Hospital and Healthcare 2019 03 PDF

TECHNICAL INFORMATION
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EPSB; TRAINING H+LINE ALGERIA, MARCH 2019
Hospital and healthcare

Energy distribution for medical locations
Juergen Dufner, Global Technical Training Manager
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This training is designed to assist you and enables us to secure our common success. This training contains general information and
proposals for designing, planning and building low voltage switchgear in critical areas. In this special case hospitals. According to
compliance with the applicable laws, directives and provisions. To have this basic knowledge in electrical engineering is essential for
planning low voltage switchgear ASSEMBLIES.
This workbook includes general and special information which is essential for safe, reliable and economical low voltage switchgear
ASSEMBLY operation. In addition, the topics designed to protect people and assets are being dealt with.
This document is the result of the many years of experience of ABB in the hospital sector and the day-to-day relationship with our
customers who operate within this sector, which has made it possible to explore real world issues and applications in depth, while
continuously comparing regulatory aspects with technical and installation aspects.
We would like to thank all the ABB customers who shared their everyday experience with us for the great sensitivity shown in protecting
the safety of the patients.
The purpose of this Training is to give an overview of the guidelines provided by IEC 60364-7-710, which are required for the
implementation of the electrical systems inside group 2 medical locations. This medical locations involve high risks for patients. These
are mentioned within this booklet and the result of this consequence, require the implementation of additional measures compared to
domestic and residential electrical installation systems.
This training is also intended as an aid to anyone approaching this type of system for the first time, which involves specific design
criteria and responsibilities for designers, panel builders and installers.
March 14, 2019 Slide 4

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Typical Layout of an Hospital Requirements

§ Hospitals and health centers are complex buildings where
several different applications coexist
§ They are very risky environments where it’s necessary to
provide the best level of protection on the electrical networks
§ Operational continuity is one of the most relevant issues in this
sector

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SMALL / ≤ 800kVA MEDIUM / > 800 ≤ 2 MVA LARGE / > 2MVA

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Laundries Doctors office Confinement room Surgery room

(Group 0) (Group 1) (Group 2)

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Distribution boards in the low voltage grid systems

Distribution boards serve as link between electrical appliances and users. They form the visible part of an electrical system and represent
the electrical Company having installed the ASSEMBLY.
The requirements in terms of flexibility and safety for distribution boards are particularly high:
§ Personal protection
§ Property protection
§ High operational and functional safety
§ Ease of use
Solid design to prevent unprofitable investment:

§ Optimum adaptability to use cases
§ Cooperation between user / planner / manufacturer to balance specifications and costs

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Definition of Medical Locations
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How are ASSEMBLIES dimensioned?

ABB provides worldwide a unique range of solutions intended for the most critical environments inside hospitals. We are helping
hospitals through all the lifecycle, from design to installation, from day by day use to maintenance. For this reason we will have to respect
the Standard IEC 60364-7-710 there is a prescription about the safety of patient and medical staff. These requirements belongs to
hospitals, private clinics, medical and dental practices, health care centres and dedicated medical rooms at working areas and factories.
The definition of a medical location is intended for the purpose of diagnostics, treatments incl. cosmetic treatments, monitoring of life
functionality’s and care of patients. Within medical location we handle different types of functionalities.
Patient: living being (person or animal) undergoing medical or dental investigation or treatment.
Medical electrical equipment: electrical equipment which makes a physical or electrical contact with the patient, transfers energy from or
to the patient or detects energy transfer to or from the patient.
Applied part: is a part of the medical electrical equipment which is use necessarily for physical contact to perform its function, brought in
contact or needs to be touched by the patient.

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Medical electrical equipment with applied part Medical electrical equipment with no applied part

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Classification of medical rooms
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Group 0
Medical location where no applied parts are intended to be
used
Example: doctors office
Group 1
Medical location where applied parts are intended to be used as:
Externally or Invasively to any part of the body, except applied
part to group 2
Example: confinement room
Group 2
Medical location where applied parts can cause dander of life
Example: surgery room

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Locations
Is it a medical room or is it ordenary? Is there any electrical equipment? Is there any risk for micro shock or does the
§ Ordinary room • No patient undergo vital treatments or general
§ Normal Installation • Group 0 anestesia?
§ Medical room • Yes • No
§ Next step • Next step • Group 1
• Yes
• Group 2

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Group: Group: 0 Group: 1
Yes: Yes: X Yes: X

