Special Requirements for High Frequency Signal Transmission Harnesses for Medical Devices

Special Requirements for High Frequency Signal Transmission Harnesses in Medical Equipment

In modern medical equipment, high-frequency signal transmission harnesses play a crucial role – whether it is accurate medical imaging, real-time life monitoring, or precision control in minimally invasive surgery, they all rely on stable, interference-free high-frequency signal transmission.

However, the special characteristics of the medical environment make these harnesses face far more stringent requirements than ordinary industrial applications: ultimate signal integrity to ensure the accuracy of diagnostic data, strict safety standards to avoid the risk of patients and healthcare workers, excellent durability to deal with frequent disinfection and complex use of scenarios, as well as the industry’s mandatory certification to ensure that compliance and reliability.

In this article, we will analyse the key technical points of high-frequency wiring harnesses for medical devices, and help engineers, buyers and medical device manufacturers to accurately match their needs and create zero-defect medical-grade wiring harness solutions.

The following is a detailed breakdown:

Table of contents

  1. Signal integrity and anti-interference requirements
  2. Safety and biocompatibility
  3. Reliability and durability
  4. Industry Compliance and Certification
  5. Special application requirements
  6. Summaries

Signal Integrity and Anti-Interference Requirements

Ultrasound machine
  • Solution:
    • Low-loss media materials:
      • Use PTFE (polytetrafluoroethylene) or foamed polyethylene (Foam PE) as the insulating layer to reduce the dielectric constant (Dk) and loss factor (Df).
      • For example, MRI RF harnesses are commonly insulated with PTFE, and attenuation can be controlled to ≤0.1dB/m @100MHz.
    • High conductivity conductors:
      • Use of silver-plated copper wires (instead of pure copper or copper-clad aluminium) reduces the Skin Effect, which causes an increase in high-frequency resistance.
    • Optimised structural design:
      • Coaxial harnesses (e.g., RG-178) are better suited for GHz-level high-frequency signals than twisted-pair cables, reducing radiation losses.
  • Solution:
    • Multi-layer shielding structure:
      • Inner layer: Aluminium foil shielding (100% coverage) to suppress high frequency interference.
      • Outer layer: tinned copper braid (≥85% coverage) to cope with low-frequency interference.
      • Special scenarios: MRI harnesses need to use non-magnetic shielding materials (e.g. tinned copper).
    • Shielding grounding design:
      • Ensure that the shield is terminated 360° (e.g. metal connector housing) to avoid the Pigtail Effect of noise introduction.
    • Differential Signal Transmission:
      • Use twisted shielded wire (STP) for sensitive signals (e.g. ECG, neuroelectric signals) to eliminate interference through common mode rejection (CMR).
  • Solution:
    • Strict impedance tolerances:
      • 50Ω (RF) or 75Ω (video) coaxial cables are commonly used in medical equipment, and impedance fluctuations need to be controlled within ±2Ω.
    • Termination optimisation:
      • When using SMA, BNC and other high-frequency connectors, ensure that the interface impedance is consistent with the harness.
      • Avoid right-angle bends and use rounded alignment to reduce sudden impedance changes.
    • Time Domain Reflectometer (TDR) testing:
      • Detect the impedance consistency throughout the harness through TDR, locate abnormal points (such as impedance jumps caused by poor crimping).
  • Solution:
    • Individually Shielded Twisted Pair (ISTP):
      • Each pair of differential signal wires is individually shielded (e.g., endoscope video transmission lines).
    • Wire sequence and spacing optimisation:
      • High-frequency signal lines and low-voltage power lines are separated by layers, with spacing ≥ 5 times the wire diameter.
      • Adoption of Star Quad structure to enhance anti-interference capability.
    • Common Mode Choke:
      • Add a magnetic loop filter at the end of the harness to suppress common mode noise.

To ensure the reliability of the harness in real medical scenarios, the following tests need to be passed:

  • Network Analyser (VNA) test:
    • Measurement of S-parameters (S11 Return Loss, S21 Insertion Loss) to ensure return loss below -30dB @ 1GHz.
  • Eye Diagram test:
    • Evaluates jitter and noise tolerance of digital signals (e.g. endoscopic HDMI transmission).
  • EMC Testing:
    • Conforms to IEC 60601-1-2 standards, verifying the immunity of the harness to RF radiation (3V/m@80MHz-2.7GHz).

