New Electrical Products and Technologies

to improve & promote a healthier and

energy efficient facility
By: Bob Kokovich Leviton Manufacturing Company
 Agenda & Topics

Brief overview of significant changes to NFPA 99 which affect facilities, which will
include select sections of the NFPA 99-2015 Edition and 2018 Edition.
Demystifying Power Tap Use in Healthcare Settings
Surge Protective Device Requirements
New Products & Technology for Healthcare
Lighting Controls for Energy Management and Verification
Electric Vehicle Charging Overview
What constitutes the “Little Green Dot?”
Quiz

2
Changes in the Codes
Change is Good for NFPA 99!

Summary of Key Changes

• NFPA 99, 2012 edition is now a Code vs. a
Standard
• Moving to a Risk-Based Approach for
Building Systems and Patient Care Rooms
• Removing/modifying items addressed by
other standards
• Patient care related electrical equipment
construction and performance requirements
• Removing technology which no longer
applies
• Adding chapters for relevant technology
• Organizing material for easier navigation
through the code document
 Code vs Standard

NFPA 99, 2012 is now titled, “Health Care Facilities Code”

• NFPA 99 previously titled, “The Standard for Health Care Facilities”
• Definitions of Code and Standard provided in Chapter 3, pg 99-17
Benefits to the title, document structure, and content changes
• Helps promote usage and enforcement at the greatest number of facilities
• Makes it easier for an AHJ to adopt the code and then it is legally enforceable
• NFPA 99, 2012 provides a Sample Ordinance in Annex C, pg. 99-193
Has NFPA 99, 2012 been adopted?
• As of May 2016, the CMS has adopted provisions from the 2012 editions of the
LSC and NFPA 99
• Check with your AHJ. Some states have adopted the 2012 edition.

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Patient Care Rooms
Assignment of Risk Categories
 The Risk-Based Approach

Reflects how health care delivery has changed.

• Over the past 20 years, we have seen many medical procedures migrate from the
Hospital to Ambulatory Care Centers to Physician Offices.
• The risk to the caregiver and patient remain the same but the location has changed

Chart Source: American Hospital Association Trendwatch, July 2006

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 The Patient Care Room and a Risk-Based Approach

“Any room of a health

care facility wherein
patients are intended
to be examined or
treated”

8
 What is Care
Patient the Patient
VicinityCare Vicinity?

“A space within a
location intended
for the examination
and treatment of
patients”

Source: NFPA 99, 2012 Chapter 3: Definitions – 3.3.138, pg99-23

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 Patient Care Room Categories for Health Care Facilities

• Critical Care Room - Room in which failure of equipment or a system is

Category 1 LIKELY TO CAUSE MAJOR INJURY OR DEATH of patients or caregivers

• General Care Room - Room in which failure of equipment or a system

Category 2 is LIKELY TO CAUSE MINOR INJURY to patients or caregivers

• Basic Care Room - Room in which the failure of equipment or a system

Category 3 is NOT LIKELY TO CAUSE INJURY to the patients or caregivers but can
cause patient discomfort

Category 4 - Support Room (not considered a patient care room) – a room in which failure
of equipment or a system is NOT likely to have a physical impact on patients or caregivers
Source: NFPA 99, 2012 Chapter 3: Definitions – 3.3.138, pg99-23

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 Patient Care and Support Room Examples

Category 1 Category 2 Category 3 Category 4

Critical Care General Care Basic Care Support Rm
Operating Inpatient Medical &
Laboratories
Rooms Bedrooms Dental Offices

Intensive Care
Dialysis Rooms Nursing Homes Waiting Rooms
Rooms

Procedural Examination
Delivery Rooms Morgues
Rooms Rooms

Angiography Fertilization Limited Care

Utility Rooms
Laboratories Rooms Facilities

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The Risk-Based Approach

What does this mean to you?

