Power Is More Than Just Plugging Into an Outlet

by Julie Kirst 9/24/2008 1:53:00 PM

I’d like to welcome guest blogger Dara McLain, who is the EMC engineer, Program Manager Interference Investigations for Philips Healthcare. Dara has extensive experience and some excellent “Best Practices.” After reading her blog below, please click on "comments" and let us know what you think. 

Power Is More Than Just Plugging Into an Outlet
Hospital power isn’t something that everyone views as an EMC issue. I can assure you it is.

Surges and sags in voltage, 60Hz jitter, and high transient spikes can cause burned out power supplies, spontaneous reboots, and malfunction of programmed operations. Large conduits of high voltage wires can produce magnetic fields that will interfere with all kinds of devices, even when enclosed in ceilings, or walls.

Managing your facility for the prevention of interference should include power quality surveys, especially in very old hospitals, where electrical wiring has been kludged and large portions were added via the “spaghetti method,” Much of this wiring was installed with very old electrical standards; the wire gauge is too small for the circuits they power, there are no ground wires back to the panel, etc.

When a new large system is purchased, is the electrical upgraded to handle the load? What else in the area will suffer? Where is this new equipment being installed? Will it generate EM disturbances that can interfere with ultrasound? Telemetry? Other systems?

If the equipment is not rated as medical equipment, such as a UPS, or HVAC equipment, I can assure you that it is not tested to the same standards as medical equipment. What type of guarantee does the manufacturer give you that it won’t interfere? You should be asking this question.

Electrical work is more than likely done in the ceilings. Are these workmen aware of the critical wiring up there, such as telemetry networking? Biomeds are responsible for the continued performance of medical devices and systems. You would not allow just anyone to work inside an expensive device without assuring they did not damage it—why would you allow it around your 1.5 mil telemetry system?

Your hospital’s power distribution is generally the facility department’s responsibility. Help them understand how they can avoid causing problems within your realm of keeping medical equipment in good running order.

Surveys cost around $2,500. You could spend far more in replacement parts or devices, and/or investigative services.

By Dara McLain, EMC engineer, Program Manager Interference Investigations, Philips Healthcare. E-mail: dara.mclain@philips.com

You can also read Dara's "Fine-Tuning Your Environment" article in the February 2006 issue of 24x7.

 

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Comments

Posted by Yadin David, 9/25/2008 2:40:37 PM

Surveys demonstrate that every aisle has 2 sides, and EMI or EMC is no exception. Some believe there is a risk that needs to be managed, yet others don't. While Dara's blog addresses "older" hospitals, newer and more sophisticated designed buildings must be reviewed with EMC knowledge in mind. To examine all wireless design issues there is a need for knowledge and education - and to achieve that I've asked couple of experts to put their heads together and come up with a course to address this.
Also, see the article about cellular telephone risks published in the Journal of Healthcare Information Management - Vol. 19, No. 4. - www.himss.org/.../SafeUseofCellular.pdf.
Yadin David, www.biomedeng.com, e-mail: David@BiomedEng.com

Posted by Dara McLain, 9/25/2008 10:00:51 PM

Hello David. Nice to see you're still out there plugging away.

Yes, I sited the hospitals, however, power issues are not exclusive to older hospitals, just harder to manage. Indeed, the hospital in mind when I commented on the magnetic fields within the wall was a real place, and a brand new building.

I'd like to hear success stories from those who have managed power distribution, and avoided problems as a result. I don't hear about those Smile

Horror stories are interesting, but success stories are an inspiration.

Posted by chris, 9/26/2008 7:14:01 AM

Power qaulity is a big issue and needs to be included in prepurchase evals and also in you troubleshooting processes.... In the past I have attended power qaulity seminars this has helped guide the process..

Posted by Warren Allan Johnson, 9/28/2008 11:46:31 AM

It's so easy to forget our roots. The history of biomedical services was really kick started by Ralph Nader's expose on electrical dangers within hospitals back in 1971, as nicely summerized at http://www.squidoo.com/biomed#module10125137. It would be easy to forget the basics, but they're still as important as ever. Every good football coach knows to start the season by reviewing blocking and tackling. The same is true for biomed managers -- we must not forget the basics.

