Medical electrical equipment - Dosimetric instruments used for non-invasive measurement of X-ray tube voltage in diagnostic radiology

Specifies the performance requirements of instruments as used in the non-invasive measurement of X-ray tube voltage up to 150 kV and the relevant compliance tests. Describes the method for calibration and gives guidance for estimating the uncertainty in measurements performed under conditions different from those during calibration. This standard is not concerned with the safety aspect of such instruments. The requirements for electrical safety applying to them are contained in IEC 61010-1. This consolidated version consists of the first edition (2002) and its amendment 1 (2008). Therefore, no need to order amendment in addition to this publication.

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Published
Publication Date
25-Jan-2009
Current Stage
DELPUB - Deleted Publication
Completion Date
21-Mar-2023
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IEC 61676
®
Edition 1.1 2009-01
INTERNATIONAL
STANDARD


Medical electrical equipment – Dosimetric instruments used for non-invasive
measurement of X-ray tube voltage in diagnostic radiology


IEC 61676:2002+A1:2008

---------------------- Page: 1 ----------------------
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IEC 61676
®
Edition 1.1 2009-01
INTERNATIONAL
STANDARD


Medical electrical equipment – Dosimetric instruments used for non-invasive
measurement of X-ray tube voltage in diagnostic radiology


INTERNATIONAL
ELECTROTECHNICAL
COMMISSION
PRICE CODE
CL
ICS 11.040.50; 11.040.55 ISBN 978-2-88910-552-6
® Registered trademark of the International Electrotechnical Commission

---------------------- Page: 3 ----------------------
– 2 – 61676 © IEC:2002+A1:2008(E)
CONTENTS
FOREWORD.3
INTRODUCTION.5

1 Scope and object.6
2 Normative references.6
3 Terminology and definitions.7
4 General performance requirements for measurement of PRACTICAL PEAK VOLTAGE
measurements.10
4.1 Quantity to be measured .10
4.2 Limits of PERFORMANCE CHARACTERISTICs .10
4.3 LIMITS OF VARIATION for effects of INFLUENCE QUANTITIES.13
4.4 Performance test procedures.15
5 Special instrumental requirements and marking.22
5.1 Requirements for the complete instruments.22
5.2 General.22
5.3 Display.22
5.4 Range of measurement .22
5.5 Connectors and cables.22
6 ACCOMPANYING DOCUMENTS.23
6.1 General.23
6.2 Information provided.23
6.3 Instrument description.23
6.4 Detector.23
6.5 Delay time.23
6.6 Measurement window.23
6.7 Data outlet.23
6.8 Transport and storage.23

Annex A (informative) Recommended performance criteria for the invasive divider .24
Annex B (informative) Additional information on PRACTICAL PEAK VOLTAGE .25
Annex C (informative) Glossary of defined terms .32

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61676 © IEC:2002+A1:2008 (E) – 3 –
INTERNATIONAL ELECTROTECHNICAL COMMISSION
⎯⎯⎯⎯⎯
MEDICAL ELECTRICAL EQUIPMENT –

Dosimetric instruments used for non-invasive measurement
of X-ray tube voltage in diagnostic radiology


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 provides no marking procedure to indicate its approval and cannot be rendered responsible for any
equipment declared to be in conformity with an IEC Publication.
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.
International Standard IEC 61676 has been prepared by subcommittee SC 62C: Equipment
for radiotherapy, nuclear medicine and radiation dosimetry, of IEC Technical Committee 62:
Electrical equipment in medical practice.
This consolidated version of IEC 61676 consists of the first edition (2002) [documents
62C/340/FDIS and 62C/344/RVD] and its amendment 1 (2008) [documents 62C/445/CDV and
62C/452/RVC].
The technical content is therefore identical to the base edition and its amendment and has
been prepared for user convenience.
It bears the edition number 1.1.
A vertical line in the margin shows where the base publication has been modified by
amendment 1.
NOTE In the amendment, a new influence quantity “Additional tungsten filtration (tube aging)” has been
introduced.

