Graphical symbols for electrical equipment in medical practice

IEC TR 60878:2022 provides a compilation, for easy reference, of graphical symbols (graphics, title, description) and safety signs for medical electrical equipment. The graphical symbols are grouped in sections according to their specific field of application (see Clause 4).
IEC TR 60878:2022 cancels and replaces the third edition published in 2015. This fourth edition constitutes a technical revision.
The main changes compared with IEC TR 60878:2015 are as follows:
• A total of 109 new symbols and safety signs that have been identified since the publication of the third edition have been added. For identification, the number of the new symbol or safety sign is printed in red followed by “New”.
• Of the symbols and safety signs in the third edition, 14 have changes in their title or description. For identification, the number of a modified symbol or safety sign is printed in red followed by “Mod”.
The contents of the corrigendum of February 2023 have been included in this copy.

General Information

Status
Published
Publication Date
03-Nov-2022
Current Stage
PPUB - Publication issued
Start Date
17-Nov-2022
Completion Date
04-Nov-2022
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TECHNICAL
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Graphical symbols for electrical equipment in medical practice
IEC TR 60878:2022-11(en)

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IEC TR 60878

®


Edition 4.0 2022-11




TECHNICAL



REPORT








colour

inside










Graphical symbols for electrical equipment in medical practice




























INTERNATIONAL

ELECTROTECHNICAL


COMMISSION





ICS 01.080.40; 11.040.60 ISBN 978-2-8322-5866-8



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® Registered trademark of the International Electrotechnical Commission

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– 2 – IEC TR 60878:2022 © IEC 2022
CONTENTS
FOREWORD . 4
INTRODUCTION . 6
1 Scope . 7
2 Normative references . 7
3 Terms and definitions . 8
4 General . 8
5 Graphical survey . 9
5.1 Collection 1 – General: Controls . 10
5.2 Collection 2 – General: Movement related . 12
5.3 Collection 3 – General: Electricity and electronics . 13
5.4 Collection 4 – General: Light and optics . 14
5.5 Collection 5 – General: Miscellaneous . 15
5.6 Collection 6 – Transport, handling and packaging . 16
5.7 Collection 7 – Safety related . 17
5.8 Collection 8 – Safety signs . 18
5.9 Collection 9 – Classification and identification of equipment. 19
5.10 Collection 10 – Information and communication: Image, imaging . 20
5.11 Collection 11 – Information and communication: Audio . 21
5.12 Collection 12 – Information and communication: Data . 22
5.13 Collection 13 – Patient / person . 22
5.14 Collection 14 – Patient positioning . 23
5.15 Collection 15 – Medical instruments and blood processing . 23
5.16 Collection 16 – Dentistry and dentistry equipment . 24
5.17 Collection 17 – Patient monitoring . 25
5.18 Collection 18 – Ultrasound . 25
5.19 Collection 19 – Lithotripsy . 26
5.20 Collection 20 – Electrosurgery . 26
5.21 Collection 21 – Nuclear medicine . 26
5.22 Collection 22 – Diagnostic X-ray, CT, MR: Equipment and movement . 27
5.23 Collection 23 – Diagnostic X-ray, CT, MR: Function . 28
5.24 Collection 24 – Active Implantable Medical Devices . 29
5.25 Collection 25 – Biometric and facial recognition . 30
6 Title and description of graphical symbols . 30
6.1 Collection 1 – General: Controls . 30
6.2 Collection 2 – General: Movement related . 41
6.3 Collection 3 – General: Electricity and electronics . 48
6.4 Collection 4 – General: Light and optics . 56
6.5 Collection 5 – General: Miscellaneous . 61
6.6 Collection 6 – Transport, handling and packaging . 69
6.7 Collection 7 – Safety related . 83
6.8 Collection 8 – Safety signs . 93
6.9 Collection 9 – Classification and identification of equipment. 101
6.10 Collection 10 – Information and communication: Image, imaging . 104
6.11 Collection 11 – Information and communication: Audio . 116
6.12 Collection 12 – Information and communication: Data . 120
6.13 Collection 13 – Patient / person . 123

