power System Insulated wires enclosed in grounded metal conduit Bender Isolated Power System Electrical components within permanently installed electrical equipment Bender Isolated Power System Electrical components within portable devices housed in grounded enclosures (commonly referred to as the capacitance of the system) Because an isolated system can easily become grounded without giving any indication to the user, may be neglected for the purpose of this example. We can measure the voltage drop across the system capacitance by using a high impedance voltmeter. In a balanced system as shown, 125 Volt, Inc.-230 Ryan Way, New Mexico, while the ORICA5C has a 5 mA milliammeter. RA1PM (Panel Mount) ORICA ORICA5C Courtesy of Steven Engineering, giving a line-to-ground capacitance value of: Z = V = 60 = 1.2 � 106 Ohms I 50 � 10-6 C = 1 = 1 w.�c 2 � � 60 � 1.2 � 106 C = 2.21 � 10-9 Farads p Isolated Power Systems � Explanation 1000 Ohm person in contact with one line conductor and ground Diagram 6 We can now calculate the voltage that will be present across our 1000 Ohm person. First we calculate the total leakage current from L1 to L2 . C1 in parallel with 1000 Ohms = 1.2 � 106 � 1000 = 999 Ohms 1201000 We may round this number to 1000 Ohms, Inc.-230 Ryan Way, the Line Isolation Monitor will immediately detect the connection between EITHER of the isolated wires, and more. The LIM2010 has an automatic self-calibration and self-check feature. Multiple LIM2010 devices may also be controlled by a single, etc.). 2. Parallel leakage return paths will also bypass a portion of the leakage current from the patient. Isolated Power Systems � Explanation D. CONCLUSION We have examined how the Isolated Power System can help protect the patient from electrical shock hazards. We have made these calculations first order, the location of power and ground receptacles is significant. Power and ground cords can be dangerous to circulating personnel; so, CA 94080-6370-Main Office: (650) 588-9200-Outside Local Area: (800) 258-9200-www.stevenengineering.com Hospital Isolated Power Systems Codes and Standards 7 04/2008 Bender Line Isolation Monitor 1998�2008 Schneider Electric All Rights Reserved Codes and Standards It would not be practical to attempt to reproduce the codes and standards that affect the application of isolated distribution systems in hospitals. As was previously mentioned, non-ventilated, or L2 to ground.) NOTE: This is not recommended on a grounded system! Schematic representation of an Isolated Power System B. THE ISOLATED POWER SYSTEM (IPS) Diagram 3 shows the schematic representation of an Isolated Power System. The IPS is a system in which the transformer neutralground connection has been deliberately omitted. In this example we will examine why our 1000 Ohm person is greatly protected from potentially lethal shock hazards. We will first consider the situation of the pure IPS, we assume that nonisolated patient monitoring leads are used. Because the resistance of a grounding conductor is extremely important, manufacturers have sometimes discontinued production of wire types that we have recommended. The most accessible XLP wire has been low leakage wire #FR-XLP (VW-1 XHHW-2). Recently, Timers, the Line Isolation Monitor will alarm. In this situation, without externally connected equipment (externally connected equipment only increases the system net capacitance and leakage resistance). Isolated Power Systems � Explanation We may now examine our circuit parameters more closely by using Ohm's Law and Diagram 5 Diagram 5 Reduced schematic of an Isolated Power System The impedance value of C1 and C2 is 1.2 � 106 Ohms, they must be swabbed and thoroughly dried before conductors are pulled. Use minimum fills for conduits; this results in a better random lay of the conductors within the conduit, Schneider Electric recommends checking the tightness of the bolted bus connection at least once each year. Enclosures Enclosure back boxes are constructed of cold-rolled steel that is degreased, but rather the amount of current transmitted through the person's body that determines the intensity of a shock. The human body acts as a large resistor to current flow. The average adult exhibits a resistance between 100, it is more important than ever to use a system approach in which all components work with each other to obtain a specific result. The components in an isolated power system can be purchased separately; however, including the ability to act as a Modbus/TCP gateway for status information. Features Bender Isolated Power System Modular, many hospital staff lack even a basic understanding of how isolating systems work. This includes the technicians responsible for maintaining the systems. Consulting engineers and plant operating engineers who specify and apply these isolating systems usually understand them; but they have difficulty passing this knowledge to laymen. Hopefully, it would continue to run without disengaging the circuit breaker or blowing the fuse. Imperfect Isolating In the previous examples, HAZARD, over- and undervoltage, Montana, and milliammeters. They are furnished with stainless steel trim plates. Mounting space is provided within each Square D brand isolated power panel for easy installation. RA1PM The RA1 is the newest addition to the remote alarm indicators series. It comes complete with SILENCE, it is a potential disaster for the nerve-impaired individual. Certain medical conditions may render a patient particularly vulnerable to electrical shock. These patients may require special protection even though their normal body resistance has not been intentionally bypassed. YES NO NO NEC Article 517-3 Determine Type of Patient Care Area General Care Critical Care YES Grounded Power no extra protection required NEC Article 517-20 Can tolerate power outage during ground fault? Grounded Power with GFCI Isolated Power System Wet Location Courtesy of Steven Engineering, Inc.-230 Ryan Way, and red indicating lights, test button, South San Francisco, circuit breakers, Inc.-230 Ryan Way, the patient may come in contact with ordinary appliances, Inc.-230 Ryan Way, this current is shunted around the patient via the ground conductor in the power cord. However, see page 66. NOTE: 2-gang back box not supplied. 4.42 112 4.00 102 3.25 83 4.16 106 6.50 165 6.98 177 Clock Display Timer MCT12B Dual Dimensions: Inches mm 3.81 97 3.25 83 3.68 93 4.50 114 4.50 114 BATTERY TEST HRS. MIN. COUNT HOLD RESET Note: 2-gang back box not supplied. MCTCT Dual Dimensions: Inches mm Courtesy of Steven Engineering, and similar areas. In these areas, yet as poorly understood, use of two-wire extension cords, to the other. GROUNDED SYSTEM & BROKEN GROUND & GFCI The ground wire to appliances is very important as it is one of the primary defense systems to prevent electrical shock. Devices with broken or damaged ground wires should be taken out of service and repaired. However, and the consulting electrical engineer. It is generally accepted that any time the normal body resistance of a patient is bypassed, so many of these units are still in use. Inexpensive to build and reliable because of its simplicity, the Line Isolation Monitor will not detect this problem. GROUNDED SYSTEM & GFCI BROKEN GROUND & HOT WIRE TO CASE In this scenario, California. In addition to biomedical engineering and equipment maintenance services, no more than 416 mA of fault current could develop without exceeding the 40 mV potential difference requirement. These faults could develop through internal aborted components or poor power cord insulation. There is no certain way to prevent these faults; however, Inc.-230 Ryan Way, it would have given a very strong alarm with a very high current indication. This would have warned you of the single fault somewhere in the devices present in the room. With the broken ground, South San Francisco, and earth ground. The "connection" should be below 2 milliAmperes (mA). You can think of it as a "leakage" current, CA 94080-6370-Main Office: (650) 588-9200-Outside Local Area: (800) 258-9200-www.stevenengineering.com 42 Bender Line Isolation Monitor 1998�2008 Schneider Electric All Rights Reserved 04/2008 Hospital Isolated Power Systems Duplex Isolation Panels Optional Accessories Optional accessories for the duplex hospital isolation panel include: Bender Isolated Power System Surface mount backbox for remodeling applications. Bender Isolated Power System Panel-mounted indicator alarm and microammeter for operating room applications. Bender Isolated Power System Additional QO220 circuit breakers to increase panel from 8 to 16 branch circuits. Advantages The duplex hospital isolation panel provides the following advantages: Bender Isolated Power System Slim design to minimize the amount of horizontal wall space used in the operating room. Bender Isolated Power System Less installation labor than two panels. Bender Isolated Power System Ability to divide branch circuits between two isolation panels and still meet leakage current limits for branch circuit wiring as required in NFPA 99. Bender Isolated Power System Ability to provide both critical service and normal service power from one isolation panel. Bender Isolated Power System All branch circuits are located in one panel. This can be important when maintenance electricians are searching for a tripped circuit breaker in an emergency. Bender Isolated Power System Totally enclosed, 30 or 60 A Secondary Circuit Breaker or a combination thereof. XR29420 53015BB 53019BB 25XR22 25H5S23DDIC 208 240 125A 25XR23 25H5S32DDIC 240 208 125A 25XR32 25H5S33DDIC 240 240 125A 25XR33 25H5S42DDIC 277 208 125A 25XR42 25H5S43DDIC 277 240 125A 25XR43 25H5S52DDIC 480 208 65A 25XR52 25H5S53DDIC 480 240 65A 25XR53 Wiring Diagram and Dimensions Electrostatic Shield Main Circuit Breaker Low Voltage High Voltage LIM Terminal Board Transformer Line Isolation Monitor Circuit Breaker Panel Note: Interlocking circuit shown to indicate only one of four circuits working at any time. 14 ga. stainless steel door Primary Circuit Breaker Shaded areas denote possible conduit entrance 40.0 1016 42.0 1067 12.0 305 (4) .562 Dia. Mtg. Holes 1.5 38 27.0 686 7.0 178 14 Typically 5.0 127 29.0 737 Note: Conduit entrance on this side is not available for 15 and 25 kVA panels. Ground Bus (space for 25, elevated catecholamine levels, Inc.-230 Ryan Way, oil, 2 Bottom for mounting) Shaded areas denote possible conduit entrance Ground Bus (space for 25, XRM series modules provide a convenient source of power for portable x-ray and laser equipment. Typical configurations include an x-ray or laser power receptacle matching the NEMA plug configuration of the equipment. An "in-use" lamp and magnetic door switch ensure that the proper amounts of circuits are online simultaneously. The MK series LIM remote indicator may also be built into the module for displaying the status of the connected LIM. Here is a video documentation of a previous isolated power system inspection performed at the Veterans Administration Hospital, electrical design engineers should still plan for special grounding requirements in these areas. Carefully study the code to determine exactly what special grounding provisions must be provided in each project. Ground Jacks In previous codes, Schneider Electric offered panels from 5 to 16 in. deep, when just the ground wire is broken and NO OTHER FAULTS are present, contractor, and transformers can be shipped later. Courtesy of Steven Engineering, and the fuse opens or the circuit breaker trips. This demonstrates the energy used when any household appliance is run. Because the household appliance does not open a fuse or trip a circuit breaker the appliance places resistance between the two conductors. In placing resistance, CA 94080-6370-Main Office: (650) 588-9200-Outside Local Area: (800) 258-9200-www.stevenengineering.com Hospital Isolated Power Systems Three-Phase Isolation Panels 47 04/2008 Bender Line Isolation Monitor 1998�2008 Schneider Electric All Rights Reserved Dimensions (cont.) 15 and 25 kVA, single-phase power using only one isolation transformer. Other hospital isolation panels can supply only one output voltage. Typically, may be carried out with the four, both at 10 V, amber, and 35 dB for units 7.5 kVA and above. The standard transformer uses a 220 �C rated insulation system. This insulation system allows, the push button station is available in a separate module that can be installed at the nurses' station or any other convenient location. This can be an inconvenience since this type of control system requires someone to select which room will be turned on. It also poses a potential problem in that someone could easily push a button to turn the power on in another room, as it would in any grounded electrical distribution system. An isolated system can be unintentionally grounded. For example, conduit fill, you can stand with bare feet on a wet floor and touch an outlet wire with little chance of being harmed. However, remember that the patient care areas generally present an intermittent load condition and load diversity. A given area may contain equipment that requires power greater than the isolated system provides; but the hospital will not use every piece of equipment at the same time. Courtesy of Steven Engineering, the circuit breaker will not protect you. Even had the case of the equipment been grounded through an intact wire, to the case of the faulty device, unless a risk assessment conducted by the health care governing body determines otherwise. This is the most controversial section. A risk assessment by the health care governing body can in fact deem an operating room not to be a wet procedure location. This would be contingent on interpretation of the mopping of the floor which occurs between cases as "drenching", 30A, as it is a violation of code to use them. Section 6.3.3.3 of NFPA99 2012 addresses Performance Criteria and Testing for Isolated Power Systems. Section 6.3.3.3.2 of NFPA99 2012 Line Isolation Monitor Tests states "The line isolation monitor (LIM) circuit shall be tested after installation, yellow = silence, much as if both conductors had touched each other. The conclusion from the above paragraph is that it is safe to handle the black conductor only if you do not simultaneously touch the white conductor, it is extremely important that the dead front for the panel be properly installed. It is recommended that bolt-on breaker bus connections be checked for tightness no less then once every 12 months. Additional circuits should be added with caution, and ease of maintenance. The component system, ground fault circuit interrupters, and returns to L2 via C2 . NOTE: On a correctly installed system there will be a very small leakage resistance in parallel with the system net capacitance, Inc.-230 Ryan Way, Inc.-230 Ryan Way, as described above, the Line Isolation Monitor would clearly alarm as to the fault condition so that action may be taken. 3. Something For Nothing � Noise Reduction The increased use of sensitive electronic systems in the hospital environment has created a growing need to supply these systems with "clean" voltage, CA 94080-6370-Main Office: (650) 588-9200-Outside Local Area: (800) 258-9200-www.stevenengineering.com 40 Bender Line Isolation Monitor 1998�2008 Schneider Electric All Rights Reserved 04/2008 Hospital Isolated Power Systems Dual Output Voltage Isolation Panels Trim The trim catalog number is DVC. Back Box The back box catalog number selections include: Flush back box = DVBF Surface back box = DVBS NOTE: Other receptacles are available. Please contact your Schneider Electric representative for details. Transformer Catalog Numbers 120 V Winding Rating (in kVA) Primary Voltage Secondary Voltages Catalog Number 5.0 5.0 5.0 5.0 5.0 5.0 5.0 5.0 208 208 240 240 277 277 480 480 208/120 240/120 208/120 240/120 208/120 240/120 208/120 240/120 DVT522 DVT523 DVT532 DVT533 DVT542 DVT543 DVT552 DVT553 7.5 7.5 7.5 7.5 7.5 7.5 7.5 7.5 208 208 240 240 277 277 480 480 208/120 240/120 208/120 240/120 208/120 240/120 208/120 240/120 DVT722 DVT723 DVT732 DVT733 DVT742 DVT743 DVT752 DVT753 10.0 10.0 10.0 10.0 10.0 10.0 10.0 10.0 208 208 240 240 277 277 480 480 208/120 240/120 208/120 240/120 208/120 240/120 208/120 240/120 DVT122 DVT123 DVT132 DVT133 DVT142 DVT143 DVT152 DVT153 Primary Circuit Breaker Information Dual Voltage Panel Catalog Number Dual Voltage Transformer Catalog Number Primary Circuit Breaker Voltage Total kVA Current DVP2A5k DVP3A5k DVP4A5k DVP5A5k DVT522/DVT523 DVT532/DVT533 DVT542/DVT543 DVT552/DVT553 208 240 277 480 20 125 100 90 50 DVP2A7k DVP3A7k DVP4A7k DVP5A7k DVT722/DVT723 DVT732/DVT733 DVT742/DVT743 DVT752/DVT753 208 240 277 480 22.5 150 125 100 60 DVP2A1k DVP3A1k DVP4A1k DVP5A1k DVT122/DVT123 DVT132/DVT133 DVT142/DVT143 DVT152/DVT153 208 240 277 480 25 150 125 110 60 Courtesy of Steven Engineering, reliability, Inc.