• These changes will most likely have
the greatest impact upon facilities
performing high risk category medical
procedures – the same as those
performed in hospitals - that
previously were not held to the more
stringent hospital requirements.
These include:
• Outpatient Clinics
• Independent diagnostic & testing
facilities
• Physician offices
• Oral surgery offices
Electrical System Requirements
Key Construction Changes
 Patient Care Room Receptacles

Applying new Patient Care Room definitions for Minimum Number of

Receptacles - 6.3.2.2.6.2, pg99-74
Min. No. of Receptacles
Patient Care Room Category
Prior Editions 2012 Edition

Category 1: Critical Care Room 6 14

Category 1: Operating Rooms n/a 36

Category 2: General Care Room 4 8

It is important to note that these are minimum requirements

Source: NFPA 99, 2102 Chapter 3: Definitions – 3.3.138, pg99-23

14
 Patient Care Room Receptacles

Exception:
• 6.3.2.2.6.2(F) – receptacles in pediatric locations – other than nurseries – must
be listed as tamper-resistant

Additional clarifications/guidelines for receptacle usage:

• 6.3.2.2.6.1(3) Isolated ground receptacles may be used or reduction of electrical
noise (however, 6.3.2.2.7.1(B) prevents usage in the patient care vicinity)
• 6.3.2.2.8.4 Operating rooms are to be considered wet procedure locations
(unless a governing health care body performs a risk assessment and deems
otherwise)

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 Items Applying to BOTH New and Existing Facilities

6.1.2 The following paragraphs of this chapter shall apply to new and
existing health care facilities:
• 6.3.2.2.4.2 Personnel Protection: If used, Ground Fault Circuit Interrupters
(GFCIs) shall be listed.
• 6.3.2.2.6.1 Types of Receptacles to be used are identified
• 6.3.3.3.6.2 (F) Designated General Care Pediatric Locations: Tamper resistant
receptacles within patient rooms, bathrooms, playrooms, and activity rooms other
than nurseries
• 6.3.2.2.8.5 (B) (2), (3), and (4) Wet Procedure Locations: Fixed receptacles,
equipment connected by cord and plug shall be tested (2) where there is evidence
of damage; (3) after any repairs; (4) at intervals not exceeding 6 months
• 6.3.2.2.8.7 Operating rooms classified as wet procedure locations shall be
protected by either isolated power or ground-fault circuit interrupters.

See NFPA 99, 2012 Chapter 6 for the full text of each paragraph. This is a summary for each paragraph.

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 Items Applying to BOTH New and Existing Facilities

6.1.2 The following paragraphs of this chapter shall apply to new and existing
health care facilities: (continued)
• 6.3.4 Administration of Electrical System
• 6.4.1.1.17.5 Centralized computer shall not be substituted for alarm annunciator
• 6.4.2.2.6.2(C) Receptacle coverplates or the receptacles supplied from life safety
and critical branches shall have a distinctive color or marking.
• 6.4.2.2.6.3 Switches: Switches of all types permitted for EES lighting circuit if they
are not used for illumination of egress
• 6.4.4 Administration (Type 1 EES)
• 6.5.4 Administration (Type 2 EES)
• 6.6.2.2.3.2 Receptacle coverplates or the receptacles supplied from life safety and
critical branches shall have a distinctive color or marking.
• 6.6.3.1 Sources for the Life Safety and Critical branches
• 6.6.4 Administration (Type 3 EES)

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NFPA 99 - 2015
Select Changes
 Select NFPA 99 2015 Edition Changes

Patient Care Spaces

• The word “room” has been changed to “spaces”
• Patient Care Room to Patient Care Spaces
• Patient care spaces will be classified to a certain category
Minimum Number of Receptacles
• Revised - 6.3.2.2.6.2
• (A), (B), (C) – Receptacle requirements could be met by locking or non-locking type, single,
duplex, or quadruplex type, or any combination and to be listed hospital grade
Wet Procedure Locations
• Revised - 6.3.2.2.8.5(B)
• Removed requirement for testing receptacles at fixed intervals
• New - 6.3.2.2.8.8
• Where GFCI protection is used in an operating room, one of the following shall apply:
• (1) Each Receptacle shall be an individual GFCI device
• (2) Each receptacle shall be individually protected by a single GFCI device