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IEC TR 60878:2022 © IEC 2022 – 3 –
6.14 Collection 14 – Patient positioning . 126
6.15 Collection 15 – Medical instruments and blood processing . 128
6.16 Collection 16 – Dentistry and dentistry equipment . 135
6.17 Collection 17 – Patient monitoring . 143
6.18 Collection 18 – Ultrasound . 145
6.19 Collection 19 – Lithotripsy . 149
6.20 Collection 20 – Electrosurgery . 152
6.21 Collection 21 – Nuclear medicine . 153
6.22 Collection 22 – Diagnostic X-ray, CT, MR: Equipment and movement . 156
6.23 Collection 23 – Diagnostic X-ray, CT, MR: Function . 163
6.24 Collection 24 – Active Implantable Medical Devices . 171
6.25 Collection 25 – Biometric and facial recognition . 178
7 Alphabetical index according to English titles . 181
8 Numerical index . 202
Bibliography . 224

Table 1 – Grouping of symbols by application area . 9

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– 4 – IEC TR 60878:2022 © IEC 2022
INTERNATIONAL ELECTROTECHNICAL COMMISSION
____________

GRAPHICAL SYMBOLS FOR ELECTRICAL
EQUIPMENT IN MEDICAL PRACTICE

FOREWORD
1) The International Electrotechnical Commission (IEC) is a worldwide organization for standardization comprising
all national electrotechnical committees (IEC National Committees). The object of IEC is to promote international
co-operation on all questions concerning standardization in the electrical and electronic fields. To this end and
in addition to other activities, IEC publishes International Standards, Technical Specifications, Technical Reports,
Publicly Available Specifications (PAS) and Guides (hereafter referred to as “IEC Publication(s)”). Their
preparation is entrusted to technical committees; any IEC National Committee interested in the subject dealt with
may participate in this preparatory work. International, governmental and non-governmental organizations liaising
with the IEC also participate in this preparation. IEC collaborates closely with the International Organization for
Standardization (ISO) in accordance with conditions determined by agreement between the two organizations.
2) The formal decisions or agreements of IEC on technical matters express, as nearly as possible, an international
consensus of opinion on the relevant subjects since each technical committee has representation from all
interested IEC National Committees.
3) IEC Publications have the form of recommendations for international use and are accepted by IEC National
Committees in that sense. While all reasonable efforts are made to ensure that the technical content of IEC
Publications is accurate, IEC cannot be held responsible for the way in which they are used or for any
misinterpretation by any end user.
4) In order to promote international uniformity, IEC National Committees undertake to apply IEC Publications
transparently to the maximum extent possible in their national and regional publications. Any divergence between
any IEC Publication and the corresponding national or regional publication shall be clearly indicated in the latter.
5) IEC itself does not provide any attestation of conformity. Independent certification bodies provide conformity
assessment services and, in some areas, access to IEC marks of conformity. IEC is not responsible for any
services carried out by independent certification bodies.
6) All users should ensure that they have the latest edition of this publication.
7) No liability shall attach to IEC or its directors, employees, servants or agents including individual experts and
members of its technical committees and IEC National Committees for any personal injury, property damage or
other damage of any nature whatsoever, whether direct or indirect, or for costs (including legal fees) and
expenses arising out of the publication, use of, or reliance upon, this IEC Publication or any other IEC
Publications.
8) Attention is drawn to the Normative references cited in this publication. Use of the referenced publications is
indispensable for the correct application of this publication.
9) Attention is drawn to the possibility that some of the elements of this IEC Publication may be the subject of patent
rights. IEC shall not be held responsible for identifying any or all such patent rights.
IEC TR 60878 has been prepared by subcommittee 62A: Common aspects of electrical
equipment used in medical practice, of IEC technical committee 62: Electrical equipment in
medical practice. It is a Technical Report.
This fourth edition cancels and replaces the third edition published in 2015. This fourth edition
constitutes a technical revision.
The main changes compared with IEC TR 60878:2015 are as follows:
• A total of 109 new symbols and safety signs that have been identified since the publication
of the third edition have been added. For identification, the number of the new symbol or
safety sign is printed in red followed by “New”.
• Of the symbols and safety signs in the third edition, 14 have changes in their title or
description. For identification, the number of a modified symbol or safety sign is printed in
red followed by “Mod”.

