Wiring Fire Prevention in Hospitals

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Wiring Fire Prevention in Hospitals

August 8, 2023
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Fondazione Policlinico Universitario Agostino Gemelli / Rome, Italy

Localized fire ignition hazard in branch circuits, cords and connected equipment

Electrical Engineering Department, Sapienza Università di Roma
Italian National Fire Department

Abstract.  In electrical power systems, the fire ignition can be originated by incident energy of faults. Faults involve overheating, arcing and burning for all the wiring exposed to mechanical damage and other insulation stresses especially wiring connected by flexible cords and cables. The mechanical damage of the stranded bare conductors can degrade the effective sizing of the total cross section, causing anomalous conditions of local overcurrent. To highlight the local incident energy in case of fault, the parameters steady current and transient current densities can assist in analyzing the event. The conductors size reduction, degrading locally the thermal withstand capability, makes ineffective the protection coordination amplifying the anomalous effect of current no detectable adequately by overcurrent protective devices. The faulted cords remain so energized and present electric shock and fire hazards. Generally and especially in strategic buildings as hospitals, preventing ignition is better than promptly extinguishing. An efficient protection can be achieved by integration of active and passive techniques : by adoption of the special device Arc-fault Circuit Interrupter (AFCI) that recognize the arcing; by wiring the circuits, particularly extension cords, with Ground-Fault-Forced Cables, GFFCs, that convert faults into ground faults easily protected by ground fault protective devices (GFPDs).

Fondazione Policlinico Universitario Agostino Gemelli / Rome, Italy

 

 

Product Standards for Plugs and Receptacles

August 8, 2023
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Manufacturers retain testing laboratories and related conformance organizations — Nationally Recognized Testing Laboratories — to assure their products meet safety (and sometimes sustainability) standards. Today we will examine the certification catalog of a legacy, and familiar name in the electrical device domain.  At a patient’s bedside in a hospital or healthcare setting, various electrical loads or devices may be present to provide medical care, monitoring, and comfort. Some of the common electrical loads found at a patient’s bedside include:

Hospital Bed: Electric hospital beds allow for adjustments in height, head position, and leg position to provide patient comfort and facilitate medical procedures.

Patient Monitor: These monitors display vital signs such as heart rate, blood pressure, oxygen saturation, and respiratory rate, helping healthcare professionals keep track of the patient’s condition.

Infusion Pumps: These devices administer medications, fluids, and nutrients intravenously at a controlled rate.

Ventilators: Mechanical ventilators provide respiratory support to patients who have difficulty breathing on their own.

Pulse Oximeter: This non-invasive device measures the oxygen saturation level in the patient’s blood.

Electrocardiogram (ECG/EKG) Machine: It records the electrical activity of the heart and is used to diagnose cardiac conditions.

Enteral Feeding Pump: Used to deliver liquid nutrition to patients who cannot take food by mouth.

Suction Machine: It assists in removing secretions from the patient’s airway.

Warming Devices: Devices like warming blankets or warm air blowers are used to maintain the patient’s body temperature during surgery or recovery.

Reading Lights: Bedside lights that allow patients to read or perform tasks without disturbing others.

Television and Entertainment Devices: To provide entertainment and alleviate boredom during the patient’s stay.

Charging Outlets: Electrical outlets to charge personal electronic devices like smartphones, tablets, and laptops.

It’s important to note that the specific devices and equipment present at a patient’s bedside may vary depending on the level of care required and the hospital’s equipment standards. Additionally, strict safety measures and electrical grounding are essential to ensure patient safety when using electrical devices in a healthcare setting.  

We have been tracking the back-and-forth on proposals, considerations, adoption and rejections in the 3-year revision cycles of the 2023 National Electrical Code and the2021 Healthcare Facilities Code.  The documents listed below are frequently referenced in both NFPA 70 and NFPA 99:

UL 498 Landing Page

Standard for Attachment Plugs and Receptacles 

Hospital Plug Load

Collaborative Standards Development System

Building Electrical Wiring Based on Microsystem Criteria

August 6, 2023
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Electrical Distribution Systems Based on Microsystem Criteria

Giuseppe Parise & Luigi Parise
Civil and Industrial Engineering Faculty, Sapienza University of Rome, Italy
James R. Harvey & Michael A. Anthony
University of Michigan Hospitals and Health Centers, Ann Arbor, MI, USA

 

This paper deals with an innovative design strategy of building power systems by introducing criteria based on both the “installation approach” and the “operating approach” applying plan-do-check-act (PDCA) cycle. The In-Op design of the electrical power systems takes care of the worst cases of configurations, adequate gaps on load in selecting the rating of components, the actual mean losses to evaluate their energetic operation, and to avoid excessive gaps on the lifetime of components. With this aim, the authors suggest consideration of the thermal aging model of Arrhenius to review the actual gap on load in selecting the rating of components. In reference to IEC standards, this paper underlines in the circuits design the cable steady and transient current densities, the load current torque density as “natural” parameters that allow applying a thumb rule in the classic sizing of the cross-sectional area of circuit conductors. Microsystem criteria in power systems design allow structuring their configuration with components of smaller size to reduce radically the volume of circuit conductors with more sensitive results in the branch distribution. The authors suggest why not reconsider the series of commercial cross section areas of power cables.

This paper was presented at the IEEE Industrial Applications Society meetings in 2015 and is now available in IEEE Transactions on Industry Applications ( Volume: 54 , Issue: 1 , Jan.-Feb. 2018 ).    The authors revisit the first principles of conductor ampacities and conclude by asking a question: What Innovations Without Cultural Changes?

In the United States, and most of North America, the National Fire Protection Association has the largest platform, and the longest history in electrical power engineering for buildings.  In other words: the conversation about electrical safety within buildings is informed by the perspective of fire safety professionals.  In Europe, not so much.   The inspiration for European electrical safety is found in a shock protection.

The IEEE effectively ceded administration of building electrical safety to the NFPA and spent decades providing the platform for leading practice discovery for electrical power generation and distribution outside buildings — i.e. public utilities.  In retrospect this “division of labor” roughly follows the money flows to and from manufacturers and insurance companies.

The cultural question raised in the paper is reproduced, in part, below:

“…For an actual safety program, a comparative analysis of international electrical approaches on distribution systems will facilitate an understanding of their similarities and differences and will promote the design of new equipment of high efficiency like AM Transformers and new integrated common solutions, like a new series of commercial cross section areas of the power cables efficient for reducing conductors volume in balance with the costs….”

The inquiry in this paper revisits specific terms in the Arrhenius Equation.

We collaborate closely with the IEEE Education & Healthcare Facilities Committee which meets 4 times monthly in European and American time zones.  Risk managers, electrical safety inspectors, facility managers and others are welcomed to click into those teleconferences also.  We expect that concepts and recommendations this paper will find their way into future revisions of US and international electrical safety codes and standards.

Issue: [19-129]

Category: Electrical, Facility Asset Management, Fire Safety, International

Colleagues: Mike Anthony, Jim Harvey, Christel Hunter, Giuseppe Parise, Luigi Parise

 

Reverse Engineering

August 5, 2023
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Fietsenrek

August 4, 2023
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First Year Sunday

August 3, 2023
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