Safety and Biocompatibility

  • Resistant to chemical disinfectants:
    • Resistant to alcohol, isopropyl alcohol, hydrogen peroxide and other commonly used liquid disinfectants.
    • The outer skin material must not become brittle or cracked due to disinfectant soaking (e.g. silicone or special TPU materials).
  • Resistant to high temperature and high pressure sterilisation (Autoclave):
    • Some surgical instrument harnesses need to withstand 121°C high temperature steam sterilisation (e.g. PTFE insulation).
    • They remain flexible after long-term autoclaving (e.g. ETFE).
  • Resistant to radiation sterilisation:
    • No degradation of harness performance after gamma or ethylene oxide (ETO) sterilisation (e.g. halogen-free materials).
  • Conforms to ISO 10993:
    • Cytotoxicity test (ISO 10993-5): to ensure that the material does not inhibit cell growth (e.g. medical grade silicone).
    • Allergenicity test (ISO 10993-10): to avoid causing skin sensitisation (e.g. nickel-free connector plating).
    • Haemocompatibility testing (ISO 10993-4): to prevent haemolysis or thrombosis (e.g. cardiovascular device harnesses).
  • No Hazardous Substances:
    • Complies with RoHS 3.0 and REACH regulations, which prohibit the use of lead, cadmium, mercury, hexavalent chromium, and phthalates.
    • No PVC (polyvinyl chloride), which can release plasticisers (e.g. DEHP).
  • High voltage isolation design:
    • Surgical scalpel harnesses need to withstand ≥ 4kV high voltage to prevent breakdown (e.g. multi-layer silicone insulation).
    • Insulation resistance ≥ 100 MΩ (IEC 60601-1 standard).
  • Double insulation or reinforced insulation:
    • Redundant insulation structure (e.g. heat-shrink tubing + silicone sheath) in critical areas (e.g. joints).
  • Anti-short circuit design:
    • Multi-core wire harnesses need to be independently shielded to avoid conductor contact leading to short circuit (e.g. medical monitor harnesses).
  • IP protection rating:
    • Endoscope or ultrasound probe harnesses need to be IP67/IP68 (fully dustproof, waterproof for short-term immersion).
  • Corrosion-resistant materials:
    • Conductors are gold-plated or nickel-plated (oxidation-resistant) to avoid oxidation due to copper exposure (e.g. ECG electrode wires).
    • The outer jacket is hydrolysis resistant (e.g. PUR (polyurethane) material).
  • Sealing process:
    • Laser welded or injection moulded encapsulation at the joints (e.g. IPX8 standard for medical connectors).
  • No sharp edges or burrs:
    • The connector housing needs to be rounded (in accordance with IEC 60601-1 mechanical safety requirements).
  • Tensile design:
    • With Kevlar tensile fibre or spiral armouring (e.g. for bedside monitoring harnesses).
  • Flexible and low noise:
    • Avoid friction to generate noise (e.g. silent harnesses for operating theatres).

Reliability and Durability

  • Ultra-flexible conductor: Use multi-stranded fine stranded copper wires (e.g. 0.05mm diameter tinned copper wires) instead of single-core wires to improve bending performance.
  • Bend-resistant jacket: Use TPU (thermoplastic polyurethane) or silicone material to avoid PVC cracking due to repeated bending.
  • Bend radius optimisation: Dynamic applications (e.g. ultrasound probe wires) require a minimum bend radius of ≥5 times the wire diameter.
  • Fatigue test standard: Pass IEC 60601-1-11 durability test (e.g. signal degradation ≤3% after 50,000 bending cycles).
  • High temperature resistance:
    • Short-term resistance to 121°C autoclaving (e.g. silicone insulation).
    • Long-term resistance to 85°C (e.g. surgical light harnesses).
  • Low Temperature Flexibility: Flexibility at -40°C (e.g. Arctic medical equipment).
  • Material Selection:
    • Insulation: PTFE (polytetrafluoroethylene) resistant to temperatures of -200°C to 260°C, but costly; silicone resistant to temperatures of -60°C to 200°C, more commonly used.
  • Jacket: cross-linked polyethylene (XLPE) or fluorine rubber (FKM) chemical resistance.
  • Tensile reinforcement layer: Add aramid fibre or Kevlar fibre outside the shielding layer (tensile strength ≥200N).
  • Anti-extrusion structure: Spiral armour or metal braid to protect the internal wires (e.g. surgical robot harnesses).
  • Strain relief design: Strain relief sleeves are used at harness end connections (e.g., monitor lead wires).
  • Material anti-aging: add UV stabiliser (e.g. outdoor medical equipment harnesses).
  • Anti-oxidation treatment: Tin or silver plating of conductors to prevent oxidation (reduce contact resistance).
  • Plugging and unplugging durability: connectors plugged and unplugged ≥ 5000 times (e.g. ECG electrode wires).
  • Accelerated aging test:
    • 85°C/85% humidity environment test 1000 hours (simulate 10 years of use).
    • Salt spray test (ASTM B117) to verify corrosion resistance.
  • Scenario-based solutions:
Application ScenariosReliability ChallengesSolutions
Operating theatre electrosurgical wiresHigh-frequency currents cause local overheatingHigh-temperature-resistant silicone + double-layer shielding to prevent arc breakdown.
Mobile Monitoring EquipmentFrequent movement causes wear and tear on wire harnessesAbrasion-resistant nylon sheath + tensile braid.
Dental Handpiece HarnessesWater Vapour and Chemical CorrosionWaterproof IPX8 rated + Alcohol Resistant Material.
MRI Superconducting CoilsLiquid Helium Cryogenic Environment (-269°C)Superconducting Niobium-Titanium alloy wire + Vacuum insulation.