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– 4 – 61676 © IEC:2002+A1:2008(E)
Annexes A, B and C are for information only.
In this standard the following print types are used:
− requirements, compliance with which can be tested, and definitions: in roman type;
− notes, explanations, advice, general statements and exceptions: in small roman type;
− test specifications: in italic type;
− TERMS USED THROUGHOUT THIS STANDARD THAT HAVE BEEN DEFINED IN CLAUSE 3 OR IN IEC
60601-1 AND ITS COLLATERAL STANDARDS: IN SMALL CAPITALS.
The committee has decided that the contents of the base publication and its amendments will
remain unchanged until the maintenance result date indicated on the IEC web site under
"http://webstore.iec.ch" in the data related to the specific publication. At this date,
the publication will be
• reconfirmed,
• withdrawn,
• replaced by a revised edition, or
• amended.

A bilingual version of this publication may be issued at a later date.

NOTE The committee is aware of the fact that this standard does not address all problems associated with non-
invasive high voltage measurements. In particular one influence quantity concerning the target condition is not
dealt with at all. Before this can be done, a substantial amount of measurements is still necessary to improve the
physical understanding of this influence quantity. On the other hand, for the reasons described in the introduction
there is an urgent need to publish this standard in order to assure that non-invasive measurements are comparable
to each other within tolerable uncertainties, regardless of differences in X-RAY GENERATOR, waveform or other
influence quantities (except target condition), which is not the case for the time being. The committee has decided
to revise this standard as soon as sufficient knowledge on the outstanding items is available.

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61676 © IEC:2002+A1:2008 (E) – 5 –
INTRODUCTION
The result of a measurement of the X-RAY TUBE VOLTAGE by means of invasive or non-invasive
instruments is normally expressed in the form of one single number for the value of the tube
voltage, irrespective of whether the tube voltage is constant potential or shows a time
dependent waveform. Non-invasive instruments for the measurement of the X-RAY TUBE
VOLTAGE on the market usually indicate the ‘mean peak voltage’. But the quantity ‘mean peak
voltage’ is not unambiguously defined and may be any mean of all voltage peaks. It is
impossible to establish test procedures for the performance requirements of non-invasive
instruments for the measurement of the X-RAY TUBE VOLTAGE without the definition of the
quantity under consideration. Therefore, this Standard is based on a quantity recently
1
proposed in the literature to be called "PRACTICAL PEAK VOLTAGE". The PRACTICAL PEAK
VOLTAGE is unambiguously defined and applicable to any waveform. This quantity is related to
the spectral distribution of the emitted X-RADIATION and the image properties. X-RAY
GENERATORS operating at the same value of the PRACTICAL PEAK VOLTAGE will produce the
same low level contrast in the RADIOGRAMS, even when the waveforms of the tube voltages
are different. Detailed information on this concept is provided in Annex B. An example for the
calculation of the PRACTICAL PEAK VOLTAGE in the case of a “falling load” waveform is also
given in Annex B.
As a result of introducing a new quantity, the problem arises that this standard has been
written for instruments which were not explicitly designed for the measurement of the
PRACTICAL PEAK VOLTAGE. However, from preliminary results of a trial type test of a non-
invasive instrument currently on the market, it can be expected that future instruments and
most instruments on the market will be able to fulfil the requirements stated in this standard
without insurmountable difficulties. For the most critical requirements on voltage waveform
and frequency dependence of the RESPONSE, it turned out from these investigations that it is
even easier to comply with the standard by using the PRACTICAL PEAK VOLTAGE as the
measurement quantity.
The calibration and adjustment of the X-RAY TUBE VOLTAGE of an X-RAY GENERATOR is generally
performed by the MANUFACTURER using a direct INVASIVE MEASUREMENT. Instruments utilising
NON-INVASIVE MEASUREMENTS can also be used to check the calibration or to adjust THE X-RAY
TUBE VOLTAGE. These instruments are required to have uncertainties of the voltage
measurement comparable with the INVASIVE MEASUREMENT. One of the most important
parameters of diagnostic X-RAY EQUIPMENT is the voltage applied to the X-RAY TUBE, because
both the image quality in diagnostic radiology and the DOSE received by the PATIENT
undergoing radiological examinations are dependent on the X-RAY TUBE VOLTAGE. An overall
uncertainty below ±5 % is required, and this value serves as a guide for the LIMITS OF
VARIATION for the effects of INFLUENCE QUANTITIES.
———————
1
See annex B.

