New Electrical Products and Technologies to improve & promote … · 2017-10-11 · Angiography...

By: Bob Kokovich Leviton Manufacturing Company

New Electrical Products and Technologies to improve & promote a healthier and energy efficient facility

Brief overview of significant changes to NFPA 99 which affect facilities, which will include select sections of the NFPA 99-2015 Edition and 2018 Edition.

Demystifying Power Tap Use in Healthcare Settings

Surge Protective Device Requirements

New Products & Technology for Healthcare

Lighting Controls for Energy Management and Verification

Electric Vehicle Charging Overview

What constitutes the “Little Green Dot?”

Quiz

Agenda & Topics

2

Changes in the Codes

Summary of Key Changes

• NFPA 99, 2012 edition is now a Code vs. a Standard

• Moving to a Risk-Based Approach for Building Systems and Patient Care Rooms

• Removing/modifying items addressed by other standards

• Patient care related electrical equipment construction and performance requirements

• Removing technology which no longer applies

• Adding chapters for relevant technology

• Organizing material for easier navigation through the code document

Change is Good for NFPA 99!

5

NFPA 99, 2012 is now titled, “Health Care Facilities Code”

• NFPA 99 previously titled, “The Standard for Health Care Facilities”

• Definitions of Code and Standard provided in Chapter 3, pg 99-17

Benefits to the title, document structure, and content changes

• Helps promote usage and enforcement at the greatest number of facilities

• Makes it easier for an AHJ to adopt the code and then it is legally enforceable

• NFPA 99, 2012 provides a Sample Ordinance in Annex C, pg. 99-193

Has NFPA 99, 2012 been adopted?

• As of May 2016, the CMS has adopted provisions from the 2012 editions of the LSC and NFPA 99

• Check with your AHJ. Some states have adopted the 2012 edition.

Code vs Standard

Assignment of Risk Categories

Patient Care Rooms

7

Reflects how health care delivery has changed.

• Over the past 20 years, we have seen many medical procedures migrate from the Hospital to Ambulatory Care Centers to Physician Offices.

• The risk to the caregiver and patient remain the same but the location has changed

The Risk-Based Approach

Chart Source: American Hospital Association Trendwatch, July 2006

8

The Patient Care Room and a Risk-Based Approach

“Any room of a health care facility wherein patients are intended to be examined or treated”

Patient Care Vicinity

9

What is the Patient Care Vicinity?

“A space within a location intended for the examination and treatment of patients”

Source: NFPA 99, 2012 Chapter 3: Definitions – 3.3.138, pg99-23

10

Patient Care Room Categories for Health Care Facilities

9/25/2017

• Critical Care Room - Room in which failure of equipment or a system is LIKELY TO CAUSE MAJOR INJURY OR DEATH of patients or caregivers

Category 1

• General Care Room - Room in which failure of equipment or a system is LIKELY TO CAUSE MINOR INJURY to patients or caregivers

Category 2

• Basic Care Room - Room in which the failure of equipment or a system is NOT LIKELY TO CAUSE INJURY to the patients or caregivers but can cause patient discomfort

Category 3


Category 4 - Support Room (not considered a patient care room) – a room in which failure of equipment or a system is NOT likely to have a physical impact on patients or caregivers

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Category 1Critical Care

Operating Rooms

Intensive Care Rooms

Delivery Rooms

Angiography Laboratories

Category 2General Care

Inpatient Bedrooms

Dialysis Rooms

Procedural Rooms

Fertilization Rooms

Category 3Basic Care

Medical & Dental Offices

Nursing Homes

Examination Rooms

Limited Care Facilities

Category 4Support Rm

Laboratories

Waiting Rooms

Morgues

Utility Rooms

Patient Care and Support Room Examples

What does this mean to you?

• These changes will most likely have the greatest impact upon facilities performing high risk category medical procedures – the same as those performed in hospitals - that previously were not held to the more stringent hospital requirements. These include:

• Outpatient Clinics

• Independent diagnostic & testing facilities

• Physician offices

• Oral surgery offices

The Risk-Based Approach

Key Construction Changes

Electrical System Requirements

Applying new Patient Care Room definitions for Minimum Number of Receptacles - 6.3.2.2.6.2, pg99-74

It is important to note that these are minimum requirements

Patient Care Room Receptacles

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Patient Care Room CategoryMin. No. of Receptacles

Prior Editions 2012 Edition

Category 1: Critical Care Room 6 14

Category 1: Operating Rooms n/a 36

Category 2: General Care Room 4 8


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Exception:

