EN ISO 80601-2-12:2020

Medical electrical equipment - Part 2-12: Particular requirements for basic safety and essential performance of critical care ventilators (ISO 80601-2-12:2020)

This document applies to the basic safety and essential performance of a ventilator in combination with its accessories, hereafter referred to as ME equipment:
    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 1   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 2   For the purposes of this document, such a ventilator can provide transport within a professional healthcare facility (i.e. be a transit-operable ventilator).
NOTE 3   A critical care ventilator intended for use in transport within a professional healthcare facility is not considered as an emergency medical services environment ventilator.
    intended to be operated by a healthcare professional operator; and
    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 utilize a physiologic closed-loop-control system unless it uses a physiological patient variable to adjust the 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 4   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, 7.2.13 and 8.4.1.
NOTE 5   Additional information can be found in IEC 60601-1:2005+AMD1:2012, 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 6   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:
    ventilators or accessories intended for anaesthetic applications, which are given in ISO 80601-2-13[2];
    ventilators or accessories intended for the emergency medical services environment, which are given in ISO 80601-2-84[3], the future replacement for ISO 10651-3[4];
    ventilators or accessories intended for ventilator-dependent patients in the home healthcare environment, which are given in ISO 80601‑2-72:2015[5];
    ventilators or accessories intended for home-care ventilatory support devices, which are given in ISO 80601-2-79:2018[6] and ISO 80601-2-80:2018[7][1];
    obstructive sleep apnoea therapy ME equipment, which are given in ISO 80601‑2‑70[9];
    continuous positive airway pressure (CPAP) ME equipment;
    high-frequen

Medizinische elektrische Geräte - Teil 2-12: Besondere Festlegungen für die Sicherheit einschließlich der wesentlichen Leistungsmerkmale von Beatmungsgeräten für die Intensivpflege (ISO 80601-2-12:2020)

Abschnitt 1 der Allgemeinen Festlegungen gilt mit folgenden Abweichungen:
ANMERKUNG   Die Allgemeinen Festlegungen sind IEC 60601 1:2005 + A1:2012.
1.1.1 Anwendungsbereich
Ersatz:
Dieses Dokument gilt für die Sicherheit und die wesentlichen Leistungsmerkmale von Beatmungs¬geräten zusammen mit deren Zubehör, deren Kombination nachfolgend als ME Gerät bezeichnet wird und die:
–   vorgesehen sind für den Gebrauch in einer Umgebung, die eine spezielle Pflege für Patienten bietet, deren Zustand lebensgefährlich sein kann und die eine umfassende Pflege sowie ununterbrochene Überwachung in einer professionellen Gesundheitseinrichtung erfordern können;
ANMERKUNG 1   Im Sinne dieses Dokuments wird eine derartige Umgebung eine Intensivpflege-Umgebung genannt. Beatmungsgeräte für diese Umgebung werden als lebenserhaltend erachtet.
ANMERKUNG 2   Im Sinne dieses Dokuments kann ein derartiges Beatmungsgerät den Krankentransport innerhalb einer professionellen Gesundheitseinrichtung ermöglichen (d. h. ein Beatmungsgerät sein, das betriebsfähig bei Bewegung ist).
ANMERKUNG 3   Ein Beatmungsgerät für die Intensivpflege, das für den Krankentransport innerhalb einer professionellen Gesundheitseinrichtung vorgesehen ist, wird nicht als ein in einer Umgebung für den Notfalleinsatz verwendetes Beatmungsgerät betrachtet.
–   vorgesehen sind für den Betrieb durch einen medizinisch ausgebildeten Bediener; und
–   vorgesehen sind für diejenigen Patienten, die unterschiedliche Unterstützungsniveaus der künstlichen Beatmung benötigen, einschließlich der vom Gerät abhängigen Patienten.
Für ein Beatmungsgerät für die Intensivpflege gilt, dass es kein physiologisches geschlossenes Regelsystem nutzt, solange es keine physiologische Patienten-Größe zum Nachregeln der therapeutischen Beatmungseinstellungen verwendet.
Dieses Dokument gilt auch für Zubehör, das vom Hersteller für den Anschluss an ein Beatmungsgerät-Atemsystem oder an ein Beatmungsgerät vorgesehenen ist, wenn die Eigenschaften dieses Zubehörs die Basissicherheit und die wesentlichen Leistungsmerkmale des Beatmungsgeräts beeinträchtigen können.
[...]

