See discussions, stats, and author profiles for this publication at: https://www.researchgate.net/publication/321351832 Evaluating Characteristics of Electrostatic Discharge (ESD) Events in Wearable Medical Devices: Comparison With the IEC 61000-4-2 Standard Article in IEEE Transactions on Electromagnetic Compatibility · November 2017 DOI: 10.1109/TEMC.2017.2773271 CITATIONS READS 11 2,194 5 authors, including: Mehdi Kohani University of Maryland, College Park Aniket Bhandare 6 PUBLICATIONS 39 CITATIONS 9 PUBLICATIONS 80 CITATIONS SEE PROFILE SEE PROFILE Michael Pecht University of Maryland, College Park 1,479 PUBLICATIONS 35,438 CITATIONS SEE PROFILE Some of the authors of this publication are also working on these related projects: UK Robotics and Artificial Intelligence Hub for Offshore Energy Asset Integrity Management (EP/R026173/1) View project Diagnostics and Prognostics of Electronic Circuits View project All content following this page was uploaded by Mehdi Kohani on 20 October 2018. The user has requested enhancement of the downloaded file. Evaluating Characteristics of Electrostatic Discharge (ESD) Events in Wearable Medical Devices: Comparison with IEC 61000-4-2 Standard Mehdi Kohani, Aniket Bhandare, Li Guan, David Pommerenke, Fellow, IEEE, and Michael G. Pecht, Fellow, IEEE Abstract— Electrostatic discharge (ESD) malfunctions in wearable medical devices have resulted in injuries and deaths. The U.S. Food and Drug Administration (FDA) recommends medical device manufacturers to qualify the electromagnetic compatibility of their products according to the IEC 60601-1-2 collateral standard, within which the IEC 61000-4-2 standard is the recommended ESD immunity test method. This paper shows that the IEC 61000-4-2 standard does not provide adequate immunity for wearable medical devices, due to the differences between the test setup and the real usage. The peak and maximum time derivative of the ESD current and transient magnetic fields were measured during realistic discharge scenarios, where a metal piece, in lieu of a wearable device, was worn around human hand or waist. At five voltage levels from 2kV to 10kV, the peak currents and their maximum time derivatives for realistic discharge scenarios were larger than the most severe discharges obtained from the IEC 61000-4-2 test configuration. This discrepancy between the current results from the IEC 61000-4-2 standard setup and the realistic discharge scenarios indicates that the ESD immunity standard for wearable devices needs to be changed with realistic test configurations, to prevent device malfunctions that can subsequently jeopardize patient safety. Index Terms— Medical device, Electrostatic discharge, Wearable device, Discharge current, Transient magnetic field I. INTRODUCTION W HEN a charged human body and a grounded object (e.g., a door frame) come in close enough proximity, the medium between them electrically breaks down and an electrostatic discharge (ESD) occurs. The resulting discharge current can cause permanent damage to electronics if the charges flow directly into the component. ESD can also indirectly cause disturbances in electronic equipment when the discharge current produces transient electromagnetic fields that induce abnormal currents in the circuitry. The severity of an ESD event can be characterized by the peak value and maximum time derivative of the discharge current, and the transient electromagnetic fields [1], [2]. M. Kohani and M. G. Pecht are with the Center for Advanced Life Cycle Engineering (CALCE), University of Maryland, College Park, MD, 20742 USA (email: mkohani@umd.edu, pecht@umd.edu) Corresponding Author: Michael. G. Pecht A. Bhandare, L. Guan and D. Pommerenke are with the Department of Electrical and Computer Engineering, Missouri University of Science and Technology, Rolla, MO 65409-0001 USA (email: anbwx7@mst.edu, lg3yf@mst.edu, davidjp@mst.edu) In a hospital environment, many routine activities result in accumulation of electrostatic charge on a human body and other equipment such as beds and carts. For instance, walking on a carpet, sliding a patient with transfer boards, sitting or laying down on a hospital bed result in charge buildup. ESD events due to electrostatic charging of the human body have resulted in medical device malfunctions such as data corruption and changes in the settings of cochlear implants [3], changes in the baseline sensor reading of intracranial pressure monitors [4], or controller reset in a ventricular assist device that resulted in two deaths and four injuries [5], [6]. The U.S. Food and Drug Administration (FDA) recognizes the IEC 60601-1-2 collateral