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MEDICAL ELECTRICAL EQUIPMENT –

Dosimetric instruments used for non-invasive measurement
of X-ray tube voltage in diagnostic radiology



1 Scope and object
This International Standard specifies the performance requirements of instruments as used in
NON-INVASIVE MEASUREMENT of X-RAY TUBE VOLTAGE up to 150 kV and the relevant
the
compliance tests. This standard also describes the method for calibration and gives guidance
for estimating the uncertainty in measurements performed under conditions different from
those during calibration.
Applications for such measurement are found in diagnostic RADIOLOGY including
mammography, COMPUTED TOMOGRAPHY (CT), dental radiology and RADIOSCOPY. This standard
is not concerned with the safety aspect of such instruments. The requirements for electrical
safety applying to them are contained in IEC 61010-1.
2 Normative references
The following referenced documents are indispensable for the application 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 (all parts), Graphical symbols for use on equipment
IEC 60788:1984, Medical radiology – Terminology
IEC 61000-4-2:1995, Electromagnetic compatibility (EMC) – Part 4: Testing and measurement
techniques – Section 2: Electrostatic discharge immunity test. Basic EMC Publication
IEC 61000-4-3:2000, Electromagnetic compatibility (EMC) – Part 4-3: Testing and measure-
ment techniques – Radiated, radio-frequency, electromagnetic field immunity test. Basic EMC
Publication
IEC 61000-4-4:1995, Electromagnetic compatibility (EMC) – Part 4: Testing and measurement
techniques – Section 4: Electrical fast transient/burst immunity test. Basic EMC Publication
IEC 61000-4-5:1995, Electromagnetic compatibility (EMC) – Part 4: Testing and measurement
techniques – Section 5: Surge immunity test. Basic EMC Publication
IEC 61000-4-6:1996, Electromagnetic compatibility (EMC) – Part 4: Testing and measurement
techniques – Section 6: Immunity to conducted disturbances, induced by radio frequency
fields. Basic EMC Publication
IEC 61000-4-11:1994, Electromagnetic compatibility (EMC) – Part 4: Testing and measure-
ment techniques – Section 11: Voltage dips, short interruptions and voltage variations
immunity tests. Basic EMC Publication
IEC 61010-1:2001, Safety requirements for electrical equipment for measurement, control,
and laboratory use – Part 1:General Requirements
IEC 61187:1993, Electrical and electronic measuring equipment – Documentation

