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Test Report issued under the responsibility of:
TEST REPORT
IEC 60601-1-2
Medical Electrical Equipment PART 1-2: General Requirements for Basic Safety and Essential Performance
Collateral Standard: Electromagnetic Compatibility
Report Reference No. .................... : 10985723
Date of issue ................................... : February 23, 2016
Total number of pages .................... 21
CB Testing Laboratory................... : UL NBK
Address ........................................... : 333 Pfingsten Rd. Northbrook, IL 60062
Applicant’s name ............................ : Matrix IT Medical Tracking System Inc.
Address ........................................... : 200 S Executive Dr, Suite 101 Brookfield, WI 53005
Test specification:
Standard .......................................... : IEC 60601-1-2: 2007 (Third Edition)
Test procedure ............................... : Informative
Non-standard test method……...…..:
N/A
Test Report Form No...................... : IEC60601_1_2CEMC
Test Report Form(s) Originator .... : UL(US)
Master TRF ...................................... : Dated 2013-04
Copyright © 2013 IEC System for Conformity Testing and Certification of Electrical Equipment (IECEE), Geneva, Switzerland. All rights reserved.
This publication may be reproduced in whole or in part for non-commercial purposes as long as the IECEE is acknowledged as copyright owner and source of the material. IECEE takes no responsibility for and will not assume liability for damages resulting from the reader's interpretation of the reproduced material due to its placement and context.
If this Test Report Form is used by non-IECEE members, the IECEE/IEC logo and the reference to the CB Scheme procedure shall be removed.
This report is not valid as a CB Test Report unless signed by an approved CB Testing Laboratory and appended to a CB Test Certificate issued by an NCB in accordance with IECEE 02.
Test item description ..................... : The Tractus scanner is a high speed specialty scanner
Trade Mark ...................................... :
Manufacturer ................................... : Matrix IT Medical Tracking System Inc.
Model/Type reference .................... : Tractus
Ratings ............................................ : Battery Operated 24V
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1.0 Testing Program Details
Testing procedure and testing location:
CB Testing Laboratory: UL NBK
Testing location/ address ..................... : 333 Pfingsten Rd. Northbrook, IL 60062
Associated CB Test Laboratory:
Testing location/ address ..................... :
Tested by (name + signature) ...... Michael E. Rayunas
Approved by (name + signature) : Bartlomiej Mucha
Testing procedure: TMP
Tested by (name + signature) ..... :
Approved by (name + signature) :
Testing location/ address ..................... :
Testing procedure: WMT
Tested by (name + signature) ..... :
Witnessed by (name + signature) ....................................................... :
Approved by (name + signature) :
Testing location/ address ................... :
Testing procedure: SMT
Tested by (name + signature) ..... :
Approved by (name + signature) :
Supervised by (name+ signature) ....................................................... :
Testing location/ address ................... :
Testing procedure: RMT
Tested by (name + signature) ..... :
Approved by (+ signature) .......... :
Supervised by (+ signature) ........ :
Testing location/ address ................... :
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List of Attachments (including a total number of pages in each attachment): None
Summary of testing:
Tests performed (name of test and test clause):
6.1.1 Radiated Emissions
6.2.2 Electrostatic Discharge (ESD)
6.2.3 Radiated RF Electromagnetic Fields
6.2.8 Magnetic Fields
Testing location:
UL NBK
333 Pfingsten Rd. Northbrook, IL 60062
Summary of compliance with National Differences
List of countries addressed: US
The product fulfils the requirements of IEC 60601-1-2: 2007 (Third Edition).
Copy of marking plate
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Test item description ................................ : The Tractus scanner is a high speed specialty scanner
Trade Mark ................................................. :
Manufacturer .............................................. : Matrix IT Medical Tracking System Inc.
Model/Type reference ............................... : Tractus
Ratings ....................................................... : Battery Operated
Possible test case verdicts:
- test case does not apply to the test object ........................................................................ :
N/A
- test object does meet the requirement ... : P (Pass)
- test object does not meet the requirement ........................................................................ :
F (Fail)
Testing ........................................................... :
Date of receipt of test item .......................... : January 29, 2016
Date (s) of performance of tests ................ : February 15, 2016
General remarks:
The test results presented in this report relate only to the object tested.
The results contained in this report reflect the results for this particular model and serial number. It is the responsibility of the manufacturer to ensure that all production models meet the intent of the requirements detailed within this report.
This report shall not be reproduced, except in full, without the written approval of the Issuing testing laboratory.
