Ref. Certif. ~~\: \87Q; ..\'0/7 u~j 'L( CB TEST CERTIFICATE Product Produit Name and address of the applicant Nom et adresse du demandeur Name and address of the manufacturer Nom et adresse du fabricant Name and address of the factory Nom et adresse de l'usine Note: When more than one factory, please report on page 2 Note: Lorsque it y plus d'une usine, veuillez utiliser la 2'= page Ratings and principal characteristics Valeurs nominales et caracteristiques principales Trademark (if any) Marque de fabrique (si elle existe) Model/Type Ref. Ref. De type Additional information (if necessary, may also be reported on page 2) Les informations complementaires (si necessaire, peuvent etre indiques sur la 2'm' page) A sample of the product was tested and found to be in conformity with Un echantillon de ce produit a ete essaye et a ete considere conforme a la As shown in the Test Report Ref. No. which forms part of this Certificate Comme indique dans Ie Rapport d'essais numero de reference qui constitue partie de ce Certificat This CB Test Certificate is issued by the National Certification Body Ce Certificat d'essai OC est etabli par l'Organisme Natioinal de Certification ISSUED2003-05 No. US- TUVR-4428 Ref. Certif. No. ~ r;:::::~ r--", rfJI'!; 0U- :~) W TUVRheinland1 July 10, 2008 Date: ISSUED 2003.05 Page 2 of 2 Signature: US-TUVR-4428 Issue Date: 2008-05-16 Correction 1 2009-04-10 Page 1 of 2 Report Reference # E145177-A9-UL-1 COVER PAGE FOR TEST REPORT Product Category: Product Category CCN: Test Procedure: Product: Model/Type Reference: Rating(s): Standards: Applicant Name and Address: Power Supplies, Medical and Dental QQHM2, QQHM8 Component Recognition Component Power Supply MW155RAXYFZ, where X represents the output voltage which may be the number 12, 15, 18 or 24; Y indicates the output connector style which may be any number from 00-99; F indicates the C14 type AC inlet; and Z represents non-safety related customer options which may be any number from 00-99. Input: 100-240 V~, 50-60 Hz, 2.0-1.0 A Output: MW155RA12YFZ: 12 V dc/8.33 (100-110 V~); 12 V dc/9.165 A (>110-240 V~) MW155RA15YFZ: 15 V dc/7.33 A MW155RA18YFZ: 18 V dc/6.66 A MW155RA24YFZ: 24 V dc/5.0 A UL 60601-1, 1st Edition, 2006-04-26 (Medical Electrical Equipment, Part 1: General Requirements for Safety) CAN/CSA-C22.2 No. 601.1-M90, 2005 (Medical Electrical Equipment - Part 1: General Requirements for Safety) SL POWER ELECTRONICS CORP 6050 KING ST VENTURA CA 93003 UNITED STATES This Report includes the following parts, in addition to this cover page: 1. Specific Technical Criteria 2. Clause Verdicts Copyright © 2009 Issue Date: 2008-05-16 Correction 1 2009-04-10 Page 2 of 2 Report Reference # E145177-A9-UL-1 This is to certify that representative samples of the products covered by this Test Report have been investigated in accordance with the above referenced Standards. The products have been found to comply with the requirements covering the category and the products are judged to be eligible for Follow-Up Service under the indicated Test Procedure. The manufacturer is authorized to use the UL Mark on such products which comply with this Test Report and any other applicable requirements of Underwriters Laboratories Inc. ('UL') in accordance with the Follow-Up Service Agreement. Only those products which properly bear the UL Mark are considered as being covered by UL's Follow-Up Service under the indicated Test Procedure. The applicant is authorized to reproduce the referenced Test Report provided it is reproduced in its entirety. UL authorizes the applicant to reproduce the latest pages of the referenced Test Report consisting of the first page of the Specific Technical Criteria through to the end of the Conditions of Acceptability. Any information and documentation involving UL Mark services are provided on behalf of Underwriters Laboratories Inc. (UL) or any authorized licensee of UL. Test Report By: Reviewed By: Ahmad Daoudi Engineering Associate Underwriters Laboratories Inc. Marc M. Mouser Manager Underwriters Laboratories Inc. Copyright © 2009 Issue Date: 2008-05-16 Correction 1 2009-04-10 Page 1 of 5 Report Reference # E145177-A9-UL-1 SPECIFIC TECHNICAL CRITERIA TEST REPORT UL 60601-1 Medical Electrical Equipment Part 1: General requirements for safety Report Reference No ........................: E145177-A9-UL-1 Compiled by .....................................: Ahmad Daoudi Reviewed by ....................................: Marc M. Mouser Date of issue ....................................: 2008-05-16 Standards .........................................: UL 60601-1, 1st Edition, 2006-04-26 (Medical Electrical Equipment, Part 1: General Requirements for Safety) CAN/CSA-C22.2 No. 601.1-M90, 2005 (Medical Electrical Equipment Part 1: General Requirements for Safety) Test procedure .................................: Component Recognition Non-standard test method ...............: N/A Test item description .......................: Component Power Supply Trademark ........................................: Model and/or type reference ............: MW155RAXYFZ, where X represents the output voltage which may be the number 12, 15, 18 or 24; Y indicates the output connector style which may be any number from 00-99; F indicates the C14 type AC inlet; and Z represents non-safety related customer options which may be any number from 00-99. Rating(s) ...........................................: Input: 100-240 V~, 50-60 Hz, 2.0-1.0 A Output: MW155RA12YFZ: 12 V dc/8.33 (100-110 V~); 12 V dc/9.165 A (>110-240 V~) MW155RA15YFZ: 15 V dc/7.33 A MW155RA18YFZ: 18 V dc/6.66 A MW155RA24YFZ: 24 V dc/5.0 A TRF No.: IEC60601_1C Underwriters Laboratories Inc. Issue Date: 2008-05-16 Correction 1 2009-04-10 Page 2 of 5 Report Reference # E145177-A9-UL-1 GENERAL INFORMATION Test item particulars (see also clause 5): Classification of installation and use ......................... : Portable Supply connection ..................................................... : Appliance coupler Accessories and detachable parts included in the evaluation .................................................................. : None Options included ....................................................... : None Possible test case verdicts: - test case does not apply to the test object ............. : N/A - test object does meet the requirement ................... : P(Pass) - test object does not meet the requirement ............. : F(Fail) (acceptable only if a corresponding, less stringent national requirement is "Pass") Abbreviations used in the report: - normal condition ............................................ : N.C. - single fault condition ................ : S.F.C. - operational insulation ..................................... : OP - basic insulation ........................ : BI - basic insulation between parts of opposite polarity: BOP - supplementary insulation ......... : SI - double insulation ............................................ : RI DI - reinforced insulation ................. : General remarks: - "(see Enclosure #)" refers to additional information appended to the Test Report - "(see appended table)" refers to a table appended to the Test Report - Throughout the Test Report a point is used as the decimal separator General Product Information: CA1.0 Report Summary CA1.1 N/A CB1.0 Product Description CB1.1 The MW155RAXYFZ is used as a desktop and/or portable power supply. A green LED is provided to indicate DC output is present. CC1.0 Model Differences CC1.1 The MW155RAXYFZ is Class I unit, where X represents the output voltage which may be the number 12, 15, 18 or 24; Y indicates the output connector style which may be any number from 00-99; F indicates the C14 type AC inlet; and Z represents non-safety related customer options which may be any number from 00-99. The transformers have different turns and gage but have similar construction. TRF No.: IEC60601_1C Underwriters Laboratories Inc. Issue Date: 2008-05-16 Correction 1 2009-04-10 Page 3 of 5 Report Reference # E145177-A9-UL-1 CD1.0 Additional Information CD1.1 The schematics are kept on file at the CB Testing Laboratory mentioned in the first page of this test report, and can be provided by the applicant upon request by CBTLs/NCBs. All tests were conducted at the SMT facility. CE1.0 Technical Considerations CE1.1 The product was investigated to the following additional standards: CE1.2 The product was not investigated to the following Clause 36, Electromagnetic Compatibility (IEC standards or clauses: 601-1-2), Clause 48, Biocompatibility (ISO 10993-1), Clause 52.1, Programmable Electronic Systems (IEC 601-1-4), CE1.3 The product is Classified only to the following hazards: CE1.4 The degree of protection against harmful ingress Ordinary of water is: CE1.5 The following accessories were investigated for , use with the product: CE1.6 The mode of operation is: Continuous CE1.7 Software is relied upon for meeting safety requirements related to mechanical, fire and shock: No CE1.8 The product is suitable for use in the presence of No a flammable anesthetics