Medical electrical equipment — Part 2-12: Particular requirements for basic safety and essential performance of critical care ventilators

This document applies to the basic safety and essential performance of a critical care ventilator in combination with its accessories, hereafter referred to as ME equipment: ¾ intended for use in an environment that provides specialized care for patients whose conditions can be life-threatening and who can require comprehensive care and constant monitoring in a professional healthcare facility; NOTE 2 For the purposes of this document, such an environment is referred to as a critical care environment. Ventilators for this environment are considered life-sustaining. NOTE 3 For the purposes of this document, such a critical care ventilator can provide ventilation during transport within a professional healthcare facility (i.e. be a transit-operable ventilator). NOTE 4 A critical care ventilator intended for use in transport within a professional healthcare facility is not considered as an emergency medical services environment ventilator. ¾ intended to be operated by a healthcare professional operator; and ¾ intended for those patients who need differing levels of support from artificial ventilation including for ventilator-dependent patients. A critical care ventilator is not considered to use a physiologic closed-loop-control system unless it uses a physiological patient variable to adjust the artificial ventilation therapy settings. This document is also applicable to those accessories intended by their manufacturer to be connected to a ventilator breathing system, or to a ventilator, where the characteristics of those accessories can affect the basic safety or essential performance of the ventilator. NOTE 5 If a clause or subclause is specifically intended to be applicable to ME equipment only, or to ME systems only, the title and content of that clause or subclause will say so. If that is not the case, the clause or subclause applies both to ME equipment and to ME systems, as relevant. Hazards inherent in the intended physiological function of ME equipment or ME systems within the scope of this document are not covered by specific requirements in this document except in IEC 60601-1:2005+AMD1:2012+AMD2:2020, 7.2.13 and 8.4.1. NOTE 6 Additional information can be found in IEC 60601-1:2005+AMD1:2012+AMD2:2020, 4.2. This document is not applicable to ME equipment or an ME system operating in a ventilator-operational mode solely intended for patients who are not dependent on artificial ventilation. NOTE 7 A critical care ventilator, when operating in such a ventilator-operational mode, is not considered life-sustaining. This document is not applicable to ME equipment that is intended solely to augment the ventilation of spontaneously breathing patients within a professional healthcare facility. This document does not specify the requirements for: NOTE 8 See ISO/TR 21954 for guidance on the selection of the appropriate ventilator for a given patient. ¾ ventilators or accessories intended for anaesthetic applications, which are given in ISO 80601‑2‑13; ¾ ventilators or accessories intended for the emergency medical services environment, which are given in ISO 80601-2-84; ¾ ventilators or accessories intended for ventilator-dependent patients in the home healthcare environment, which are given in ISO 80601‑2-72; ¾ ventilators or accessories intended for home-care ventilatory support devices, which are given in ISO 80601-2-79 and ISO 80601-2-80; ¾ obstructive sleep apnoea therapy ME equipment, which are given in ISO 80601‑2‑70; ¾ continuous positive airway pressure (CPAP) ME equipment. ¾ high-frequency ventilators, which are given in ISO 80601‑2‑87; NOTE 9 A critical care ventilator can incorporate high-frequency jet or high-frequency oscillatory ventilator-operational modes. ¾ respiratory high-flow therapy equipment, which are given in ISO 80601‑2‑90; NOTE 10 A critical care ventilator can incorporate high-flow therapy operational mode, but such a mode is only for spontaneously breathing p

Appareils électromédicaux — Partie 2-12: Exigences particulières relatives à la sécurité de base et aux performances essentielles des ventilateurs pulmonaires pour utilisation en soins intensifs