"(see Enclosure #)" refers to additional information appended to the report. "(see appended table)" refers to a table appended to the report.
Throughout this report point is used as decimal separator.
General product information:
The TRACTUS scanner is a high speed specialty scanner that sits in the sterile field and is Bluetooth and battery powered. The TRACTUS platform, comprised of the TRACTUS scanner and software is used to document medical implants and device that are used during a surgery.
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Report Index:
Item Description
1.0 Testing Program Details 6
1.1 Equipment Description 6
1.1.1 Equipment Marking Plate 6
1.1.2 Equipment Used During Test 6
1.1.3 Input/Output Ports 7
1.1.4 EUT Internal Operating Frequencies 7
1.1.5 Power Interface 7
1.2 EUT Operation Modes 8
1.3 EUT Configuration Modes 8
1.4 Immunity Performance Criteria 8
1.5 Compliance Summary 8
1.6 Result Summary 9
1.7 Test Conditions and Results - Radiated Emissions 10
1.8 Test Conditions and Results - Immunity to electrostatic discharges 14
1.9 Test Conditions and Results - Immunity to RF electromagnetic fields 17
1.10 Test Conditions and Results – Power Frequency Magnetic Immunity 20
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1.1 Equipment Description
The TRACTUS scanner is a high speed specialty scanner that sits in the sterile field and is Bluetooth and battery powered. The TRACTUS platform, comprised of the TRACTUS scanner and software is used to document medical implants and device that are used during a surgery.
1.1.1 Equipment Marking Plate
1.1.2 Supporting Equipment Used During Test:
Use* Product Type Manufacturer Model Comments
EUT High Speed Scanner
Matrix IT Medical Tracking System Inc.
Tractus None
SIM Bar code - - Needed to use for scanner to scan
SIM Computer Lenovo Think pad None
Note: * Use
EUT - Equipment Under Test
AE - Auxiliary/Associated Equipment
SIM - Simulator (Not Subjected to Test) *Note: Use abbreviations:
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1.1.3 Input/Output Ports:
Port
No.
Name Type* Cable
Max. >3m
Cable
Shielded
Comments
0 Enclosure N/E — — None
1 Mains DC - - Battery operated
*Note: AC = AC Power Port DC = DC Power Port N/E = Non-Electrical
I/O = Signal Input or Output Port (Not Involved in Process Control)
TP = Telecommunication Ports
1.1.4 EUT Internal Operating Frequencies:
Frequency (MHz) Description
< 108 Operating frequencies
1.1.5 Power Interface
Mode No.
Voltage (V)
Current (A)
Power (W)
Frequency (DC/AC-Hz)
Phases (No.)
Comments
1 24 - - DC Battery
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1.2 EUT Operation Modes:
Mode # Description
1 Standby
2 EUT is powered up. The sensor gets triggered which turns on the camera which scans the bar codes that sends the character by Bluetooth to a computer.
1.3 EUT Configuration Modes
Mode # Description
1 The EUT is configured to scan medical parts and by Bluetooth send the character to a computer.
1.4 Immunity Performance Criteria
Medical Equipment Performance Criteria - unacceptable operating conditions / responses are:
- component failures; - changes in programmable parameters; - reset to factory defaults (manufacturer’s presets); - change of operating mode; - false alarms; - cessation or interruption of any intended operation, even if accompanied by an alarm; - initiation of any unintended operation, including unintended or uncontrolled motion, even if
accompanied by an alarm; - error of a displayed numerical value sufficiently large to affect diagnosis or treatment; - noise on a waveform in which the noise is indistinguishable from physiologically-produced
signals or the noise interferes with interpretation of physiologically-produced signals; - artefact or distortion in an image in which the artefact is indistinguishable from
physiologically-produced signals or the distortion interferes with interpretation of physiologically-produced signals;
- failure of automatic diagnosis or treatment EQUIPMENT and SYSTEMS to diagnose or treat, even if accompanied by an alarm.
Medical Specific Compliance Criteria for the Voltage Dips and Interruptions Test:
Clause 6.2.7.1 b) - the equipment is allowed a deviation from the requirements of 6.2.1.10 at the immunity levels specified in Table 11 (<5% / >95% / 5s), provided the equipment remains safe, experiences no component failures and is restorable to the pre-test state with operator intervention.
1.5 Compliance Summary
The Applicant did not request the labeling and documentation evaluation/inspection/test required by IEC 60601-1-2: 2007, Section 5. It is the manufacturers responsibility to ensure that proper labeling is utilized on the product. Also, it is the responsibility of the manufacturer to ensure the accompanying documentation provided is in accordance to IEC 60601-1-2: 2007, 5.2.