standard for electromagnetic safety of medical electronic equipment. This standard recommends the IEC 61000-4-2 test method for ESD immunity, which simulates an ESD event caused by a charged person holding a metal piece (e.g., a key or a tool) in hand and approaching the device under test (DUT). The standard claims that “… this metal discharge situation is sufficiently severe to represent all human discharges in the field” [7]. To evaluate the ESD robustness of electronic equipment according to the IEC 61000-4-2 test method, the performance of the electronic equipment is monitored when an ESD gun injects an ESD pulse into the equipment placed on a tabletop. However, in the real scenario, the discharge mostly occurs when the wearable device is worn around the patient’s body parts (e.g., waist, hand, chest), and the patient touches a grounded conductive object such as a doorknob. The source of charge in the real scenario is the human body, while in the standard setup, an ESD gun is the source. The differences between the test configuration in the standard setup and the real usage can result in dissimilar severity of ESD events in the two situations, leading to insufficient immunity for field use. This could result in ESD malfunctions, which, in the case of lifesupporting devices such infusion pumps, may result in patient injury or death. Some researchers have measured the ESD from body-worn metal objects, in lieu of wearable devices, and compared the results with discharges caused by an ESD gun calibrated according to the IEC 61000-4-2 standard [8]–[10]. The discharge current during ESD testing of wearable devices is IEEE TRANSACTIONS ON ELECTROMAGNETIC COMPATIBILITY most likely lower than the current during calibration of the ESD gun, as the calibration is performed by injecting an ESD pulse into a grounded metal sheet. Thus, the current from the calibration becomes an upper bound for the discharge current. If the real discharge current is even larger than the upper bound, then it is clearly likely that the differences between the geometry of the usage scenario and the standard testing lead to insufficient ESD robustness. Ishida et al. [8] measured the discharge current waveform for ESDs from a 1kV charged human subject discharging to a ground plane via a hand-held metal bar or a semi-sphere metal piece attached to the subject’s head, arm or waist. The peak current via the waist-worn metal piece was the largest compared to other body parts, and it was about 4 times larger than the results of calibration of an ESD gun charged at the same body voltage. Ishida et al.’s study [8], had limitations as it only considered 1kV for the body voltage, while much larger voltages (as high as 20 kV) may accumulate on a human body in hospital environments [11], [12]. Moreover, the only parameter that was analyzed in this study was the peak discharge current. Other parameters that reflect the severity of ESD events such as current derivative with respect to time and maximum transient electromagnetic field and their derivatives, were not analyzed. Pommerenke and Aidam [10] investigated the differences between discharge current and transient electromagnetic field waveform during ESD events from a human hand (while holding metal objects), and ESD generators. It was found that ESD from a charged human resulted in discharge currents up to 10 A/kV, while the ESD simulators calibrated by the IEC 8012 standard (an earlier version the IEC 61000-4-2) resulted in a much lower value of 3.75 A/kV. Similar to Ishida et al.’s study [8], they only considered body voltage at 5kV. In a recent study, Zhou et al., [13] developed an ESD demonstrator board to measure the transient electromagnetic fields when a subject charged at 1kV and 8kV discharged to a vertical ground plane via a waist-worn metal piece (i.e., socalled brush-by scenario) or a hand-held metal bar. Using statistical distribution of the electromagnetic fields, they showed that the peak values of the transient fields during a brush-by ESD scenario were larger than discharges from a hand-held metal bar. This study, however, was limited to the peak electromagnetic fields and did not investigate the discharge currents and its maximum derivatives during the ESD events. In this paper, we measured the discharge current and magnetic (H-) field parameters including peak values and the maximum time derivatives during discharge scenarios that could occur in a hospital environment and affect patients with wearable medical devices. The results of distributions of ESD events over a range of body voltages from 2kV to 10kV are compared with the results of ESD gun calibration according to the IEC 61000-4-2 standard. This comparison between realistic discharge events and the upper bound of the ESD obtained during calibration shows whether the standard provides sufficient ESD immunity for wearable medical devices. 