Lung ventilators for medical use - Particular requirements for basic safety and essential performance - Part 2: Home care ventilators for ventilator-dependent patients (ISO 10651-2:2004)

Joint revision of EN 794-2:1997 and ISO 10654-2:1996 (TC Res 373/2001) (CC/010511)

Beatmungsgeräte für die medizinische Anwendung - Besondere Festlegungen für die grundlegende Sicherheit einschließlich der wesentlichen Leistungsmerkmale - Teil 2: Heimbeatmungsgeräte für vom Gerät abhängige Patienten (ISO 10651-2:2004)

Es gilt IEC 60601-1:1988, Abschnitt 1 mit folgenden Ausnahmen:
Änderung:
Dieser Teil von ISO 10651 legt Anforderungen für Beatmungsgeräte fest, die zur Verwendung bei der häuslichen Pflege von Patienten bestimmt sind, die von der Atemunterstützung abhängig sind. Diese Beatmungsgeräte werden als lebenserhaltende Geräte angesehen. Diese Beatmungsgeräte werden oft an Orten verwendet, an denen die Antriebsenergie nicht zuverlässig ist. Sie werden oft durch nichtmedizinisches Personal unterschiedlichen Ausbildungsgrades überwacht.
Dieser Teil von ISO 10651 gilt nicht für den Körper umschließende sowie in Form einer ?Eisernen Lunge" vorliegende Beatmungsgeräte.
Dieser Teil von ISO 10651 gilt nicht für Beatmungsgeräte, die nur dazu bestimmt sind, den Atmungsumfang spontan atmender Patienten zu vergrößern.
Es ist davon auszugehen, dass die Anforderungen von diesem Teil von ISO 10651, die die Anforderungen von IEC 60601-1:1988 und ihrer Änderungen 1 (1991) und 2 (1995) ersetzen oder verändern, Vorrang vor den entsprechenden allgemeinen Anforderungen haben.

Ventilateurs pulmonaires a usage médical - Exigences particulieres pour la sécurité de base et les performances essentielles - Partie 2: Ventilateurs pour soins a domicile pour patients dépendants (ISO 10651-2:2004)

Pljučni ventilatorji za uporabo v medicini – Posebne zahteve za osnovno varnost in bistvene lastnosti – 2. del: Ventilatorji za oskrbo od aparata odvisnih pacientov na domu (ISO 10651-2:2004)

General Information

Status
Withdrawn
Publication Date
31-Dec-2004
Withdrawal Date
18-May-2009
Technical Committee
Current Stage
9900 - Withdrawal (Adopted Project)
Start Date
19-May-2009
Due Date
11-Jun-2009
Completion Date
19-May-2009

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SLOVENSKI STANDARD
SIST EN ISO 10651-2:2005
01-januar-2005
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SIST EN 794-2:2000
3OMXþQLYHQWLODWRUML]DXSRUDERYPHGLFLQL±3RVHEQH]DKWHYH]DRVQRYQRYDUQRVW
LQELVWYHQHODVWQRVWL±GHO9HQWLODWRUML]DRVNUERRGDSDUDWDRGYLVQLKSDFLHQWRY
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Lung ventilators for medical use - Particular requirements for basic safety and essential
performance - Part 2: Home care ventilators for ventilator-dependent patients (ISO
10651-2:2004)
Beatmungsgeräte für die medizinische Anwendung - Besondere Festlegungen für die
grundlegende Sicherheit einschließlich der wesentlichen Leistungsmerkmale - Teil 2:
Heimbeatmungsgeräte für vom Gerät abhängige Patienten (ISO 10651-2:2004)
Ventilateurs pulmonaires a usage médical - Exigences particulieres pour la sécurité de
base et les performances essentielles - Partie 2: Ventilateurs pour soins a domicile pour
patients dépendants (ISO 10651-2:2004)
Ta slovenski standard je istoveten z: EN ISO 10651-2:2004
ICS:
11.040.10 Anestezijska, respiratorna in Anaesthetic, respiratory and
reanimacijska oprema reanimation equipment
SIST EN ISO 10651-2:2005 en,fr,de
2003-01.Slovenski inštitut za standardizacijo. Razmnoževanje celote ali delov tega standarda ni dovoljeno.