Posted by John Ousley, 10/8/2008 7:22:58 AM

Thanks for the great article. My experience at Sun Coast Hospital in Largo FL as the Manager of Clinical/Biomedical Engineering Dept. showed me that having a Power Survey conducted by Philips in one of our xray rooms was critical in troubleshooting some of the unusual problems which we were attempting to resolve. The survey lasted 2 weeks and provided the data I needed to take to the Director of Physical Plant and show him that the electrical service had a problem with the neutral and ground circuits. In this area, lightning strikes are very common and would cause an abnormal amount of "crashed" system failures. On a certain Sunday, 3 of the 4 xray rooms went down and there was no storm within several hundred miles.
The best part of this comment is that Philips did NOT charge us for the survey.  Thank you again Philips for going above and beyond the call of duty and helping us save money.

Posted by VSarmiento, 10/8/2008 8:19:07 AM

As far as power allocations, usages and distributions, one should take into consideration the importance of proper groundings.  In any particular hospital wing or building, a common power ground as well as a common signal ground must be established and together which must be tied together into a common point in that building to avoid any ground loops. By doing so, ground impedance and/or resistances can be brought to a minimum, thus eliminating any difference in ground potentials, minimizing any noise /harmonics in the power lines that eventually will interfere with the proper operation of any medical equipment.  

Posted by Steve Bezanson, 10/9/2008 12:01:29 PM

Warren is absolutely right.  The basics are critical.  We all know to check the power supply first before starting any troubleshooting, but how many of us remember to check the power cord and the outlet it is plugged into.  After many experiences I won't bore you with, I finally learned to add a couple of simple checks to my initial check list.  Start with the outlet; (1) do you have a solid AC voltage in the 115 - 120 range (2) check the neutral to ground voltage, I prefer .7 Vac or less.  If it is higher then that I'll have the power panel checked for tight neutral and ground screws.  You might get some feedback that you are being fussy [be fussy], not all manufacturers guard the backdoor (3) check the outlet tension including the ground, electricians will accept 4oz or higher, I look for 10oz minimum, if it is less ask to have the outlet replaced. (true story - I spent a week replacing the guts of a machine for an intermittent lock up; yep... bad outlet tension causing an intermittent spike when the counter was bumped) (5) For a sudden rash of intermittents ask about any remodeling or new equipment (especially if you are an FSE or the facility is a client)  I had a unit start failing after 14 years of perfect service.  I thought it was age; lucked out and was there at the right time and monitoring the AC.  The voltage went from 114 Vac to 95 Vac, stayed there for 45 seconds and returned to 114.  Of course the unit saw a power sag and went into power drop mode.  Found an Ultralow freezer had been installed in the next room.  When they added new product both compressors kicked in on an overloaded line.

Dara is absolutely on target with insuring the wire gauge is correct.  I have had many problems caused by electricians installing wire runs based on the data plate load rating, because running 12 gauge was to hard or expensive.  When the manufacturer takes the trouble to specify a wire size, trust them.  In my situation a unit required 60 amp @ 220 Vac for 3 secs at the end of the sample cycle.  14 gauge could not handle it and the unit would shut down.  Paying attention to the basics will help reduce the Acetaminophen bill.

Posted by Chris Correll, 12/10/2008 3:51:53 PM

The Journal of Clinical Engineering studies as well as my own testing demonstrate that device (such as, cell phones, portable hand-held radios, and even other medical devices) proximity to medical devices is viewed as a greatest potential for EMC/EMI issues. Protective measures such as power, distance, and restricted policy use of EMI generating devices as I mentioned above are the best ways to reduce the number of patient safety related incidents.

Dara, I did find your article fascinating and very informative.

Chris Correll
email: christopher.correll@pope.af.mil

Posted by Tim Gee, 8/13/2009 4:00:20 PM

Everyone should know that Dara has her own consulting firm now: Nomad EMC Consulting. Check out her web site at www.nomademcc.com.

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