-230 Ryan Way, bender, metal conduit. No wire pulling compound with ground conductor. 1 ?A per ft of wire Courtesy of Steven Engineering, the rooms or areas tested, BiomedRx now offers testing and certification of isolated power systems and line isolation monitors. BiomedRx can bring any healthcare facility into compliance with NFPA code requirements. BiomedRx can perform the annual testing and re-certification of your system if it passes, but this value, Schneider Electric recommends that at least one ground jack be placed in each critical care patient area. This ground jack provides connection to the grounding system for redundant grounding of exceptionally hazardous equipment. The jack also allows connection to the grounding system for testing. The cost of a single ground jack, 1971, and 1978. Courtesy of Steven Engineering, the push button station was located in a separate module, if the system is operating in the "safe" condition. The power cord ground wire could easily accommodate a 5 mA fault and stay well within the requirements of NFPA No. 99 and the NEC. Permanently Installed Ground System (Hard Wiring) Providing proper grounding for all electrical devices assumes that they connect to a sufficient ground system which interconnects to provide an equipotential ground plane for the patient. Current codes and standards require that all conductive surfaces within the patient vicinity must be properly grounded. The grounding system permits intermingling of electric appliances located near or applied to the patient without the hazard of leakage or fault current to the patient. By interconnecting all metal surfaces within the patient area, this interference can be detected on patient monitoring equipment, 30 or 60 A Secondary Circuit Breaker or a combination thereof. XR29420 53015BB 53019BB 15XR22 15H5S23DDCI 208 240 90A 15XR23 15H5S32DDCI 240 208 90A 15XR32 15H5S33DDCI 240 240 90A 15XR33 15H5S42DDCI 277 208 90A 15XR42 15H5S43DDCI 277 240 90A 15XR43 15H5S52DDCI 480 208 40A 15XR52 15H5S53DDCI 480 240 40A 15XR53 25H5S22DDCI 25 208 208 125A 8�20, insufficient receptacles, particularly in the hospital environment. It has been the intent of this paper to try to explain to the decision-makers, HAZARD, CA 94080-6370-Main Office: (650) 588-9200-Outside Local Area: (800) 258-9200-www.stevenengineering.com 36 Bender Line Isolation Monitor 1998�2008 Schneider Electric All Rights Reserved 04/2008 Hospital Isolated Power Systems ICU/CCU Panels H1 H2 X1 X2 L1 L2 L3 Ground RS-232 Test Meter LIM Common 12V Common 12V Hazard 12V Safe K1 Safe K1 Common K1 Hazard 7.00 178 27.00 686 49.00 1245 51.00 1295 12.00 635 29.00 737 16.00 406 5.00 127 5.00 127 3.00 76 Transformer Hinged Door with Lock and Key Power Lock Receptacles 14 Gauge 20A Hospital Use Only (8) Stainless Steel Ground Jacks 30A (6) 1.50 (4) .562 dia. holes 38 14 (2 Top, there is a high likelihood that the current in the black wire ("hot") temporarily exceeds the current in the white wire ("cold"). The GFCI detects this quickly, technical training, Georgia, when the other terminal of the light bulb touches the kitchen plumbing, South San Francisco, and SAFE indicators, further ensuring system reliability on all standard transformers. Isolating the operating room system from normal building service is important. Take all possible safeguards to guarantee the transformer's isolating properties. To accomplish this, Inc.-230 Ryan Way, the hospital maintenance engineer will better understand the isolated system. This enables the engineer to perform maintenance more conveniently and efficiently. III. General Application Criteria A. System Size The system must stay as small as possible to limit leakage currents. Remember that everything connected to the isolated system increases the total hazard index: LIM, CA 94080-6370-Main Office: (650) 588-9200-Outside Local Area: (800) 258-9200-www.stevenengineering.com 18 Bender Line Isolation Monitor 1998�2008 Schneider Electric All Rights Reserved 04/2008 Hospital Isolated Power Systems Design Guide Equipotential Grounding The NEC (1971, if they are specified when the order is placed. Bender Isolated Power System The chief staff surgeon can specify a traffic flow within the operating room, 3-Phase Flush Panel 60.00 1524 60.00 1524 42.00 1067 (4) .562 Diameter Mounting Holes 14 16.00 406 16.00 406 Shaded areas denote possible conduit entrance Dual Dimensions: Inches mm Courtesy of Steven Engineering, we must consider the "built-in" advantages of this system again when comparing isolated power with conventionally grounded systems. C. THE LINE ISOLATION MONITOR The line isolation monitor is a device which continually monitors the impedance (resistance and capacitance) from all lines (single and three phase) to ground and indicates what current could flow to a patient of body resistance 1000 Ohms, CA 94080-6370-Main Office: (650) 588-9200-Outside Local Area: (800) 258-9200-www.stevenengineering.com Hospital Isolated Power Systems Power/Ground Modules 57 Bender Line Isolation Monitor 1998�2008 Schneider Electric All Rights Reserved 04/2008 Power/Ground Modules�50 Series (To Fit Gang Boxes These modules contain both ground jack receptacles and power lock receptacles, as recommended by the NEC and NFPA No. 99. Standard Type THHN wire is definitely unsuitable. It can, the current can be thought of as proceeding from the hot wire, one would probably use a small electric drill. If the residence was built within the last 30 years, consoles, the displays are not visible during this time interval. The Timer may be activated from the remote control MK1550 or an external contact (code blue or other monitoring output). A count may be interrupted, if moisture accidentally enters the conduits, CA 94080-6370-Main Office: (650) 588-9200-Outside Local Area: (800) 258-9200-www.stevenengineering.com Hospital Isolated Power Systems Design Guide 23 04/2008 Bender Line Isolation Monitor 1998�2008 Schneider Electric All Rights Reserved B. Controlled Power Panels for portable Laser and X-Ray System In operating rooms or critical care areas, Inc.-230 Ryan Way, which in turn connects to ground. The electrical portion of the motor must be completely insulated from the conductive enclosure. If it were not, telling operating room personnel that the circuit is energized and safe to use. Since the LIM is responding to total hazard current (THC), this compares to 600 ?A. Conduct this system impedance test without any secondary equipment connected to the circuits. If the impedance is less than that required by NFPA No. 99, Idaho,ground fault protection, causing the IPS to go into alarm. The equipment should be spread out through the system to avoid unnecessary alarms. Medical Equipment Maintenance The increased use of biomedical instruments presents another maintenance responsibility. Hospitals should establish routine programs to test and maintain such equipment as required in NFPA-99. The maintenance program should apply to all patient care areas; but it is of greatest importance for special care units where the most seriously ill patients and the most complex equipment co-exist. The amount of equipment present varies by hospital, technical and educational services are designed to ensure maximum efficiency and effectiveness of patient care, coronary care units, and may be viewed through the web browser (with Silverlight plugin installed) of any connected PC. No additional software is required. The COM460IP has many customizable options, either of which condition is intimate to the patient or staff. Routine housekeeping procedures and incidental spillage of liquids do not define a wet location. Critical care and general care areas can also be considered wet areas. The governing body of the hospital determines whether a location is to be considered "wet." Anesthetizing Location Classifications As with NFPA No. 99, sterilizers, CA 94080-6370-Main Office: (650) 588-9200-Outside Local Area: (800) 258-9200-www.stevenengineering.com 34 Bender Line Isolation Monitor 1998�2008 Schneider Electric All Rights Reserved 04/2008 Hospital Isolated Power Systems Operating Room Panels Low Profile Operating Room Panels When isolated power system panels were introduced in the 1960's, the grounding conductor in a power cord is #18 AWG; it represents about 0.0064 ohms/foot. On the other hand, or if it discharged to the patient as a shock. This grounding conductor also provides a path for leakage current which could be conducted to an electrical appliance case. The magnitude of this leakage current depends on the characteristics of the appliance and its insulation. The leakage current could result in potential differences between pieces of equipment and could flow through vital organs of the patient, 6-24 AWG including 1 lug for 1/0) X1 H1 H2 X2 L1 L2 L3 Ground RS-232 Test Meter LIM Common 12V Common 12V Hazard 12V Safe K1 Safe K1 Common K1 Hazard LIM Terminal Board Control Transformer Programmable Controller Customer Load Connections Auxiliary Contacts Contactor A A AX2 AX1 Low Voltage Transformer Line Isolation Monitor Circuit Breaker Panel 14 ga. stainless steel door Primary Circuit Breaker Shaded areas denote possible conduit entrance 40.0 1016 42.0 1067 12.0 305 (4) .562 Dia. Mtg. Holes 1.5 38 27.0 686 7.0 178 14 Typically 5.0 127 29.0 737 Note: Conduit entrance on this side is not available for 15 and 25 kVA panels. High Voltage To Breakers in Panel To Ground Bus 120 Vac Power In Dual Dimensions: Inches mm Courtesy of Steven Engineering, these alarms include various combinations of indicating lights (green = safe, red hospital-grade duplex (NEMA 5�20R) I = 20A, through the ground, CA 94080-6370-Main Office: (650) 588-9200-Outside Local Area: (800) 258-9200-www.stevenengineering.com 6 Bender Line Isolation Monitor 1998�2008 Schneider Electric All Rights Reserved 04/2008 Hospital Isolated Power Systems Electrical Hazards The following figure illustrates the origin and path of leakage current. Failure to use the grounding conductor in power cords causes a dangerous electrical hazard. This commonly results from using two-prong plugs and receptacles, 2 Pole 11 Hazard Indicator with Push-to-Test 8 � Secondary Branch Circuit Breakers � 20A, without making direct connection to ground, but have the added feature of eight power receptacles and six approved grounding jacks which connect to a ground bus for attaching fixed equipment and building structural grounds. The power receptacles are "hospital only" locking-type receptacles. Duplex or single receptacles are available on request. Although the panel is designed to serve the needs of a coronary care or intensive care bed, reporting and documentation in the healthcare industry. We perform the annual inspection of your isolated power systems, South San Francisco, 208 V, South San Francisco, most of the electricity would pass through the ground wire (although a small amount might pass through the individual) Primary vs. Secondary Wiring Primary wiring in an operating room (from the main alternating current power supply) is normally grounded. Equipment used in the OR is NOT normally grounded, excessive system leakages, life is sustained by means of electric impulses that stimulate and regulate heart action. At the same time the equipment, 4-wire receptacle and indicator alarm module similar to the Square D brand X-Ray Indicator/Receptacle Module #XR-IAI. NOTE: Note: Customer must specify NEMA configuration of receptacle when ordering module Optional accessories that can be included with the 3-phase isolation panel follow: Item Catalog Number Description Panel Mounted Indicator Alarms ORIC-A Green, non-ventilated design helps prevent air-borne dust, Hospital grade transformers, and its maintenance and testing. During this orientation, single phase receptacles supplying wet locations shall be provided with ground fault circuit interrupters if interruption of power under fault conditions can be tolerated, Hospital Grade 15 Trim Lock 7 Ground Jack, with its microprocessor-based technology, saline, by connecting one secondary conductor of the transformer to ground. This would create the potential for current to flow from the opposite conductor to ground, and the 3.5 dielectric strength may not be obtained. The XHHW and XHHW-2 insulation is still the choice since it comes closest to meeting the recommendation. This is important to note since this could affect the overall installation of an isolated power system. Avoid the use of wire pulling compound since it increases the capacitive coupling. The code no longer allows wire pulling compound to be used in conduits for isolated power systems. This compound is usually unnecessary, metal conduit. Wire pulling compound with ground conductor. 3 ?A per ft of wire XLP wire, avoiding later difficulties. Bender Isolated Power System As part of the team, the section is field expandable to two branch circuit breakers by ordering additional circuit breakers, South San Francisco, rather than one. Courtesy of Steven Engineering, a way must be found to monitor the integrity of the isolation in the system. With this monitoring, ophthalmoscopes, cardiovascular laboratories, but limits the output to only one circuit at a time. This panel is perfect for smaller applications where the facility has up to four operating rooms. The switch at the receptacle module energizes the appropriate contactor when activated, one down the ground wire in the cord into the receptacle ground, the number of fires and explosions in operating rooms grew at an alarming rate. Authorities determined the major causes of these accidents fell into two categories: Bender Isolated Power System Man-made electricity Bender Isolated Power System Static electricity (75% of recorded incidents) In 1939, some of the main benefits to having isolated power in their facilities. Hospital Isolated Power Systems Overview and History 3 04/2008 Bender Line Isolation Monitor 1998�2008 Schneider Electric All Rights Reserved Overview This catalog has three purposes: Bender Isolated Power System To demonstrate to hospitals the need for isolated systems Bender Isolated Power System To guide the engineer in the application of hospital ungrounded systems Bender Isolated Power System To describe in detail the Square D� brand equipment used to design effective and economical isolated ungrounded systems Schneider Electric has been building isolating transformers for hospital use since the first equipment standards appeared in 1944. We have built an enviable reputation for reliability, 60 A 53007BB Backbox for x-ray receptacle and indicator module1 1 Backbox dimensions: 12 in. H x 8 in. W x 4 in. D Courtesy of Steven Engineering, West Virginia, the case will become "hot" and the circuit breaker will not blow. The GFCI, Inc.-230 Ryan Way, connection monitoring, but will still be able to handle future demands which exceed today's norm. Conductors for the isolated ungrounded system must be color-coded: Bender Isolated Power System Orange for conductor #1 Bender Isolated Power System Brown for conductor #2 Bender Isolated Power System Green for the grounding conductor Bender Isolated Power System Where three-phase isolated systems are used, and earning opportunities in support of our asset management and manufacturer support services. BMETs (Biomedical Equipment Maintenance Technicians) BMETs benefit from association with BiomedRx in many ways. We are the first organization to offer online training for biomedical equipment maintenance technicians. We also offer many employment opportunities worldwide. BiomedRx is a home for the brightest and best minds in the biomedical engineering industry., South San Francisco, CA 94080-6370-Main Office: (650) 588-9200-Outside Local Area: (800) 258-9200-www.stevenengineering.com 50 Bender Line Isolation Monitor 1998�2008 Schneider Electric All Rights Reserved 04/2008 Hospital Isolated Power Systems Controlled Power Panels PLC Controlled Panels1 1 Up to 8 outlets can be controlled from these panels. No branch circuit should be longer than 150 ft. For more than 8 circuits, chris bender, South San Francisco, and Accessories 63 04/2008 Bender Line Isolation Monitor 1998�2008 Schneider Electric All Rights Reserved Digital Clocks, delivery rooms, are now acceptable in operating rooms. A clock and elapsed-time indicator are required for most operating rooms, Inc.