No: X No: No:
Group: 2 Group: Group:
Yes: X Yes: Yes:

No: No: X No: X

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Examples Treatment Group 0 Group 1 Group 2

These questions help to define the Massage ● ●
classification
Confinement ●
1. Is it a medical room or is it ordinary? Cardiac cycle recording ●
Ambulatory ● ●
2. Is there any electrical equipment?
Physiotherapy ●
3. Is there any risk for micro shock or does Magnetic resonance imaging ●
patient undergo vital treatments or general
anesthesia? Nuclear medicine ●

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Examples Treatment Group 0 Group 1 Group 2

These questions help to define the Anesthesia ●
classification
Surgery ●
1. Is it a medical room or is it ordinary? After surgery ●
Intensive care ●
2. Is there any electrical equipment?
Premature baby ●
3. Is there any risk for micro shock or does
patient undergo vital treatments or general
anesthesia?

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Protection requirements for medical locations
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Protection requirements for medical locations
Requirements
Failures are threats to patients’ life because applied parts are used
during operations.
Operational continuity is mandatory because patient’s safety

depends on electrical equipment intended for vital treatments.
RCDs tripping does not allow to continue operations.
IT-M system it’s the only way to provide protection and

operational continuity.

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Electrical grid systems
TN-C TN-C-S TN-S
TT IT

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IT-M system
An IT-M system, provided by the mean of an
insulating transformer for medical use, must
supply all the devices belonging to patient
environment.
§ Insulating transformer for medical use: it
provides separation between upstream and
downstream circuits and supplies loads inside
the surgery room.
§ Insulation monitoring device: it monitors
when a first fault to earth occurs.
The IT system assure continuity of service: in case
of first fault to earth medical personnel is able to
complete medical treatments.
An insulation monitoring device is required in
order to constantly measure the insulation to
earth and signaling when a fault to earth occurs.

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Hospital solution
UPS power supplies and generator units can be
located in different points.
Usually they are installed upstream to reduce
maintenance time and for cost reasons.

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Equipotential bonding
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Protection against electric shock

The equipotential bonding can be implemented with a terminal bar
or a copper bar with multiple holes (one for each conductor
connected) and located on a wall inside or immediately outside the
premises.
The equipotential bonding bus bar galvanically interconnects all
the conductive parts and extraneous conductive parts which could
enter in the patient environment.
This way all the conductive parts will have the same potential and
the patient, who may be in contact with two or more conductive
parts, is not subject to hazardous currents
§ Equipotential bonding bus bar is mandatory in each group 1
and 2 medical location
§ In group 0 equipotential bonding bus bar is required only for
bath and shower rooms

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Protection against electric shock

Elements to be connected to equipotential bonding bar
§ Conductive and extraneous parts
§ Scialytic lamps
§ Protection conductors
§ The earth contacts of all IT-M sockets the iron components of
the reinforced concrete of the premises
§ Metal screen placed between the windings of the medical
insulating transformer
§ Metal screens, conductive grids located under the floor,
operating tables

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Erthing arragements
§ Cascaded connection is not allowed.
§ Only one sub-node may be placed in the equipotential
connection
§ It is also possible to have several intermediate nodes in the
same premises as long as the aforementioned rule is satisfied.
§ The in-out connection between sockets must be considered as
a sub-node, therefore cannot involve more than two sockets.

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Sub-nodes cross section

§ The conductors that connect the extraneous conductive parts
to the equipotential bonding bus bar are defined as
equipotential conductors and must have a cross-section of no
less than 6 mm2.
§ The conductors that connect the conductive parts to the
equipotential node are protection conductors (PE) and their
cross-section must be established using the criteria specified
by the general standard; in other words, it must be at least
equal to that of the phase conductors.
§ The cross-section of the conductor that connects a sub-node
to the equipotential bonding bus bar must be at least equal to
that of the conductor with the largest cross-section connected
to the sub-node.

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Sub-nodes cross section

§ Equipotential conductors ≥ 6 mm²
§ Protection conductors (PE) must be at least equal to that of
the phase conductors.
§ The conductor that connects a sub-node to the equipotential
bonding bus bar must be at least equal to that of the
conductor with the largest cross-section connected to the sub-
node.
§ The main protection conductor must be equal at least to the
greatest of the conductors upstream

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Identification of the conductors

§ The equipotential bonding bus bar must be easy to access and
to inspect.
§ It must be possible to disconnect each conductor individually.
§ They must be clearly identifiable in terms of function and origin
in order to facilitate testing.
§ This identification can be implemented with markings at both
ends that specify the above mentioned information or with
numbers whose meaning must be specified in a list that is
immediately available. (for example, applied to the back of the
box covering).

