IEC Health Care Locations Presentation

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ELECTRICAL DESIGN

FOR HEALTH CARE FACILITIES

Prepared By : Mahmoud Sayed,


OMAR ELSHEIKH
Regulations And Standards
1
- IEC-60364-7 :
• BS-7671- SECTION 710.
• MEIGAN NOTES.
• HTM-06-01 PART-A.

- NFPA-70 (NEC) ARTICLE 517.


- NFPA-99.
- IEEE-602 WHITE BOOK.

2
2

Requirements
according to
IEC-60364

3
The differences between medical locations
3 and other types of buildings.
• Room calcifications.

• Earthing systems & special requirements for


fault protection.

• Special requirements for emergency systems.

• Special lighting calculations and considerations


for selection.

• Special Sockets arrangement and circuiting


considerations.

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Room classifications
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Group 0 :
Medical location where no applied parts are
intended to be used.

Group 1 :
Medical location where discontinuity of
supply is not a threat to human life.

Group 2 :
Medical location where discontinuity (failure)
of the supply can cause danger to life.

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Room classifications
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Examples

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Requirements for fault protection
6 IT-System (First fault condition)

Overview of earthing
systems and earth fault
loops

The corresponding fault voltage is still


low and not dangerous; the installation
can be kept in operation.

7
Requirements for fault protection
7 IT-System (Second fault condition)

Overview of earthing
systems and earth fault
loops

The fault converted to phase to phase


fault and the protective devise shall
open to clear the fault.

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Requirements for fault protection
8
• In medical locations of Group 1 and Group 2,
the following shall apply:
1. (i) For TN, TT and IT systems, the voltage
presented between simultaneously accessible
exposed-conductive-parts and/or extraneous-
conductive-parts shall not exceed 25 V a.c.

2. For TN and TT systems, the requirements of the


below table shall apply.

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Requirements for fault protection
9 3. For TN system
In final circuits of Group 1 rated up to 63 A, RCDs shall be
used.
In medical locations of Group 2 (except for the medical
IT system), RCDs shall only be used in circuits for:
(i) The supply of operating tables
(ii) X-ray units
(iii) large equipment with a rated power greater than 5 kVA.

4. For TT system
In medical locations of Group 1 and Group 2, RCDs shall be used
as protective devices .

5. For IT system
In Group 2 medical locations, an IT system shall be used for final
circuits supplying ME equipment and systems intended for life
support, surgical applications and other electrical equipment
located or that may be moved into the "patient environment" .

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Requirements for fault protection
10

Isolation
panel

• locations shall be determined in close proximity to the areas they serve.


• The maximum rating to be 10KVA for the single panel.
• Line Isolation Monitor shall be installed to detect and monitor the first fault .
• If the supply of three-phase loads via an IT system is also required, a separate
three-phase transformer shall be provided for this purpose.

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Requirements for fault protection
11 In each medical location of Group 1 and Group 2, supplementary
equipotential bonding shall be installed and the supplementary
bonding conductors shall be connected to the equipotential
bonding busbar for the purpose of equalizing potential differences
between the following parts, which are located or that may be
moved into the “patient environment”:
(i) Extraneous-conductive-parts
Additional (ii) Screening against electrical interference fields, if installed
(iii) Connection to conductive floor grids, if installed
protection (iv) Metal screens of isolating transformers.

Supplementary equipotential bonding connection points for the


connection of ME equipment shall be provided in each medical
location, as follows:
(vi) Group 1: a minimum of one per patient location
(vii) Group 2: a minimum of four but not less than 25% of the
number of medical IT socket-outlets provided per patient location.

12
Requirements for fault protection
12

Additional
protection

Example for grounding jacks

13
Typical operation room layout
13

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Safety services
14
A power supply for safety services is required which will
maintain the supply for continuous operation for a defined
period within a pre-set changeover time.

The safety power supply system shall automatically take over if


the voltage of one or more incoming live conductors, at the
main distribution board of the building, has dropped for more
than 0.5 s and by more than 10 % in regard to the nominal
voltage

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Safety services
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A power supply for safety services is required which will
maintain the supply for continuous operation for a defined
period within a pre-set changeover time.

The safety power supply system shall automatically take over if


the voltage of one or more incoming live conductors, at the
main distribution board of the building, has dropped for more
than 0.5 s and by more than 10 % in regard to the nominal
voltage

An additional main incoming power supply, from the general


power supply, is not regarded as a source of the safety power
supply.