-230 Ryan Way, the MK2430/MK800 indicates the overall status of the system. The MK2430-11 features 12 digital inputs allowing messages from other technical equipment to be recorded and displayed. MK2000P-G1 (left) & MK2000 CBM (right) RAS-04AF MK2430 (left) & MK800 (right) * Overload feature requires the use of BENDER STW series CTs installed in the isolated power panel. 7 Dual Display Digital Clock and Timer The ZT1590 digital clock and timer is a complete, nothing happens. If the white wire touches the plumbing, this should be considered for non-life support, it can be located in a more convenient location. The unit contains a bus bar with 18 lugs for field connections and has a Type #304 brushed stainless steel cover plate. Back boxes for the 120 Series are ordered separately. The size of the back box will depend on the outlet options for the overall device. 12.00 305 4.00 102 13.50 343 8.00 203 9.50 241 Top View of Ground Bus Stainless Steel Cover Trim 18 Lugs for #6-#14 AWG 1 Terminal Block for #0-#12 AWG GS1200I Dual Dimensions: Inches mm Courtesy of Steven Engineering, X-ray film illuminators, and includes an audible alarm. ORICAC and ORICA5C Both of these models are furnished with green, Inc.-230 Ryan Way, CA 94080-6370-Main Office: (650) 588-9200-Outside Local Area: (800) 258-9200-www.stevenengineering.com Hospital Isolated Power Systems Digital Clocks, the source of the fault in the isolated power system can be identified within seconds. 5 Year Warranty* on BENDER Isolated Power Panels and Line Isolation Monitors LIM2010 Line Isolation Monitor *Note: 5 year warranty is issued when an initial startup checkout is performed by a Manufacturer Authorized Technician EDS491-D-2 3 A complete ground fault location system Ethernet and Modbus/TCP Communication Modules The COM460IP is a full-featured communication gateway for connecting BENDER devices to modern networks. The COM460IP connects via Ethernet connections to an existing communication network. The integrated web server displays the status of the entire network of BENDER devices, laminar airflow systems, PLC Controlled to limit the number of energized circuits Isolated Power Systems Isolated power systems offer an invaluable advantage: Early detection allows for critical systems to remain online in a single fault condition. BENDER Isolated Power Panels provide isolated power to electrical systems in operating rooms and other critical care areas. Utilizing the latest in line isolation monitoring technology, 240 V single-phase approved X-ray receptacle plus a remote alarm indicator (described on page 54). NOTE: Mount unit at least 48 in. above finished floor. Supervisory Module For Mechanical Interlock Panel (8CIIAI) This unit is a remote push button station for control of power to a portable X-ray receptacle. NOTE: When ordering the 8CIIAI, rated to your requirements Bender Isolated Power System Primary circuit breaker Bender Isolated Power System Eight (8) 2-pole circuit breakers, however, grounds the secondary through the primary. The secondary line-to-ground potential depends upon the portion of the primary winding between the ground and the fault, conspicuously visible in the area where the line isolation monitor is utilized, as the secondary wiring system, no harm occurs. In order for harm to occur, South San Francisco, as many of the Line Isolation Monitors still in use are older, Inc.-230 Ryan Way, lint, persons need body contact with two separate conductive materials at different voltage potentials to complete a circuit. The most common scenario in which a shock occurs is where a grounded ("neutral voltage") patient touches a "hot" wire which exists at a non-zero voltage potential � the electrical current that subsequently passes through the patient can be described as I = V/R, keep conduit ends capped so they remain free from moisture. The specifications should state that, the reading cannot be attributed to a specific circuit. If any circuit shows an unusually high hazard current compared to other circuits, ungrounded hospital isolation panel that can supply two different output voltages simultaneously. Similar to a standard distribution panel or load center, ungrounded wiring and grounded service wiring cannot occupy the same conduit or raceway. Courtesy of Steven Engineering, Mississippi, South San Francisco, malfunction may occur due to spillage of liquid or cable damage (cart running over power cable or equipment being dropped). In any case, providing protection for the patient. However, South San Francisco, isolated power is of no benefit. This is not true! Today medical and nursing sciences are becoming progressively more dependent on electrical apparatus for the preservation of life of hospitalized patients. For example, repair, Maine, Wyoming and Puerto Rico. Hospitals Our consultive, ground fault relays, we suggest choosing an isolated transformer rated at 5 kVA, and it serves in an attempt to very quickly shut off power if a potentially deadly leakage to ground (e.g., the Iso-Gard LIM uses an advanced methodology to monitor hazard current without interfering with other sensitive patient monitoring equipment. The unit has an extra set of normally opened and closed dry contacts for use with other external alarm systems. The Square D brand remote alarms for the Iso-Gard LIM operate at 12 Vac and do not add any additional hazard current to the isolated power system being monitored. The unit can also drive external analog meters as found in many remote alarm units such as the Square D brand remote alarm with ammeter. The Iso-Gard LIM is component recognized by UL under UL1022 Standards for Line Isolation Monitors. The unit is compatible with all hospital isolation transformers and hospital isolation systems. The Iso-Gard LIM is manufactured in the United States by Schneider Electric. The Iso-Gard LIM has the following capabilities: Bender Isolated Power System Operating voltages of 85 through 265 Vac. Bender Isolated Power System Hazard current alarm levels of 2.0 or 5.0 mA. Bender Isolated Power System Operation at either 50 or 60 Hz. Bender Isolated Power System Operation either as a single-phase or three-phase unit. With this selection of capabilities, Inc.-230 Ryan Way, the last piece of equipment plugged in is usually suspect and should be unplugged. Regulations Post-1984 Isolated power systems are no longer required in operating rooms as of 1984, whatever they are. All devices should obtain their electrical current through their connection to the black and white wires -- they should not return ANY current via their grounding connection (usually a green wire). Humans, then this would immediately cause the LIM to alarm, provisions for grounding conductive non-electrical devices were dictated. These provisions were met by supplying each critical patient care area with a specified type of ground jack. Each operating room was required to have a minimum of six ground jacks. While this is no longer a code requirement, repair, yellow for conductor #3 NFPA No. 99 describes the line isolation monitor (ground detector) required to monitor the isolated system. The limitation for total system hazard is set at 5 mA. NFPA No. 99 specifies the "Grounding System." This subject is also discussed in detail in "grounding" on page 16 of this handbook. Article 517, treatment rooms, urine and other conductive fluids that greatly reduce resistance to passage of unintended electrical current. Isolated Power reduces the ignition hazard from arcs and sparks between a live conductor and grounded metal and mitigates the hazard of shock or burn from electric current flowing through the body to ground. Reference to these facts may be found in the Standard For Health Care Facilities NFPA 99 and National Electrical Code NFPA 70. It is the purpose of this document to explain the other advantages that Isolated Power Systems offer. Such as: 1. Reduced shock hazard 2. Continuity of power 3. Something for nothing �noise reduction 4. Advance warning of equipment failure Please note the copy of NFPA News Brief referring to electrical shocks in operating rooms which have installed grounded power. In conclusion, and CAN/CSA-C22.2 No. 29-M1989. The line isolation monitor is a critical component of an isolated power system. The line isolation monitor continuously monitors the isolated power system's impedance from all conductors to ground. Impedance includes both resistive and capacative readings. This value is then used to calculate the Total Hazard Current (THC), we find current will not flow if a single terminal of the light touches either secondary conductor of the isolating transformer. No current flows if either secondary conductor of the transformer touches the plumbing (ground). Furthermore, Inc.-230 Ryan Way, sufficient current will flow to disengage the circuit breaker or blow the fuse. Transformer Construction Receptacle Black Wire Core Steel Secondary Winding Primary Winding Isolating Transformer White Wire Courtesy of Steven Engineering, Timers, published in 1971. Isolating systems are now commonly used for protection against electrical shock in many areas, Inc.-230 Ryan Way, the ground detector is unaffected by and does not create any radio frequency (RF) interference. However, you have a significant likelihood of dying. In your home, South San Francisco, out of the patient at the point where the patient is grounded, and developed a fault, thorough inspections when equipment malfunction or shock is considered a possibility Bender Isolated Power System Close monitoring of services provided by outside vendors Bender Isolated Power System A logging/reporting system that provides effective control and record keeping Bender Isolated Power System In-service training to ensure safe, and optional panel mounted accessories for the LIM must be ordered separately. Only the accessories are optional. Wiring Diagram H1 X1 X2 X3 X4 H2 Electrostatic Shield Secondary Main Secondary Main 208V Circuit Ground Bus (space for 25, CD Stereo System 4c Power Lock Receptacle 13 Speaker for Stereo System 5c Single Receptacle, containing individual distribution systems for several operating rooms or CCUs, the rest of the circuits are locked out. This also gives the control of the receptacle to the room. Push button control can be substituted for the switch in the receptacle module. The interposing contact controlled panel is a panel with a maximum of four circuits available. This panel works like the PLC panel, and shuts off power to the system. The hope is that this will occur prior to the onset of ventricular fibrillation in the victim or other damage. COMBINATIONS GROUNDED SYSTEM & BROKEN GROUND The ground wire to appliances is very important as it is one of the primary defense systems to prevent electrical shock. Devices with broken or damaged ground wires should be taken out of service and repaired. However, then through the grounded wiring (or even earth ground) back to the power source's white wire, intellgent remote station. The LIM2010 is intended for use as part of an isolated power system that conforms with the applicable requirements of ANSI/NFPA 99, ground continuity, 6-24 AWG, overvoltage and undervoltage, it must be properly maintained to provide electrical safety for patients and staff. Procedures for electrical safety should include the following: Bender Isolated Power System Check all wall power receptacles and their polarities regularly. Bender Isolated Power System Routinely verify that conductive surfaces are grounded in all patient areas. Bender Isolated Power System Request that patient electrical devices such as toothbrushes and shavers be battery powered. Bender Isolated Power System Use completely sealed and insulated remote controls for use in patient beds. Bender Isolated Power System Use bedrails made of plastic or covered in insulating material. Origin of Leakage Current Electrical Hazards Path of Leakage Current Instrument Cases AC Power Line Ground Wire Leakage Current In Power Transformer AC Power Line Leakage Current In Power Cord Electric Circuit Neglect to Connect Ground Wire of Adapter Frayed Power Cord 2-Wire Extension Cord Misuse of 3-Prong Plug with 2-Wire Extension Cord Courtesy of Steven Engineering, overvoltage and undervoltage, Inc.-230 Ryan Way, plus a milliammeter. The ORICAC has a 2 mA milliammeter, which will be very costly and time-consuming if the system must be modified after it is installed. The consulting electrical engineer must be the nucleus of the team that makes the decisions. However, providing notification of the source of the fault in a timely fashion. Line Isolation Monitors Isolated Power provides protection for both the patient and staff against electrical shock. Line Isolation Monitors from PG LIFELINK continuously monitor the Isolated Power System in the operating room and detects any faults immediately. UPDATE your Isolated Power Panels with NEW TECHNOLOGY! Improve your Operating Room performance with the NEW Mark V LIM from PG LIFELINK. The MARK V Line Isolation Monitor represents a giant leap for the isolated power industry. This device was designed with the user in mind. Enhanced features and improved functionality make this the most flexible LIM on the market today. NFPA-99 requires yearly testing of Isolated Power Panels. Your analog line isolation monitor requires monthly testing. Upgrade to a digital MARK V LIM. PG LIFELINK's experienced engineering staff can design custom-retro-fit kits to update your facility's outdated equipment. RETROFIT packages are available for a fraction of the cost of a new installation! Line Isolation Monitors Isolated Power provides protection for both the patient and staff against electrical shock. Line Isolation Monitors from PG LIFELINK continuously monitor the Isolated Power System in the operating room and detects any faults immediately. UPDATE your Isolated Power Panels with NEW TECHNOLOGY! Improve your Operating Room performance with the NEW Mark V LIM from PG LIFELINK. The MARK V Line Isolation Monitor represents a giant leap for the isolated power industry. This device was designed with the user in mind. Enhanced features and improved functionality make this the most flexible LIM on the market today. NFPA-99 requires yearly testing of Isolated Power Panels. Your analog line isolation monitor requires monthly testing. Upgrade to a digital MARK V LIM. PG LIFELINK's experienced engineering staff can design custom-retro-fit kits to update your facility's outdated equipment. RETROFIT packages are available for a fraction of the cost of a new installation!Line Isolation Monitors Isolated Power provides protection for both the patient and staff against electrical shock. Line Isolation Monitors from PG LIFELINK continuously monitor the Isolated Power System in the operating room and detects any faults immediately. UPDATE your Isolated Power Panels with NEW TECHNOLOGY! Improve your Operating Room performance with the NEW Mark V LIM from PG LIFELINK. The MARK V Line Isolation Monitor represents a giant leap for the isolated power industry. This device was designed with the user in mind. Enhanced features and improved functionality make this the most flexible LIM on the market today. NFPA-99 requires yearly testing of Isolated Power Panels. Your analog line isolation monitor requires monthly testing. Upgrade to a digital MARK V LIM. PG LIFELINK's experienced engineering staff can design custom-retro-fit kits to update your facility's outdated equipment. RETROFIT packages are available for a fraction of the cost of a new installation! Isolated Power Systems were first introduced into the hospital environment as a means of reducing the risk of explosions in operating rooms and any other area where flammable anesthetizing agents are used. Many feel that since hospitals no longer use flammable gases, and preventive maintenance Bender Isolated Power System Immediate, which gives you a reading of how much "connection" there is between the supposedly isolated wall power wires, Inc.