2 II. METHODS The IEC 61000-4-2 test setup treats wearable electronic devices as if they are used as tabletop equipment, such as a laptop. However, in reality, the device is worn around a body part, such as an infusion pump, which is worn around a patient’s waist. To investigate the differences between realistic discharges and the standard setup, and analyze the consequences, two test setups have been created. The ESD current and H-fields were measured from a charged human with a metal piece worn on his body in the first setup, and from an ESD gun discharging to a standard current target in the second setup. A. Discharge scenarios for human body ESD tests To define a discharge scenario in which an ESD event affects a wearable device, the location of the device on the body and the body point at which discharge from the body to the ground occurs need to be selected. Wearable medical devices can be worn on different parts of the body such as wrist [14], arm [15], waist [16], chest [17], or head [18]. In this study, the options for the device location on the body were limited since a subject had to hold an H-field sensor close to that location to measure the transient H-field of the ESD. Only two device locations were selected: device on the chest and on the waist. In fact, these two locations are more likely to touch a grounded object, for instance, when a patient touches the metal frame of a hospital bed or a doorframe with his hand or waist. In lieu of an actual wearable medical device, a small metal piece with a hemispherical tip was worn on the discharge location (i.e., hand or waist), as shown in Figure 1. Figure 1. Small metal piece worn on the subject's body in lieu of an actual wearable device At each discharge location, two scenarios were considered to initiate an ESD event, thus, four discharge scenarios were defined. Figure 2 shows the placement of the field sensors and the body-worn metal piece on the subject’s body in the four discharge scenarios (DS1 to DS4). In DS1 and DS2, the bodyworn metal piece mounted on the subject’s waist (DS1) or hand (DS2), directly discharged the accumulated charge to the ground. In these two scenarios, the charged subject was holding the H-field sensor in his hand, relatively close to the discharge location (i.e., 10cm). In DS3 and DS4 scenarios, discharge to ground occurred via the subject’s waist such as a belt (DS3) or via his hand such as a key (DS4), while the body-worn metal piece was worn on his chest, at about 40cm distance from the discharge location. The H-field sensor in these scenarios was held in subject’s arm (close to his chest) as shown in Figure 2. IEEE TRANSACTIONS ON ELECTROMAGNETIC COMPATIBILITY It is assumed that in these two scenarios, the discharge current does not directly affect the device, but it creates transient electromagnetic fields that can couple into the circuitry of the chest-worn device. The subject was initially charged to a high voltage (2kV, 4kV, 6kV, 8kV, and 10kV), using a power supply. Figure 3 shows 3 the setup used for charging the subject (height: 175cm, weight:70kg) while laying down the bed. To reduce the current flowing to the subject’s body, a 1GΩ resistance was added to the wire from the power supply. A voltage measurement system was designed to record the body voltage at the moment of discharge. The subject was holding a metal probe, connected to Figure 2. Schematic representation of four ESD scenarios affecting a wearable medical device worn by a patient lying on a bed a surface DC voltmeter in his right hand, and a wire with 1GΩ resistance from the power supply in his left hand. After applying the high voltage via a power supply, the subject’s body voltage increased exponentially, due to the body capacitance. A second subject monitored the first subject’s body voltage to ensure the voltage has reached a constant level equal to the applied voltage. At this moment, the second subject approached a grounded metal rod (air-discharge tip of an ESD gun) to the hemispherical tip of the body-worn metal piece mounted on the first subject’s body who was laying down on the bed. field sensor, body voltage meter and the oscilloscope inside a shielded metallic enclosure. The discharge tests at each body voltage and discharge scenario were repeated four times. Therefore, a total of 80 data points were collected from the four discharge scenarios, at 5 body voltages (from 2kV