• 6.3.2.2.6.2(F) – receptacles in pediatric locations – other than nurseries – must be listed as tamper-resistant

Additional clarifications/guidelines for receptacle usage:

• 6.3.2.2.6.1(3) Isolated ground receptacles may be used or reduction of electrical noise (however, 6.3.2.2.7.1(B) prevents usage in the patient care vicinity)

• 6.3.2.2.8.4 Operating rooms are to be considered wet procedure locations (unless a governing health care body performs a risk assessment and deems otherwise)

Patient Care Room Receptacles

6.1.2 The following paragraphs of this chapter shall apply to new and existing health care facilities:

• 6.3.2.2.4.2 Personnel Protection: If used, Ground Fault Circuit Interrupters (GFCIs) shall be listed.

• 6.3.2.2.6.1 Types of Receptacles to be used are identified

• 6.3.3.3.6.2 (F) Designated General Care Pediatric Locations: Tamper resistant receptacles within patient rooms, bathrooms, playrooms, and activity rooms other than nurseries

• 6.3.2.2.8.5 (B) (2), (3), and (4) Wet Procedure Locations: Fixed receptacles, equipment connected by cord and plug shall be tested (2) where there is evidence of damage; (3) after any repairs; (4) at intervals not exceeding 6 months

• 6.3.2.2.8.7 Operating rooms classified as wet procedure locations shall be protected by either isolated power or ground-fault circuit interrupters.

Items Applying to BOTH New and Existing Facilities

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See NFPA 99, 2012 Chapter 6 for the full text of each paragraph. This is a summary for each paragraph.

6.1.2 The following paragraphs of this chapter shall apply to new and existing health care facilities: (continued)

• 6.3.4 Administration of Electrical System

• 6.4.1.1.17.5 Centralized computer shall not be substituted for alarm annunciator

• 6.4.2.2.6.2(C) Receptacle coverplates or the receptacles supplied from life safety and critical branches shall have a distinctive color or marking.

• 6.4.2.2.6.3 Switches: Switches of all types permitted for EES lighting circuit if they are not used for illumination of egress

• 6.4.4 Administration (Type 1 EES)


• 6.6.2.2.3.2 Receptacle coverplates or the receptacles supplied from life safety and critical branches shall have a distinctive color or marking.

• 6.6.3.1 Sources for the Life Safety and Critical branches


Items Applying to BOTH New and Existing Facilities

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Select Changes

NFPA 99 - 2015

19

Patient Care Spaces

• The word “room” has been changed to “spaces”

• Patient Care Room to Patient Care Spaces

• Patient care spaces will be classified to a certain category

Minimum Number of Receptacles

• Revised - 6.3.2.2.6.2

• (A), (B), (C) – Receptacle requirements could be met by locking or non-locking type, single, duplex, or quadruplex type, or any combination and to be listed hospital grade

Wet Procedure Locations

• Revised - 6.3.2.2.8.5(B)

• Removed requirement for testing receptacles at fixed intervals

• New - 6.3.2.2.8.8

• Where GFCI protection is used in an operating room, one of the following shall apply:

• (1) Each Receptacle shall be an individual GFCI device

• (2) Each receptacle shall be individually protected by a single GFCI device

Select NFPA 99 2015 Edition Changes

9/25/2017 New PowerPoint Template

20

Branch Circuit Wiring

• Revised - 6.3.2.2.1

• Changed “regular voltage wiring” to “wiring 600V or less”

Essential Electrical System / Life Safety Branch

• New - 6.4.2.2.1.5

• For the purposes of this code, the provisions for emergency systems in Article 700 of NFPA 70, National Electrical Code, shall be applied only to the life safety branch

Select NFPA 99 2015 Edition Changes


Select Changes

NFPA 99 - 2018

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As of today, the 2018 edition, the electrical section is completely reorganized (again), but really just to clarify requirements and not really change much.

NFPA 99 2018 Edition Changes


Demystifying Power Tap Use in Healthcare Settings

Standard for Safety

UL 1363: Relocatable Power Taps (RPTs)

Often called outlet strips or power strips; intended for

indoor use to supply power to cord-and plug-

connected electrical utilization equipment

Rated 250 V ac or less, 20 A or less

May be provided with fuses or other

supplementary overcurrent protection, switches,

suppression components and/or indicator lights

UL 1363 - Relocatable Power Taps

25

Intended to be directly connected to a

permanently installed branch-circuit receptacle

outlet

NOT intended to be series connected (daisy chained) to other relocatable power taps or to extension cords

NOT intended to be permanently secured to

building structures, tables, work benches or similar structures, nor are they intended to be used as a substitute for fixed wiring