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SIST EN ISO 10651-2:2005

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SIST EN ISO 10651-2:2005

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SIST EN ISO 10651-2:2005

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SIST EN ISO 10651-2:2005

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SIST EN ISO 10651-2:2005

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SIST EN ISO 10651-2:2005


INTERNATIONAL ISO
STANDARD 10651-2
Second edition
2004-07-01


Lung ventilators for medical use —
Particular requirements for basic safety
and essential performance —
Part 2:
Home care ventilators for ventilator-
dependent patients
Ventilateurs pulmonaires à usage médical — Exigences particulières
pour la sécurité de base et les performances essentielles —
Partie 2: Ventilateurs pour soins à domicile pour patients dépendants




Reference number
ISO 10651-2:2004(E)
©
ISO 2004

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SIST EN ISO 10651-2:2005
ISO 10651-2:2004(E)
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©  ISO 2004
All rights reserved. Unless otherwise specified, no part of this publication may be reproduced or utilized in any form or by any means,
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ii © ISO 2004 – All rights reserved

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SIST EN ISO 10651-2:2005
ISO 10651-2:2004(E)
Contents Page
Foreword. vi
Introduction . vii
1 Scope. 1
2 Normative references. 1
3 Terms and definitions. 2
4 General requirements and requirements for tests . 3
5 Classification. 4
6 Identification, marking and documents. 4
6.1 Marking on the outside of equipment or equipment parts . 4
6.3 Marking of controls and instruments. 5
6.6 Identification of medical gas cylinders and connections. 5
6.8.2 Instructions for use. 6
6.8.3 Technical description. 7
6.101 Test method for legibility . 8
7 Power input. 8
7.101 Pneumatic power. 8
8 Basic safety categories . 8
9 Removable protective means . 9
10 Environmental conditions. 9
10.2.1 Environment. 9
10.2.2 Power supply. 9
10.101 Pneumatic driving-power supplies . 9
11 Not used. 9
12 Not used. 9
13 General. 9
14 Requirements related to classification . 10
14.2 * Class II Equipment . 10
15 Limitation of voltage and/or energy . 10
16 Enclosures and protective covers . 10
17 Separation. 10
18 Protective earthing, functional earthing and potential equalization . 10
19 Continuous leakage currents and patient auxiliary currents . 10
19.4 * Tests. 10
20 Dielectric strength. 10
21 Mechanical strength. 10
22 Moving parts. 11
23 Surfaces, corners and edges. 11
24 Stability in normal use. 11
25 Expelled parts. 11
© ISO 2004 – All rights reserved iii

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SIST EN ISO 10651-2:2005
ISO 10651-2:2004(E)
26 Vibration and noise.11
27 Pneumatic and hydraulic power .11
28 Suspended masses.11
29 X-radiation.11
30 Alpha, beta, gamma, neutron radiation and other particle radiation.11
31 Microwave radiation.11
32 Light radiation (including lasers).11
33 Infra-red-radiation.12
34 Ultraviolet radiation.12
35 Acoustical energy (including ultrasonics).12
36 Electromagnetic compatibility.12
37 Locations and basic requirements.12
38 Marking, accompanying documents .12
39 Common requirements for category AP and category APG equipment .12
40 Requirements and tests for category AP equipment, parts and components thereof .12
41 Requirements and tests for category APG equipment, parts and components thereof .12
42 Excessive temperatures.12
43 Fire prevention.13
43.2 * Oxygen-enriched atmospheres.13
43.101 Compatibility with pressurized oxygen.13
44 Overflow, spillage, leakage, humidity, ingress of liquids, cleaning, sterilization,
disinfection and compatibility.13
44.3 Spillage.13
44.7 Cleaning, sterilization and disinfection .13
44.8 Compatibility with substances used with the equipment .14
45 Pressure vessels and parts subject to pressure .14
46 Human errors.14
47 Electrostatic charges.14
48 Biocompatibility.14
49 Interruption of the power supply .14
49.101 *Internal electrical power source.15
49.102 Additional external backup power source.15
49.103 Spontaneous breathing during power failure .15
49.104 Accidental operation of the on/off-switch .15
50 Accuracy of operating data .15
51 Protection against hazardous output.16
51.101 Failure of air and oxygen supply systems.16
51.102 Adjustable ventilator breathing system pressure limitation .16
51.103 Maximum ventilator breathing system pressure limitation .16
51.104 Measurement of airway pressure .16
51.105 *High-inspiratory pressure alarm condition .16
51.106 Expiratory monitoring.17
51.107 Hypoventilation alarm condition.18
51.108 Continuing pressure alarm condition .18
51.109 Respiration-rate alarm condition.18
52 Abnormal operation and fault conditions.18
iv © ISO 2004 – All rights reserved