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Detailed requirements for safety power supply
16 services
In the event of a voltage failure on one or more line conductors
at the distribution board, a safety power supply source shall be
used and be capable of providing power for a period of at least
Power supply 3 h for the following:
sources with a (i) Luminaires of operating theatre tables
changeover (ii) ME equipment containing light sources being essential for
the application of the equipment,
period less than
(iii) Life-supporting ME equipment.
or equal to 0.5 s
The duration of 3 h may be reduced to 1 h for items (ii) and (iii)
if a power source meeting the requirements of Regulation
below is installed.
The normal power supply shall be restored within a
changeover period not exceeding 0.5 s.

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Detailed requirements for safety power supply
17 services
The following equipment shall be connected within 15 s to a
safety power supply source capable of maintaining it for a
minimum period of 24 h, when the voltage of one or more live
conductors at the main distribution board for the safety
Power supply services has decreased by more than 10 % of the nominal
value of supply voltage :
sources with a • Safety lighting.
changeover • Selected lifts for firefighters
period less than • Ventilation systems for smoke extraction
or equal to 15 s • Paging/communication systems
• ME equipment used in Group 2 medical locations which
serves for surgical or other procedures of vital importance.
Such equipment will be defined by responsible staff
• Electrical equipment of medical gas supply including
compressed air, vacuum supply .
• Fire detection and fire alarms .

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Detailed requirements for safety power supply
18 services
Loads other than mentioned shall be connected either
automatically or manually to a safety power supply source
capable of maintaining it for a minimum period of 24 h. This
equipment may include, for example:
Power supply
sources with a • Sterilization equipment
changeover • Technical building installations, in particular air conditioning,
period greater heating and ventilation systems, building services and waste
than 15 s disposal systems
• Cooling equipment
• Catering equipment
• Storage battery chargers.

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Detailed requirements for safety power supply
19 services

EXAMPLE
SCHEMATIC
SLD

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Socket-outlet circuits in Group-2 locations
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Socket-outlets intended to supply ME equipment shall be
unswitched.

At each patient’s place of treatment, e.g. bedheads, the


configuration of socket-outlets shall be as follows:
• Each socket-outlet supplied by an individually protected
circuit, or
• several socket-outlets separately supplied by a minimum of
two circuits

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Lighting Design consideration

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EXAMPLE OF RECOMMENDED LUX LEVELS
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According to EN-12464-1
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PATIENT ROOM LIGHTING
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(a)

(b) (c)

The lighting design in the patient room shall include the


general/ambient lighting as well as lighting for direct observation,
critical examination, reading and toilet illumination.
A combination of bed head unit lighting and recessed down light
shall be used in the patient room.

-Anti-panic lighting fixtures shall be provided and coordinated with


ID department.

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OPERATING ROOM LIGHTING
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The luminaire shall be arranged on the
room perimeter and shall incorporate
with the surgical light to provide the
illumination level without causing
ceiling surface glare.

All fixture used must be clean type.

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MRI ROOM LIGHTING
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-The luminaire shall be arranged on the room perimeter to not be


patient's direct line of sight.
-The luminaires for MRI shall be constructed of non-ferrous
materials such as aluminum, brass, certain types of stainless steel
and polymers to prevent possible injury to patient and technicians
due to the intense magnetic polarity created by diagnostic
equipment.

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MRI ROOM LIGHTING
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-All conduits and cable trays passing through the room should be
aluminum type.

-The power supply for the lighting fixture should be installed


outside the room.

-the lighting recommended to be dimmable.

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EXAMPLE OF MRI ROOM LIGHTING FIXTURE
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GENERAL CONSIDERATIONS
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-In examination and preparation rooms and any locations where
the patient is lying, its recommended that the lighting fixture
selected to be indirect, achieve minimum glare or the location
selected to not be in patient's direct line of sight.

-In ICUs and NICUs , the lighting recommended to be dimmable to


achieve the various lighting scenarios, and the lighting fixture
should be clean type.

-Lighting in the corridors is recommended to be in one side or both


and not in the center.

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SAFTY LIGHTING
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In the event of mains power failure, the changeover period to
the safety services source shall not exceed 15 s. The necessary
minimum illuminance shall be provided for the following:
• Emergency lighting and exit signs
• Locations for switchgear for emergency generating sets, for
main distribution boards of the normal power supply and
for power supply for safety services
• Rooms in which essential services are intended. In each such
room at least one luminaire shall be supplied from the
power source for safety services
• Locations of central fire alarm and monitoring systems
• Rooms of Group 1 medical locations; in each such room at
least one luminaire shall be supplied from the power supply
source for safety services
• Rooms of Group 2 medical locations; a minimum of 90 % of
the lighting shall be supplied from the power source for
safety services.

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Thank you

Prepared By : Mahmoud Sayed,


Omar elsheikh

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