to 10kV) and 4 discharges at each level. The room temperature and the relative humidity during the experiments were relatively constant at 22°C and 20%, respectively. Figure 3. Human body charging setup Figure 4 shows the setup for discharge current measurement. A current clamp was placed around the grounded metal rod to measure the discharge current through a shielded coaxial cable connected to an oscilloscope. A deconvolution method was implemented to compensate for the frequency response in the range of 10 Hz to 1GHz [19]. A 40dB pulse attenuator and an ESD protection diode were used to protect the oscilloscope from the resulting ESD current. Figure 5 shows a schematic of the ESD measurement setup including the discharge current measurement equipment, H- Figure 4. Current measurement setup The four discharge scenarios involved generation of a spark in the air gap between the body-worn metal piece and the grounded metal rod. To ensure consistency between the discharge events, and to obtain similar spark lengths, the discharge tests were performed with a relatively constant speed of approach. However, in many cases, the current and magnetic field results of one, or sometimes two of the discharge event IEEE TRANSACTIONS ON ELECTROMAGNETIC COMPATIBILITY 4 Figure 5. ESD measurement setup including the oscilloscope, H-field sensor, current clamp and body voltage measurement system were remarkedly lower than the remaining discharges. These low values of current or H-field were potentially related to the generation of partial sparks between the metal rod and flat part of the body-worn metal piece that resulted in an incomplete discharge. These outliers were removed from the analysis. B. ESD gun tests according to the IEC 61000-4-2 standard In the discharge scenarios of body-worn devices, similar to all real ESD events, the discharge occurred via a spark (known as air-mode discharge). On the contrary, ESD tests during product qualification according to the IEC 61000-4-2 standard, mostly use contact mode discharges, where the tip of the gun makes contact with the DUT, without generating any sparks. For plastic surfaces on the DUT, the IEC 61000-4-2 standard requires air-mode discharges initiated by approaching the ESD gun towards the DUT. However, the peak current of contact mode ESD is usually larger than the air-mode discharges with the ESD gun, given the same charging voltage, due to the resistance of the air gap. In most cases, the discharge current during the ESD testing of a wearable device in a tabletop configuration, cannot exceed the current during calibration of an ESD gun, given the same voltage. In the calibration setup, an ESD gun directly injects a pulse into a current target that has about 2 Ω impedance. This lower discharge current during DUT testing can be attributed to the smaller size of the DUT compared to the calibration plane from an ESD gun are shown in Figure 6. Two situations were examined: when the magnetic field sensor is 10cm, and 40 cm away from the discharge location. These two scenarios were selected to compare their results with the human body tests described in the previous section. The results of the calibration experiments where the H-field sensor is 10 cm away from the discharge location are compared with the results of DS1 and DS2, and for 40 cm distance, the results are compared with that of DS3 and DS4. In each discharge scenario (10 cm and 40 cm away from the discharge location), five ESD voltage levels, 2kV, 4kV, 6kV, 8kV and 10kV were applied to the ESD target in the middle of a vertical coupling plane (VCP), as shown in Figure 6. The and the limited capacitance of the DUT relative to the ground. During ESD testing, the DUT is placed on a 0.5mm thick insulator above a metal plate that is only grounded via 470 Ω resistance. Therefore, the discharge currents obtained from the contact-mode calibration of an ESD gun are the maximum currents that could be measured from the IEC 61000-4-2 standard setup. This worst-case discharge scenario from the calibration setup was studied in this research. Figure 6. IEC 61000-4-2 setup for ESD gun calibration (H-field sensor is 10cm away from the target in the picture) The calibration setup and measurement equipment used to obtain ESD current and the resulting transient magnetic field current target was connected to a shielded coaxial cable via an SMA adapter. The other end of the coaxial cable was connected to an oscilloscope with 2 GHz bandwidth. C. Data processing: finding parameters of the current and field waveform For every discharge scenario and body voltage, four parameters for the current and the transient