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Relocatable power taps have not been investigated and are not intended for use with general patient care areas or critical patient care areas of health care facilities


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UL 1363A: Special Purpose Relocatable Power Taps (SPRPTs)

Must comply with all the requirements for

Relocatable Power Taps (UL 1363) except as

modified in this outline

Intended for use with medical equipment

intended to be used in General Patient Care

Areas or Critical Patient Care Areas

Supply power to plug-connected components of movable equipment

assemblies that are rack-, table-, or

pedestal-mounted

UL 1363A - Special Purpose Relocatable Power Taps (SPRPTs)

29

Shall be permanently attached to the medical equipment by a means

such that it is only removeable with the use of

a tool; it shall not be located or positioned on

the floor

Shall be provided with Hospital Grade attachment plugs and Hospital Grade

outlets

The sum of the ampacity of all appliances connected to the SPRPT shall not exceed 75 percent of the ampacity

of the flexible cord supplying the power to the

SPRPT receptacles


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Shall comply with certain construction and

performance requirements in the Standard for Medical Electrical Equipment, Part 1: General Requirements

for Safety, UL 60601-1

Enclosure leakage current, under normal conditions,

must not exceed 0.1 milliamperes

Fuses or over-current releases shall be provided

in each supply lead


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Standard for Safety

UL 60601-1: Medical Electrical Equipment, Part 1: General Requirements for Safety

Essentially the same electrical performance requirements specified

in UL 1363A, but is Listed for use as a finished product

Mains terminal devices (outlets) shall not be

accessible without the use of a tool, even if

their live parts are not accessible

If mounted on emergency trolleys,

must limit number of outlets to 4

UL 60601-1 - Medical Electrical Equipment, Part 1: General Requirements for Safety

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Centers for Medicare and Medicaid Services (CMS)

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• Hospitals must have the minimum number of outlets required by the 2012 edition of NFPA 99: Health Care Facilities Code

• RPTs for patient care-related equipment are allowed in the patient care vicinity if requirements in NFPA 99 10.2.3.6 are met

• RPTs in the patient care vicinity are not allowed to power non-patient care related equipment.

• RPTs are allowed outside of the patient care vicinity for both patient and non-patient care-related equipment

• RPTs for patient care-related equipment do not have to be an integral component of manufactured equipment and may be permanently attached by qualified personnel

• Power strips used for patient care-related equipment must be listed SPRPTs

• Power strips for nonpatient care-related equipment must be listed RPTs

CMS What does it all mean?

36

UL 1363 (RPTs) UL 1363A (SPRPTs) UL 60601-1

Application Area Support areas and basic care areas outside the patient care areas

Critical care areas and basic care and general care areas inside the patient care areas; must be integral to movable cart, IV pole, etc.

Critical care rooms and basic care and general care rooms inside the patient care areas

Safety Standard Type

Listed end-use product certification

Recognized Component

Listed end-use product certification

Summary

NFPA Code SummaryNFPA 99 Receptacles and Quadruplex

(Continued…)

37

But wait…

New UL Outline of Investigation intended to replace Listing RPTs to 60601-1

Similar to requirements outlined in UL 60601-1 and 1363A

• For use as a movable power supply connection for cord-and-plug-connected medical electrical utilization equipment in accordance with the NFPA 70, Article 517 Health Care Facilities, and with NFPA 99 for use in Category 2 (General Patient Care) Spaces or Category 1 (Critical Patient Care) Spaces, including Patient Care Vicinities equipped with Patient Equipment Grounding Points

Bottom Line: The current Medical Grade Strips conform to applicable standards currently being enforced

UL 2930 – Outline of Investigation for Cord-and-Plug-Connected Health Care Facility Outlet Assemblies (HCOAs)

New requirement

• A HCOA shall not be provided with any supplementary protection device that disconnects power from any of the HCOA receptacle outlets

• A HCOA shall not have either a manual or automatic switch that disconnects power from any of the HCOA receptacle outlets

Outline of Investigation

• A transitional document that provides a pathway for UL Certification in the early stages of Standards requirement development

Bottom Line

• The current Medical Grade Strips conform to applicable standards currently being enforced.

UL 2930 – Outline of Investigation for Cord-and-Plug-Connected Health Care Facility Outlet Assemblies (HCOAs)

New Changes Included in the 2014 & 2017 National Electrical Code Cycles

Surge Protective Device Requirements

NEC Article 700.8

• Address the reliability of emergency power systems

• It stated “A listed SPD (surge protection device) shall be installed in or on all emergency systems switchboards and panelboards.”