Le présent document s’applique à la sécurité de base et aux performances essentielles d’un ventilateur de soins intensifs associé à ses accessoires, ci-après désignés par appareil EM: ¾ prévu pour une utilisation dans un environnement qui fournit des soins spécialisés aux patients dont l’état de santé peut mettre leur vie en danger et qui peuvent exiger des soins complets et une surveillance constante dans un établissement de soins professionnel; NOTE 2 Pour les besoins du présent document, un environnement de cette nature est appelé «environnement de soins intensifs». Les ventilateurs pour un tel environnement sont considérés comme étant essentiels aumaintien de la vie. NOTE 3 Pour les besoins du présent document, un tel ventilateur de soins intensifs peut fournir une ventilation durant le transport à l’intérieur d’un établissement de soins professionnel (c’est-à-dire être un ventilateur opérationnel en déplacement). NOTE 4 Un ventilateur pour utilisation en soins intensifs destiné à être utilisé durant le transport à l’intérieur d’un établissement de soins professionnel n’est pas considéré comme un ventilateur destiné à être utilisé dans l’environnement des services médicaux d’urgence. ¾ prévu pour être utilisé par un opérateur professionnel de soins de santé; et ¾ prévu pour les patients qui nécessitent différents niveaux d’aide par ventilation artificielle, y compris pour les patients ventilo-dépendants. Un ventilateur pour utilisation en soins intensifs n’est pas considéré comme utilisant un système physiologique de commande en boucle fermée, à moins qu’il n’utilise une variable physiologique du patient pour ajuster les paramètres de traitement par ventilation artificielle. Le présent document s’applique également aux accessoires conçus par leur fabricant pour être raccordés au système respiratoire d’un ventilateur ou à un ventilateur, lorsque les caractéristiques de ces accessoires peuvent affecter la sécurité de base ou les performances essentielles du ventilateur. NOTE 5 Si un article ou un paragraphe est spécifiquement destiné à être applicable uniquement aux appareils EM ou uniquement aux systèmes EM, le titre et le contenu de cet article ou de ce paragraphe l’indiquent. Si cela n’est pas le cas, l’article ou le paragraphe s’applique à la fois aux appareils EM et aux systèmes EM, selon le cas. Les dangers inhérents à la fonction physiologique prévue des appareils EM ou des systèmes EM dans le cadre du domaine d’application du présent document ne sont pas couverts par des exigences spécifiques contenues dans le présent document, à l’exception de l’IEC 60601-1:2005+AMD1:2012+AMD2:2020, 7.2.13 et 8.4.1. NOTE 6 Des informations supplémentaires peuvent être trouvées dans l’IEC 60601‑1:2005+AMD1:2012+ AMD2:2020, 4.2. Le présent document n’est applicable à aucun appareil EM ni système EM fournissant un mode de fonctionnement du ventilateur uniquement destiné à des patients non dépendants de la ventilation artificielle. NOTE 7 Lorsqu’il fonctionne selon un tel mode de fonctionnement de ventilateur, un ventilateur pour utilisation en soins intensifs n’est pas considéré comme essentiel au maintien de la vie. Le présent document ne s’applique pas aux appareils EM uniquement destinés à augmenter la ventilation des patients respirant spontanément au sein d’un établissement de soins professionnel. Le présent document ne spécifie pas les exigences relatives aux: NOTE 8 Voir ISO/TR 21954 pour des recommandations relatives au choix du ventilateur adéquat pour un patient donné. ¾ ventilateurs ou accessoires prévus pour les applications en anesthésie, qui sont données dans l’ISO 80601‑2‑13; ¾ ventilateurs ou accessoires destinés à être utilisés dans l’environnement des services médicaux d’urgence, qui sont données dans l’ISO 80601-2-84; ¾ ventilateurs ou accessoires destinés aux patients ventilo-dépendants dans l’environnement des soins à domicile, qui sont données dans l’ISO 80601‑2-72; ¾ ventilateurs o

General Information

Status
Published
Publication Date
02-Nov-2023
Current Stage
6060 - International Standard published
Start Date
03-Nov-2023
Due Date
05-Mar-2023
Completion Date
03-Nov-2023
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INTERNATIONAL ISO
STANDARD 80601-2-12
Third edition
2023-11
Medical electrical equipment —
Part 2-12:
Particular requirements for basic
safety and essential performance of
critical care ventilators
Appareils électromédicaux —
Partie 2-12: Exigences particulières relatives à la sécurité de base
et aux performances essentielles des ventilateurs pulmonaires pour
utilisation en soins intensifs
Reference number
ISO 80601-2-12:2023(E)
© ISO 2023