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 (ISO 80601-2-12:2020)

Le présent document s'applique à la sécurité de base et aux performances essentielles d'un ventilateur associé à ses accessoires, ci-après désignés par appareil EM:
      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 1   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 au maintien de la vie.
NOTE 2   Pour les besoins du présent document, un tel ventilateur peut être associé au transport à l'intérieur d'un établissement de soins professionnel (c'est-à-dire être un ventilateur opérationnel en déplacement).
NOTE 3   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.
      prévu pour être utilisé par un opérateur professionnel de soins de santé; et
      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.
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 4   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, 7.2.13 et 8.4.1.
NOTE 5   Des informations supplémentaires peuvent être trouvées dans l'IEC 60601-1:2005+AMD1:2012, 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 6   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:
      ventilateurs ou accessoires prévus pour les applications en anesthésie, qui sont données dans l'ISO 80601-2-13[2];
      ventilateurs

Medicinska električna oprema - 2-12. del: Posebne zahteve za osnovno varnost in bistvene lastnosti ventilatorjev za intenzivno nego (ISO 80601-2-12:2020)

General Information

• Status: Withdrawn
• Publication Date: 10-Mar-2020
• Withdrawal Date: 14-Nov-2023
• ICS: 11.040.10 - Anaesthetic, respiratory and reanimation equipment
• Technical Committee: CEN/TC 215 - Respiratory and anaesthetic equipment
• Drafting Committee: CEN/TC 215/WG 2 - Lung ventilators
• Directive: 93/42/EEC - Council Directive 93/42/EEC of 14 June 1993 concerning medical devices
• Mandate: M/023 - Standardization mandate to CEN/CENELEC concerning the development of European standards relating to medical devices
• Ref Project: SIST EN ISO 80601-2-12:2020 - Medical electrical equipment - Part 2-12: Particular requirements for basic safety and essential performance of critical care ventilators (ISO 80601-2-12:2020)

Relations

• Replaces: EN ISO 80601-2-12:2011/AC:2011 - Medical electrical equipment - Part 2-12: Particular requirements for basic safety and essential performance of critical care ventilators - Technical Corrigendum 1 (ISO 80601-2-12:2011/Cor 1:2011)
• Effective Date: 24-Mar-2020
• Replaces: EN ISO 80601-2-12:2011 - Medical electrical equipment - Part 2-12: Particular requirements for basic safety and essential performance of critical care ventilators (ISO 80601-2-12:2011)
• Effective Date: 24-Mar-2020
• Replaced By: EN ISO 80601-2-12:2023 - Medical electrical equipment - Part 2-12: Particular requirements for basic safety and essential performance of critical care ventilators (ISO 80601-2-12:2023)
• Effective Date: 17-Mar-2021

Standards Content (Sample)

SLOVENSKI STANDARD
01-maj-2020
Nadomešča:
SIST EN ISO 80601-2-12:2011
SIST EN ISO 80601-2-12:2011/AC:2012
Medicinska električna oprema - 2-12. del: Posebne zahteve za osnovno varnost in
bistvene lastnosti ventilatorjev za intenzivno nego (ISO 80601-2-12:2020)
Medical electrical equipment - Part 2-12: Particular requirements for basic safety and
essential performance of critical care ventilators (ISO 80601-2-12:2020)
Medizinische elektrische Geräte - Teil 2-12: Besondere Festlegungen für die Sicherheit
einschließlich der wesentlichen Leistungsmerkmale von Beatmungsgeräten für die
Intensivpflege (ISO 80601-2-12:2020)
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 (ISO 80601-2-12:2020)
Ta slovenski standard je istoveten z: EN ISO 80601-2-12:2020
ICS:
11.040.10 Anestezijska, respiratorna in Anaesthetic, respiratory and
reanimacijska oprema reanimation equipment
2003-01.Slovenski inštitut za standardizacijo. Razmnoževanje celote ali delov tega standarda ni dovoljeno.