magnetic field waveform were extracted including the peak, and the maximum ππ derivative with respect to time (i.e., πΌπππ₯ , πππ₯ ( ), π»πππ₯ , ππ» ππ‘ πππ₯ ( ) ). Figure 7 shows an example of a current waveform ππ‘ obtained during calibration testing of an ESD gun and its peak and maximum time derivative. IEEE TRANSACTIONS ON ELECTROMAGNETIC COMPATIBILITY III. RESULTS AND DISCUSSIONS Our hypothesis is that the real ESD events for a charged human with a body-worn device are more severe than the worst case ESD testing according to the IEC 61000-4-2 standard. This hypothesis, if confirmed, shows that the ESD immunity standard does not provide adequate immunity for wearable medical devices, and therefore, device malfunction and patient complication might occur. This section discusses the comparison between the current and H-field results of ESD in realistic human body discharges and the ESD gun calibration. 5 to a charged subject laying down on a bed. Moreover, in this study, a distribution of the data was obtained as opposed to single data points reported in previous studies. The maximum derivatives of the current waveform for the two discharge scenarios are also compared with the ESD gun calibration experiments (Figure 9). The distributions of the two discharge scenarios overlap, however, the median maximum current derivative of discharges to waist, before 8kV, is on average, 1.8 times larger than those obtained by an ESD gun. At all voltage levels, the current derivative of the ESD gun is close to the lowest whiskers (i.e., 25th percentile) of the two distributions. Figure 9 also shows an increasing trend in the results of both distributions over ESD voltage, however, a slight decrease occurs at 10 kV. Figure 8. Comparison of the maximum peak current for discharge to waist, discharge to hand and ESD gun Figure 7. Example of peak current and maximum time derivative extracted from an ESD current waveform (above picture shows the waveform and the bottom one shows a zoomed in view containing peak and maximum slope) A. Discharge current results Discharge current waveform depends on the input voltage and the impedance of the object subjected to the ESD relative to ground (i.e., subject’s body or ESD target on a VCP). In this analysis, the four discharge scenarios were divided into two categories based on the body impedance seen from the point of discharge: “discharge to waist” including DS1 and DS3, and “discharge to hand including DS2 and DS4. Since each experiment was repeated four times, 8 data points were obtained in each category. For the ESD-gun, the resulting discharge current was analyzed in only one category since all experiments have the same target impedance. Figure 8 shows the distribution of the maximum peak currents for discharge to waist, discharge to hand and the ESD gun via boxplots. The median peak current for discharge to the waist in all the five voltage levels shows higher peaks than both discharge to hand and the ESD gun. The median current of discharges to waist at body voltages of 2kV to 10kV was, on average, about 1.5 times larger than discharges to hand, and ESD gun results. The results cannot be compared with the previous related literature [9], [10] mainly due to the differences between our test setup where the discharge occurs The results shown in Figure 8 and Figure 9 confirm our hypothesis about realistic discharges from body-worn objects compared to the ESD immunity standard. These results indicate that in many voltage levels, the maximum peak and maximum derivatives of the ESD current for realistic discharges, exceed the levels obtained by the most severe discharges from an ESD gun using the IEC 61000-4-2 standard test setup. Therefore, the realistic ESD events analyzed in this study are more severe than even the upper bound of the discharges from an ESD gun. Therefore, the ESD robustness of wearable medical devices should not be qualified by the IEC 61000-4-2 standard. It is to be noted that the variations in the distribution of the peak current and maximum current derivative of the human discharge scenarios are potentially due to the variation in the spark lengths. Previous literature has also found that spark length is a critical factor that affects the current waveform in air-mode discharges [1], [2], [20]. IEEE TRANSACTIONS ON ELECTROMAGNETIC COMPATIBILITY 6 (10cm in DS1 and DS2, 40 cm in DS3 and DS4). Ampere’s law assumes that the discharge current flows in a cable with infinite length. This assumption, although not correct in this experiment, can be used as a reasonable approximation to validate the results. 