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IEC TR 60878:2022 © IEC 2022 – 5 –
The text of this Technical Report is based on the following documents:
Draft Report on voting
62A/1472/DTR 62A/1483/RVDTR

Full information on the voting for its approval can be found in the report on voting indicated in
the above table.
The language used for the development of this Technical Report is English.
This document was drafted in accordance with ISO/IEC Directives, Part 2, and developed in
accordance with ISO/IEC Directives, Part 1 and ISO/IEC Directives, IEC Supplement, available
at www.iec.ch/members_experts/refdocs. The main document types developed by IEC are
described in greater detail at www.iec.ch/publications.
The committee has decided that the contents of this document will remain unchanged until the
stability date indicated on the IEC website under webstore.iec.ch in the data related to the
specific document. At this date, the document will be
• reconfirmed,
• withdrawn,
• replaced by a revised edition, or
• amended.

IMPORTANT – The "colour inside" logo on the cover page of this document indicates that it
contains colours which are considered to be useful for the correct understanding of its
contents. Users should therefore print this document using a colour printer.

The contents of the corrigendum 1 (2023-02) have been included in this copy.

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– 6 – IEC TR 60878:2022 © IEC 2022
INTRODUCTION
This document is a collection of all graphical symbols used on medical electrical equipment. It
is intended for the easy finding of a certain symbol and related ones in one single source,
concentrating on this special field of application. For those more general symbols, for which the
application on medical electrical equipment is subject to certain restrictions, these are pointed
out in a section of the symbol description table headed “Further comments by IEC/TC 62”.
This is not just “a collection of some symbols”. The presented symbols should:
• comply with the drafting rules expressed in ISO/IEC 80416,
• use symbol elements in a consistent manner to facilitate user understanding and minimize
errors, and
• sufficiently differ in appearance from each other, to avoid any confusion.

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IEC TR 60878:2022 © IEC 2022 – 7 –
GRAPHICAL SYMBOLS FOR ELECTRICAL
EQUIPMENT IN MEDICAL PRACTICE



1 Scope
This document provides a compilation, for easy reference, of graphical symbols (graphics, title,
description) and safety signs for medical electrical equipment. The graphical symbols are
grouped in sections according to their specific field of application (see Clause 4).
2 Normative references
The following documents are referred to in the text in such a way that some or all of their content
constitutes requirements of this document. For dated references, only the edition cited applies.
For undated references, the latest edition of the referenced document (including any
amendments) applies.
IEC 60417, Graphical symbols for use on equipment, available at http://www.graphical-
symbols.info/equipment
IEC 60601-1, Medical electrical equipment – Part 1: General requirements for basic safety and
essential performance
IEC 60601-1-8:2006, Medical electrical equipment – Part 1-8: General requirements for basic
safety and essential performance – Collateral Standard: General requirements, tests and
guidance for alarm systems in medical electrical equipment and medical electrical systems
IEC 60601-1-8:2006/AMD1:2012
IEC 60601-1-8:2006/AMD2:2020
IEC 60601-2-18:2009, Medical electrical equipment – Part 2-18: Particular requirements for the
basic safety and essential performance of endoscopic equipment
IEC 60601-2-22:2019, Medical electrical equipment – Part 2-22: Particular requirements for
basic safety and essential performance of surgical, cosmetic, therapeutic and diagnostic laser
equipment
IEC 60601-2-83:2019, Medical electrical equipment – Part 2-83: Particular requirements for the
basic safety and essential performance of home light therapy equipment
IEC 60825-1:2014, Safety of laser products – Part 1: Equipment classification and requirements
IEC 61140, Protection against electric shock – Common aspects for installation and equipment
IEC 62056-21, Electricity metering – Data exchange for meter reading, tariff and load control –
Part 21: Direct local data exchange
IEC 62570:2014, Standard practice for marking medical devices and other items for safety in
the magnetic resonance environment
ISO 361, Basic ionizing radiation symbol
ISO 3166-1, Codes for the representation of names of countries and their subdivisions – Part 1:
Country codes