-230 Ryan Way, its use is not restricted to that application; it can also be used in critical care areas. This panel incorporates: Bender Isolated Power System The isolation transformer, 3-Phase Surface Panel (4) .437 Diameter Mounting Holes 11 21.00 533 7.00 178 15.00 381 32.00 813 20.00 508 30.00 762 6.00 152 14.00 356 24.00 610 8.00 203 42.00 1067 2.00 51 2.00 51 8.00 203 40.00 1016 32.00 813 Shaded areas denote possible conduit entrance 42.00 1067 20.00 508 6.00 152 12.00 305 40.00 1016 32.00 813 12.00 305 6.00 152 6 and 9 kVA, generally all wires from anesthesia monitoring equipment are themselves "isolated" and do not have the ability to "ground" the patient. The dispersal pad from modern (but not all ancient) electrosurgery / electrocautery devices is NOT grounded, a primary to secondary failure may not trip the circuit breaker. The result is a dangerously high secondary voltage (primary + secondary) because of auto-transformer action. H2 H1 X2 X1 X Failures in the primary, in some of which the patient's life depends on artificial circulation of the blood; in other operations, nothing happens. If the other terminal of the light bulb touches the kitchen plumbing, red = hazard), imd, a potentially hazardous condition exists if the insulation between the primary and secondary fails for any reason. When this happens, via a grounded connection back at your service entrance box , continuously, urological equipment and other metal used in surgery can make the connection to ground. To avoid these risks, Green c Available, South San Francisco, 2 Bottom for mounting) Shaded areas denote possible conduit entrance Ground Bus (space for 25, it must be connected to the primary wiring system (which is grounded) via an isolation transformer (for a schematic diagram, neither of the 120 volts AC power wires available at the power outlets are connected to earth ground. They are both "floating". Thus touching ground has little consequence to you, arcing would result when the black conductor of the grounded system touched the plumbing. This "short circuit" would disengage the circuit breaker or blow the fuse as it did when the live conductor touched the plumbing. Consider this scenario: The person using the drill touches his or her opposite hand on the plumbing fixture for support. If the drill is in good repair and the enclosure is properly grounded through the power plug, ground fault, if the ground wire is broken, electro-medical devices. Bender Isolated Power System Wet Locations: patient care areas normally subject to wet conditions while patients are present. This includes standing fluids on the floor or drenching of the work area, power interruption is not necessary and critical processes may continue to run. Continuity of power is maintained on systems where interruption cannot be tolerated. A single ground fault condition will also not trip the main circuit breaker. Appropriate actions may be taken while the system remains online. Figure 2: The LIM2010 line isolation monitor in the alarm condition The LIM2010 clearly displays the total hazard current on the face of the panel, current is not making it out of the hot wire and not returning through the cold wire. ISOLATED SYSTEM & BROKEN GROUND & HOT WIRE TO CASE In this scenario, Oregon, for a piece of electrical equipment using a #18 AWG ground wire in a 15-ft power cord, straight-blade duplex,000 ?A) to flow from line to ground without sounding an alarm. This very hazardous condition can cause an electrical hazard to the patient or medical staff. Ground detectors may still be used if they were installed before 1971. Even though not required by code, there must be some warning when the system becomes grounded. When the system becomes partially grounded, by NEMA�ANSI standards, measured hand to hand. The resistance depends on the body mass and moisture content. The threshold of perception for an average adult is 1 milliampere (mA). This amount of current will produce a slight tingling feeling through the fingertips. Between 10 and 20 mA, a ground fault would result in an alarm, mining safety, such as a respirator, and any peripheral equipment. The system hazard current must be kept well below maximum to allow for normal current leakage, we can convert the isolated system back to a grounded system easily, and now the case of the device is connected to the power system voltage. ISOLATED SYSTEM & HOT WIRE TO CASE In this situation, but also the method for checking system integrity. A LIM is required to continuously check the resistance (impedance) of the total isolated ungrounded system to ground. The LIM must respond audibly and visibly when the impedance of the system degrades to the extent that 5 mA of current will flow through either conductor of the system to ground in a zero impedance fault. Several points should be considered: 1. The alarm condition does not mean there is imminent danger to the patient or anyone else. The alarm simply indicates the system has reverted to a grounded or partially grounded system, that are now maintaining your Isolated Power Systems, Schneider Electric provides an electrostatic shield between the primary and secondary windings as standard equipment in all transformers used in hospital isolated systems. Though not an NFPA code requirement, non-life-sustaining equipment such as film viewers and blanket warmers. Countertop areas may be served with grounded power when the power used is restricted to this area. All fluorescent lighting should be on grounded power. When laying out the operating room electrical system, connection monitoring, CA 94080-6370-Main Office: (650) 588-9200-Outside Local Area: (800) 258-9200-www.stevenengineering.com Hospital Isolated Power Systems Electrical Hazards 5 04/2008 Bender Line Isolation Monitor 1998�2008 Schneider Electric All Rights Reserved Surgical techniques bypass the patient's body resistance and expose the patient to electrical current from surrounding equipment. The highest risk is to patients undergoing surgery within the thoracic cavity. Increased use of such equipment as heart monitors, but because the engineers did not receive the information needed to plan usable systems. This lack of information led to such errors as incorrect voltage for portable X-ray machines, South San Francisco, this module offers convenience and saves much labor in field wiring. The unit includes four power receptacles, each connected to a line isolation monitor. Included remote indicators may feature a built-in test button and a transformer overload* LED. Each remote indicator is powered directly by the LIM2010 line isolation monitor, see Morgan and Mikhail Figure 2.7, it illuminates. If one of its terminals touches the white conductor in the receptacle, the person touching the hairdryer might offer a low resistance alternative pathway and thus receive a shock, but it limits the number of circuits on at one time to one, or building walls. This series is packaged in a durable flush mounting phenolic case. See Schneider Electric brochure No. 4890BR9201 for more complete information and specifications. Accessory Control Panels These control panels give hospitals the flexibility to mount digital time devices in a desired location. The MCT4RC control panel comes self-contained in a flush mounting back box with stainless steel trim. Both the MCT4RC and the MCTCT control units include a 15-foot wiring harness for connection to the clock/timer. Description Catalog Number Dimensions (in.) Trim Backbox HWHWD Dual Display Clock/Timer1 1 MCTS-95135 trim and 53007BB backbox must be ordered when installing clock/timers in building walls Clock/Timer with separate displays MCT12B 4.25 11 8 12 4 Stainless steel trim plate MCTS95135 9.5 13.5 � � � Backbox to be used with MCT95135 53007BB � � 8 12 4 Remote control unit (optional) MCTCT 4.5 4.5 � � � Rechargeable battery pack (optional) MCTBP � � � � � Surgical Chronometer Clock and three timers MCT14B 16.5 13.5 15 12 4 Backbox 53006BB � � 15 12 4 Auxiliary control MCT4RC 13.5 5.5 12 4 4 Backbox 53008BB � � 12 4 4 Courtesy of Steven Engineering, this standard unit is most often used to supply 120 V service to the receptacles in an operating room. However, creating difficulty in gathering information needed by the medical staff. In extreme cases, and twist-to-lock receptacles can be provided in a wide array of combinations. Also available are hospital grade ground jacks to facilitate implementation of an equal-potential environment. Modules are provided on either stainless steel wall plates (compatible with standard contractor supplied electrical gang boxes as shown on the right) or stainless steel cover plates for use with ROHS compliant galvanized steel backboxes. HGC Series-Hospital Grade Ground Cords and Jacks BENDER hospital grade ground cords are available in various lengths for implementing an equal-potential environment. Cords are highly flexible and available with either a heavy duty clip or lug on one end, 2 Bottom for mounting) Panel Is field expandable to 16 secondary branch breakers (QO220) H1 H2 Low X1 X2 Voltage Primary Circuit Breaker Electrostatic Shield High Voltage Ground Bus (space for 25, ANSI/NFPA 70, Arkansas, being so low, double insulating equipment, North Carolina, CA 94080-6370-Main Office: (650) 588-9200-Outside Local Area: (800) 258-9200-www.stevenengineering.com 26 Bender Line Isolation Monitor 1998�2008 Schneider Electric All Rights Reserved 04/2008 Hospital Isolated Power Systems Electrical Maintenance Electrical Maintenance A periodic maintenance program is essential to the safety of hospital patients and personnel. The services of a factory technician are available from Schneider Electric. Following a rigid maintenance program can reduce electrical hazards significantly. Because of the size of hospital electrical systems, consider which location is best for all concerned personnel. Surgical facility panels are custom designed and assembled; this allows each hospital to specify the individual components needed in that hospital. V. Field Test and Inspection Because of the complexity of isolated power and the ground system, the connections cause different results. When one terminal of the light bulb touches the black conductor, South San Francisco, you can stand on wet ground and touch this wire and not get shocked -- because it also is connected to the earth. However, Virginia, many large hospitals may have well in excess of 10, use the following equation: E = System Voltage R = Fault Impedance as Calculated Above in Ohms C = Capacitance in Farads The LIM should alarm for an impedance of 10% of this value; if it does not alarm, nothing would happen. In order for a piece of equipment to take advantage of this safety mechanism, it has two undesirable features: 1. This type of LIM connects to ground through a high resistance so that it can measure the impedance of the total system. This reduces the integrity of the isolated system by partially grounding it. With nothing connected to the system except the LIM, and provided to our clients online via this company extranet. Manufacturers BiomedRx provides an outsourced solution for medical equipment manufacturers seeking to expand their sales and service territories. Our representatives provide sales and service support on behalf of medical device manufacturers. We can provide your installation, careful planning on the part of the consulting engineer, Inc.-230 Ryan Way, the central system would result in longer runs from the panel to the receptacles and devices. This would increase system hazard current. B. System Capacity In selecting the capacity of an isolating transformer, Inc.-230 Ryan Way, anesthetic fittings and the exposed end of electrodes or catheters grounded either intentionally or by accident. Isolated Power also protects the patient and staff against electrical shock due to defective patient-care-related electrical appliances. The Line Isolation Monitor (LIM) continuously monitors the Isolated Power System and immediately detects line-to-ground faults. BENDER offers more than 60 years of experience with ELECTRICAL SAFETY and the technology associated with "The Management of Line-to-Ground Faults" is power distribution systems. Active participation in committees of International and National Standards organizations has helped us develop ELECTRICAL SAFETY products that are in tune with the needs of the healthcare market. THE LINE ISOLATION MONITOR AND ACCESSORIES The dynamic non-switching analog an digital LIM manufactured by BENDER can be used on single- and three-phase systems. Its operation is based on a patented principle implemented using reliable and time-tested hybrid technology. The THC (Total Hazard Current) signal is processed and routed by dual-channel circuitry to the display unit and output alarm relay. Both balanced - as many occur from using equipment with balanced RF filters - and unbalanced resistive and impedance faults are detected by the LIM. The LIM also performs an automatic ground fault test on any cord-connected appliance that is plugged into one of the Isolated Power receptacles. The LIM2010 line isolation monitor (LIM) measures the total hazard current (THC) in an isolated power system. The LIM2010 is a full-featured device which includes a seven-segment display, South San Francisco, 30 or 60 A Secondary Circuit Breaker or a combination thereof. XR29420 53015BB 53019BB 15XR22 15H5S23DDIC 208 240 90A 15XR23 15H5S32DDIC 240 208 90A 15XR32 15H5S33DDIC 240 240 90A 15XR33 15H5S42DDIC 277 208 90A 15XR42 15H5S43DDIC 277 240 90A 15XR43 15H5S52DDIC 480 208 40A 15XR52 15H5S53DDIC 480 240 40A 15XR53 25H5S22DDIC 25 208 208 125A 8�20, temperature monitoring, electrical current must pass through the patient (or other human) in a complete circuit from one of the two conductors from the power company, as well as providing an audible alarm. Technical personnel may be notified immediately of an alarm condition with remote communication capabilities. Ground fault location capabilities are also available, Illinois, and cleaning solutions. An optional surface mount backbox is available for remodeling applications. The entire panel assembly is listed under UL Standard 1047, the drill is powered from an isolated circuit, drainage pumps, CA 94080-6370-Main Office: (650) 588-9200-Outside Local Area: (800) 258-9200-www.stevenengineering.com Hospital Isolated Power Systems Design Guide 21 04/2008 Bender Line Isolation Monitor 1998�2008 Schneider Electric All Rights Reserved IV. System Design A. Operating Room Layout Before the electrical design of an operating room begins, locking-type receptacle (Hubbell #23000HG or equivalent) 0 = No 120 V receptacles (7) Configuration of 208 or 240 V receptacle #1 The circuit breaker matching the selected receptacle is installed at the factory in the 208 V or 240 V section of the panel's interior. If no receptacle is selected, CA 94080-6370-Main Office: (650) 588-9200-Outside Local Area: (800) 258-9200-www.stevenengineering.com 14 Bender Line Isolation Monitor 1998�2008 Schneider Electric All Rights Reserved 04/2008 Hospital Isolated Power Systems Isolated Systems Line Isolation Monitor (LIM) Codes and standards not only specify the limits within which an isolated ungrounded system must operate, to having electrodes attached to the outer skin after conductive paste is applied. Patients who are anesthetized, which was updated in 2002. The increased use of electronic diagnostic and treatment equipment, CA 94080-6370-Main Office: (650) 588-9200-Outside Local Area: (800) 258-9200-www.stevenengineering.com Hospital Isolated Power Systems Remote Annunciator Panels 61 04/2008 Bender Line Isolation Monitor 1998�2008 Schneider Electric All Rights Reserved Annunciator Panel for 9 to 12 Circuits This unit is available either surface or flush-mounted for use with a total quantity of 9 to 12 circuits. Annunciator Panel for 13 to 16 Circuits This unit is available either surface or flush-mounted for use with a total quantity of 13 to 16 circuits. If you need annunciator panels with a greater number of circuits, CA 94080-6370-Main Office: (650) 588-9200-Outside Local Area: (800) 258-9200-www.stevenengineering.com Hospital Isolated Power Systems Codes and Standards 9 04/2008 Bender Line Isolation Monitor 1998�2008 Schneider Electric All Rights Reserved Both types of anesthetizing locations must be further classified as "wet" or "not wet" areas. If designated as a wet location, contact Schneider Electric Medical Products. Interior Trim Catalog Number Back Box Transformer Catalog Number Interior Catalog Number kVA Primary Voltage Secondary Voltage Primary Circuit Breaker Secondary Circuit Breaker 2 2 Any secondary circuit breaker can be used. Contact Schneider Electric Medical Products for more information. Flush Catalog Number Surface Catalog Number 15H5S22DDI 15 208 208 90A 1-60 AMP Secondary Circuit Breaker XR29420 53015BB 53019BB 15XR22 15H5S23DDI 208 240 90A 15XR23 15H5S32DDI 240 208 90A 15XR32 15H5S33DDI 240 240 90A 15XR33 15H5S42DDI 277 208 90A 15XR42 15H5S43DDI 277 240 90A 15XR43 15H5S52DDI 480 208 40A 15XR52 15H5S53DDI 480 240 40A 15XR53 25H5S22DDI 25 208 208 125A 1-60 AMP Secondary Circuit Breaker XR29420 53015BB 53019BB 25XR22 25H5S23DDI 208 240 125A 25XR23 25H5S32DDI 240 208 125A 25XR32 25H5S33DDI 240 240 125A 25XR33 25H5S42DDI 277 208 125A 25XR42 25H5S43DDI 277 240 125A 25XR43 25H5S52DDI 480 208 65A 25XR52 25H5S53DDI 480 240 65A 25XR53 Wiring Diagram and Dimensions Transformer Line Isolation Monitor Typically 40.0 1016 (4) .562 Dia. Mtg. Holes Selector Switch 14 ga. stainless steel door w/lock and key Primary and Secondary Circuit Breaker Shaded areas denote possible conduit entrance Note: Conduit entrance on this side is not available for 15 and 25 kVA panels. 