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Accumulators and Batteries for Medical Equipment (Glossary)
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Batteries, respectively accumulator packs must fulfil stringent requirements if they are to be used in medical equipment. There is a large scope of applications, ranging from energy sources for implantable cardiac pacemakers to batteries for fever thermometers, for instance, as well as emergency power generators for hospitals. The areas of application stationary for hospitals or mobile for rescue services can be very different, and in each case the mobile energy carriers have to be adapted to the very different underlying conditions. The most extreme requirements are demanded when vital bodily functions depend on batteries or accumulators and they are implanted in the human body, as in the case of cardiac pacemakers.
Operating areas
In particular mobile deployments often take place under extremely difficult underlying conditions. For example, the power supply for vital systems in rescue services must also function in extreme temperatures and be generally insensitive to vibrations and soiling.
Long working life
Energy carriers for implanted devices must have a particularly long working life, so that operations to replace the batteries are required as seldom as possible. For instance, on average modern cardiac pacemakers function for a period of eight years.
Reliability
It is self-evident that batteries for cardiac pacemakers or defibrillators must have the lowest possible failure probability. To be able to guarantee reliability this also means that it must be possible to store the secondary or primary cells under controlled conditions. For this purpose the manufacturer must provide reliable information for aging during storage (respectively also aging during use for secondary cells) and there must be a manufacturing date on the batteries.
Biocompatibility
Batteries which are intended for implantation or for permanent contact with the skin must be made of biocompatible material or at least have an appropriate encapsulation which is sealed, for instance, by a ceramic metal welding. In addition worth should be placed on components which are as non-toxic as possible.
Sterilisability
Accumulators and batteries used in medical areas often have to be sterilisable. This requires them to be resistant against aggressive disinfectants or against heat and pressure (approximately 2 bar). In autoclaves the sterilisation typically lasts 15 minutes at 121 °C, and in extreme cases the sterilisation process has to last 18 minutes at 134 °C.
Application areas
Application areas for batteries and rechargeable batteries in medical equipment are, for instance:
Defibrillators
Cardiac pacemakers
Wheelchairs
Patient lifters
Injection and infusion equipment
Monitors
Scales and thermometers
Suction pumps
Nutrition pumps
Surgical saws and drills
Blood sugar and blood pressure measuring instruments
Respiratory devices for mobile rescue services
Emergency power for operating theatres and life-sustaining systems
Legal basis
In Germany and in Austria the requirements for the medical sector are stipulated in the Medical Device Law [Medizinproduktegesetz] (D, AU), respectively the Regulation on the installation, operation and use of medical devices [Medical Devices Operator Ordinance, MPBetreibV] (D) and the EU Medical Product Directive (CE mark). In Switzerland medical products must by licensed by Swissmed. However, on the basis of bilateral agreements the system of conformity evaluation, respectively certification of the European Union (EU) is also taken over there.
The following shows examples of pertinent EU regulations for the CE mark for accumulators in the medical sector:
Electrical equipment: 2006/95/EC
Electromagnetic compatibility: 89/336/EEC, 2004/108/EC
Active implantable medical devices: 90/385/EEC, 2007/47/EC
Medical devices: 93/42/EEC, 2007/47/EC
In-vitro diagnostic medical devices: 98/79/EC
Measuring devices: 2004/22/EC
Additional sources of information
In the following you will find links to other sources of information. Please note that these are external websites for which we accept no responsibility.
EU
EU Commission: Homepage for medical devices
EU: so-called Blue Guide ("New Concept CE")
Amendment 2007 to the Medical Device Directive 93/42/EEC
DIMDI: Medical Devices Law Overview
Germany
Federal Ministry of Justice: Medical Device Law
Federal Ministry of Justice: Medical Devices Operator Ordinance
Federal Ministry of Health: Laws and Ordinances: Medical Devices
DIMDI: Medical Devices Law Overview
Central Authority for Health Protection Regarding Medicinal Products and Medical Devices
Austria
Austrian Register for Medical Devices
Austrian Agency for Health and Food Safety (AGES)
Switzerland
Swiss Agency for therapeutic products (Swissmedic)
© Marc Stenzel
Important note
The above text is the result of careful research by a lay jurist. This text is possibly imperfect, incomplete or not up to date. You should therefore never use the information provided here as the sole basis for legal-related decisions. Instead, you should also consult qualified sources of information, such as a lawyer.
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