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– 8 – IEC TR 60878:2022 © IEC 2022
ISO 3864-1, Graphical symbols – Safety colours and safety signs – Part 1: Design principles
for safety signs and safety markings
ISO 7000, Graphical symbols for use on equipment – Registered symbols (available from:
http://www.graphical-symbols.info/equipment)
ISO 7001, Graphical symbols – Public information symbols
ISO 7010, Graphical symbols – Safety colours and safety signs – Registered safety signs
ISO 8601-1, Date and time – Representations for information interchange – Part 1: Basic rules
ISO 15223-1:2021, Medical devices – Symbols to be used with information to be supplied by
the manufacturer – Part 1: General requirements
3 Terms and definitions
No terms and definitions are listed in this document.
ISO and IEC maintain terminology databases for use in standardization at the following
addresses:
• ISO Online browsing platform: available at https://www.iso.org/obp
• IEC Electropedia: available at https://www.electropdeia.org
4 General
This document primarily identifies graphical symbols published in IEC 60417 or in ISO 7000,
and safety signs published in ISO 7010, and a few public information symbols in ISO 7001. A
reference to the corresponding symbol or safety sign number is given.
NOTE 1 Reference numbers below 5 000 refer to ISO 7000, while reference numbers from 5 000 up refer to
IEC 60417.
Some graphical symbols essential for compliance with other standards issued by IEC technical
committee 62 or its subcommittees are also listed. They are identified by symbol numbers in
the following format: -####, e.g. 60601-2-18-101 for graphical symbol No. 101 of
IEC 60601-2-18.
NOTE 2 These symbols will be formally included in a future edition of IEC 60417 or ISO 7000. Some of the graphical
symbols from these standards have been redrawn according to the basic design principles of ISO/IEC 80416 (all
parts) for inclusion in this document.
In this document, symbols are ordered by application area, as shown in Table 1.
Many of the symbols listed in this document have already been used for several years on
equipment and will be familiar to experts in that field; the meaning of others will become clear
when viewed in context on the equipment itself, but it shall be appreciated that it is impossible
to make self-evident the meaning of all symbols on complex equipment. In such cases, user
training will be needed to ensure proper recognition. To avoid critical errors, it can be necessary
to validate that properly trained users can correctly recognize the graphical symbol’s meaning
when viewed in the context.
However, it is strongly recommended that the meaning of all graphical symbols used on
equipment be explained in the equipment's accompanying documents.