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Overview of the products
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§ H+ Line Solutions
§ SMISSLINE TP
§ KNX Building Automation
§ Surge and lightning protection
§ Nurse calling systems
Potential solutions by ABB

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H+ Line
ABB System pro M compact® H+ Line portfolio is a complete and
high performing solution to assure safety and service continuity in
group 2 medical locations where patient’s life is the most
important thing. Group 2 are medical location where applied parts
are intended to be used and where discontinuity (failure) of the
supply can cause danger to life. Application for H+ Line solution is
therefore in intensive care units, surgery rooms, intracardiac
treatments, dental clinics, day hospital rooms, ambulatory,
nursing homes.
The highest risk, the highest safety!

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QSO
CLASSIC QSO: all the mandatory devices for protection vs
indirect contacts
PREMIUM QSO: further devices (e.g. RCDs for other lines,
SELV 24 V line for scialytic lamps, SPD, I/O
KNX module for alarm monitoring and
management)
§ Safety and service continuity: ensured by certified insulation
transformers for medical locations where patient’s life is
crucial
§ Flexibility : customizable to meet any customer need (S, M, L
sizes, Classic and Premium versions)
§ Reliability : ABB technology in every component
§ Compact size : limited overall dimensions
§ Effectiveness: monitoring of the complete electrical network

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QSO
Technical characteristics QSO wall- QSO floor-
mounting standing
Rated operational voltage (Ue ) 230 V ~ ± 15%
Rated power frequency (fn) 50 - 60 Hz
Rated voltage of auxiliary service circuits 24 - 230 V ~
Rated insulation voltage (Ui) 300 V - 2500 V*
Ambient air temperature operation -5 °C - +55 °C
Degree of protection IP40 IP43 / IP54
*Dielectric strength test voltage

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QSO S [wall-mounting] QSO M [floor-standing] QSO L [floor-standing]
Power Type Power Type Power Type

3 [kVA] QSO 3S Classic 3 [kVA] QSO 3M Classic 10 [kVA] QSO 10L Classic
5 [kVA] QSO 5S Classic 5 [kVA] QSO 5M Classic 7.5 [kVA] QSO 7.5L Premium
3 [kVA] QSO 3S Premium 7.5 [kVA] QSO 7.5M Classic 10 [kVA] QSO 10L Premium
3 [kVA] QSO 3M Premium
5 [kVA] QSO 5S Premium
5 [kVA] QSO 5M Premium
7.5 [kVA] QSO 7.5M Premium
QSO switchboards prewired

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Transformers Technical characteristics 3 kVA 5 kVA 7.5 kVA 10 kVA

Primary voltage [V] 230 230 230 230
Secondary voltage [V] 230 230 230 230
Frequency [Hz] 50-60 50-60 50-60 50-60
Secondary currents [A] 13 21.7 32.6 43.5
Dimensions [mm] 205x340x150 240x380x160 277x380x260
Plug-in current (peak value) < 12 times the rated current
Maximum ambient T [°C] 40
Reference standards EN 61558-2-15, EN 61558-8

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ISOLTESTER SELVTESTER QSD
§ Medical insulation monitoring device § Insulation monitoring device § Remote signaling panel for visual and
§ Tests both thermal and electrical § Tests insulation to earth of 24 V AC/DC acoustic fault indication
overload of the medical insulation SELV circuits dedicated to scialytic § Enables to send alarm signals from the
transformer lamps supply insulation monitoring devices to all the
§ All faulty conditions are remotely § Monitoring is necessary in order to medical locations attended by medical
controlled thanks to QSD signaling prevent detaching from conductors staff
panels when being moved

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ISOLTESTER-DIG
§ Quality : the recognized standard in hospital insulation control
§ Flexibility : adjustable intervention thresholds according to all
the parameters monitored
§ Completeness: all electrical and thermal parameters controlled
by a single device
§ Integration: alarms sent to up to 4 remote signaling panels,
ablility to interact with supervising systems (RS and PLUS
versions only)

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ISOLTESTER-DIG
Technical characteristics DIG-RZ DIG-PLUS/RS
Supply voltage 110 – 230 V 110 – 230 V