EN ISO 80601-2-12
EUROPEAN STANDARD
NORME EUROPÉENNE
March 2020
EUROPÄISCHE NORM
ICS 11.040.10 Supersedes EN ISO 80601-2-12:2011
English Version
Medical electrical equipment - Part 2-12: Particular
requirements for basic safety and essential performance of
critical care ventilators (ISO 80601-2-12:2020)
Appareils électromédicaux - Partie 2-12: Exigences Medizinische elektrische Geräte - Teil 2-12: Besondere
particulières relatives à la sécurité de base et aux Festlegungen für die Sicherheit einschließlich der
performances essentielles des ventilateurs wesentlichen Leistungsmerkmale von
pulmonaires pour utilisation en soins intensifs (ISO Beatmungsgeräten für die Intensivpflege (ISO 80601-
80601-2-12:2020) 2-12:2020)
This European Standard was approved by CEN on 12 November 2019.

CEN members are bound to comply with the CEN/CENELEC Internal Regulations which stipulate the conditions for giving this
European Standard the status of a national standard without any alteration. Up-to-date lists and bibliographical references
concerning such national standards may be obtained on application to the CEN-CENELEC Management Centre or to any CEN
member.
This European Standard exists in three official versions (English, French, German). A version in any other language made by
translation under the responsibility of a CEN member into its own language and notified to the CEN-CENELEC Management
Centre has the same status as the official versions.

CEN members are the national standards bodies of Austria, Belgium, Bulgaria, Croatia, Cyprus, Czech Republic, Denmark, Estonia,
Finland, France, Germany, Greece, Hungary, Iceland, Ireland, Italy, Latvia, Lithuania, Luxembourg, Malta, Netherlands, Norway,
Poland, Portugal, Republic of North Macedonia, Romania, Serbia, Slovakia, Slovenia, Spain, Sweden, Switzerland, Turkey and
United Kingdom.
EUROPEAN COMMITTEE FOR STANDARDIZATION
COMITÉ EUROPÉEN DE NORMALISATION

EUROPÄISCHES KOMITEE FÜR NORMUNG

CEN-CENELEC Management Centre: Rue de la Science 23, B-1040 Brussels
© 2020 CEN All rights of exploitation in any form and by any means reserved Ref. No. EN ISO 80601-2-12:2020 E
worldwide for CEN national Members.

Contents Page
European foreword . 3

European foreword
This document (EN ISO 80601-2-12:2020) has been prepared by Technical Committee ISO/TC 121
"Anaesthetic and respiratory equipment" in collaboration with Technical Committee CEN/TC 215
“Respiratory and anaesthetic equipment” the secretariat of which is held by BSI.
This European Standard shall be given the status of a national standard, either by publication of an
identical text or by endorsement, at the latest by September 2020, and conflicting national standards
shall be withdrawn at the latest by September 2020.
Attention is drawn to the possibility that some of the elements of this document may be the subject of
patent rights. CEN shall not be held responsible for identifying any or all such patent rights.
This document supersedes EN ISO 80601-2-12:2011.
According to the CEN-CENELEC Internal Regulations, the national standards organizations of the
following countries are bound to implement this European Standard: Austria, Belgium, Bulgaria,
Croatia, Cyprus, Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece, Hungary, Iceland,
Ireland, Italy, Latvia, Lithuania, Luxembourg, Malta, Netherlands, Norway, Poland, Portugal, Republic of
North Macedonia, Romania, Serbia, Slovakia, Slovenia, Spain, Sweden, Switzerland, Turkey and the
United Kingdom.
Endorsement notice
The text of ISO 80601-2-12:2020 has been approved by CEN as EN ISO 80601-2-12:2020 without any
modification.
INTERNATIONAL ISO
STANDARD 80601-2-12
Second edition
2020-02
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 80601-2-12:2020(E)
©
ISO 2020
ISO 80601-2-12:2020(E)
© ISO 2020
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: [phone]
Fax: [phone]
Email: [e-mail]
Website: www.iso.org
Published in Switzerland
ii © ISO 2020 – All rights reserved