---------------------- Page: 1 ----------------------
ISO 80601-2-12:2023(E)
COPYRIGHT PROTECTED DOCUMENT
© ISO 2023
All rights reserved. Unless otherwise specified, or required in the context of its implementation, no part of this publication may
be reproduced or utilized otherwise in any form or by any means, electronic or mechanical, including photocopying, or posting on
the internet or an intranet, without prior written permission. Permission can be requested from either ISO at the address below
or ISO’s member body in the country of the requester.
ISO copyright office
CP 401 • Ch. de Blandonnet 8
CH-1214 Vernier, Geneva
Phone: +41 22 749 01 11
Email: copyright@iso.org
Website: www.iso.org
Published in Switzerland
ii
  © ISO 2023 – All rights reserved

---------------------- Page: 2 ----------------------
ISO 80601-2-12:2023(E)
Contents
Foreword . v
Introduction . vii
201. 1 Scope, object and related standards .1
201. 1.1 Scope .1
201. 1.2 Object .3
201. 1.3 Collateral standards . 3
201. 1.4 Particular standards .3
201. 2 Normative references .4
201. 3 Terms and definitions .6
201. 4 General requirements . 25
201. 5 General requirements for testing of ME equipment . 29
201. 6 Classification of ME equipment and ME systems . 30
201. 7 ME equipment identification, marking and documents . 30
201. 8 Protection against electrical hazards from ME equipment . 37
201. 9 Protection against mechanical hazards of ME equipment and ME systems 37
201. 10 Protection against unwanted and excessive radiation hazards . 41
201. 11 Protection against excessive temperatures and other hazards . 41
201. 12 Accuracy of controls and instruments and protection against hazardous
outputs . 45
201. 12.1 Accuracy of controls and instruments . 45
201. 13 Hazardous situations and fault conditions for ME equipment . 63
201. 14 Programmable electrical medical systems (PEMS) . 65
201. 15 Construction of ME equipment . 66
201. 16 ME systems . 70
201. 17 Electromagnetic compatibility of ME equipment and ME systems . 70
201. 101 Gas connections . 70
201. 102 Requirements for the VBS and accessories . 74
201. 103 Spontaneous breathing during loss of ventilation . 76
201. 104 Indication of duration of operation . 76
201. 105 Functional connection . 77
201. 106 Display loops . 77
201. 107 Timed ventilatory pause .
...

NORME ISO 80601
INTERNATIONALE -2-12
Troisième édition
2023-11
Appareils électromédicaux —
Partie 2-12:
Exigences particulières relatives à la
sécurité de base et aux performances
essentielles des ventilateurs
pulmonaires pour utilisation en soins
intensifs
Medical electrical equipment —
Part 2-12: Particular requirements for basic safety and essential
performance of critical care ventilators
Numéro de référence
ISO 80601-2-12:2023(F)
© ISO 2023

---------------------- Page: 1 ----------------------
ISO 80601-2-12:2023(F)
DOCUMENT PROTÉGÉ PAR COPYRIGHT
© ISO 2023
Tous droits réservés. Sauf prescription différente ou nécessité dans le contexte de sa mise en œuvre, aucune partie de cette
publication ne peut être reproduite ni utilisée sous quelque forme que ce soit et par aucun procédé, électronique ou mécanique,
y compris la photocopie, ou la diffusion sur l’internet ou sur un intranet, sans autorisation écrite préalable. Une autorisation peut
être demandée à l’ISO à l’adresse ci-après ou au comité membre de l’ISO dans le pays du demandeur.
ISO copyright office
Case postale 401 • Ch. de Blandonnet 8
CH-1214 Vernier, Genève
Tél.: +41 22 749 01 11
E-mail: copyright@iso.org
Web: www.iso.org
Publié en Suisse
ii
  © ISO 2023 – Tous droits réservés