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61676 © IEC:2002+A1:2008 (E) – 7 –
ISO:1993, International vocabulary of basic and general terms in metrology
(ISBN 92-67-01075-1)
ISO 7000:1989, Graphical symbols for use on equipment – Index and synopsis
3 Terminology and definitions
For the purposes of this standard the following definitions apply.
The definitions given in this standard are generally in agreement with those in IEC 60788 and
the ISO International vocabulary of basic and general terms in metrology. Any terms not
defined in this subclause have the meanings defined in the above publications or are
assumed to be in general scientific usage.
3.1
CORRECTION FACTOR
dimensionless multiplier which corrects the INDICATED VALUE of an instrument from its value
when operated under particular conditions to its value when operated under stated REFERENCE
CONDITIONS
3.2
EFFECTIVE RANGE
range of INDICATED VALUES for which an instrument complies with a stated performance. The
maximum (minimum) effective INDICATED VALUE is the highest (lowest) in this range
3.3
INDICATED VALUE
the value of quantity derived from the scale reading of an instrument together with any scale
factors indicated on the control panel of the instrument
3.4
INFLUENCE QUANTITY
any external quantity that may affect the performance of an instrument (e.g. ambient
temperature etc.) and any property of the X-RAY EQUIPMENT under test that needs to be taken
into account in using the instrument for NON-INVASIVE MEASUREMENT of X-RAY TUBE VOLTAGE
(e.g. range of X-RAY TUBE VOLTAGE, ANODE ANGLE, anode material, TOTAL FILTRATION etc.)
3.5
INSTRUMENT PARAMETER
any internal property of an instrument that may affect the performance of the instrument
3.6
INTRINSIC ERROR
deviation of the MEASURED VALUE (i.e. the INDICATED VALUE, corrected to REFERENCE
CONDITIONS) from the CONVENTIONAL TRUE VALUE under STANDARD TEST CONDITIONS
3.7
INVASIVE MEASUREMENT
measurement of the X-RAY TUBE VOLTAGE by external connection of a suitable meter or a high
resistance divider
3.8
LIMITS OF VARIATION
the maximum VARIATION of a PERFORMANCE CHARACTERISTIC y, permitted by this standard. If
the LIMITS OF VARIATION are stated as ±L % the VARIATION Δy / y, expressed as a percentage,
shall remain in the range from −L % to +L %

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– 8 – 61676 © IEC:2002+A1:2008(E)
3.9
MAXIMUM PEAK VOLTAGE
maximum value of the X-RAY TUBE VOLTAGE in a specified time interval. The unit of this
quantity is the volt (V)
3.10
MEAN PEAK VOLTAGE
mean value of all X-RAY TUBE VOLTAGE peaks during a specified time interval. The unit of this
quantity is the volt (V)
3.11
MEASURED VALUE
the best estimate of the CONVENTIONAL TRUE VALUE of a quantity, being derived from the
INDICATED VALUE of an instrument together with the application of all relevant CORRECTION
FACTORS
NOTE The CONVENTIONAL TRUE VALUE will usually be the value determined by the working standard with which the
instrument under test is being compared
3.12
MINIMUM EFFECTIVE RANGE
the MINIMUM EFFECTIVE RANGE is the smallest permitted range of INDICATED VALUES for which an
instrument complies with a stated performance
3.13
NON-INVASIVE MEASUREMENT
measurement of X-RAY TUBE VOLTAGE by analysis of the emitted RADIATION
3.14
PERFORMANCE CHARACTERISTIC
one of the quantities used to define the performance of an instrument (e.g. RESPONSE)
3.15
VOLTAGE RIPPLE
VOLTAGE RIPPLE at the X-RAY TUBE, r, is expressed as a percentage of the peak voltage,
the
U , over a specified time interval. This is expressed by the equation:
max
U − U
max min
r = ⋅ 100 %
U
max
where U is the highest voltage in the interval, and U is the lowest voltage in the interval
max min

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61676 © IEC:2002+A1:2008 (E) – 9 –
3.16
PRACTICAL PEAK VOLTAGE (PPV)
ˆ
The PRACTICAL PEAK VOLTAGE U is defined as:
U
max
p(U) ⋅ w(U) ⋅ U dU