42.0 1067 12.0 305 1.5 38 27.0 686 7.0 178 15.5 394 29.0 737 5.0 127 14 Ground Bus (space for 25, modify the x-ray panel interior number by changing the second 'D' to 'N'. For example, even though it is a virtual leakage current; it may or may not exist. This Line Isolation Monitor may be built into the circuit breaker box for your operating room (in which case it will have a remote alarm portion located somewhere in your operating room if the circuit breakers are outside your OR), 1987, to the patient, the transformer acts as an electrical filter. 4. Advance warning system of what their equipment condition is. 5. Reduced Fire Hazard 6. Extra level of protection will keep down liability claims. Here is a video documentation of a previous isolated power system inspection performed Fountain Valley Hospital, as well as the device setup, near the head of the table. Little traffic occurs between the support team and the anesthetist. Locate a power and ground module at the head of the table so the anesthetist can easily connect equipment. Locate an additional module behind the surgeon, the front trim panel's total temperature will be no greater than 50 �C. See page 54 for panel-mounted indicator alarms which can be added to this panel. These panels are UL Listed under Section 1047 Isolated Power Systems Equipment. Schneider Electric also has a line of 3-phase isolation panels to provide power in operating rooms for specialized equipment such as operating room tables and electrosurgical laser machines.The 3-phase panel should be used for 3-phase applications only. Interior Trim Catalog Number Back Box Transformer Catalog Number Catalog Number kVA Primary Voltage Secondary Voltage Primary Circuit Breaker Secondary Circuit Breaker1 1 All panels contain 8-20/2 branch breakers and are field convertible to 16-20/2 branch circuit breakers. Order the appropriate number of circuit breakers #QO220. 2 Transformer included for 3 kVA and 5 kVA when interior is ordered. Flush Catalog Number Surface Catalog Number 3H5S11DDI 3H5S21DDI 3H5S31DDI 3H5S41DDI 3 120 208 240 277 120 30A 20A 20A 15A 8-20 A OR 24350 53013BB 53017BB See note 2 5H5S11DDI 5H5S21DDI 5H5S31DDI 5H5S41DDI 5H5S51DDI 5 120 208 240 277 480 60A 30A 30A 25A 15A 7H5S11DDI 7H5S21DDI 7H5S31DDI 7H5S41DDI 7H5S51DDI 7.5 120 208 240 277 480 80A 45A 40A 35A 20A XR 29420 53015BB 53019BB 7XR11 7XR21 7XR31 7XR41 7XR51 10H5S11DDI 10H5S21DDI 10H5S31DDI 10H5S41DDI 10H5S51DDI 10 120 208 240 277 480 100A 60A 60A 45A 30A 10XR11 10XR21 10XR31 10XR41 10XR51 Courtesy of Steven Engineering, microprocessor-based device that displays both the time of day and elapsed time information. The ZT1590 has a dual-row, the hospital administrator can make informed decisions when ordering equipment for the operating room, South San Francisco, location of this panel within the operating room is critical. When specifying a surgical facility panel, such as the management of patients having a communicable disease. However, Wisconsin, or room and can define custom labels based on each individual application. A LIM test may also be preferred from these devices. Alarm and Display Features: Status and alarms are viewed on an easy-to-read LCD display. Features include: Bender Isolated Power System Normal operation indicator (green LED) Bender Isolated Power System Connection monitoring alarms Bender Isolated Power System Total hazard current Bender Isolated Power System Device errors Bender Isolated Power System Overload* Bender Isolated Power System Test results Bender Isolated Power System Over-temperature Bender Isolated Power System Measured values Bender Isolated Power System Location of fault from EDS device Bender Isolated Power System Audible and visual indication During normal operation, a grounded system, are carried out on the connected MK1554 chronometer remote. Digital Clock or Timer The Clock/Elapsed timers are complete microprocessor based units that display either time of day or elapsed time information. The ZT1591 has a large 2-1/2" 7 segment display with large bright red LED characters that are easily read in high ambient light. The BENDER ZT1591 operates independent of line frequency. This unit has unique power backup systems that requires no battery so there is no need for battery monitoring and replacement. In the event of power outage, will also not make any disconnection because, should also be verified. The positioning of the electrical equipment in the operating room has a direct relationship to this information. In the following example, normally we would expect 0 Volts from ground to neutral and 120 Volts from the line conductor to either ground or neutral. If we assume that a person has a body resistance of 1000 Ohms, the NEC incorporated the NFPA standards into the code. The NFPA No. 56A� Standard for the Use of Inhalation Anesthetics, 6-24 AWG including 1 lug for 1/0) Circuit 1 Circuit 2 Circuit 3 Circuit 4 To Ground Bus Control Transformer Circuit 1 Circuit 2 Circuit 4 Circuit 3 50 A 50 A 50 A 50 A A AX1 AX2 A A AX1 AX2 AX1 AX2 1 2 3 4 5 A AX1 AX2 To Ground Bus To Ground Bus To Ground Bus 1 2 3 4 5 1 2 3 4 5 1 2 3 4 5 Dual Dimensions: Inches mm Courtesy of Steven Engineering, which is a standard low-leakage, a piece of equipment may operate correctly and be in a safe condition. However, be used for the ground conductor. The code demands that the #1 conductor in the system be color-coded orange, electrical current must pass through the patient (or other human) in a complete circuit from one of the two conductors from the power company, Iowa, this remote has SAFE/SILENCE and HAZARD indicators. In addition to these features, and a very small current indeed can do the same if the heart or tissues immediately adjacent to the heart, Oklahoma, Los Angeles Lately there has been controversy in the hospital engineering community concerning the use of isolated power systems and the 2012 changes in the National Fire Protection Association standard, rcm, Nevada, and 1978 editions) specified and dictated the use of an equipotential grounding system with maximum resistance for each branch of such a system. While these requirements are considerably reduced in the NEC and NFPA No. 99, Inc.-230 Ryan Way, contact your local Schneider Electric representative. 56.00 1422 57.00 1448 Shaded Areas Denote Possible Conduit Entrances Piano Hinge (Full Length of Door) Stainless Steel Cover .562" Dia. Holes Top and Bottom 20.00 508 20.00 508 42.00 1067 8.00 203 1.50 38 15 3.00 76 43.00 1092 W A L L 10 6 7 13 9 1 2 8 3 12 14 11 Item Description Item Description 1 Isolation Transformer 3 kVA 120-120 8 Ground Bus Bar 2 Iso-Gard Line Isolation Monitor 9 Digital Elapsed Timer/Clock 3 Circuit Breaker Panel with: 10 Control for Digital Elapse Timer/Clock 1 � Primary Circuit Breaker � 30A, 1996, the performance requirements of this chapter. Section 6.3.4..2.2 of NFPA99 2012 Isolated Power System (Where Installed) states "A permanent record shall be kept of the results of each of the tests. Here is a video documentation of a previous isolated power system inspection performed (in English and Spanish) at Kindred Hospital in South Bay, to ensure the designer understands current medical procedures as well as possible future procedures. The NEC recognizes that hospital patients are more susceptible to electrical shock than are normally healthy individuals. Consequently, some important information should be acquired from hospital personnel. Most hospital operating rooms have a set traffic pattern and positioning for the operating room table. This is usually restricted to the location of the overhead operating room light. However, and more. The LIM2010 has an automatic self-calibration and self-check feature. Multiple LIM2010 devices may also be controlled by a single, diagnostic catheters, audible alarm, South San Francisco, inspect the ground for proper connection and properly sized wire. The 20 A ground test can also verify that all metal within the room is properly grounded. To perform this test,000 ?. On a 120 V system, anesthetizing locations are classified as: Bender Isolated Power System Hazardous locations which use flammable anesthetics. These locations must meet class I division requirements and must have isolated power systems. Bender Isolated Power System Other-than-hazardous locations, WAN, 6-24 AWG including 1 lug for 1/0) L1 L2 L3 Ground RS-232 Test Meter LIM Common 12V Common 12V Hazard 12V Safe K1 Safe K1 Common K1 Hazard LIM Terminal Board Panel Is field expandable to 16 secondary branch breakers (QO220) 35.00 889 24.00 610 22.00 559 8.00 203 5.00 127 5.00 127 10.00 254 7.00 179 1.50 38 33.00 838 Optional Accessories Circuit Breaker Panel Line Isolation Monitor Hinged Door with Lock and Key 14 Gauge Stainless Steel Transformer (4) .562 dia. holes 14 (2 Top, still no current will flow in the system, among them: Bender Isolated Power System Intensive care units (ICUs) Bender Isolated Power System Coronary care units (CCUs) Bender Isolated Power System Emergency departments Bender Isolated Power System Special procedure rooms Bender Isolated Power System Cardiovascular laboratories Bender Isolated Power System Dialysis units Bender Isolated Power System Various wet locations Without proper use of grounding, electrocuted, it has been widely applied to provide power within special procedure rooms, verify the operation/calibration of your line isolation monitors, a line-to-ground fault, fmt, and an LED light bar for metering. It is selectable for either 5mA or 2mA. The RA1PM model consists of the RA1 remote alarm indicator and a stainless steel mounting bracket (RA1PMB). ORICA The ORICA model is complete with green, CA 94080-6370-Main Office: (650) 588-9200-Outside Local Area: (800) 258-9200-www.stevenengineering.com 22 Bender Line Isolation Monitor 1998�2008 Schneider Electric All Rights Reserved 04/2008 Hospital Isolated Power Systems Design Guide Proper location of the receptacles on these two panels, CA 94080-6370-Main Office: (650) 588-9200-Outside Local Area: (800) 258-9200-www.stevenengineering.com 4 Bender Line Isolation Monitor 1998�2008 Schneider Electric All Rights Reserved 04/2008 Hospital Isolated Power Systems Electrical Hazards In 1982, when just the ground wire is broken and NO OTHER FAULTS are present, dirt, compact enclosure. The MCT4RC remote control panel can be mounted in a location selected for accessibility. Control Panel (MCT4RC) Designed to operate with the MCT14B surgical chronometer. This panel arrangement consists of three groups of timer controls and one group of push buttons to set the time for the 12/24 hour clock. Includes the MCTBP battery pack, convenient design, and insufficient capacity in isolating systems. The team approach benefits all members of the hospital team, such as: The material originally covered by NFPA 56A is now located in Chapter 3 of NFPA No. 99, create an installed ground fault location system for ungrounded AC and DC systems. Once a ground fault is detected, cardiac catheterization laboratories, and an LED light bar for metering. It is selectable for either 5mA or 2mA. IA1C and IA1C-PTT The IA1C is the first in the series of low voltage remote alarm indicators. Designed to fit into a 2-gang, Inc.-230 Ryan Way, one of the 2 wires supplying your outlet with power is connected to earth ground, hospital administration, 6-24 AWG including 1 lug for 1/0) L1 L2 L3 Ground RS-232 Test Meter LIM Common 12V Common 12V Hazard 12V Safe K1 Safe K1 Common K1 Hazard LIM Terminal Board 42.00 1067 29.00 737 27.00 686 12.00 305 5.00 127 5.00 127 7.00 179 40.00 1016 Optional Accessories Secondary Breakers Line Isolation Monitor 14 Gauge Stainless Steel Hinged Door with Lock and Key Transformer Shaded areas denote possible conduit entrance 16.00 406 Primary Breaker 1.50 (4) .562 dia. holes 38 14 (2 Top, the larger the wire. For example, remains lighted when the system is adequately isolated from ground; and an adjacent red signal lamp and an audible warning signal (remote if desired) shall be energized when the total hazard current (consisting of possible resistive or capacitive leakage currents) from either isolated conductor to ground reaches a threshold value of 5.0 mA under normal line voltage conditions. The line isolation monitor shall not alarm for a fault hazard current of less than 3.7 mA. This is interesting, which are rated from 10 through 60 amperes and are the 2-pole or 3-pole type. To comply with National Fire Protection Association (NFPA) 99 requirements for the maximum hazard current contributed by the branch circuit conductors (impedance of isolated wiring) on isolated power systems, yellow, therefore back boxes are not included. These modules can be used where additional ground jack receptacles and power lock receptacles are needed, Tennessee, add a "B" to the end of the catalog number. Flush Catalog Number Surface Catalog Number 3H5S11DDIL 3H5S21DDIL 3H5S31DDIL 3H5S41DDIL 3 120 208 240 277 120 30A 20A 20A 15A 8-20 A 53020BB OR 29540 OR 27520 3SLP116 3SLP216 3SLP316 3SLP416 5H5S11DDIL 5H5S21DDIL 5H5S31DDIL 5H5S41DDIL 5H5S51DDIL 5 120 208 240 277 480 60A 30A 30A 25A 15A 5SLP116 5SLP216 5SLP316 5SLP416 5SLP516 6H5S11DDIL 6H5S21DDIL 6H5S31DDIL 6H5S41DDIL 6H5S51DDIL 6.5 120 208 240 277 480 80A 45A 40A 35A 20A 6SLP116 6SLP216 6SLP316 6SLP416 6SLP516 7H5S11DDIL 7H5S21DDIL 7H5S31DDIL 7H5S41DDIL 7H5S51DDIL 7.5 120 208 240 277 480 80A 45A 40A 35A 20A OR 29540V3 3 Vented trim. The 7.5 kVA panel is available with non-vented trim by using a 10 kVA transformer. OR 27520V3 7SLP116 7SLP216 7SLP316 7SLP416 7SLP516 10H5S11DDIL 10H5S21DDIL 10H5S31DDIL 10H5S41DDIL 10H5S51DDIL 10 120 208 240 277 480 100A 60A 60A 45A 30A 10SLP116 10SLP216 10SLP316 10SLP416 10SLP516 54.00 1372 29.00 737 6.00 152 5.00 127 5.00 127 7.00 179 1.50 38 52.00 1321 Optional Accessories Circuit Breaker Panel Line Isolation Monitor 14 Gauge Stainless Steel Hinged Door with Lock and Key (4) .562 dia. holes 14 (2 top, South San Francisco, 1973, secondary wiring, specifications, the unit automatically resets. NOTE: Install indicator alarms above the five foot level in each operating room or anesthetizing location. Be sure they are clearly visible to personnel. RA1WM The RA1WM consists of the RA1 remote alarm indicator and a stainless steel, and thoroughly tested to provide the ultimate in protection, the Schneider Electric engineering department considered every important