19 9/25/2017 New PowerPoint Template

 Select NFPA 99 2015 Edition Changes

Branch Circuit Wiring

• Revised - 6.3.2.2.1
• Changed “regular voltage wiring” to “wiring 600V or less”
Essential Electrical System / Life Safety Branch
• New - 6.4.2.2.1.5
• For the purposes of this code, the provisions for emergency systems in
Article 700 of NFPA 70, National Electrical Code, shall be applied only to
the life safety branch

20 9/25/2017 New PowerPoint Template

NFPA 99 - 2018
Select Changes
 NFPA 99 2018 Edition Changes

As of today, the 2018 edition, the electrical section is completely reorganized

(again), but really just to clarify requirements and not really change much.

22 9/25/2017 New PowerPoint Template

Demystifying Power Tap Use in Healthcare Settings
UL 1363: Relocatable Power Taps (RPTs)
Standard for Safety
 UL 1363 - Relocatable Power Taps

Often called outlet strips or
power strips; intended for
indoor use to supply power
to cord-and plug-
connected electrical
utilization equipment
Rated 250 V ac or less, 20 A May be provided with
or less fuses or other
supplementary overcurrent
protection, switches,
suppression components
and/or indicator lights

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 UL 1363 - Relocatable Power Taps

Intended to be directly NOT intended to be series NOT intended to be

connected to a connected (daisy chained) permanently secured to
permanently installed to other relocatable power building structures, tables,
branch-circuit receptacle taps or to extension cords work benches or similar
outlet structures, nor are they
intended to be used as a
substitute for fixed wiring

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 UL 1363 - Relocatable Power Taps

Relocatable power taps have

not been investigated and are
not intended for use with
general patient care areas or
critical patient care areas of
health care facilities

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UL 1363A: Special Purpose Relocatable Power Taps
(SPRPTs)
 UL 1363A - Special Purpose Relocatable Power Taps
(SPRPTs)

Must comply with all Intended for use with Supply power to plug-
the requirements for medical equipment connected components
Relocatable Power Taps intended to be used in of movable equipment
(UL 1363) except as General Patient Care assemblies that are
modified in this outline Areas or Critical Patient rack-, table-, or
Care Areas pedestal-mounted

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 UL 1363A - Special Purpose Relocatable Power Taps
(SPRPTs)

Shall be permanently Shall be provided with The sum of the ampacity of

attached to the medical Hospital Grade attachment all appliances connected to
equipment by a means plugs and Hospital Grade the SPRPT shall not exceed
such that it is only outlets 75 percent of the ampacity
removeable with the use of of the flexible cord
a tool; it shall not be supplying the power to the
located or positioned on SPRPT receptacles
the floor

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 UL 1363A - Special Purpose Relocatable Power Taps
(SPRPTs)

Shall comply with certain Enclosure leakage current, Fuses or over-current

construction and under normal conditions, releases shall be provided
performance requirements must not exceed 0.1 in each supply lead
in the Standard for Medical milliamperes
Electrical Equipment, Part
1: General Requirements
for Safety, UL 60601-1

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UL 60601-1: Medical Electrical Equipment, Part 1:
General Requirements for Safety
Standard for Safety
 UL 60601-1 - Medical Electrical Equipment, Part 1:
General Requirements for Safety

Essentially the same Mains terminal devices If mounted on

electrical performance (outlets) shall not be emergency trolleys,
requirements specified accessible without the must limit number of
in UL 1363A, but is use of a tool, even if outlets to 4
Listed for use as a their live parts are not
finished product accessible

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Centers for Medicare and Medicaid Services (CMS)
 CMS What does it all mean?