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SIST EN ISO 10651-2:2005
ISO 10651-2:2004(E)
53 Environmental tests. 19
54 General. 19
54.3 Protection against inadvertent adjustments. 19
55 Enclosures and covers. 19
56 Components and general assembly . 19
56.3 Connections — General . 19
56.101 Reservoir bags and breathing tubes. 21
56.102 Humidifiers and heat and moisture exchangers. 21
56.103 Pulse oximeters and capnometers. 21
56.104 Oxygen monitor and alarm condition . 21
56.105 Integrated monitoring equipment. 21
57 Mains parts, components and layout. 22
57.3 * Power supply cords . 22
58 Protective earthing — Terminals and connections . 22
59 Construction and layout. 22
101 Alarm systems. 22
201.8.3 Indication and access. 22
201.12 Alarm condition logging. 22
102 Appendices of IEC 60601-1:1988. 23
Annex AA (informative) Rationale. 24
Annex BB (informative) Reference to the essential principles. 28
Bibliography . 30

© ISO 2004 – All rights reserved v

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SIST EN ISO 10651-2:2005
ISO 10651-2:2004(E)
Foreword
ISO (the International Organization for Standardization) is a worldwide federation of national standards bodies
(ISO member bodies). The work of preparing International Standards is normally carried out through ISO
technical committees. Each member body interested in a subject for which a technical committee has been
established has the right to be represented on that committee. International organizations, governmental and
non-governmental, in liaison with ISO, also take part in the work. ISO collaborates closely with the
International Electrotechnical Commission (IEC) on all matters of electrotechnical standardization.
International Standards are drafted in accordance with the rules given in the ISO/IEC Directives, Part 2.
The main task of technical committees is to prepare International Standards. Draft International Standards
adopted by the technical committees are circulated to the member bodies for voting. Publication as an
International Standard requires approval by at least 75 % of the member bodies casting a vote.
Attention is drawn to the possibility that some of the elements of this document may be the subject of patent
rights. ISO shall not be held responsible for identifying any or all such patent rights.
ISO 10651-2 was prepared by Technical Committee ISO/TC 121, Anaesthetic and respiratory equipment,
Subcommittee SC 3, Lung ventilators and related equipment.
This second edition of ISO 10651-2, together with ISO 10651-6, cancels and replaces the first edition
(ISO 10651-2:1996), which has been technically revised.
ISO 10651 consists of the following parts, under the general title Lung ventilators for medical use — Particular
requirements for basic safety and essential performance:
 Part 2: Home care ventilators for ventilator-dependent patients
 Part 3: Particular requirements for emergency and transport ventilators
 Part 4: Particular requirements for operator-powered resuscitators
 Part 6: Home-care ventilatory support devices
The following part is under preparation:
 Part 5: Gas-powered emergency resuscitators
NOTE ISO 10651-1:1993, Lung ventilators for medical use — Part 1: Requirements, was withdrawn in 2001 and has
been revised as IEC 60601-2-12:2003, Medical electrical equipment — Part 2-12: Particular requirements for the safety of
lung ventilators — Critical care ventilators.
vi © ISO 2004 – All rights reserved

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SIST EN ISO 10651-2:2005
ISO 10651-2:2004(E)
Introduction
This part of ISO 10651 specifies requirements for lung ventilators intended mainly for home care use but
which could be used elsewhere (in healthcare facilities or other locations) for patients dependent on
ventilatory support i.e. where the ventilator is considered to be life-supporting equipment. These
ventilators will frequently be used in locations where driving power is not reliable. These ventilators will often
be supervised by non-healthcare personnel with varying levels of training.
This part of ISO 10651 is a Particular Standard based on IEC 60601-1:1988, including Amendments 1 (1991)
and 2 (1995), hereafter referred to as the General Standard. The General Standard is the basic standard for
the safety of all medical electrical equipment used by or under the supervision of qualified personnel in the
general medical and patient environment; it also contains certain requirements for reliable operation to ensure
safety.
The General Standard has associated Collateral Standards and Particular Standards. The Collateral
Standards include requirements for specific technologies and/or hazards and apply to all applicable equipment,
such as medical systems, EMC, radiation protection in diagnostic X-ray equipment, software, etc. The
Particular Standards apply to specific equipment types, such as medical electron accelerators, high frequency
surgical equipment, hospital beds, etc.
NOTE Definitions of Collateral Standard and Particular Standard can be found in IEC 60601-1:1988, 1.5 and A.2,
respectively.
To facilitate the use of this part of ISO 10651, the following drafting conventions have been applied.
This part of ISO 10651 uses the same main clause titles and numbering as the General Standard, for ease of
cross-referencing of the requirements. The changes to the text of the General Standard, as supplemented by
the Collateral Standards, are specified by the use of the following words.
 “Replacement” means that the indicated clause or subclause of the General Standard is replaced
completely by the text of this Particular Standard.
 “Addition” means that the relevant text of this Particular Standard is a new element (e.g. subclause, list
item, note, table, figure) additional to the General Standard.
 “Amendment” means that existing text of the General Standard is partially modified by deletion and/or
addition as indicated by the text of this Particular Standard.
To avoid confusion with any amendments to the General Standard itself, a particular numbering has been
employed for elements added by this International Standard: clauses, subclauses, tables and figures are
numbered starting from 101; additional list items are lettered aa), bb), etc. and additional annexes are lettered
AA, BB, etc.
In this part of ISO 10651, the following print types are used:
 requirements, compliance with which can be verified, and definitions: roman type;
 notes and examples: smaller roman type;
 description of type of document change, and test methods: italic type;
 terms defined in the General Standard IEC 60601-1:1988, Clause 2 and terms defined in this Particular
Standard: bold type.
© ISO 2004 – All rights reserved vii

