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Applications of Electrical Safety     257



























                                  FIGURE 15.14 Hazardous condition in the presence of a sound PE.


                                     The reduction of such voltage drop can be obtained by connecting
                                  together all the ECPs and the EXCPs to a local equipotential earthing
                                  bus located within the patient vicinity (Fig. 15.15).
                                     This supplementary equipotential bonding connection lowers the
                                  resistance of the protective conductor serving the faulty ECP (i.e.,
                                  R PEA1 < R PEA ), thereby decreasing the touch voltage (i.e., V A1 < V A ).
                                     It is important to note that due to the patient’s enhanced sensitivity
                                  to electric currents, EXCPs in medical locations need to be redefined,
                                  with respect to the standard definition that we gave in ordinary loca-
                                  tions. In medical locations, in fact, IEC standards assume the threshold
                                  of 25 V as the maximum permissible touch voltage, and a lethal current
                                  for catheterized patients of 50 	A. In these assumptions, the resulting
                                  resistance-to-ground of any metal part in the patient vicinity must ex-
                                  ceed 500 k  in order not to be an EXCP, and therefore, not bonded to
                                  the local earthing bus.



                                  15.8.4 Electrical Separation
                                  The local supplementary bonding connection, even though within the
                                  patient vicinity, cannot always sufficiently decrease the resistance of
                                  the PE and therefore limit the touch voltage to safe values. This is
                                  true especially in TN systems, where the ground-fault current may be
                                  rather high and so may the voltage drop on the PEs. In nonfault con-
                                  ditions, instead, currents leaking from pieces of equipment connected
                                  to the same local earthing bus are virtually identical and in phase, and
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