• The NEC defines emergency power systems as systems legally required to automatically supply power to designated loads upon loss of normal power

What changed in 2014?

Leviton Confidential

What changed in the 2017 update?

43 Leviton Confidential

Address emergency system loads

• Elevators, escalators, moving walkways, and chairlifts

• Matter of public safety

• “Where any of the disconnecting means in 620.51 has been designated as supplying an emergency a standby system load, surge protection shall be provided.”

NEC Article 620.51(E)


Surge protection is now required for Critical Operations Data Systems

• “…Information technology equipment systems that require continuous operation for reasons of public safety, emergency management, national security, or business continuity…”

Failures to this equipment can cause financial harm to businesses

Must ensure the integrity of these systems

• surge protection is an important part of that safety net

NEC Article 645.18


Address fire pump controllers

• “A listed surge protection device shall be installed in or on the fire pump controller.”

Recent study shows 12% of fire pumps had damage due to voltage surges

Fire pumps are critical for life-safety

NEC Article 695.15


New Products & Technology for Healthcare

H.G. Self-Test GFCI

Automatically tests the GFCI and alerts

users if protection has been

compromised

If the self-test detects any condition

that would indicate GFCI protection

might be compromised, visual and

audible indicators provide an alert.

Blocks the RESET button if GFCI

protection has been compromised,

reducing the possibility of end-users

incorrectly assuming that a reset GFCI

is providing ground fault protection

when it is not

This went into effect on June 29, 2015

for all GFCI Manufacturers.

H.G. Duplex GFCI with Guide Light

Sensor provides automatic

ON/OFF based on ambient

lighting

Dual lens provides visible light

with a variety of plugs or

transformers

Custom designed lenses with

edge-mounted LEDs improve

light dispersion

15A & 20A, 125V Duplex Receptacles

Hospital Grade

Tamper-resistant shutters meet NEC Article 406.12 requirements

Fed Spec rated

Hospital Grade AFCI Receptacles

Use in the Patient Care Vicinity

Tamper-resistant shutters and non-Tamper-resistant

15A and 20A Versions

The USB receptacles are for charging only, they do not offer any communications.

Hospital Grade USB Duplex Receptacles


Illumination is clearly visible through the blade slots

Tamper Resistant versions

illuminates the shutter mechanism to provide a uniform green “glow”

Illuminated HG Receptacles


Antimicrobial materials tested and proven to inhibit 99.9% of bacterial growth on devices

Decora & Toggle Switches

• 20A, 120/277V AC; Single Pole & 3-Way

Stainless Steel Wallplates

• Protected with antimicrobial polyurethane powder coating containing silver ion additive

Antimicrobial Treated Devices


Toggle switches and stainless steel wallplates made with antimicrobial additives

Designed to help protect against the growth and spread of bacteria on the devices’ surfaces

Protected with material comprising an EPA registered additive

What Are Antimicrobial Treated Devices?

54 LEVITON CONFIDENTIAL

Hospital, Industrial and Commercial Grade Receptacles, Switches and Occ Sensors.

• Faster, Safer Installation

• Ease of installation

• Lower total cost of ownership

• Maintenance

• No exposed contacts means you can safely power up and test circuits at any time after the wiring modules are installed

• No need to shut off circuits during change out

• System prevents mis-wiring

• Faster change-out capability

Modular Wiring Devices


Lighting Controls for Energy Management and Verification

Michigan Energy Rebates & Incentives (as of Feb. 2017)

Sensing Controls• Delivers one of the simplest and

most effective methods of reducing energy use

• Wireless self-powered solutions

• High bay sensors

• HVAC sensors

• Power base adaptor and more

Ceiling mounted sensors paired with power packs and momentary switches allow for manual on/auto off capability.

• Utilize multiple power packs and sensors to achieve light level control steps required by code.

• Connect switching photocell to power pack for daylighting

Wall mount sensors allow for manual on/auto off capability.

• Utilize an occupancy sensor with dual relays to achieve light level control steps required by code.

Sensing Control

Lighting Control in the palm of your hand

Office Lighting AutomationSmart Platforms and Communication Pathways


AND/OR

Bluetooth Lighting Controls


Digital Dimmer - a powerful device combining the best dimmer and timer functions with today’s technology. Just use your smartphone or tablet to control, adjust and time lighting for daily activities.

Digital Switch - users enjoy the combined functions of a standard wall switch and a countdown or programmable timer switch in one attractive device. Using the app to set timer functions makes it quick and easy to control lights.

Decora Digital Dimmer & Timer App - compatible with Apple and Android smartphones or tablets; offers simple, intuitive on-screen menu options to independently control dimmers and switches within a 30-foot range.