1) Max H-field vs. ESD voltage Figure 9. Maximum current derivative comparison for discharge to waist, discharge to hand, and ESD gun B. H-field Results Analysis of the H-field results is more complicated than the current waveform due to the complex geometry of the discharge location. In this section, two parameters related to H-field including the maximum H-field intensity and the maximum time derivative of the H-field waveform obtained for the discharge scenarios and the ESD gun are analyzed. Three different analyses were performed on the H-field results including “maximum H-field vs. ESD voltage”, “maximum H-field vs. peak current”, and “maximum H-field derivative vs. maximum current derivative”. The H-field waveform depends on the discharge current and the distance between the sensor and the discharge location. In each of the three analyses for H-field, two categories are considered for comparison: “discharge to waist” (DS1 and DS3) and “discharge to hand” (DS2 and DS4). Each category has the same body impedance (discharge current path) is the, however, different distances between the H-field sensor and the discharge location. The H-field intensity for the scenario with a shorter distance to the discharge location is likely larger than the other one. Therefore, DS1 and DS2 are expected to have greater H-field intensity than DS3 and DS4, respectively. To evaluate this assumption, the effect of sensor position in each category are compared between the two discharge scenarios: DS1 vs. DS3, in “discharge to waist category”, and DS2 vs. DS4 in “discharge to hand category”. In each analysis, the results of the discharge scenarios are compared with the H-field data obtained from the ESD gun at two distances from the discharge point: “10cm distance to the sensor”, and “40cm distance to the sensor”. In the second and third analysis, where the peak ESD current or its maximum derivative is the independent variable, the Ampere’s law estimation is plotted as a function of the discharge current or its derivative. The Ampere’s law estimation for the H-field as a function of the peak current is expressed in equation (1): πΌ π»= (1) 2ππ Equation (2) describes the relation between the maximum derivative of the H-field and the derivative of the current waveform with respect to time: ππ» ππ‘ = ππ ππ‘ ( ) 2ππ (2) In these two equations, πΌ is the peak current, and r is the distance between the discharge location and the H-field sensor Figure 10 shows the maximum H-field intensity as a function of the applied voltage (i.e., subject’s body voltage for discharge to waist (DS1 and DS3) and discharge to hand (DS2 and DS4)), compared with the results of the ESD gun. Based on the distance between the discharge location and the H-field sensor, results of DS1, and DS2 are expected to be close to the result of the ESD gun at 10 cm, and both are expected to be larger than the results of the ESD gun at 40 cm, as well as DS3 and DS4. The results of Figure 10 shows that DS3 and DS4 data are close to the ESD gun results at 40 cm as expected, however, slightly lower. This result could be attributed to the resistance of the air gap in the DS3 and DS4 scenarios compared to the sparkless discharges in the ESD gun calibration tests. In most ESD voltages, DS1 and DS2 results are slightly greater than DS3, and DS4 respectively, as well as the ESD gun results at 40cm. However, DS1 and DS2 results are much lower than the ESD gun results at 10 cm. The results show a clear discrepancy between the ESD gun results at 40cm compared to 10cm. However, for the human body tests, this difference between the two distances is not as large as the ESD gun. This result implies that the H-field at the vicinity of the discharge location on the human body (DS1 or DS2) is lower than our expectation, possibly due to geometry factors. It is to be noted that the lower maximum H-field results from human body discharges compared to the worst-case discharges from the calibration setup, does not necessarily mean that the realistic discharges are less severe than ESD testing of actual wearable devices according to the IEC 61000-4-2 standard Only if the realistic discharges are even more severe than the ESD gun calibration results, a meaningful conclusion can be drawn about the effectiveness of the standard setup for ESD immunity during usage. Fluctuations in the results of DS1 to DS4 can be attributed to different spark lengths that leads to variations in the discharge current and therefore, the H-field results. However, the results of the contact-mode calibration of the ESD gun at both 10cm and 40cm fit well with linear relationships. Previous literature [21], [22] have argued that the transient