• Hospitals must have the minimum number of outlets required by the 2012
edition of NFPA 99: Health Care Facilities Code
• RPTs for patient care-related equipment are allowed in the patient care vicinity
if requirements in NFPA 99 10.2.3.6 are met
• RPTs in the patient care vicinity are not allowed to power non-patient care
related equipment.
• RPTs are allowed outside of the patient care vicinity for both patient and non-
patient care-related equipment
• RPTs for patient care-related equipment do not have to be an integral
component of manufactured equipment and may be permanently attached by
qualified personnel
• Power strips used for patient care-related equipment must be listed SPRPTs
• Power strips for nonpatient care-related equipment must be listed RPTs

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 Summary

UL 1363 (RPTs) UL 1363A (SPRPTs) UL 60601-1

Application Area Support areas and Critical care areas Critical care rooms
basic care areas and basic care and and basic care and
outside the patient general care areas general care rooms
care areas inside the patient inside the patient
care areas; must be care areas
integral to movable
cart, IV pole, etc.

Safety Standard Listed end-use Recognized Listed end-use

Type product Component product
certification certification

36
 NFPA Code Summary
NFPA 99 Receptacles and Quadruplex

(Continued…)

37
But wait…
UL 2930 – Outline of Investigation for Cord-and-Plug-
Connected Health Care Facility Outlet Assemblies (HCOAs)
New UL Outline of Investigation intended to
replace Listing RPTs to 60601-1
Similar to requirements outlined in UL 60601-1
and 1363A
• For use as a movable power supply connection
for cord-and-plug-connected medical electrical
utilization equipment in accordance with the
NFPA 70, Article 517 Health Care Facilities, and
with NFPA 99 for use in Category 2 (General
Patient Care) Spaces or Category 1 (Critical
Patient Care) Spaces, including Patient Care
Vicinities equipped with Patient Equipment
Grounding Points
Bottom Line: The current Medical Grade Strips
conform to applicable standards currently being
enforced
UL 2930 – Outline of Investigation for Cord-and-Plug-
Connected Health Care Facility Outlet Assemblies (HCOAs)

New requirement
• A HCOA shall not be provided with any supplementary protection device that
disconnects power from any of the HCOA receptacle outlets
• A HCOA shall not have either a manual or automatic switch that disconnects
power from any of the HCOA receptacle outlets
Outline of Investigation
• A transitional document that provides a pathway for UL Certification in the early
stages of Standards requirement development
Bottom Line
• The current Medical Grade Strips conform to applicable standards currently
being enforced.
Surge Protective Device Requirements
New Changes Included in the 2014 & 2017 National Electrical Code Cycles
What changed in 2014?

NEC Article 700.8

• Address the reliability of
emergency power systems
• It stated “A listed SPD (surge
protection device) shall be
installed in or on all emergency
systems switchboards and
panelboards.”
• The NEC defines emergency power
systems as systems legally required
to automatically supply power to
designated loads upon loss of
normal power

Leviton Confidential
 What changed in the 2017 update?

43 Leviton Confidential
NEC Article 620.51(E)

Address emergency system loads

• Elevators, escalators, moving
walkways, and chairlifts
• Matter of public safety
• “Where any of the disconnecting
means in 620.51 has been
designated as supplying an
emergency a standby system
load, surge protection shall be
provided.”

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NEC Article 645.18

Surge protection is now required for

Critical Operations Data Systems
• “…Information technology
equipment systems that require
continuous operation for reasons of
public safety, emergency
management, national security, or
business continuity…”
Failures to this equipment can cause
financial harm to businesses
Must ensure the integrity of these
systems
• surge protection is an important
part of that safety net

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NEC Article 695.15

Address fire pump controllers

• “A listed surge protection device
shall be installed in or on the fire
pump controller.”
Recent study shows 12% of fire
pumps had damage due to voltage
surges
Fire pumps are critical for life-safety

Leviton Confidential
New Products & Technology for Healthcare
H.G. Self-Test GFCI
Automatically tests the GFCI and alerts
users if protection has been
compromised
If the self-test detects any condition
that would indicate GFCI protection
might be compromised, visual and
audible indicators provide an alert.
Blocks the RESET button if GFCI
protection has been compromised,
reducing the possibility of end-users
incorrectly assuming that a reset GFCI
is providing ground fault protection
when it is not
This went into effect on June 29, 2015
for all GFCI Manufacturers.
H.G. Duplex GFCI with Guide Light