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1.6 Result Summary
Clause Requirement – Test Result/Comments Verdict
6.1 Emissions
6.1.1.1 Classification —
Class A or B ........................................................ : Class A —
Group 1 or 2 ........................................................ : 2 —
CISPR 11, 22, 14-1, or 15 ................................... : CISPR 11 —
6.1.1.2 Limits of mains terminal disturbance voltage :
Limits for radiated disturbance ........................ : See data in results P
Limits for disturbance power (if applicable) .. : NA NA
6.1.3.1 Harmonic Current Emissions per IEC61000-3-2..:
NA NA
6.1.3.2 Voltage Fluctuations and Flicker per IEC61000-3-3
NA NA
6.2 Immunity
6.2.2 Electrostatic Discharges (ESD) ........................ : See data in results P
6.2.3 Radiated RF electromagnetic Fields……………..:
See data in results P
6.2.4 Electrical Fast Transients and bursts .............. : NA NA
6.2.5 Surges ................................................................. : NA NA
6.2.6 Conducted Disturbances, induced by RF fields ............................................................................. :
NA NA
6.2.7 Voltage Dips, Interruptions, and variations .... : NA NA
6.2.8 Power-frequency Magnetic Fields .................... : See data in results P
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1.7 Test Conditions and Results – Radiated Emissions
CISPR 11 TEST: Limits for radiated disturbance 30 MHz –1 GHz Verdict
Method: Measurements were made in a 10-meter semi-anechoic chamber or Open Area Test Site that complies to CISPR 16. Preliminary (peak) measurements were performed at an antenna to EUT separation distance of 10 meter. The EUT was rotated 360° about its azimuth with the receive antenna located at various heights in horizontal and vertical polarities. Final measurements (quasi-peak) were then performed by rotating the EUT 360° and adjusting the receive antenna height from 1 to 4 m. All frequencies were investigated in both horizontal and vertical antenna polarity, where applicable.
P
Laboratory Parameters: Required prior to the test During the test
Ambient Temperature 10 to 40 °C 20.3°C
Relative Humidity 10 to 90 % 29.8%
Fully configured sample scanned over the following frequency range
Frequency range on each side of line
Measurement Point
30MHz – 1GHz 10 m measurement
distance
Equipment mode
Power interface mode 1
EUT configurations mode 1
Operation mode 1
Limits – Group 1 Class A
Frequency (MHz)
Limit dB (µV/m)
Quasi-Peak Results
30 to 230 40 P
230 to 1000 47 P
Supplementary information: None
Description Manufacturer Model Identifier Cal Date Due Date
EMI Test Receiver Rohde & Schwarz ESCI EMC4328 11/16/2015 11/16/2016
Bicon Antenna Chase VBA6106A EMC4078 12/28/2015 12/28/2016
Log-P Antenna Chase UPA6109 EMC4258 4/27/2015 4/27/2016
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Photo of test setup for Radiated Disturbance
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Graphical representation of Radiated Disturbance Measurement
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Tabulated Results for Radiated Disturbance
Matrix IT Medical
Tractus
On and Idle
Battery
Red=Horizontal Green=Vertical
Trace Markers
Test Meter Transducer Gain/Loss Corrected Limit:1 2 3 4 5 6
No. Frequency Reading Factor Factor Reading dB(uVolts/meter)
(MHz) (dB) (dB)
====================================================================================================
Range 3: LogP Horizontal 200 - 1000MHz ---------------------------------------
1 250 43.32dBuV Pk 11.7 -28.7 26.32 47 - - - - -
Azimuth:0-360 Height:299 Horz Margin (dB) -20.68 - - - - -
2 300 42.15dBuV Pk 13 -28.3 26.85 47 - - - - -
Azimuth:0-360 Height:299 Horz Margin (dB) -20.15 - - - - -
3 400 42.29dBuV Pk 15.5 -27.6 30.19 47 - - - - -
Azimuth:0-360 Height:199 Horz Margin (dB) -16.81 - - - - -