ISO 80601-2-12:2020(E)
Contents
201. 1 Scope, object and related standards . 1
201. 1.1 * Scope . 1
201. 1.2 Object . 2
201. 1.3 Collateral standards . 3
201. 1.4 Particular standards . 3
201. 2 Normative references . 4
201. 3 Terms and definitions . 7
201. 4 General requirements . 9
201. 4.3 Essential performance . 9
201. 4.3.101 * Additional requirements for essential performance . 9
201. 4.4 Additional requirements for expected service life . 9
201. 4.6 * ME equipment or ME system parts that contact the patient . 10
201. 4.11.101 * Additional requirements for pressurized gas input . 10
201. 4.11.101.1 Overpressure requirement . 10
201. 4.11.101.2 Compatibility requirement . 10
201. 5 General requirements for testing of ME equipment. 11
201. 5.101 Additional requirements for general requirements for testing
of ME equipment . 11
201. 5.101.1 Ventilator test conditions . 11
201. 5.101.2 * Gas flowrate and leakage specifications . 11
201. 5.101.3 * Ventilator testing errors . 11
201. 6 Classification of ME equipment and ME systems . 12
201. 7 ME equipment identification, marking and documents . 12
201. 7.2.3 * Consult accompanying documents . 12
201. 7.2.4.101 Additional requirements for accessories . 12
201. 7.2.13.101 Additional requirements for physiological effects . 12
201. 7.2.17.101 Additional requirements for protective packaging . 12
201. 7.2.18 External gas source . 13
201. 7.2.101 * Additional requirements for marking on the outside of
ME equipment or ME equipment parts . 13
201. 7.4.3 * Units of measurement . 14
201. 7.9.1 Additional general requirements . 14
201. 7.9.2.1.101 Additional general requirements . 14
201. 7.9.2.2.101 * Additional requirements for warnings and safety notices . 15
201. 7.9.2.8.101 * Additional requirements for start-up procedure . 16
201. 7.9.2.9.101 * Additional requirements for operating instructions . 16
201. 7.9.2.12 Cleaning, disinfection, and sterilization . 17
201. 7.9.2.14.101 * Additional requirements for accessories, supplementary
equipment, used material . 17
ISO 80601-2-12:2020(E)
201. 7.9.2.16.101 * Additional requirements for reference to the technical
description . 18
201. 7.9.3.1.101 * Additional general requirements . 18
201. 7.9.3.101 Additional requirements for the technical description . 18
201. 8 Protection against electrical hazards from ME equipment . 19
201. 9 Protection against mechanical hazards of ME equipment and ME systems 19
201. 9.6.2.1.101 * Additional requirements for audible acoustic energy . 19
201. 9.101 * Additional requirements for suction procedures . 20
201. 10 Protection against unwanted and excessive radiation hazards . 23
201. 11 Protection against excessive temperatures and other hazards . 23
201. 11.1.2.2 * Applied parts not intended to supply heat to a patient . 23
201. 11.6.5.101 * Additional requirements for ingress of water or particulate
matter into ME equipment or ME system . 23
201. 11.6.6 * Cleaning and disinfection of ME equipment or ME system . 24
201. 11.6.7 Sterilization of ME equipment or ME system . 24
201. 11.7 Biocompatibility of ME equipment and ME systems . 24
201. 11.8.101 * Additional requirements for interruption of the power
supply/supply mains to ME equipment . 25
201. 12 Accuracy of controls and instruments and protection against hazardous
outputs . 27
201. 12.1 * Accuracy of controls and instruments . 27
201. 12.1.101 * Volume-control inflation-type . 27
201. 12.1.102 * Pressure-control inflation-type . 31
201. 12.1.103 Other inflation-types . 34
201. 12.1.104 * Inspiratory volume monitoring . 35
201. 12.1.105 * Response of the ventilator to an increase in set O
concentration . 35
201. 12.4 Protection against hazardous output . 37
201. 12.4.101 Oxygen monitor . 37
201. 12.4.102 * Measurement of airway pressure . 38
201. 12.4.103 * Measurement of expired volume and low volume alarm
conditions . 39
201. 12.4.103.1 Ventilators intended to provide a tidal volume >50 ml . 39
201. 12.4.103.2 Ventilators intended to provide a tidal volume ≤50 ml . 40
201. 12.4.104 * Expiratory end-tidal CO monitoring equipment . 41
201. 12.4.105 * Maximum limited pressure protection device . 42
201. 12.4.106 * High ai
...