mixture with air or oxygen or with nitrous oxide: CF1.0 Engineering Conditions of Acceptability CF1.1 For use only in or with complete equipment where the acceptability of the combination is determined by Underwriters Laboratories Inc. UL 60601-1, 1st Edition, 2006-04-26 (includes National Differences for USA), CAN/CSA-C22.2 No. 601.1-M90 (R2005) (includes National Differences for Canada), UL 60601-1, 1st Edition, 2006-04-26 (includes National Differences for USA) Casualty, Fire , Shock When installed in an end-product, consideration must be given to the following: CF2.0 This component has been judged on the basis of -the required spacings in the First Edition of the Standards for Medical Electrical Equipment, Part 1: General Requirements for Safety, UL 60601-1, which covers the end use product for which the component is designed. CF2.1 The component is provided with a plastic enclosure and an appliance inlet TRF No.: IEC60601_1C -- Underwriters Laboratories Inc. Issue Date: 2008-05-16 Correction 1 2009-04-10 Page 4 of 5 Report Reference # CF2.2 The output circuits have not been evaluated for -direct patient connection (Type B, BF or CF). CF2.3 The Temperature Test was performed in an -ambient of 25 °C and were calculated for a raised ambient of 40°C. In some instances, the temperature test was repeated in an ambient of 40°C to validate the calculation. CF2.4 The power supply was evaluated as Reinforced -insulation between primary and secondary; basic insulation between primary to heatsink; and operational insulation between secondary to heatsink. CF2.5 This power supply has been evaluated as Class I -equipment, continuous operation, and has not been evaluated for use in the presence of a flammable anesthetic mixture with air, oxygen, or nitrous oxide. CF2.6 The output has been evaluated and tested for -operator accessible part. Under normal and single fault conditions, the outputs do not exceed 25 V ac or 60 V dc. CF2.7 The product was evaluated for desktop and/or -portable use only. Additional evaluation may be required as part of end product investigation to insure compliance of the product as mobile device. CF2.8 Leakage current measurements must be -performed on the combination power supply and the end-use product. CF2.9 Installation instructions and end product markings are the responsibility of the end-use product manufacturer. CF3 At 90V~ input, the 12V model output is derated -to 12Vdc, 8.33A to comply with the temperature limit. Above 90V~ input, the 12V model complies with the temperature limit with a rated output 12Vdc, 9.165A CF3.1 Earth leakage current was measured using Figs -10 and 11 of UL60601-1. TRF No.: IEC60601_1C -- Underwriters Laboratories Inc. E145177-A9-UL-1 ~ .. Certificate @ TUVRheinland Certificate no. ' I W206.1.59S4.1...... License Holder: SL Power Electronics Corp. 7105 Northland Terrace Minneapolis MN 55428 USA Manufacturing Plant: SL Power Electronics Anping Economic and Technical Developing 065402 Xianghe China Test report no.: Tested to: USA-JAK 09571156 062 EN 60601-1:1990+A1+A2+A13 Client Reference: Addition: Model Designation: Zone County, Hebei Tim Cassidy License Fee Medical Power Supply Certified Product: Xianghe - Units MW155X1X2X3X3X4X4X5X6X6 (X1,X2 = A-Z; X5 = F; Xl, X2, X4, X6 not safety-relevant) Rated Voltage: Rated Current: Protection X4,X6 = 0-9; 1) AC 100-110V, 50-60Hz; or AC 110-240V, 50-60Hz; (X3X3=12) 2) AC 100-240V, 50-60Hz; (X3X3=15,18,24) 1) 2.0A or 2.0-1.0A; Class: 2) I 2. 0 - 1 . OA contd. Appendix: I, 1-5 Inh. = 747695 / Deb. = 747695 / Fert. = 751962 Licensed Test mark: A IEN _1-1 Date of Issue (day/mo/yr) 08/07/2008 Signatures d£kt Stephan Schmitt President J ll. ('fI!!JffiliJc. i . . ,'. 1ft . ;.' ... . .,. [. G gla QA Certification Officer A .. Certificate @ TUVRheinland Certificate no. I License Holder: SL Power Electronics Corp. 7105 Northland Terrace Minneapolis MN 55428 USA Manufacturing Plant: SL Power Electronics Anping Economic and Technical Developing 065402 Xianghe China Test report no.: Tested to: USA-JAK 09571156 062 EN 60601-1:1990+A1+A2+A13 Certified Product: Client Reference: Xianghe Zone County, Hebei Tim Cassidy License Fee Medical Power Supply - Units contd. Output Ratings: 1) DC +12V, 8.33A DC +12V, 9.165A 2) DC +15V, 7.33A DC +18V, 6.66A DC +24V, 5.0A (X3X3=12) (X3X3=12) (X3X3=15) (X3X3=18) (X3X3=24) Inh. = 747695 / Deb. = 747695 / Fert. = 751962 Licensed Test mark: A IEN 60601-1 Signatures d~t Stephan Schmitt President fbtl1 ~ G gla QA Certification Officer Date of Issue (day/mo/yr) 08/07/2008