H-field intensity in contact mode ESD, have a reciprocal relationship with the distance from the current target, as expressed in equation 3: 1 π»∝( ) (3) π where r is the distance. Thus, in our case, the ratio of the Hfield results at 10 cm to 40 cm, is expected to be around 4, assuming the same discharge current in both scenarios due to similar body impedance (i.e., discharge path). To investigate this relationship, two linear fits were found on the ESD gun results as shown in Figure 10 The ratio between the slopes of 7.76 the two lines is = 3.99, which is very close to the expected 1.99 IEEE TRANSACTIONS ON ELECTROMAGNETIC COMPATIBILITY 7 Figure 11. Max H-field as a function of ESD voltage for DS1, DS3 (a) and DS2, DS4 (b) Figure 10. Max H-field as a function of maximum peak current for DS1, DS3 (a) and DS2, DS4 (b) Figure 12. Max H-field derivative as a function of current derivative for DS1, DS3 (a), and DS2, DS4 (b), compared to the ESD gun and the Ampere's law estimation result of 4. 2) Max H-field vs. max ESD current Figure 11 shows the transient H-field peak values as a function of the peak ESD current for the four discharge scenarios compared with the ESD gun. Results. The Ampere’s law estimations are also shown at 10cm (red line) and 40cm (blue line) away from the discharge point. DS1 and DS2 data are far from both the ESD gun results and the Ampere’s law IEEE TRANSACTIONS ON ELECTROMAGNETIC COMPATIBILITY 8 estimation at 10 cm. At 40 cm, however, the H-field results of DS3 and DS4 are close to both the Ampere’s law estimation and the ESD gun results. DS1 results are also close to the results at 40 cm, however, the majority of DS2 data points are between the Ampere’s law estimation at 10cm and the ESD gun results at 40 cm, and do not fit well with either of the two lines. The data obtained for the maximum H-field of ESD gun at 10 cm is above all the other results and the ratio of the slope of 2.28 its fitted line to that of the ESD gun at 40cm is = 3.93, 0.58 which is close to the expected result of 4. As the discharge current increases, the gap between the ESD gun results and the Ampere’s law increases, however, the ESD gun at 10 cm deviates faster than at 40 cm. These deviations could be due to the effects of nonlinearities of the spark and complex geometry near the discharge location. the maximum transient H-field intensity at 40cm away from the discharge location for the discharge scenarios. The derivative of the Ampere’s law also provided acceptable estimations 3) Max H-field derivative vs. current [2] Figure 12 shows the maximum H-field derivative results as a function of the maximum current derivative. Similar to previous plots, the ESD gun results at 10 cm show the largest values among all. However, in contrast to previous results, DS1 results are well correlated with the Ampere’s law assumption at 10 cm, even at high levels of the current derivative. DS3 results are between ESD gun results at 40cm and Ampere’s law estimation at the same distance. DS4 data points correlate well with the Ampere’s law estimation at 40m, except a few points between 13A to 20A, where the data fit better with the ESD gun results at 40 cm. The ratio of the slopes of ESD 3.79 gun results at 40 cm to 10 cm is = 3.05. Thus, the 1.24 maximum derivatives of the H-field do not follow a ππ» REFERENCES [1] [3] [4] [5] [6] 1 ( ) relationship, similar to H-field intensity. π IV. CONCLUSIONS Immunity of wearable medical devices against ESD events during usage is critical as any malfunction may jeopardize patient health. The FDA recommends manufacturers of wearable medical devices to qualify their products using the IEC 61000-4-2 standard test method for ESD immunity. When qualifying a DUT using the IEC 61000-4-2 standard, the currents will most likely be smaller than the current during calibration. Thus, observing currents in real discharge scenarios that are even larger than the calibration current, indicates that the test setup used for body-worn medical equipment (tabletop setup according to IEC 61000-4-2) cannot provide sufficient ESD immunity for wearable medical devices. The results of our study confirm this hypothesis as the peak and the maximum derivative of the discharge current obtained from realistic discharge scenarios were larger than the most severe ESDs obtained from the calibration setup of an ESD gun. Analyzing the transient H-field results revealed that the maximum intensity and derivative of the H-field from an ESD gun at 10cm away from the discharge location are greater than realistic discharge scenarios investigated in this study. 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