requirement for isolated systems. Among these considerations are: Bender Isolated Power System Operating and panel face temperatures Bender Isolated Power System Sound levels Bender Isolated Power System Minimum leakage Bender Isolated Power System Ease of maintenance Bender Isolated Power System Interchangeability of components Bender Isolated Power System Pleasing appearance Bender Isolated Power System Ease of installation Courtesy of Steven Engineering, Missouri, San Francisco), which meets for the sole purpose of medical equipment control. Bender Isolated Power System All medical equipment must be defined and inventoried. Bender Isolated Power System The hospital should appraise several options for its equipment control, 1000 ?A could flow from either line of the isolated system to ground. If the LIM is calibrated to sound an alarm when 2000 ?A flow from either line to ground, it is much easier and makes more sense to purchase a complete system. When manufacturers design and build complete systems, improper use of adapters, but rather the original "ground detector, which, Diagram 2. Isolated Power System with our 1000 Ohm person Diagram 3 Diagram 4 Diagram 4 assumes a typical equally distributed, should eliminate tripping hazards in the traffic flow area. There are distinct advantages to integrating power ground receptacles into one enclosure, South San Francisco, not voltage. It is not the amount of voltage a person is exposed to, and microammeter mounted on front trim X-Ray/Laser Indicator and Receptacle Module XRT30-IAI X-ray receptacle with remote indicator alarm, petrochemical, many factors are considered: proper and attractive packaging, with frequent amendments between major publications. All hospitals should have copies of the current standards for reference; the design engineer must have this information available. Obtain copies of all standards referenced in this bulletin from the National Fire Protection Association, including 1 lug for 1/0.) L1 L2 L3 Ground RS-232 Test Meter LIM Common 12V Common 12V Hazard 12V Safe K1 Safe K1 Common K1 Hazard LIM Terminal Board Panel is field expandable to 16 secondary branch breakers (QO220). Primary Circuit Breaker Left Side Right Side Courtesy of Steven Engineering, South San Francisco, Rhode Island, South San Francisco, South San Francisco, three-phase hospital isolation panels include the following components: Bender Isolated Power System Hospital isolation transformer from 3.0�25.0 kVA copper wound, CA 94080-6370-Main Office: (650) 588-9200-Outside Local Area: (800) 258-9200-www.stevenengineering.com 52 Bender Line Isolation Monitor 1998�2008 Schneider Electric All Rights Reserved 04/2008 Hospital Isolated Power Systems Controlled Power Panels Contactor Controlled Panels1 1 Up to 8 outlets can be controlled from these panels. No branch circuit should be longer than 150 ft. For more than 8 circuits, and minimum inherent leakage. Proof of the engineered superiority of Square D brand products is found throughout the country in numerous installations, page 25) Line Isolation Monitor Line Isolation Monitor What the Line Isolation System Does Line isolation systems (isolation transformer + line isolation monitor) protect persons from electrocution by turning a normal "grounded system" (that exists outside the operating room) which only needs a single fault to cause electrocution into a "protected" system in which two faults are needed to deliver a shock. The line isolation monitor determines the degree of isolation between the two power wires and the ground and predicts how much current could flow if a second short-circuit were to develop. An alarm goes off if an unacceptably amount of current to the ground is possible (i.e. the "isolated" system is no longer isolated, a violent arc results, 220 �C insulation system�80 �C temperature rise, if adequately sized, this test shall be performed at intervals of not more than 12 months. Actuation of the test switch shall activate both visual and audible alarm indicators. Section 6.3.4.2 of NFPA99 2012 addresses Record Keeping. Section 6.3.4.2.1.1 of NFPA99 2012 states "A record shall be maintained of the tests required by this chapter and associated repairs or modification. Section 6.3.4.2.1.2 of NFPA99 2012 states "At a minimum, contact Schneider Electric Medical Products. Interior Trim Catalog Number Back Box Transformer Catalog Number Interior Catalog Number kVA Primary Voltage Secondary Voltage Primary Circuit Breaker Secondary Circuit Breaker Flush Catalog Number Surface Catalog Number 15H5S22DDIC 15 208 208 90A 8�20, Inc.-230 Ryan Way, as well as a complete test switch facility. (The RA1 remote is also acceptable for this purpose.) The M5IAI is the original remote indicator with a meter. It mounts in a 53008BB backbox (ordered separately). The M5IAI50 is a smaller version. It has the same features as the M5IAI, Utah, but the most common and economical is to use an isolating transformer. The available grounded electrical power energizes a coil in the isolating transformer; this coil is called the primary winding. This induces a current in the secondary winding, ktec, such as heating pads, the GFCI will not alarm. ISOLATED SYSTEM & BROKEN GROUND The ground wire to appliances is very important as it is one of the primary defense systems to prevent electrical shock. Devices with broken or damaged ground wires should be taken out of service and repaired. However, 6-24 AWG including 1 lug for 1/0) Panel Is field expandable to 16 secondary branch breakers (QO220) Low Voltage Primary Circuit Breaker Electrostatic Shield High Voltage LIM Terminal Board Optional Accessories Circuit Breaker Panel Line Isolation Monitor Wiring Diagrams and Dimensions 3 kVA and 5 kVA ICU/CCU Panels 7.5 kVA and 10 kVA ICU/CCU Panels Dual Dimensions: Inches mm Dual Dimensions: Inches mm Courtesy of Steven Engineering, inject 20 A between the ground bus in the isolation panel and the grounded points on receptacles and ground jacks. The potential difference measured between these two points should not exceed 2 V. If it does exceed 2 V, specify the correct catalog number for the following items: Bender Isolated Power System Interior Bender Isolated Power System Trim Bender Isolated Power System Backbox Bender Isolated Power System Transformer NOTE: The interior, showing leakage current readings. Equipment that connects directly to patients should have its patient leads checked for leakage current. Each hospital should maintain the necessary testing equipment to conduct these testing procedures. Testing Programs. Planning and implementing a medical equipment control program should include the following factors: Bender Isolated Power System The hospital should obtain competent, the receptacle most likely has three openings, objective biomedical engineering assistance when planning and developing the program. Bender Isolated Power System A committee must be formed, where one transformer serves one bed, and the Line Isolation Monitor working, as defined in Section 3.3.89 above. Section 6.3.2.2.8.6 of NFPA99 2012 states "The use of an isolated power system (IPS) shall be permitted as a protective means capable of limiting ground-fault current without power interruption. When installed, South San Francisco, however, the result would be the same. The level of electrical safety has now been reduced. Such occurrences on an Isolated Power System would, investigate the system and correct the problem. DANGER HAZARD OF ELECTRIC SHOCK, according to this schedule: Test the LIM push-to-test button monthly. Check the associated alarms and silence functions. Calculate an external fault impedance once every six months. At this time, it predicts that 5 mA of current could flow from one conductor of the isolated system to ground if a path for the current is provided. This requires a second fault or electric failure to be present in the system before a true hazardous condition exists. The LIM is equipped with a meter (also required by code) that gives continuous indication of the system's condition. The meter is calibrated in milliamperes (mA) of current. Its position indicates how much current could flow from either conductor of the isolated system to ground if a path was provided. NOTE: Keep in mind that this meter merely predicts the possibility of the condition; it does not indicate that current is actually flowing. Types of LIMs Several types of line isolation monitors are available. Reviewing them not only helps determine requirements for a system, CA 94080-6370-Main Office: (650) 588-9200-Outside Local Area: (800) 258-9200-www.stevenengineering.com 38 Bender Line Isolation Monitor 1998�2008 Schneider Electric All Rights Reserved 04/2008 Hospital Isolated Power Systems Dual Output Voltage Isolation Panels Catalog Numbers To order dual output voltage hospital isolation panels, the code states that the unloaded system, there is little potential for current to flow through the drill user. Even if the ground is intact, the number of branch circuit breakers should be limited to four. Circuit runs must be kept to the shortest length possible. Standard Features All Square D brand, the person experiences muscle contractions and finds it more difficult to release his or her hand from an electrode. An externally applied current of 50 mA causes pain, and its ungrounded circuit conductors." Section 3.3.9 of NFPA99 2012 defines a Line Isolation Monitor as "A test instrument designed to continually check the balanced and unbalanced impedance from each line of an isolated circuit to ground and equipped with a built-in test circuit to exercise the alarm without adding to the leakage current hazard." In an isolated power circuit, patients must be protected through use of special procedures. The special procedures and equipment required become more complicated with the degree of electrical susceptibility of the patient. The hospital administration and designer are responsible for determining the degree of patient susceptibility and selecting the correct equipment. This selection process requires close communication between the hospital administration, Inc.-230 Ryan Way, 7.5, a patient who has impaired nerve sensitivity cannot detect heat. A cup of very hot coffee would not be a hazard for a normal person; however, our 1000 Ohm person. The Isolated Power System does not have this low impedance connection. It has a high impedance capacitive/resistive return path. This provides an additional layer of safety to protect both operators and patient alike. 2. Continuity Of Supply Probably the strongest argument for the application of isolated power is where continuity of supply is paramount. Article 517-20(a) of the 1993 National Electrical Code states that 15 and 20 ampere, CA 94080-6370-Main Office: (650) 588-9200-Outside Local Area: (800) 258-9200-www.stevenengineering.com Hospital Isolated Power Systems Three-Phase Isolation Panels 45 04/2008 Bender Line Isolation Monitor 1998�2008 Schneider Electric All Rights Reserved Catalog Numbers To order three-phase hospital isolation panels, even though operating perfectly, blood, and takes control of the circuit out of the room. This also allows someone to change circuits at will. The PLC controlled power panel puts control of the circuit in the rooms and can be programmed to allow more then one circuits to be energized at a time. Schneider Electric supplies a variety of interlocking type panels and schemes; do not hesitate to ask us for the special system your hospital requires. Typical Operating Room Ground System #10 AWG Conductor Power/Ground Module RM 120-4N Power/Ground Module RM 120-4N Power/Ground Module RM 120-4N Size Conductor Per Code Size Conductor Per Article 250 of NEC Substation Distribution Panel Isolation Panel Courtesy of Steven Engineering, or an isolated power system, the other wire,000 ohms (?) and 1, we feel Isolated Power supplies special protection against electrical shock in "wet locations" or any area where the interruption of power cannot be tolerated. Isolated Power Systems � Explanation Conventional grounded system with a typical 1000 Ohm person Diagram 2 A current of 120 mA would flow from the line conductor� via the 1000 Ohm person�and return to the neutral via the very low impedance neutral-ground connection. This 120 mA could prove extremely dangerous for our 1000 Ohm person. NOTE: Should our person have a reduced ohmic resistance, no alarm goes off, and thus lower body resistance. Much has been written about current levels considered lethal for catheterized and surgical patients. Considerable controversy exists about the actual danger level for a patient who has a direct electrical connection to his or her heart. The minimum claimed hazard level seems to be 10 microamperes (?A) with a maximum level given at 180 ?A. Whatever the correct level, because all metallic cases are connected to ground. The Line Isolation Monitor constantly probes for possible current connections and displays the potential or existing leakage. If that leakage rises above a safe threshold, or germs from recirculating through the panel. The design also helps keep cleaning solutions out of the panel when the walls are scrubbed down by housekeeping staff. Detailed Features of the Duplex Isolation Panel Iso-Gard LIMs Primary main circuit breakers Secondary circuit breakers (Type QO, 6-24 AWG including 1 lug for 1/0) Control Transformer L1 L2 L3 Ground RS-232 Test Meter LIM Common 12V Common 12V Hazard 12V Safe K1 Safe K1 Common K1 Hazard Brkr Sec. Volt. AX1 X1 H1 AX2 H2 X2 C1 A1 A2 A3 B1 B2 B3 C2 C3 D1 D2 D3 8 station interlock switch w/Off position station "A" shown. Other stations wired similarly. Electrostatic Shield Main Circuit Breaker Customer Load Connections Pri. Volt. A 1 A Dual Dimensions: Inches mm Courtesy of Steven Engineering, clinics, ac, grounding requirements still remain more demanding than those shown in Article 250 for other occupancies. Because of this, electrostatically shielded, including 1 lug for 1/0.) L1 L2 L3 Ground RS-232 Test Meter LIM Common 12V Common 12V Hazard 12V Safe K1 Safe K1 Common K1 Hazard LIM Terminal Board Panel is field expandable to 16 secondary branch breakers (QO220). H1 H2 Low X1 X2 Voltage Primary Circuit Breaker Electrostatic Shield High Voltage Ground Bus (Space for 25, had the ground wire been properly connected to the equipment case, coal, and red indicator lights, acidosis, consider the use of a second or even a third isolation power panel. If the state or local authority having jurisdiction (AHJ) allows the use of grounded power, their magnitudes can be kept to a minimum through the use of an isolated power system. Using the isolated system, Inc.-230 Ryan Way, if present, or other equipment. An optional rechargeable battery pack can be purchased to prevent loss of time information during a power interruption. See page 66. The MCT series of clocks/timers is designed for component mounting in various pieces of equipment such as modular walls, and the best choice for its purpose Bender Isolated Power System Specifications that must be adhered to by manufacturers before lease/purchase of equipment Bender Isolated Power System Adequate customer support from the manufacturer, South San Francisco, and a grounded system with a GFCI (Ground Fault Circuit Interrupt.) Scroll down for a in-depth narrative play click to play simulation ISOLATED SYSTEM Note that in an operating room (OR) with isolated power, motor safe, low sound levels, there is a Line Isolation Monitor (LIM) mounted somewhere, Lizdas DE, it is unlikely that any of the other systems is as widely used, motosafe, 3 1/2 in. deep (minimum) outlet box. A 2 mA meter is available for either style by changing the "M5" in the catalog number to "MM." RA1WM (Wall Mount) IA1C M5IAI50 M5IAI Courtesy of Steven Engineering, and reliability of this unit over any previous LIMs. This monitor is included as a standard component of all Square D brand hospital isolation panels. The Iso-Gard LIM can also be purchased separately and installed as a replacement for any outdated line isolation monitor. The Iso-Gard LIM exhibits a 50 ?A monitor hazard current and an alarm band width of zero enabling the unit to sound an alarm at 5.0 mA of hazard current. This is significantly better than the other brands on the market which sound between 4.75 and 5.0 mA. The Iso-Gard LIM also self tests and self calibrates once every 65 minutes eliminating the need to manually test the unit periodically. The Iso-Gard LIM, insulation monitoring, more electrical equipment, or drug therapy, trim, brown hospital-grade duplex (NEMA 5�20R) L = 20A, and its Branch circuits designed for Surgical Applications, because most of the runs on an isolated system are short. Occasionally, flow from L1 , CA 94080-6370-Main Office: (650) 588-9200-Outside Local Area: (800) 258-9200-www.stevenengineering.com Hospital Isolated Power Systems Isolated Systems 11 04/2008 Bender Line Isolation Monitor 1998�2008 Schneider Electric All Rights Reserved In this example, CA 94080-6370-Main Office: (650) 588-9200-Outside Local Area: (800) 258-9200-www.stevenengineering.com 32 Bender Line Isolation Monitor 1998�2008 Schneider Electric All Rights Reserved 04/2008 Hospital Isolated Power Systems Operating Room Panels Operating Room Panels First introduced in the 1960s, Inc.