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BSI PD IEC/TR 62799:2013

$189.07

Models for evaluation of thermal hazard in medical diagnostic ultrasonic fields

Published By Publication Date Number of Pages
BSI 2013 48
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IEC/TR 62799:2013(E), which is a technical report, provides background information for users of IEC 62359 to understand the relative merits of several of the potential replacements for the thermal index as described in IEC 60601-2-37 and IEC 62359. The report discusses parameters related to thermal aspects of diagnostic ultrasonic fields; and methods for the determination of an exposure parameter relating to temperature rise in theoretical tissue-equivalent models, resulting from absorption of ultrasound. The report is intended to be used: – by those involved in the development and maintenance of IEC 62359; – manufacturers of medical electrical equipment for risk assessment; – and health care regulatory authorities, test houses and other organizations responsible for implementing standards for medical electrical equipment.

PDF Catalog

PDF Pages PDF Title
4 CONTENTS
6 FOREWORD
8 1 Scope
2 Normative references
3 Terms and definitions
12 4 Background
4.1 General
13 4.2 Limitations of the existing standard
4.2.1 Linear display
14 4.2.2 Equilibrium temperature
4.2.3 Tissue parameters
4.2.4 Transducer self-heating
4.2.5 Safety limits
15 5 Options for improvement of the existing standard
5.1 General
5.2 Exponential display of the current TI
5.2.1 Theory
17 5.2.2 Illustrative results for the new thermal index display
5.2.3 Advantages of the new display
Figures
Figure 1 – Comparison of the values of thermal index that would be displayed under the proposed definition, TInew, with that displayed currently, TIcur
Figure 2 – Expanded view of the comparison of Figure 1 for smaller values of TIcur
18 5.2.4 Shortcomings of the new display
5.3 Replacement of the TI with the thermally equivalent time index (TETI)
5.3.1 Theory
20 Figure 3 – Thermal-equivalent core temperature elevations vs time
21 Figure 4 – Temperature-time curve (solid line) that represents a conservative boundary for non-foetal exposure durations, particularly for exposure durations of less than 5 s
22 5.3.2 Illustrative results for the TETI
Tables
Table 1 – Thermally equivalent time thresholds for chronic damage in various tissues, t43; see [21].
23 Figure 5 – Thermally equivalent time index (solid curves) vs foetal exposure duration for TI = 1, 2, 3 and 4
24 5.3.3 Advantages of the TETI
5.3.4 Shortcomings of the TETI
Table 2 – Foetal exposure durations for a thermally equivalent time index value of 1
Table 3 – Non-foetal exposure durations for a thermally equivalent time index value of 1
25 5.4 Replacement of the TI with the time to threshold (TT)
5.4.1 Theory
26 5.4.2 Illustrative results for the TT
27 Figure 6 – Temperature rise for distance (z0 > 3 cm) for four models
as a function of US exposure time
28 Figure 7 – Relation between TT (time to threshold) and power parameters that give a
temperature rise of ΔTthr = 4 °C
29 5.4.3 Advantages of the TT
5.4.4 Shortcomings of the TT
Figure 8 – The ratio of temperature rise to acoustic absorption coefficient, ΔT/μ , vs exposure duration for the non-scanning soft tissue model with Pa = 100 mW
30 5.5 Replacement of the TI with the safe use time (SUT)
5.5.1 Theory
31 Figure 9 – A typical example of temperature rise due to diagnostic ultrasound
32 5.5.2 Illustrative results for the SUT
33 Figure 10 – Values of temperature rise as a function of insonation time
34 Figure 11 – The thermal load as a function of time and f-number
Table 4 – SUT values when including and ignoring the contribution of
temperatures lower than ΔTmax for the four exposure conditions and
the corresponding values of ΔTmax
35 5.5.3 Advantages of the SUT
5.5.4 Shortcomings of the SUT
Table 5 – Values of W, Wa, and ΔTmax for the case of SUT = 500 s.
36 5.6 Replacement of the TI with the thermally equivalent time displayed (TETD)
5.6.1 Theory
37 5.6.2 Illustrative results for the TETD
38 Figure 12 – A comparison of thermally equivalent times (t43) for the temperature profiles shown in Figure 6
39 Figure 13 – Probability of birth defect or kidney necrosis as a function of thermally equivalent time (t43)
40 5.6.3 Advantages of the TETD
Figure 14 – Probabilities of kidney necrosis estimated for the thermally equivalent times (t43) shown in Figure 12
41 5.6.4 Shortcomings of the TETD
Figure 15 – Probabilities of birth defect estimated for the thermallyequivalent times (t43) shown in Figure 12
42 6 Summary
Table 6 – Comparison of significant characteristics of the possible replacements for the TI.
43 7 Recommendations
7.1 General
7.2 Thermally equivalent time index
7.3 Other models
44 Bibliography
BSI PD IEC/TR 62799:2013
$189.07