---------------------- Page: 2 ----------------------
ISO 80601-2-12:2023(F)
Sommaire Page
Avant-propos . v
Introduction . vii
201.1 Domaine d’application, objet et normes collatérales . 1
201.1.1 Domaine d’application . 1
201.1.2 Objet . 3
201.1.3 Normes collatérales . 3
201.1.4 Normes particulières . 3
201.2 Références normatives . 4
201.3 Termes et définitions . 6
201.4 Spécifications générales . 27
201.5 Exigences générales relatives aux essais des appareils EM . 31
201.6 Classification des appareils EM et systèmes EM . 32
201.7 Identification, marquage et documentation des appareils EM . 32
201.8 Protection contre les dangers d’origine électrique provenant des appareils EM . 39
201.9 Protection contre les dangers mécaniques des appareils EM et des systèmes EM . 39
201.10 Protection contre les dangers dus aux rayonnements involontaires ou excessifs . 43
201.11 Protection contre les températures excessives et les autres dangers . 43
201.12 Précision des commandes et des instruments et protection contre les caractéristiques de
sortie présentant des risques . 48
201.12.1 Précision des commandes et des instruments . 48
201.13 Situations dangereuses et conditions de défaut pour les appareils EM . 68
201.14 Systèmes électromédicaux programmables (SEMP) . 70
201.15 Construction de l’appareil EM . 71
201.16 Systèmes EM . 75
201.17 Compatibilité électromagnétique des appareils EM et des systèmes EM . 76
201.101 Raccordements des gaz .
...

FINAL
INTERNATIONAL ISO/FDIS
DRAFT
STANDARD 80601-2-12
ISO/TC 121/SC 3
Medical electrical equipment —
Secretariat: ANSI
Voting begins on:
Part 2-12:
2022-10-03
Particular requirements for basic
Voting terminates on:
safety and essential performance of
2022-11-28
critical care ventilators
Appareils électromédicaux —
Partie 2-12: Exigences particulières relatives à la sécurité de base
et aux performances essentielles des ventilateurs pulmonaires pour
utilisation en soins intensifs
Member bodies are requested to consult relevant national interests in IEC/SC
62D before casting their ballot to the e-Balloting application.
ISO/CEN PARALLEL PROCESSING
RECIPIENTS OF THIS DRAFT ARE INVITED TO
SUBMIT, WITH THEIR COMMENTS, NOTIFICATION
OF ANY RELEVANT PATENT RIGHTS OF WHICH
THEY ARE AWARE AND TO PROVIDE SUPPOR TING
DOCUMENTATION.
IN ADDITION TO THEIR EVALUATION AS
Reference number
BEING ACCEPTABLE FOR INDUSTRIAL, TECHNO-
ISO/FDIS 80601-2-12:2022(E)
LOGICAL, COMMERCIAL AND USER PURPOSES,
DRAFT INTERNATIONAL STANDARDS MAY ON
OCCASION HAVE TO BE CONSIDERED IN THE
LIGHT OF THEIR POTENTIAL TO BECOME STAN-
DARDS TO WHICH REFERENCE MAY BE MADE IN
NATIONAL REGULATIONS. © ISO 2022

---------------------- Page: 1 ----------------------
ISO/FDIS 80601-2-12:2022(E)
FINAL
INTERNATIONAL ISO/FDIS
DRAFT
STANDARD 80601-2-12
ISO/TC 121/SC 3
Medical electrical equipment —
Secretariat: ANSI
Voting begins on:
Part 2-12:
Particular requirements for basic
Voting terminates on:
safety and essential performance of
critical care ventilators
Appareils électromédicaux —
Partie 2-12: Exigences particulières relatives à la sécurité de base
et aux performances essentielles des ventilateurs pulmonaires pour
utilisation en soins intensifs
Member bodies are requested to consult relevant national interests in IEC/SC
62D before casting their ballot to the e-Balloting application.
COPYRIGHT PROTECTED DOCUMENT
© ISO 2022
ISO/CEN PARALLEL PROCESSING
All rights reserved. Unless otherwise specified, or required in the context of its implementation, no part of this publication may
be reproduced or utilized otherwise in any form or by any means, electronic or mechanical, including photocopying, or posting on
the internet or an intranet, without prior written permission. Permission can be requested from either ISO at the address below
or ISO’s member body in the country of the requester.
RECIPIENTS OF THIS DRAFT ARE INVITED TO
ISO copyright office
SUBMIT, WITH THEIR COMMENTS, NOTIFICATION
OF ANY RELEVANT PATENT RIGHTS OF WHICH
CP 401 • Ch. de Blandonnet 8
THEY ARE AWARE AND TO PROVIDE SUPPOR TING
CH-1214 Vernier, Geneva
DOCUMENTATION.
Phone: +41 22 749 01 11
IN ADDITION TO THEIR EVALUATION AS
Reference number
Email: copyright@iso.org
BEING ACCEPTABLE FOR INDUSTRIAL, TECHNO-
ISO/FDIS 80601-2-12:2022(E)
Website: www.iso.org
LOGICAL, COMMERCIAL AND USER PURPOSES,
DRAFT INTERNATIONAL STANDARDS MAY ON
Published in Switzerland
OCCASION HAVE TO BE CONSIDERED IN THE
LIGHT OF THEIR POTENTIAL TO BECOME STAN-
DARDS TO WHICH REFERENCE MAY BE MADE IN
ii
  © ISO 2022 – All rights reserved
NATIONAL REGULATIONS. © ISO 2022