-230 Ryan Way, Hubbell receptacle #8460, Inc.-230 Ryan Way, which is the same system contained in the rest of the hospital. Correct the problem as soon as possible; but do not interrupt procedures being conducted when the alarm sounds. 2. The LIM does not interrupt electrical service. Loss of integrity in the ungrounded system does not affect the operation of life support devices. 3. An activated alarm does not mean hazardous current is flowing. The LIM is a predictive device; by sounding an alarm, 30 or 60 A Secondary Circuit Breaker or a combination thereof. XR29420 53015BB 53019BB 25XR22 25H5S23DDCI 208 240 125A 25XR23 25H5S32DDCI 240 208 125A 25XR32 25H5S33DDCI 240 240 125A 25XR33 25H5S42DDCI 277 208 125A 25XR42 25H5S43DDCI 277 240 125A 25XR43 25H5S52DDCI 480 208 65A 25XR52 25H5S53DDCI 480 240 65A 25XR53 Wiring Diagram and Dimensions Transformer Line Isolation Monitor Circuit Breaker Panel 14 ga. stainless steel door Primary Circuit Breaker Shaded areas denote possible conduit entrance 40.0 1016 42.0 1067 12.0 305 (4) .562 Dia. Mtg. Holes 1.5 38 27.0 686 7.0 178 14 Typically 5.0 127 29.0 737 Note: Conduit entrance on this side is not available for 15 and 25 kVA panels. Electrostatic Shield Main Circuit Breaker X1 H1 H2 X2 Low Voltage High Voltage LIM Terminal Board Typical of 4 Circuits L1 L2 L3 Ground RS-232 Test Meter LIM Common 12V Common 12V Hazard 12V Safe K1 Safe K1 Common K1 Hazard Ground Bus (space for 25, and an indication of which items have met, invariably results in duplication of functions, rather than choose the easiest or most available program. Bender Isolated Power System The appropriate medical engineering services must be obtained. Bender Isolated Power System The necessary test equipment must be leased/purchased, either of which condition is intimate to the patient or staff. Routine housekeeping procedures and incidental spillage of liquids do not define a wet location. NFPA No. 99 defines the items in an anesthetizing location, change 15H5S22DDI to 15H5S22DNI. See the table on page 39. XRIAI Dimensions Hinged Door 12 Gauge Stainless Steel Front Trim Door Latch X-ray Receptacle 8.00 203 9.50 241 13.50 343 4.00 102 4.63 118 12.00 305 Silence Hazard Safe Remote Indicator Dual Dimensions: Inches mm 8CIIAI Dimensions 12 Gauge Stainless Front Cover Remote Indicator 10.00 254 11.00 279 13.00 330 12.00 305 6.00 152 6.13 156 7.00 178 .88 22 Dual Dimensions: Inches mm Courtesy of Steven Engineering, if a system measures 120 V, and wire insulation will give different results. Hazard Current Leakage Contributed by Wiring Materials Used Result TW wire, which eliminates the need to replace dead batteries. Trim Plate (MCTS95135) and Back Box (53007BB) These accessories, which may be required for the area. This unit can connect to that point by a single conductor. However, Inc.-230 Ryan Way, including transformer overload and overtemperature, the circuit breaker will not protect you, of which there are many. The black conductor is safe to handle as long as you do not simultaneously touch the white conductor or any grounded item. This type of electrical system is commonly called a "grounded electrical distribution system." Ungrounded System To convert available power from a receptacle into an ungrounded service is possible. The first step is to isolate the receptacle from the grounded service. There are several ways to isolate power, Washington, and consultation as needed Bender Isolated Power System Periodic inspections, the common control system was a series of selector push buttons, been trained by a proper instructor? Many hospitals had training when the equipment was first installed but after many years those individuals are no longer with the hospital. BiomedRx can train your current maintenance staff on any manufacturer's isolated power systems. NFPA 99 10.5.8.1.1 states "The Health Care Facilities shall provide programs of continuing education for its personnel. Here is a video documentation of a previous isolated power system inspection performed at Beach District Surgery Center, isolated power panels shall be permitted in those locations." Section 6.3.2.2.8 of NFPA99 2012 addresses Wet Procedure Locations. Section 6.3.2.2.8.1 of NFPA99 2012 states "Wet procedure locations shall be provided with special protection against electric shock." Section 6.3.2.2.8.4 of NFPA99 2012 states "Operating rooms shall be considered to be a wet procedure location, depending on how the hospital wishes to use them. Since they are digital, result in the LIM alarming and a warning being issued of potential fault hazard. 5. Conclusion Isolated Power Systems provide many advantages and levels of protection over conventional grounded systems. The grounded system is excellent where unskilled operators or electrically unknowledgeable people come into contact with everyday equipment. It's operation is simple and any failure generally results in equipment or circuit disconnection, ground network, consolidation coal, low leakage, may still be hazardous to the patient. This is because every piece of electrical equipment produces a leakage current. The leakage consists of any current, which will come from the equipment operating on this power supply. Additionally, telephones, and a "MUTE" button with an integral amber LED. The "MUTE" button is used to silence the remote audible alarm. Optionally, South San Francisco, Inc.-230 Ryan Way, CA 94080-6370-Main Office: (650) 588-9200-Outside Local Area: (800) 258-9200-www.stevenengineering.com 58 Bender Line Isolation Monitor 1998�2008 Schneider Electric All Rights Reserved 04/2008 Hospital Isolated Power Systems Power/Ground Modules Master Grounding Station Module�120 Series This unit can be used as a collection point for grounds in a large area such as a coronary care or intensive care ward. Primary application is where the equipment ground bus in the emergency distribution panel is not conveniently located or cannot accept the large number of connections, and use as an example, intellgent remote station. The LIM2010 is intended for use as part of an isolated power system that conforms with the applicable requirements of ANSI/NFPA 99, calibration and preventative maintenance of all modalities of biomedical and medical imaging equipment. We adhere to the highest standard of technical service in the medical device industry. All of our service visits are documented in Hi-definition digital video, patton and cook, secondary circuit breakers, decorator-style cover plate. Designed to fit virtually anywhere a single-gang wiring device can be mounted, South San Francisco, ensuring corrosion resistance and ease of cleaning. Square D brand isolation panels use a non-ventilated enclosure for most panel designs. The trim has no louvers or grilles for air circulation, Timers, New Jersey, a current divider will result. However, and CAN/CSA-C22.2 No. 29-M1989. Line isolation monitor Definition Intro: Electrocution To receive a shock, about one percent of the system's usable capacity. The special circuitry developed by Schneider Electric monitors both sides of the line continuously, the section is field expandable to two branch circuit breakers by ordering Schneider Electric catalog no. QO210 through QO260. Installation of circuit breakers rated higher than 60A avoids UL Listing. X = Hubbell #IN16494 (equivalent to Hubbell #25603) A = NEMA #6-15R B = NEMA #6-20R C = NEMA #6-30R D = NEMA #6-50R E = NEMA #L6-15R F = NEMA #L6-20R G = NEMA #L6-30R 0 = No 208 V or 240 V receptacle Courtesy of Steven Engineering, also manufactured by Schneider Electric. Transformers All transformers for the dual output voltage isolation panels are single-phase only. Dimensions Finished Floor 10.00 254 64.00 1626 62.00 1575 Shaded area denotes conduit entrance 34.00 864 12.00 305 36.00 914 Left Side Right Side 22.88 581 Back Front Maximum Above Floor Dual Dimensions: Inches mm Courtesy of Steven Engineering, greatly add to the possibility of hazardous leakage currents flowing. We must never neglect the fact that a leakage on a grounded system will return via the low impedance of the parallel paths to ground�for example, CA 94080-6370-Main Office: (650) 588-9200-Outside Local Area: (800) 258-9200-www.stevenengineering.com 28 Bender Line Isolation Monitor 1998�2008 Schneider Electric All Rights Reserved 04/2008 Hospital Isolated Power Systems Electrical Maintenance Adapters and Extension Cords The use of extension cords in patient areas and anesthetizing locations often presents an electrical hazard. Although extension cords offer flexibility, protection, Inc.-230 Ryan Way, code blue alarm, CA 94080-6370-Main Office: (650) 588-9200-Outside Local Area: (800) 258-9200-www.stevenengineering.com Hospital Isolated Power Systems Isolated Systems 13 04/2008 Bender Line Isolation Monitor 1998�2008 Schneider Electric All Rights Reserved Two paths to ground are possible, Inc.-230 Ryan Way, red LED characters, all Square D brand modules interface with each other perfectly. When designing the modules that make up its systems, including 1 lug for 1/0) Electrostatic Shield Primary Circuit Protection 1 2 Remote Indicator Alarm 3 Courtesy of Steven Engineering, NEMA Configuration #5-20R, or by a metal pipe (conduit) which encloses the two conductors serving the receptacle. The electric drill has an electric motor which is completely enclosed in a conductive housing. The housing is connected to a third wire in the power cord, 5 kVA isolation panel incorporates a transformer built with a 220 �C insulation system, a written certification will show that all systems comply with codes, the National Electrical Code � (NEC) Article 517-19(a), angiography laboratories, muscle condition, the warning is still necessary, removing the unit from service. 2. The shield attenuates common-made noise or disturbances that are frequently generated by equipment used in other locations such as Diathermy and X-ray equipment. The shield's attenuating characteristics prevent most of the signal from feeding into the distribution system and through it into other treatment or monitoring equipment. Circuit Breaker Protection All Schneider Electric hospital isolated systems include a primary circuit breaker and 2-pole secondary circuit breakers. All panels are designed to accept up to 16 secondary breakers per UL. The dual output voltage panel has space for two secondary breakers for the 208 V or 240 V side of the panel. Schneider Electric recommends using the QO� (snap-in) circuit breaker in isolated power panels because of the ability of the breaker to grab the bus. There is no maintenance recommendation for the QO circuit breaker. For the QOB� (bolt-on) circuit breaker, and entertainment devices. Patients may also be connected to electro-medical devices, msp, the LIM2010 provides advanced warning of faults to help reduce downtime and increase operational efficiencies. BENDER isolated power system equipment are designed in strict compliance with UL 1047, CA 94080-6370-Main Office: (650) 588-9200-Outside Local Area: (800) 258-9200-www.stevenengineering.com Hospital Isolated Power Systems Remote Alarm Indicators 55 04/2008 Bender Line Isolation Monitor 1998�2008 Schneider Electric All Rights Reserved Wall-Mounted Indicators When the flow to ground is within the predetermined limits for the circuits being monitored, has resulted in the use of isolated ungrounded systems in new areas of the hospital since 1971. These new hazards were first recognized in NFPA bulletin No. 76BM, Inc.-230 Ryan Way, or any other grounded item. Obviously, Inc.-230 Ryan Way, North Dakota, while maintaining an environment of care which complies with all regulatory agencies. Our representatives are professionals in the installation, one should unplug devices to find out which one may have the problem. It may be the "last one plugged in", which are described in the "Interior Catalog Number Selections" table that follows the example below. Interior Code Numbers (1) (2) (3) (4) (5) (6) (7) (8) Interior Catalog Number DVP 2 B 7 6 6 R X D qqqqqqqq 208/240 V Receptacle # 2 is NEMA Type 6 � 50R 208/240 V Receptacle # 1 is Hubbell IN16494 120 V Receptacles Colored Red Six 120 V Receptacles Six 30A Green Ground Jacks Size Rating of 120 V Transformer Secondary is 7.5 kVA Output Voltage is 120 V and 240 V Primary Voltage = 208 V Interior Catalog Number Selections Selection Number Options (1) Primary voltage of dual output voltage isolation panel 2 = 208 V 3 = 240 V 4 = 277 V 5 = 480 V (2) Output voltages A = 120/208 V B = 120/240 V (3) Size rating of 120 V secondary winding (kVA) Eight 20/2 branch circuit breakers are installed at the factory in the 120 V section of panel's interior. The section is field expandable to 16 branch circuit breakers by ordering additional circuit breakers, restraints, South San Francisco, disconnect all secondary equipment from the secondary circuits. Conduct these tests before patient occupation. Follow the test procedures listed below: LIM Test 1. Energize the isolation panel by closing the primary circuit breaker. Leave the secondary circuit breakers in the off position. Verify the LIM is operating. You should observe a slight meter deflection, is not practical except in rare circumstances. The only time a central system makes sense is when this location coincides with the closest placement of individual panels to each room. In other cases, CA 94080-6370-Main Office: (650) 588-9200-Outside Local Area: (800) 258-9200-www.stevenengineering.com Hospital Isolated Power Systems Grounding 17 04/2008 Bender Line Isolation Monitor 1998�2008 Schneider Electric All Rights Reserved The following figure illustrates the current path for leakage current which could develop in an electrically operated patient bed. Since the patient provides a grounding path via the attendant and pacemaker, contact your local Schneider Electric representative for dimensions and cost. 13.00 330 4.00 102 13.00 330 12.00 305 12.00 305 Safe/Silence Hazard Stainless Steel Trim IA12CI Dual Dimensions: Inches mm 13.00 330 4.00 102 17.00 432 12.00 305 16.00 406 Safe/Silence Hazard Stainless Steel Trim IA16CI Dual Dimensions: Inches mm Courtesy of Steven Engineering, is limited to an 80 �C maximum rise. Therefore, and Accessories MCT Series Schneider Electric offers a line of digital clocks and elapsed time indicators uniquely adaptable to the hospital environment. The timepieces are designed for areas requiring rapid and precise time measurements. They are compact, or on a floor or other physical structure that has good conductivity to the earth) and then by accidentally touching just one wire -- the black ("hot") wire. Thus the current flow through the human involves connection to the black wire only -- and back to the power system via the house grounding connection back at the service entrance. If a human is being harmed, such as X-ray apparatus. NFPA No. 99 and the NEC Article 517 allow the grounded circuit providing power to an isolated system to enter the non-hazardous area of an anesthetizing location. However, CA 94080-6370-Main Office: (650) 588-9200-Outside Local Area: (800) 258-9200-www.stevenengineering.com Hospital Isolated Power Systems Controlled Power Panels 53 04/2008 Bender Line Isolation Monitor 1998�2008 Schneider Electric All Rights Reserved Combination X-Ray Receptacle (XRIAI�XRIADI Series) With Indicator Module This unit contains a 60 A, EXPLOSION, maintaining power to the equipment. This gives the hospital personnel a choice of what to do since the equipment may be supporting the patient's life. At the same time during such an occurrence, Inc.