U
max
U
ˆ min
U =   with   p(U) dU = 1

U
max
U
min
p(U) ⋅ w(U) dU

U
min
where p(U) is the distribution function for the voltage U and w(U) is a weighting function. U
max
is the highest voltage in the interval, and U is the lowest voltage in the interval. The unit of
min
the quantity PRACTICAL PEAK VOLTAGE is the volt (V)
NOTE Additional information on the PRACTICAL PEAK VOLTAGE, the weighting function w(U) and the distribution
function p(U) is provided in Annex B. Using this weighting function w(U) the PRACTICAL PEAK VOLTAGE will be
defined as the constant potential which produces the same AIR KERMA contrast behind a specified PHANTOM as the
non-dc voltage under test.
3.17
RATED RANGE (of use)
the range of values of an INFLUENCE QUANTITY or INSTRUMENT PARAMETER within which the
instrument will operate within the LIMITS OF VARIATION. Its limits are the maximum and
minimum RATED values.
The MINIMUM RATED RANGE is the least range of an INFLUENCE QUANTITY or INSTRUMENT
PARAMETER within which the instrument shall operate within the specified LIMITS OF VARIATION
in order to comply with this standard
3.18
REFERENCE CONDITIONS
conditions under which all INFLUENCE QUANTITIES and INSTRUMENT PARAMETERS have their
REFERENCE VALUES
3.19
REFERENCE VALUE
particular value of an INFLUENCE QUANTITY (or INSTRUMENT PARAMETER) chosen for the
purposes of reference i.e. the value of an INFLUENCE QUANTITY (or INSTRUMENT PARAMETER) at
which the CORRECTION FACTOR for dependence on that INFLUENCE QUANTITY (or INSTRUMENT
PARAMETER) is unity
3.20
RELATIVE INTRINSIC ERROR
the ratio of the INTRINSIC ERROR to the CONVENTIONAL TRUE VALUE
3.21
RESPONSE
the quotient of the INDICATED VALUE divided by the CONVENTIONAL TRUE VALUE
3.22
STANDARD TEST CONDITIONS
conditions under which all INFLUENCE QUANTITIES and INSTRUMENT PARAMETERS have their
STANDARD TEST VALUES
3.23
STANDARD TEST VALUES
a value, values, or a range of values of an INFLUENCE QUANTITY or INSTRUMENT PARAMETER,
which is/are permitted when carrying out calibrations or tests on another INFLUENCE QUANTITY
or INSTRUMENT PARAMETER

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– 10 – 61676 © IEC:2002+A1:2008(E)
3.24
VARIATION
The relative difference Δy / y, between the values of a PERFORMANCE CHARACTERISTIC y, when
one INFLUENCE QUANTITY (or INSTRUMENT PARAMETER) assumes successively two specified
values, the other INFLUENCE QUANTITIES (and INSTRUMENT PARAMETERS) being kept constant at
the STANDARD TEST VALUES (unless other values are specified)
3.25
X-RAY TUBE VOLTAGE
potential difference applied to an X-RAY TUBE between the anode and the cathode . The unit of
this quantity is the volt (V)
4 General performance requirements for measurement of PRACTICAL PEAK
VOLTAGE measurements
4.1 Quantity to be measured
The quantity to be measured is the PRACTICAL PEAK VOLTAGE.
NOTE Additional quantities may be displayed.
The MINIMUM EFFECTIVE RANGES of PRACTICAL PEAK VOLTAGE shall be as listed in table 1 for the
relevant X-RAY applications.
Table 1 – MINIMUM EFFECTIVE RANGES
Application Nominal Anode Material MINIMUM EFFECTIVE RANGE
Mammography
a)
24 kV to 35 kV
Mo
(20 kV to 50 kV)
Diagnostic
W 60 kV to 120 kV
(40 kV to 150 kV)
CT
W 100 kV to 140 kV
(80 kV to 150 kV)
Dental
W 60 kV to 90 kV
(40 kV to 110 kV)
Fluoroscopic
W 60 kV to 120 kV
(40 kV to 130 kV)
a)
For mammography anode materials other than Mo, the MINIMUM EFFECTIVE RANGE of PPV shall be at least
10 kV.