4 450 41.87dBuV Pk 16.9 -27.4 31.37 47 - - - - -
Azimuth:0-360 Height:199 Horz Margin (dB) -15.63 - - - - -
5 500 40.99dBuV Pk 17.2 -27.1 31.09 47 - - - - -
Azimuth:0-360 Height:199 Horz Margin (dB) -15.91 - - - - -
Range 4: LogP Vertical 200 - 1000MHz -----------------------------------------
6 250 36.14dBuV Pk 11.7 -28.7 19.14 47 - - - - -
Azimuth:0-360 Height:399 Vert Margin (dB) -27.86 - - - - -
7 300 39.75dBuV Pk 13 -28.3 24.45 47 - - - - -
Azimuth:0-360 Height:103 Vert Margin (dB) -22.55 - - - - -
8 400 39.77dBuV Pk 15.5 -27.6 27.67 47 - - - - -
Azimuth:0-360 Height:103 Vert Margin (dB) -19.33 - - - - -
9 450 38.02dBuV Pk 16.9 -27.4 27.52 47 - - - - -
Azimuth:0-360 Height:299 Vert Margin (dB) -19.48 - - - - -
10 500 39.18dBuV Pk 17.2 -27.1 29.28 47 - - - - -
Azimuth:0-360 Height:299 Vert Margin (dB) -17.72 - - - - -
LIMIT 1: CISPR Class A 10 m
Pk - Peak detector
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1.8 Test Conditions and Results – Immunity to Electrostatic Discharges
61000-4-2 TEST: Electrostatic discharges (IEC 61000-4-2: - 2008) Verdict
Method: The test is intended to demonstrate the immunity of equipment subjected to static electricity discharges from operators directly and to adjacent objects. The tabletop equipment under test is placed on a wooden table, 0.8 m high, standing on the ground reference plane. A horizontal coupling plane (HCP), 1.6 x 0.8 m, is placed on the table. The EUT and the cables are isolated from the coupling plane by an insulating support 0.5 mm thick. The floor standing equipment is isolated from the ground reference plane by an insulating support about 0.1 m thick. The vertical coupling plane (VCP) of dimensions 0.5 m x 0.5 m is placed parallel to, and positioned at a distance of 0.1 m from, the EUT.
P
Laboratory Parameters: Required prior to the test During the test
Ambient Temperature 15 to 35 °C 22.6°C
Relative Humidity 30 to 60 % 36.2%
Equipment mode Power interface mode 1
EUT configurations mode 1
Operation mode 2
Test Levels
Discharge type
Discharge Level (kV) Number of discharges per location (each polarity)
Positive Negative
Air – Direct 2, 4, 8 2, 4, 8 10
Contact – Direct 2, 4, 6 2, 4, 6 10
Contact – Indirect 2, 4, 6 2, 4, 6 10
Discharge location See photo documentation of the test set-up
All external locations accessible by hand, Horizontal plate (HCP) Vertical coupling plate (VCP)
Supplementary information: EUT powered at one of the Nominal input voltages and frequencies
Description Manufacturer Model Identifier Cal. Date Cal. Due
ESD Gun HV Technologies ESD3000 EMC4248 5/12/2015 5/12/2016
ESD Module EMC Partner ESD3000DM1 EMC4249 5/12/2015 5/12/2016
Temp / Humidity Meter Extech SD700 EMC4367
2/27/2015 2/27/2016
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Photo of test setup for Immunity to Electrostatic Discharges
ESD Waveform Verification
Positive 6000V Amplitude Negative 6000V Amplitude
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Tabulated Results for Electrostatic Discharges
Nominal Voltage (V) ................. : Battery
Nominal Frequency (Hz) ......... : DC
Direct discharges: Air and Contact
Discharge location Air discharge voltage (kV)
Polarity Remark
EUT Seams 2, 4, 8 +/- 1
Power Bank Seams 2, 4, 8 +/- 1
Ethernet Port Cover Seams 2, 4, 8 +/- 1
Discharge location Contact
discharge voltage (kV)
Polarity Remark
Power Button 2, 4, 6 +/- 1
Accessible Underneath Screws 2, 4, 6 +/- 1
Indirect discharges
Discharge location Contact
discharge voltage (kV)
Polarity Remark
HCP - Front 2, 4, 6 +/- 2
HCP - Left 2, 4, 6 +/- 2
HCP - Right 2, 4, 6 +/- 2
HCP - Rear 2, 4, 6 +/- 2
VCP - Front 2, 4, 6 +/- 2
VCP - Left 2, 4, 6 +/- 2
VCP - Right 2, 4, 6 +/- 2
VCP - Rear 2, 4, 6 +/- 2
1 – No discharge observed, no observed response from the EUT. 2 – Discharge observed, no observed response from the EUT.