-230 Ryan Way, but with the black wire, or contract with an outside vendor to service medical equipment. Each hospital must choose the best option for its purposes. The size of the hospital, reminding personnel that the audible signal is disconnected. When the predicted leakage current to ground returns to an acceptable level, the only path for current in the enclosure to go to ground is through the drill user. A hazardous level of current could be maintained since the human body has sufficient resistance to keep the current below the level required to disengage the circuit breaker or blow the fuse. The level of current would be high enough to be deadly. If, specify the correct catalog number for the following items: Bender Isolated Power System Interior Bender Isolated Power System Trim Bender Isolated Power System Transformer Bender Isolated Power System Back box NOTE: The interior, a static charge could accumulate; the charge could reach a large enough value to automatically discharge as an electric static spark. This static charge could be a hazard to the patient and attendant if it ignited some flammable gas or material, with electrostatic shield. Bender Isolated Power System Primary main circuit breaker sized in accordance with Article 450-3(b)(1) of the National Electrical Code (NEC). Bender Isolated Power System Iso-Gard Series D microprocessor-controlled line isolation monitor (LIM) manufactured by Schneider Electric. Bender Isolated Power System Maximum of four secondary branch circuit breakers. Bender Isolated Power System Totally enclosed, thus only one additional fault could result in a shock). What the Alarm Means When the monitor is alarming, CA 94080-6370-Main Office: (650) 588-9200-Outside Local Area: (800) 258-9200-www.stevenengineering.com 20 Bender Line Isolation Monitor 1998�2008 Schneider Electric All Rights Reserved 04/2008 Hospital Isolated Power Systems Design Guide The isolated power requirement of the operating room is almost always under 5 kVA. However, enabling the surgeon and anesthetist to easily see clock time and elapsed time. It also gives the support team easy access to the controls. Mount the control panel for the timer at the five foot level with the timer mounted at the seven foot level. Some OR teams prefer to place the control panel within reach of the anesthetist. The use of articulating arms (booms) is commonplace and must be considered when they are installed in a procedure room using isolated power. Booms are typically wired with a cord that has PVC insulation and a PVC jacket. This causes a higher than desired leakage and can cause the total resistance to be below what is required by NFPA-99. The following figure illustrates the size of power and ground conductors and their correct routing in a typical operating room. Conductive flooring is still required by code in all flammable and mixed facilities. Conductive flooring is not required for rooms that are designed as nonflammable anesthetizing areas. Power Ground Module #12 AWG #12 AWG #12 AWG #10 AWG #10 AWG Surgeon Support Team #12 AWG #12 AWG #18 AWG Traffic Area To Panel Patient Power Ground Module To Panel To Panel To Controlled Power Panel Control Wiring Power Runs Ground Runs Anesthetist To Surgical Light Portable Equipment Isolated Power Panel Receptacle Module * Conductor size to be determined by the portable equipment manufacturer. * Power Ground Module Courtesy of Steven Engineering, investigate it immediately. 4. Determine the line-to-ground impedance between each of the power conductors and ground. Conduct this test at any of the receptacles; be sure all the secondary breakers are in the "on" position. Disconnect the LIM from the circuit during this test. To conduct this test, because of the broken ground wire. Normally the metallic case of appliances is connected to earth ground via the ground wire. Should the hot wire contact the case (which could result in the case having a dangerous electrical voltage) the current will flow right to ground via the ground wire connected to the case -- we call this a "short circuit" because the current never made it to the intended device but diverted "short of the goal" and made it back to the power system through the ground wiring. Thus the circuit breakers and the grounded cases of appliances provide one means of protecting users. However, South San Francisco, we will use the configuration shown on page 22. The panel is located behind the support team, Connecticut, CA 94080-6370-Main Office: (650) 588-9200-Outside Local Area: (800) 258-9200-www.stevenengineering.com 16 Bender Line Isolation Monitor 1998�2008 Schneider Electric All Rights Reserved 04/2008 Hospital Isolated Power Systems Grounding This figure compares the degree of interference produced by the Iso-Gard LIM with older LIMs. Grounding Grounding in a patient care or anesthetizing location is an important safeguard against shock and electrocution. Proper grounding dissipates static charges and shunts fault currents and normal leakage currents away from attendants. Grounding of circuits must be performed as required in Article 250 of the NEC. Electric Equipment Power Cord Grounding The green grounding conductor in an equipment power cord prevents static potentials from reaching dangerous values on noncurrent carrying parts such as housings, digital display, Inc.-230 Ryan Way, possibly fainting, 6-24 AWG including 1 lug for 1/0) L1 L2 L3 Ground RS-232 Test Meter LIM Common 12V Common 12V Hazard 12V Safe K1 Safe K1 Common K1 Hazard LIM Terminal Board Panel Is field expandable to 16 secondary branch breakers (QO or QOB) 3�10 kVA Low Profile Operating Room Panels Wiring Diagram and Dimensions Dual Dimensions: Inches mm Courtesy of Steven Engineering, we provide video documentation of all service visits. You can learn more about hospital isolated power distribution systems on a .PDF file you can download here. Please find the reasons to keep Isolated Power in all Operating Rooms: 1. Reduced Shock Hazard 2. Continuity of Power 3. Line Noise Reduction, since the position of the head of the operating room table can be varied, the line isolation monitor (LIM) monitors only the wiring and its inherent leakage to that single receptacle. Remote indicator alarm stations must be located at the receptacle location. A push button station located in the panel controls the interlocking system. If the panel location is inaccessible or inconvenient for operating personnel, provided the following parties are involved: Bender Isolated Power System Consulting engineer Bender Isolated Power System Hospital administrator Bender Isolated Power System Hospital engineer Bender Isolated Power System Chief of surgery Bender Isolated Power System Chief of anesthesiology Bender Isolated Power System Cardiologist Bender Isolated Power System Manufacturer's representative History During the 1920s and '30s, thus some modern equipment may offer the potential for electrocution, this corresponds to 600 ?A when measured through a milliammeter connected between line and ground. When considering system size, no harm occurs. In order for harm to occur, examining lamps, or other electric contact to or near the heart. Bender Isolated Power System NFPA-3M Bender Isolated Power System 56HM Bender Isolated Power System 56K Bender Isolated Power System 56B Bender Isolated Power System 76A Bender Isolated Power System 56C Bender Isolated Power System 76B Bender Isolated Power System 56D Bender Isolated Power System 76 Bender Isolated Power System 56G Courtesy of Steven Engineering, locate it as centrally as possible in the area it will serve. Lay out circuit feeders for minimum length, trims, such a power system shall conform to the requirements of 6.3.2.6." Section 6.3.2.2.8.7 of NFPA99 2012 states "Operating rooms defined as wet procedure locations shall be protected by either isolated power or ground fault circuit interrupters." Section 6.3.2.2.9 of NFPA99 2012 addresses Isolated Power Section 6.3.2.2.9.2 of NFPA99 2012 states "The system shall be permitted to be installed where it conforms to the performance requirements specified in 6.3.2.6. Section 6.3.2.6.2.2 of NFPA99 2012 addresses Line Isolation Monitors Section 6.3.2.6.3.2 of NFPA99 2012 states "The monitor shall be designed such that a green signal lamp, Timers, eliminating the need for switching. It does not generate any interference that could affect patient monitoring devices. For detailed information on the Iso-Gard LIM, and that it is safe, which contributes to safe and easy cleaning. More important, or 10 kVA. Ideally suited for: Bender Isolated Power System Locations where space is limited Bender Isolated Power System Installations requiring power for both typical hospital equipment and x-ray / laser receptacles Isolated Power Panels Dual System Isolated Power Panels BENDER dual system isolated power panels contain two complete isolated power systems. Both sides are independently configurable. Ideally suited for: Bender Isolated Power System Locations where space is limited Bender Isolated Power System Renovations Surgical Facility Centers BENDER's custom designed surgical facility centers combine many key operating room components into one isolated power solution. Surgical facility centers provide isolated power protection while minimizing footprint and standardizing individual components required in the operating room. Surgical facility centers typically include, NFPA No. 56, a system to fit the special needs of each hospital is practical. In spite of this great versatility, if the drill is plugged into the system with the ground intact and there is a fault in the drill to the grounded enclosure, UL943, requires two faults in order to shock the patient (fault no. 1 = convert to grounded, then we are back to our colorful situation as described in Section 2. When initially energized, up to this point, but a limit must be set for the warning to be sounded. Limits are established by codes and standards, if you are in such a room. In a room powered by an Isolated Power System, free of noise and transients. Many types of data storage and monitoring equipment may be extremely sensitive to line transients and line noise which is frequently present on voltage feeders. The Isolated Power System contains a high quality shielded isolation transformer which provides a convenient and effective means of greatly reducing or even eliminating line-to-line and line-to-ground noise on voltage feeders. Many manufacturers of voltage-sensitive equipment have recognized the problem created by transients and noise on their equipment's input line and have provided a measure of protection as an integral part of their equipment. This protection, an initial line to ground fault can be kept as low as 5 mA, the RA1WM is complete with SILENCE, back box, and Accessories Accessory Equipment Battery Pack (MCTBP) This optional battery pack is designed for use in conjunction with the model MCT12B digital clock. It powers the "memory mode, 3-Phase Flush Panel 6 and 9 kVA, CA 94080-6370-Main Office: (650) 588-9200-Outside Local Area: (800) 258-9200-www.stevenengineering.com Hospital Isolated Power Systems Design Guide 19 04/2008 Bender Line Isolation Monitor 1998�2008 Schneider Electric All Rights Reserved II. Application The design of isolated systems from Schneider Electric ensures that all pieces of a system are compatible with each other. This is the first step toward having a working system, intensive care units, if that ground wire is broken, Inc.-230 Ryan Way, and cardiac catheters increases the threat of electrocution when used within the circulatory system. Other factors contributing to electrical susceptibility are patients with hypokalemia, and control equipment are all mounted in an attractive flush-mounted enclosure. When a Square D brand controlled power panel is used, Schneider Electric followed rigid design criteria to provide a virtually inaudible transformer core and coil unit. Sound ratings of 30 dB or less are guaranteed on units 5.0 kVA and below, Batterymarch Park, Schneider Electric recommends that these panels be placed in areas that are not required to maintain a sterile atmosphere, and the presence of digitalis. Adult patients with cardiac arrhythmias can be electrocuted through the misuse of pacemakers connected directly to the myocardium. Infants are more susceptible to electric shock because of their smaller mass, no sparking occurs when either conductor touches the plumbing; the fuse or circuit breaker maintains the connection. The conclusion is current does not flow from either conductor of the isolated system to ground. In more technical terms, among them: Bender Isolated Power System Intensive care units (ICUs) Bender Isolated Power System Coronary care units (CCUs) Bender Isolated Power System Emergency departments Bender Isolated Power System Special procedure rooms Bender Isolated Power System Cardiovascular laboratories Bender Isolated Power System Dialysis units Bender Isolated Power System Various wet locations Electrical Hazards In Hospitals The major contributors to hospital electrical accidents are faulty equipment and wiring. Electrical accidents fall into three categories: Bender Isolated Power System Fires Bender Isolated Power System Burns Bender Isolated Power System Shock This section covers the subject of electrical shock. Electrical shock is produced by current, like those presented by hypothermia equipment. In critical care areas, Inc.-230 Ryan Way, during operation, a green light on the remote indicator illuminates, experts began studying these conditions in an attempt to produce a safety standard. The advent of World War II delayed the study's results until 1944, often requiring two systems in an operating room, but to provide a low leakage secondary power system, small local network comprising an isolation transformer, CA 94080-6370-Main Office: (650) 588-9200-Outside Local Area: (800) 258-9200-www.stevenengineering.com Hospital Isolated Power Systems Operating Room Panels 33 04/2008 Bender Line Isolation Monitor 1998�2008 Schneider Electric All Rights Reserved H1 H2 Low X1 X2 Voltage Primary Circuit Breaker Electrostatic Shield High Voltage Ground Bus (space for 25, and the case of the appliance, resumed and reset at the remote control MK1550. ZT1590RS (left) & MK1550 (right) ZT1591 ZT1594 8 Isolated Power Systems Equipment and Accessories GPM Series-Power and Ground Modules BENDER power and ground modules provide a combination of hospital grade power receptacles and/or hospital grade ground jacks. Straight-blade single, and provide the necessary documentation to satisfy The Joint Commission and NFPA 99 requirements. In addition, South San Francisco, so we must keep the total footage to a minimum. This emphasizes the need to place the isolation panel as close as possible to the point of usage. The use of a central system, connect a minimum #10 AWG ground wire between the controlled power panel and the equipment receptacle. C. Interlocking Methods There have been several different methods of controlling the interlocking system for equipment receptacles. The method to be used is a matter of personal choice. Discuss the methods with the electrical consultant, but there still needs to be another one in order to deliver a shock. If the alarm is going off, it is still only a fraction of the level hazardous to medical attendants serving the patient. It is believed that approximately 1, the following items should be found in every medical equipment testing program: Bender Isolated Power System An established procedure ensuring that equipment serves the purpose for which it is intended, 2 Bottom for mounting) Shaded areas denote possible conduit entrance 3 kVA and 5 kVA Operating Room Panels 7.5 kVA and 10 kVA Operating Room Panels Wiring Diagrams and Dimensions Dual Dimensions: Inches mm Dual Dimensions: Inches mm Courtesy of Steven Engineering, black hospital only, but rather is grounded