4.2 Limits of PERFORMANCE CHARACTERISTICs
4.2.1 Limits
All values of the limits of PERFORMANCE CHARACTERISTICS stated in this subclause do not
contain the uncertainty of the test equipment.
4.2.2 Maximum error
4.2.2.1 Maximum RELATIVE INTRINSIC ERROR for voltages above 50 kV
ˆ
The RELATIVE INTRINSIC ERROR, l, of PRACTICAL PEAK VOLTAGE, U , measurements made under
STANDARD TEST CONDITIONS, shall not be greater than ±2 % over the EFFECTIVE RANGE of
voltages. This is expressed by the equation:
ˆ ˆ
U − U
meas true
I = ≤ 0,02
ˆ
U
true

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61676 © IEC:2002+A1:2008 (E) – 11 –
ˆ ˆ
MEASURED VALUE of PRACTICAL PEAK VOLTAGE and
where U is the U is the true value of
meas true
the PRACTICAL PEAK VOLTAGE. The voltages for the MINIMUM EFFECTIVE RANGE are listed in
table 1.
The compliance test for performance requirement 4.2.2.1 is listed under 4.2.2.2.
4.2.2.2 Maximum INTRINSIC ERROR for voltages below 50 kV
ˆ
The maximum INTRINSIC ERROR, E, of PRACTICAL PEAK VOLTAGE, U , measurements made under
STANDARD TEST CONDITIONS shall not be greater than ±1 kV over the EFFECTIVE RANGE of
voltages. This is expressed by the equation:
ˆ ˆ
E = U − U ≤ 1,0 kV
meas true
ˆ ˆ
where MEASURED VALUE of PRACTICAL PEAK VOLTAGE and
U is the U is the conventional
meas true
true value of the PRACTICAL PEAK VOLTAGE. The voltages for the MINIMUM EFFECTIVE RANGE are
listed in table 1.
Compliance with performance requirements 4.2.2.1 and 4.2.2.2 shall be checked by
measuring the RELATIVE INTRINSIC ERROR above 50 kV or the INTRINSIC ERROR below 50 kV
over the EFFECTIVE RANGE of voltages for each application claimed. STANDARD TEST CONDITIONS
are listed in table 2 for each application. The end points of the EFFECTIVE RANGE must be
checked. For mammography the nominal step between measurements shall be no greater
than 2 kV. For all other applications the nominal step between measurements shall be no
greater than 5 kV for voltages below 100 kV, and no greater than 10 kV for voltages above
100 kV.
If more than one instrument configuration can be utilised to measure a span of voltages, then
that span of voltages shall be measured utilising all relevant instrument configurations. As a
minimum the end points and enough interim points shall be measured to meet the minimum
step requirements given above. An example could be the use of different absorber pairs to
provide overlapping voltage spans. In the case of different absorber pairs, if the first
measured from 40 kV to 80 kV, and the second from 60 kV to 120 kV, then the overlapping
span would be from 60 kV to 80 kV. At a minimum, measurements would be made utilising
each absorber pair at 60 kV, 65 kV, 70 kV, 75 kV, and 80 kV.
4.2.3 Over and under range indications
The instrument must clearly indicate when it is displaying a reading outside its EFFECTIVE
RANGE of PRACTICAL PEAK VOLTAGE.
Conditions above and below the EFFECTIVE RANGE of PRACTICAL PEAK VOLTAGE shall be tested
and it shall be demonstrated that if the instrument displays a reading it will be clearly
indicated to the user that the reading might not meet the accuracy of the instrument.
If more than one instrument configuration can be utilised to measure a span of voltages, then
over and under range conditions shall be checked for all relevant instrument configurations.
An example could be the use of different absorber pairs to provide overlapping voltage spans.
In the case of different absorber pairs, if the first measured from 40 kV to 80 kV, and the
second from 60 kV to 120 kV, then over and under range indications would be checked below
40 kV and above 80 kV for the first absorber pair, and below 60 kV and above 120 kV for the
second absorber pair. (The instrument’s refusal to make a reading under these conditions is
an acceptable result.)
Compliance with performance requirement 4.2.3 shall be verified at the lowest limit of the
RAT
...

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