---------------------- Page: 2 ----------------------
ISO 80601-2-12:2022(E)
Contents
201.1 Scope, object and related standards . 1
201.2 Normative references . 4
201.3 Terms and definitions . 6
201.4 General requirements . 24
201.5 General requirements for testing of ME equipment . 28
201.6 Classification of ME equipment and ME systems . 29
201.7 ME equipment identification, marking and documents . 29
201.8 Protection against electrical hazards from ME equipment . 36
201.9 Protection against mechanical hazards of ME equipment and ME systems . 36
201.10 Protection against unwanted and excessive radiation hazards . 39
201.11 Protection against excessive temperatures and other hazards . 40
201.12 Accuracy of controls and instruments and protection against
hazardous outputs . 43
201.13 Hazardous situations and f
...

INTERNATIONAL STANDARD ISO 80601-2-12:2019(E)

ISO/TC 121/SC 3/JWG 12
ISO/FDIS 80601-2-12:20212022(Ed 3)
2022-07-20
Secretariat: ANSI

Medical electrical equipment — Part 2-12: Particular requirements for basic safety and
essential performance of critical care ventilators
Appareils électromédicaux — Partie 2-12: Exigences particulières relatives à la sécurité de base et
aux performances essentielles des ventilateurs pulmonaires pour utilisation en soins intensifs

Draft FDIS stage

Warning for WDs and CDs
This document is not an ISO International Standard. It is distributed for review and comment. It is subject to
change without notice and may not be referred to as an International Standard.
Recipients of this draft are invited to submit, with their comments, notification of any relevant patent rights of
which they are aware and to provide supporting documentation.


© ISO 2015 – All rights reserved 1

---------------------- Page: 1 ----------------------
ISO 80601-2-12:2022(E)
© ISO 2022
All rights reserved. Unless otherwise specified, no part of this publication may be reproduced or
utilized otherwise in any form or by any means, electronic or mechanical, including photocopying, or
posting on the internet or an intranet, without prior written permission. Permission can be requested
from either ISO at the address below or ISO's member body in the country of the requester.
ISO copyright office
Case postale 56 • CH-1211 Geneva 20
Tel. + 41 22 749 01 11
Fax + 41 22 749 09 47
E-mail copyright@iso.org
Web www.iso.org
Published in Switzerland.
© ISO 2022 – All rights reserved

ii © ISO 2022 – All rights reserved

---------------------- Page: 2 ----------------------
ISO 80601-2-12:2022(E)

Contents
201.1 Scope, object and related standards . 1
201.2 Normative references . 4
201.3 Terms and definitions . 6
201.4 General requirements. 25
201.5 General requirements for testing of ME equipment . 28
201.6 Classification of ME equipment and ME systems . 29
201.7 ME equipment identification, marking and documents . 29
201.8 Protection against electrical hazards from ME equipment . 36
201.9 Protection against mechanical hazards of ME equipment and ME systems . 36
201.10 Protection against unwanted and excessive radiation hazards . 40
201.11 Protection against excessive temperatures and other hazards . 40
201.12 Accuracy of controls and instruments and protection against
hazardous outputs . 44
201.13 Hazardous situations and fault conditions for ME equipment . 62
201.14 Programmable electrical medical systems (PEMS) . 64
201.15 Construction of ME equipment . 65
201.16 ME systems . 68
201.17 Electromagnetic compatibility of ME equipment and ME systems . 69
201.101 Gas connections . 69
201.102 Requirements for the VBS and accessories . 72
201.103 Spontaneous breathing during loss of ventilation . 74
201.104 Indication of duration of operation . 75
201.105 Functional connection. 75
201.106 Display loops .
...

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