Lighting Automation with WiFi and Z Wave Technology

Lighting control products that are easy to attach to Android and iOS devices plus Alexa voice control.

• Cloud-based cutting edge lighting control products

• Easily replace existing single pole or multi-way devices with Dimmers or Switches to allow control from anywhere via apps.

• Start automating and controlling plug-in lamps or small appliances.

Free apps provides customizable lighting control settings whether open or closed – no hub required

• Install devices and configure from the app

• Easily create schedules, enact scenes, and enjoy custom lighting control settings for the perfect ambiance.

There are many wireless devices and more added daily:

• Sensors

• Dimmers + Switches

• Fan Speed Controls

• Heavy-Duty Load Controls

• Receptacles

• Plug-Ins

• Thermostats

Lighting Automation with WiFi and Z Wave Technology


Monitors energy usage to improve bottom line operational costs

Identifies energy-saving opportunities and verifies the effectiveness of conservation initiatives

Delivers solutions for energy reporting and tenant billing

Measurement & Verification (M&V) Solutions


Why Use Sub Metering?


Cost allocation, tenant billing, eliminate waste

Up to 70 – 75% of a buildings energy use is comprised of electricity, HVAC,

and H20 (hot and cold).

Metering Systems Should Share Data with Multiple Stakeholders

• Energy Managers

• Owners/Operators

• BMS

• Third Party Billing

• Finance

• IT

Electric Vehicle Charging Overview

Electric vehicle supply equipment aka electric vehicle charging station, car charger, wall-box or wall charger

Safety, surge, communication device

What is an EVSE?

67

Name Amperage &kW

Voltage Config. Charge Time

SlowLevel 1

7A to 12A0.8 to 1.4kW

120V AC 5-15P/ 5-15R 10 to 40 hrs(3 hrs for Prius*)

MediumLevel 2

16A to 80A3.3 to 19.2 kW

208 to 240V AC SAE J1772 3 to 12 hrs(1.5 hrs for Prius*)

Fast-US100A to 125A25 to 50 kW

480V AC Combo Connector/

Chademo/ Tesla

30min to 80%

Fast-Japan/ Chademo

125A25 to 50kW

500V DC Chademo / Tesla 30min to 80%

= Fastest Growing Segment


68

Why is electric vehicle charging good for business?


Select who can charge on your

stations and whenOffer charging as benefit to your

employees or customers

Provide real-time station

availability

Centrally monitor station usage and

charging operation

EV Drivers find available charging

station on Web or on Mobile App

Bill drivers different rates for

charging services

What constitutes the “Little Green Dot?”

In addition to complying with the general use receptacle Listing requirements, hospital grade plugs, connectors and receptacles incorporate additional construction features and are subjected to additional performance requirements. These include grounding reliability, assembly integrity, and strength and durability tests

Hospital Grade Wiring Device Tests


A steel-bodied test plug with brass blades is inserted into the receptacle. A 10 lb. weight dropped from 24 inches yanks the plug out of the receptacle. This test is done eight times with the receptacle rotated into different positions to create the greatest stress on its face and contact. After this, the grounding contact must retain a four ounce, 0.184 diameter grounding pin, with the receptacle face down, for one minute. There shall be no breakage of the receptacle that interferes with the receptacle function or the integrity of the enclosure. The receptacle shall maintain the grounding path integrity through the receptacle.

Abrupt Removal of Plug Test ►


The grounding contact of the receptacle is conditioned by 20 insertions with a .204" oversized pin. After conditioning, a 0.184" diameter pin shall be inserted in the grounding contact which shall be capable of supporting at least four ounces for one minute.

Ground Pin Retention


A test plug with oversized blades of .075" is inserted into the current carrying opening of the receptacle for 20 conditioning cycles. After the conditioning cycles, the contact shall be capable of supporting for one minute 11/2 lbs. secured to a single .055" thick solid steel blade without holes

Power Blade Retention Test


A force of 100 pounds is applied though the slots to the base of the receptacle while the yoke is supported at its screw mounting positions. There must be no cracking of base or permanent deformation of yoke

Assembly Security Test


A receptacle mounted in a box is subjected to impact from a 5 lb. weight dropped from a height of 18 inches. "There shall be no breakage, deformation or other effect that may interfere with the function of the device."

Impact Test


76

Questions?

Leviton.com

Thank You

New Electrical Products and Technologies to improve & promote … · 2017-10-11 · Angiography...

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Transcript of New Electrical Products and Technologies to improve & promote … · 2017-10-11 · Angiography...