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1.9 Test Conditions and Results - Immunity to Radio Frequency Electromagnetic Fields
61000-4-3 TEST: RF electromagnetic fields (IEC 61000-4-3: - 2010) Verdict
Method: The test allows estimating of the radiated immunity of electrical and electronic equipment to electromagnetic disturbances coming from intended radio-frequency (RF) transmitters in the frequency range 80 MHz to 2500 MHz. The interference is applied on the enclosure of the equipment by using transmitting antennas.
p
Laboratory Parameters: Required prior to the test During the test
Ambient Temperature 15 to 35 °C 23.1°C
Relative Humidity 30 to 60 % 30.6%
Equipment mode Power interface mode 1
EUT configurations mode 1
Operation mode 2
Test specifications
Calibration Requirements Uniform field area
(UFA)
1.5 m x 1.5 m, 16 points with a minimum UFA size 0.5 m x 0.5 m
75 % of calibration points within specifications if UFA is larger than 0.5 m x 0.5 m. 100 % (all 4
points) in the specifications for 0.5 x 0.5 m UFA
Frequency bandwidth 80 MHz to 2500 MHz
Level
Non-Life Supporting Equipment
3 V/m
Amplitude modulation
80 % / 1 KHz sine wave
Frequency step 1%
1 kHz Modulation
1 sec minimum
Supplementary information: None
Description Manufacturer Model Identifier Cal. Date Cal. Due
Amplifier Amplifier Research 500W1000M5 NA NA
Amplifier Milmega AS0827 EMC4359 NA NA
Switch Driver Hewlett-Packard HP11713A EMC4134 NA NA
Power Meter Rhode & Schwarz NRVD EMC4074 01/04/2016 01/31/2017
Power Sensor Rhode & Schwarz NRV-Z51 EMC4079 01/07/2016 01/31/2017
Power Sensor Rhode & Schwarz NRV-Z51 EMC4295 01/07/2016 01/31/2017
Field Probe Holiday HI-4422 EMC4208 01/08/2016 01/31/2017
Bilog Antenna Schaffner CBL6144 NA NA
Temperature /Humidity Pressure probe
EXTECH SD700 EMC4367 2/27/2015 2/27/2016
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Photo of test setup for Radio Frequency Electromagnetic Fields
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Tabulated Results for RF Electromagnetic Field 80 MHz to 2500 MHz
Nominal Voltage (V) ................. : Battery
Nominal Frequency (Hz) .......... : DC
Side of the equipment under
test
Frequency (MHz)
Antenna polarization (V/H)
Dwell Time (second)
Remark
Front 80 - 2500 V 3 1
80 – 2500 H 3 1
Back 80 – 2500 V 3 1
80 – 2500 H 3 1
Left 80 – 2500 V 3 1
80 – 2500 H 3 1
Right 80 – 2500 V 3 1
80 - 2500 H 3 1
Results Descriptions:
X - Not performed nor required. 1 – Compliant - No observed response from EUT.
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1.10 Test Conditions and Results – Power- Frequency Magnetic Fields
61000-4-8 TEST: Power-frequency magnetic field – (IEC61000-4-8: - 2009) Verdict
Method: Measurements were made on a ground plane that extends 1-meter minimum beyond sides of the system under test. Tabletop EUT is located 80cm above the reference ground plane and floor-standing EUT is located 10cm above the reference ground plane. The indicated field was pre-calibrated prior to placement of the EUT under test.
P
Laboratory Parameters: Required prior to the test During the test
Ambient Temperature 10 to 40 °C 23.0°C
Relative Humidity 10 to 90 % 38.0%
Equipment mode
Power interface mode 1
EUT configurations mode 1
Operation mode 2
Fully configured sample tested at the power line frequency (See Note 1)
Frequency Application Point
50Hz and 60 Hz 1 Enclosure
Frequency (Hz) Test Level (A/m)
50 3
60 3
Tested at 50Hz and 60Hz powered at any one of its NOMINAL RATED input voltages.
Supplementary information: None
Description Manufacturer Model Identifier
Ammeter Fluke 336 EMC4291 1/4/2016 1/31/2017
Loop UL UL-LOOP
EMC4277 NA NA
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Photo of test setup for Power- Frequency Magnetic Fields
Tabulated Results for Power Frequency Magnetic Field
Nominal Rated Voltage (V) ...... DC
Point of application Results
50 Hz 60 Hz
X-Axis 1 1
Y-Axis 1 1
Z-Axis 1 1
Supplementary information:
X - Not performed or not required.
1 – Compliant - No observed response from EUT.
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