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IEC TR 60878:2022 © IEC 2022 – 9 –
Table 1 – Grouping of symbols by application area
Subclause No. Subclause No.
Application area
(survey) (description)
1 General: Controls 5.1 6.1
2 General: Movement related 5.2 6.2
3 General: Electricity and electronics 5.3 0
4 General: Light and optics 5.4 6.4
5 General: Miscellaneous 5.5 6.5
6 Transport, handling and packaging 5.6 6.6
7 Safety related 5.7 6.7
8 Safety signs 5.8 6.8
9 Classification and identification of equipment 5.9 6.9
10 Information and communication: Image, imaging 5.10 6.10
11 Information and communication: Audio 5.11 6.11
12 Information and communication: Data 5.12 6.12
13 Patient / person 5.13 6.13
14 Patient positioning 5.14 6.14
15 Medical instruments and blood processing 5.15 0
16 Dentistry and dentistry equipment 5.16 6.16
17 Patient monitoring 5.17 6.17
18 Ultrasound 5.18 6.18
19 Lithotripsy 5.19 6.19
20 Electrosurgery 5.20 6.20
21 Nuclear medicine 5.21 6.21
22 Diagnostic X-ray, CT, MR: Equipment and movement 5.22 6.22
23 Diagnostic X-ray, CT, MR: Function 5.23 6.23
24 Active Implantable Medical Devices 5.24 0
25 Biometric and facial recognition 5.25 6.25

The graphical symbols listed in this document are intended to be applied on or near equipment
used in medical practice and in the equipment’s accompanying documentation. They are not
necessarily associated with graphical symbols used on drawings.
For symbol requirements not met by this document, refer in the first instance to published IEC
or ISO symbols. Note that, where necessary, two or more symbols or symbol elements can be
grouped together to convey a particular meaning. Some latitude in graphic design is permissible
provided that the essential communicative characteristics of the basic symbol are maintained.
For details, refer to ISO/IEC 80416 (all parts).
For safety signs, ISO 3864-1 requires that strict rules concerning shape, size and colour are
adhered to.
5 Graphical survey
NOTE For a quick overview, this clause holds only the graphics, sorted by application areas. See Clause 4 for an
overview of application areas. For titles, descriptions, and specific notes for application on medical electrical
equipment, see Clause 6.

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– 10 – IEC TR 60878:2022 © IEC 2022
5.1 Collection 1 – General: Controls
5007 5008 5010 5009 Mod 5011 5264 5265 5266

1140 5104 5177 5659 5857 5110A 5110B 5178

5638 5111A 5111B 6336 New 5268 5269 1154 1155

5322 5114 1853 6378 New 0096 5444 0093 1108

1109 5263 6379 New 5090 5569 5570 0022 0023


5573 5574 0234 0018 0019 0794 0795 5292


5459 5628 5004 1364 5181 2164 5183 6394 New


5072 5146 5147 5495 5849 5643 5115 5503

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IEC TR 60878:2022 © IEC 2022 – 11 –
Collection 1 – General: Controls
1326 6334A New 6334B New 6335A New 6335B New 5510 5289 5511

6089 New 6089A New 6415 New 5512 5753 5770 5658

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– 12 – IEC TR 60878:2022 © IEC 2022
5.2 Collection 2 – General: Movement related
5022 0004 5023 0005 0521 0001 0253 5024

2765 2764 5025 5026 5029 5027 5028 5030

1111 0254 0493 1110 0924 0539 0258 0937


5655 5656 5822 5107A 5107B 5108A 5108B 0547 New

5124A 5124B 5125A 5125B 5862 5861 1116 1114


1117 1115 5628 5897 5898 0514 5738 5739

0020 0021 1173 5110A 5110B 5178 5638 5111A


5111B

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IEC TR 60878:2022 © IEC 2022 – 13 –
5.3 Collection 3 – General: Electricity and electronics
0232 5005 5006 5926 6181 New 5031 5032 5032-1

5032-2 5033 5001A 5001B 5002 6367 New 6368 New 5546

5639 0247 5017 5019 5018 5021 5020 5016

5115 5156 5534 5572 6352 New 5034 5035 5448

5424 5424-1 5424-2 5424-3 5134 5084 5093 5051

5140 5039 6330A-1 New 6330B-1 New 6330A-2 New 6330B-2 New 6330A-3 New 6330B-3 New

6330A-4 New 6330B-4 New 6330A-5 New 6330B-5 New

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– 14 – IEC TR 60878:2022 © IEC 2022
5.4 Collection 4 – General: Light and optics
5012 5320 5918 5896 5321 5750 5938 5751