Network voltage to be measured 24 ÷ 230 V AC 24 ÷ 230 V AC/DC
Maximum voltage
24 V
measurement
Maximum current measurement 1 mA
Insulation voltage 2.5 kV/60 sec.
continuous composite
Type of monitoring signal component with codified signal
digital filter (only PLUS)
Protection degree IP20
IEC 60364-7-710, EN 61557-1,
Reference standards
EN 61557-8

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SELVTESTER-24
§ Flexibility : programmable alarm threshold
§ Intelligence : recognition of faulty pole in DC
§ Compact size : fits into just 3 modules
§ Practicality : extremely easy to install and use
§ Integration: ideal complement to ISOLTESTER-DIG

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SELVTESTER-24
Technical characteristics
Network voltage and auxiliary 24 V 50-60 Hz/DC ± 20%

power supply
Maximum power loss 3 VA
Maximum current 0.5 mA
measurement
Internal impedance 50 kΩ
Activation threshold setting adjustable 10 ÷ 50 kΩ
(4 levels by means of micro switches)
Type of signaling ON LED, ALARM + LED, ALARM - LED
Protection degree IP40 front panel with cover /
IP20 container
Reference standards IEC 60364-7-710, EN 61557-1, EN 61557-8

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QSD-DIG 230/24
§ Compact size: limited dimensions
§ Easy to install: both horizontal and vertical positions
§ Reliability : prompt recognition of fault
§ Comfort : simultaneous disconnection of more signaling
panels
§ Operational efficiency : both visual and acoustic signaling

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QSD-DIG 230/24
Technical characteristics
Signals Green LED: Network ON

Red LED: Overload
Yellow LED: Fault
Buzzer 2400 Hz
Intermitting 2 Hz dB
Protection degree IP30
Reference standards IEC 60364-7-710, EN 61557-1, EN 61557-8

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TECHNICAL INFORMATION

Hospital and healthcare

March 14, 2019 Slide 4

Typical Layout of an Hospital Requirements

March 14, 2019 Slide 5

SMALL / ≤ 800kVA MEDIUM / > 800 ≤ 2 MVA LARGE / > 2MVA

March 14, 2019 Slide 6

Laundries Doctors office Confinement room Surgery room

March 14, 2019 Slide 7

March 14, 2019 Slide 8

Distribution boards in the low voltage grid systems

Solid design to prevent unprofitable investment:

March 14, 2019 Slide 9

How are ASSEMBLIES dimensioned?

March 14, 2019 Slide 11

March 14, 2019 Slide 12

March 14, 2019 Slide 13

March 14, 2019 Slide 15

March 14, 2019 Slide 16

Group: Group: 0 Group: 1

Yes: Yes: X Yes: X

Group: 2 Group: Group:

Yes: X Yes: Yes:

March 14, 2019 Slide 17

Examples Treatment Group 0 Group 1 Group 2

March 14, 2019 Slide 18

Examples Treatment Group 0 Group 1 Group 2

March 14, 2019 Slide 19

Operational continuity is mandatory because patient’s safety

RCDs tripping does not allow to continue operations.

IT-M system it’s the only way to provide protection and

March 14, 2019 Slide 21

TN-C TN-C-S TN-S

March 14, 2019 Slide 22

March 14, 2019 Slide 23

March 14, 2019 Slide 24

Protection against electric shock

March 14, 2019 Slide 26

Protection against electric shock

March 14, 2019 Slide 27

March 14, 2019 Slide 28

Sub-nodes cross section

March 14, 2019 Slide 29

Sub-nodes cross section

March 14, 2019 Slide 30

Identification of the conductors

March 14, 2019 Slide 31

Potential solutions by ABB

March 14, 2019 Slide 33

The highest risk, the highest safety!

March 14, 2019 Slide 34

March 14, 2019 Slide 35

March 14, 2019 Slide 36

QSO S [wall-mounting] QSO M [floor-standing] QSO L [floor-standing]

Power Type Power Type Power Type

QSO switchboards prewired

March 14, 2019 Slide 37

Transformers Technical characteristics 3 kVA 5 kVA 7.5 kVA 10 kVA

March 14, 2019 Slide 38

ISOLTESTER SELVTESTER QSD

March 14, 2019 Slide 39

March 14, 2019 Slide 40

Technical characteristics DIG-RZ DIG-PLUS/RS