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256    Chapter Fifteen




























                                  FIGURE 15.13 Patient leakage current caused by the interruption of the PE.


                                  fault condition, is very dangerous because the same low amount of
                                  leakage current flowing through the catatherized patient, defined as
                                  patient leakage current I P , can cause the microshock.
                                     In Fig. 15.13, it is shown how in a single fault condition, the patient
                                  leakage current I P can directly circulate through his/her heart due to
                                  contacts with any Class I equipment (I en ) and/or due to applied parts
                                  to the body (I ap ).
                                     In the above situation, the person is at great risk of microshock, as
                                  the patient current may exceed the fibrillation threshold.


                                  15.8.3 Local Equipotential Earthing Connection
                                  In addition to the “chronic” problem of leakage currents from reg-
                                  ularly operating Class I equipment emphasized by the interruption
                                  of their protective conductors, the safety of the patient can also be
                                  endangered by actual ground faults.
                                     Figure 15.14 exemplifies a ground fault in TT systems because of
                                  the failure of an electrical component in the patient vicinity. The patient
                                  vicinity is defined as the space with enclosures likely to be touched
                                  by the patient, which extends 1.83 m beyond the perimeter of the bed
                                  and 2.29 m above the floor. 13
                                     In the above situation, a potential difference V A , caused by the
                                  voltage drop on the protective conductor of resistance R PEA , appears
                                  between the two pieces of equipment the patient may be in simulta-
                                  neous contact with by touch and via catheters.
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