6301 New 5857 5323 5324 5323-1 5323-2 5323-3 5875


1124 1125 5381 6186 5885 5152 6197 6196

6187 IEC 60601-2- IEC 60601-2- IEC 60601-2- IEC 60601-2- IEC 60601-2- 6200 6201
22-105 22-106 22-107 22-108 22-109


IEC 60601-2- IEC 60601-2- IEC 60601-2-
22-112 22-113 22-114

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IEC TR 60878:2022 © IEC 2022 – 15 –
5.5 Collection 5 – General: Miscellaneous
1124 5662 5184 5440 6405 New 5132 5270 5417

5879 5415 New 5416 New 5130 5131 5842 5736 5624

5623 0024 0025 0160 0037 0038 5015 6188

6189 0032 0028 0033 0029 0030 0233 0540

0940 0034 0035 0036 0535 0027 1844 6332 New

0588 5845 5846 0089 1118 0017 5657 1641

6222 New 3705 New 1640 0717 5575 1369 2868 IEC 60601-2-
18-104

IEC 60601-2- 6343 New
18-105

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– 16 – IEC TR 60878:2022 © IEC 2022
5.6 Collection 6 – Transport, handling and packaging
5661 0533 0534 0632 2620 2621 5536 0626
0624 2401 0615 0621 0623 2405 2607 2655

1051 2606 2794 3727 New 2795 3079 2499 2500
2501 2502 2503 ISO 15223- 3707 New 3704 New 3708 New 3709 New
1,5.2.10 New
2608 2609 0518 2497 3082 6049 ISO 15223- 3724 New
1,5.1.2
3725 New 3728 New 2493 2498 6050 ISO 15223- 2492 ISO 15223-
1,5.7.10 New 1,5.5.1 New
ISO 15223- 3723 New 3699 New 3700 New 3701 New 3702 New 3703 New ISO 15223-
1,5.7.7 New 1,5.4.5 New
1135 0627 Mod 0625 Mod 0622 Mod 0629 Mod 2406 Mod 0631 Mod 2404 Mod

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IEC TR 60878:2022 © IEC 2022 – 17 –
Collection 6 – Transport, handling and packaging
2402 Mod 2403 Mod 0630 Mod


5.7 Collection 7 – Safety related
5307 5308 5319 5319A 5309 5013 5576 5576-2

1326 6334A New 6334B New 6335A New 6335B New 5576-1 5576-3 5576-4 New

5576-5 New 0435 5036 6041 6151 5152 6040 6298 New

6292 New 5140 6166 2407 2809 ISO 361 5041 6197

6196 0659 3723 New 5109 0516 1051 6096 5582

5536 6043 5638 0434A 0434B 5019 6352 New 6091 New

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– 18 – IEC TR 60878:2022 © IEC 2022
5.8 Collection 8 – Safety signs
P001 P002 P003 P007 P008 P010 P011 P012

P013 P014 P015 P016 P017 P018 P019 P041 New

P022 P023 P024 P026 P031 P042 New P068 New P069 New

IEC 62570- IEC 60601-2- W001 W003 W004 W005 W006 W007
7.3.3 83-104 New

W009 W012 W010 W016 W017 W018 W019 W020

W021 W022 W024 W026 W027 W028 W029 W038 New


W041 New IEC 62570- IEC 60601-2- IEC 60601-2- M001 M002 M003 M004
7.3.2 83-102 New 83-103 New

M007 M025 M009 M010 M011 M006 M021 M028


Collection 8 – Safety signs
M046 E010 E020 New IEC 62570- IEC 62570-
7.3.1-1 7.3.1-2

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IEC TR 60878:2022 © IEC 2022 – 19 –
5.9 Collection 9 – Classification and identification of equipment
5172 5180 5331 5332 5840 5841 5333 5334

5335 5336 5937 5895 5957 5109 1135 1051


3706 New

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...

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