Sensor provides automatic

ON/OFF based on ambient
lighting
Dual lens provides visible light
with a variety of plugs or
transformers
Custom designed lenses with
edge-mounted LEDs improve
light dispersion
Hospital Grade AFCI Receptacles

15A & 20A, 125V Duplex

Receptacles
Hospital Grade
Tamper-resistant shutters
meet NEC Article 406.12
requirements
Fed Spec rated
Hospital Grade USB Duplex Receptacles

Use in the Patient Care Vicinity

Tamper-resistant shutters and non-
Tamper-resistant
15A and 20A Versions
The USB receptacles are for charging
only, they do not offer any
communications.

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Illuminated HG Receptacles

Illumination is clearly visible through

the blade slots
Tamper Resistant versions
illuminates the shutter mechanism to
provide a uniform green “glow”

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Antimicrobial Treated Devices

Antimicrobial materials tested and proven to inhibit

99.9% of bacterial growth on devices
Decora & Toggle Switches
• 20A, 120/277V AC; Single Pole & 3-Way
Stainless Steel Wallplates
• Protected with antimicrobial polyurethane
powder coating containing silver ion additive

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 What Are Antimicrobial Treated Devices?

Toggle switches and stainless steel

wallplates made with antimicrobial
additives
Designed to help protect against the
growth and spread of bacteria on the
devices’ surfaces
Protected with material comprising an
EPA registered additive

54 LEVITON CONFIDENTIAL
Modular Wiring Devices

Hospital, Industrial and Commercial Grade

Receptacles, Switches and Occ Sensors.
• Faster, Safer Installation
• Ease of installation
• Lower total cost of ownership
• Maintenance
• No exposed contacts means you can
safely power up and test circuits at any
time after the wiring modules are
installed
• No need to shut off circuits during
change out
• System prevents mis-wiring
• Faster change-out capability
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Lighting Controls for Energy Management
and Verification
Michigan Energy Rebates & Incentives (as of Feb. 2017)
Sensing Control
Sensing Controls
• Delivers one of the simplest and
most effective methods of
reducing energy use
• Wireless self-powered
solutions
• High bay sensors
• HVAC sensors
• Power base adaptor and more
Ceiling mounted sensors paired with
power packs and momentary
switches allow for manual on/auto
off capability.
• Utilize multiple power packs and
sensors to achieve light level
control steps required by code.
• Connect switching photocell to
power pack for daylighting
Wall mount sensors allow for
manual on/auto off capability.
• Utilize an occupancy sensor with
dual relays to achieve light level
control steps required by code.
Lighting Control in the palm of your hand
 Office Lighting Automation
Smart Platforms and Communication Pathways

AND/
OR

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 Bluetooth Lighting Controls

Digital Dimmer - a powerful device combining the best

dimmer and timer functions with today’s technology.
Just use your smartphone or tablet to control, adjust
and time lighting for daily activities.
Digital Switch - users enjoy the combined functions of
a standard wall switch and a countdown or
programmable timer switch in one attractive device.
Using the app to set timer functions makes it quick and
easy to control lights.
Decora Digital Dimmer & Timer App - compatible with
Apple and Android smartphones or tablets; offers
simple, intuitive on-screen menu options to
independently control dimmers and switches within a
30-foot range.

61 9/25/2017 New PowerPoint Template

 Lighting Automation with WiFi and Z Wave Technology

Lighting control products that are easy to attach to

Android and iOS devices plus Alexa voice control.
• Cloud-based cutting edge lighting control products
• Easily replace existing single pole or multi-way
devices with Dimmers or Switches to allow control
from anywhere via apps.
• Start automating and controlling plug-in lamps or
small appliances.