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SIST EN ISO 10651-2:2005
ISO 10651-2:2004(E)
Throughout this part of ISO 10651, text for which a rationale is provided in Annex AA is indicated by an
asterisk (*).
Requirements for ventilators intended for anaesthetic applications are given in ISO 8835-5.

viii © ISO 2004 – All rights reserved

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SIST EN ISO 10651-2:2005
INTERNATIONAL STANDARD ISO 10651-2:2004(E)

Lung ventilators for medical use — Particular requirements for
basic safety and essential performance —
Part 2:
Home care ventilators for ventilator-dependent patients
1 Scope
IEC 60601-1:1988, Clause 1 applies, except as follows.
Amendment:
This part of ISO 10651 specifies requirements for lung ventilators intended for home applications for those
patients who are dependent on ventilatory support. Such ventilators are considered life-supporting
equipment, are frequently used in locations where driving power is not reliable, and are often supervised by
non-healthcare personnel with different levels of training.
This part of ISO 10651 is not applicable to cuirass and “iron-lung” ventilators.
This part of ISO 10651 is not applicable to ventilators intended only to augment the ventilation of
spontaneously breathing patients.
The requirements of this part of ISO 10651 which replace or modify the requirements of IEC 60601-1:1988
and its Amendments 1 (1991) and 2 (1995) are intended to take precedence over the corresponding general
requirements.
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.
ISO 32, Gas cylinders for medical use — Marking for identification of content
ISO 4135, Anaesthetic and respiratory equipment — Vocabulary
ISO 5356-1, Anaesthetic and respiratory equipment — Conical connectors — Part 1: Cones and sockets
ISO 5356-2, Anaesthetic and respiratory equipment — Conical connectors — Part 2: Screw-threaded weight-
bearing connectors
ISO 5359, Low-pressure hose assemblies for use with medical gases
ISO 5362, Anaesthetic reservoir bags
ISO 5367, Breathing tubes intended for use with anaesthetic apparatus and ventilators
ISO 7396-1, Medical gas pipeline systems — Part 1: Pipelines for compressed medical gases and vacuum
© ISO 2004 – All rights reserved 1

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SIST EN ISO 10651-2:2005
ISO 10651-2:2004(E)
ISO 8185, Humidifiers for medical use — General requirements for humidification systems, and Technical
Corrigendum 1:2001
ISO 9360-1, Anaesthetic and respiratory equipment — Heat and moisture exchangers (HMEs) for humidifying
respired gases in humans — Part 1: HMEs for use with minimum tidal volumes of 250 ml
ISO 9360-2, Anaesthetic and respiratory equipment — Heat and moisture exchangers (HMEs) for humidifying
respired gases in humans — Part 2: HMEs for use with tracheostomized patients having minimum tidal
volumes of 250 ml
ISO 9919, Pulse oximeters for medical use — Requirements
ISO 14937, Sterilization of health care products — General requirements for characterization of a sterilizing
agent and the development, validation and routine control of a sterilization process for medical devices, and
Technical Corrigendum 1:2003
ISO 14971, Medical devices — Application of risk management to medical devices
ISO 15001, Anaesthetic and respiratory equipment — Compatibility with oxygen
ISO 15223:2000, Medical devices — Symbols to be used with medical device labels, labelling and information
to be supplied
ISO 21647, Medical electrical equipment — Particular requirements for the basic safety and essential
performance of respiratory gas monitors
IEC 60079-4, Electrical apparatus for explosive gas atmospheres — Part 4: Method of test for ignition
temperature
IEC 60601-1:1988, Medical electrical equipment — Part 1: General requirements for safety, and
Amendment 1:1991 and Amendment 2:1995
IEC 60601-1-2, Medical electrical equipment — Part 1-2: General requirements for safety — Collateral
standard: Electromagnetic compatibility- Requirements and tests
IEC 60601-1-6, Medical electrical equipment — Part 1-6: General requirements for safety
...

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