Free apps provides customizable lighting control settings

whether open or closed – no hub required
• Install devices and configure from the app
• Easily create schedules, enact scenes, and enjoy custom
lighting control settings for the perfect ambiance.
 Lighting Automation with WiFi and Z Wave Technology

There are many wireless devices and more added daily:

• Sensors
• Dimmers + Switches
• Fan Speed Controls
• Heavy-Duty Load Controls
• Receptacles
• Plug-Ins
• Thermostats

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 Measurement & Verification (M&V) Solutions

Monitors energy usage to

improve bottom line
operational costs
Identifies energy-saving
opportunities and verifies the
effectiveness of conservation
initiatives
Delivers solutions for energy
reporting and tenant billing

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 Why Use Sub Metering?

Cost allocation, tenant billing, eliminate waste

Up to 70 – 75% of a buildings energy use is
comprised of electricity, HVAC,
and H20 (hot and cold).
Metering Systems Should Share Data with Multiple
Stakeholders
• Energy Managers
• Owners/Operators
• BMS
• Third Party Billing
• Finance
• IT

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Electric Vehicle Charging Overview
 What is an EVSE?

Electric vehicle supply equipment aka electric vehicle charging station, car
charger, wall-box or wall charger
Safety, surge, communication device
Name Amperage & Voltage Config. Charge Time
kW
Slow 7A to 12A 120V AC 5-15P/ 5-15R 10 to 40 hrs
Level 1 0.8 to 1.4kW (3 hrs for Prius*)
Medium 16A to 80A 208 to 240V AC SAE J1772 3 to 12 hrs
Level 2 3.3 to 19.2 kW (1.5 hrs for Prius*)
100A to 125A 480V AC Combo 30min to 80%
Fast-US 25 to 50 kW Connector/
Chademo/ Tesla
Fast-Japan/ 125A 500V DC Chademo / Tesla 30min to 80%
Chademo 25 to 50kW
= Fastest Growing Segment

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 Why is electric vehicle charging good for business?

EV Drivers find available charging

Offer charging as benefit to your Select who can charge on your station on Web or on Mobile App
employees or customers stations and when

Centrally monitor station usage and Bill drivers different rates for Provide real-time station
charging operation charging services availability

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What constitutes the “Little Green Dot?”
 Hospital Grade Wiring Device Tests

In addition to complying with the

general use receptacle Listing
requirements, hospital grade plugs,
connectors and receptacles
incorporate additional construction
features and are subjected to
additional performance
requirements. These include
grounding reliability, assembly
integrity, and strength and durability
tests

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 Abrupt Removal of Plug Test ►

A steel-bodied test plug with brass blades is

inserted into the receptacle. A 10 lb. weight
dropped from 24 inches yanks the plug out of
the receptacle. This test is done eight times
with the receptacle rotated into different
positions to create the greatest stress on its
face and contact. After this, the grounding
contact must retain a four ounce, 0.184
diameter grounding pin, with the receptacle
face down, for one minute. There shall be no
breakage of the receptacle that interferes
with the receptacle function or the integrity
of the enclosure. The receptacle shall
maintain the grounding path integrity through
the receptacle.
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 Ground Pin Retention

The grounding contact of the

receptacle is conditioned by 20
insertions with a .204" oversized pin.
After conditioning, a 0.184" diameter
pin shall be inserted in the grounding
contact which shall be capable of
supporting at least four ounces for
one minute.

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 Power Blade Retention Test

A test plug with oversized blades of

.075" is inserted into the current
carrying opening of the receptacle
for 20 conditioning cycles. After the
conditioning cycles, the contact shall
be capable of supporting for one
minute 11/2 lbs. secured to a single
.055" thick solid steel blade without
holes

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 Assembly Security Test

A force of 100 pounds is applied

though the slots to the base of the
receptacle while the yoke is
supported at its screw mounting
positions. There must be no cracking
of base or permanent deformation of
yoke

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 Impact Test

A receptacle mounted in a box is

subjected to impact from a 5 lb.
weight dropped from a height of 18
inches. "There shall be no breakage,
deformation or other effect that may
interfere with the function of the
device."

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 Questions?

76
Thank You
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