Industry Compliance and Certification

  • Core standards:
    • IEC 60601-1 (General requirements for basic safety and performance of medical electrical equipment)
      • Requirement for insulation withstand voltage (e.g. harnesses need to withstand 1500V AC/1 minute test).
      • Requires grounding continuity (impedance ≤ 0.1Ω).
      • Limit the temperature rise of the harness (e.g., long-term operation surface temperature ≤ 41°C).
    • IEC 60601-2-XX (additional standards for specific equipment, e.g. surgical robots, ultrasound machines, etc.).
  • IEC 60601-1-2 (EMC standard for medical equipment)
    • Radiated Emission (RE): Harness radiated noise needs to be below the limit (e.g. 30MHz~1GHz band).
    • Immunity Test: Including Electrostatic Discharge (ESD), Radio Frequency Interference (RFI), Electrical Fast Transient (EFT), etc.
      • For example, a wire harness needs to maintain signal stability in a 3V/m RF field.
  • CISPR 11 (Limits of radio nuisance characteristics for industrial/medical equipment).
  • ISO 10993 (Biological evaluation of medical devices)
    • Part 5: Cytotoxicity test (to ensure that the material is not cytotoxic).
    • Part 10: Skin sensitisation test.
    • Part 11: Systemic toxicity testing (e.g., soluble heavy metal precipitation limits).
  • USP Class VI (U.S. Pharmacopeia Standard for Biocompatibility of Plastic Materials).
  • RoHS 3.0 (European Union Restriction of Hazardous Substances Directive)
    • Restriction of lead (Pb), cadmium (Cd), mercury (Hg), hexavalent chromium (Cr⁶⁺) and other 10 types of substances.
  • REACH (Registration, Evaluation, Authorisation and Restriction of Chemicals in the European Union)
    • Requirement to declare SVHC (Substances of Very High Concern) content.
  • China GB/T 26572 (Restricted Substance Requirements for Electrical and Electronic Products).
  • Wiring harness for MRI equipment:
    • ASTM F2503 (MRI environmental safety marking to ensure non-magnetic materials).
    • IEC 60601-2-33 (special safety requirements for MRI equipment).
  • Surgical scalpel harness:
    • IEC 60601-2-2 (safety standard for high-frequency surgical equipment, withstanding high voltage ≥ 4kV).
  • Implantable device harnesses:
    • ISO 13485 (Medical Device Quality Management System Certification).
  • Electrical safety test:
    • Voltage withstand test, insulation resistance test, ground impedance test.
  • EMC test:
    • Radiated emission (RE), conducted emission (CE), immunity (EMS).
  • Environmental reliability test:
    • High and low temperature cycling (-40°C~85°C), humidity and heat aging (85°C/85%RH).
  • Mechanical performance test:
    • Bending life (e.g. ultrasonic harnesses need to pass 50,000 times bending test).

Certification requirements for medical harnesses vary in different countries/regions:

  • EU: CE marking (subject to MDR 2017/745 regulation).
  • USA: FDA 510(k) (some harnesses need to be declared as accessories).
  • China: NMPA registration (in accordance with GB 9706.1).
  • Japan: PMDA certification (based on JIS T 0601-1 standard).

Special Application Requirements

Medical Device TypesHigh Frequency Signal Transmission CharacteristicsKey Harness RequirementsRecommended Harness SolutionsIndustry Standard References
MRI (Magnetic Resonance Imaging) Systems– High-frequency RF signals (64MHz~1.5GHz)
– Strong magnetic field environment (1.5T~7T)
– Non-magnetic materials (e.g., silver-plated copper conductors)
– Ultra-high shielding effectiveness (≥90dB)
– Cryogenic tolerance (withstands -269°C liquid helium for superconducting coils)
– Low dielectric loss (PTFE insulation)
– Multi-layer shielded coaxial cables (e.g., gold-plated SMA connectors)
– Specialized superconducting gradient coil cables
ASTM F2503 (MRI safety marking)
IEC 60601-2-33
Ultrasound Diagnostic Equipment– High-frequency pulse signals (2MHz~20MHz)
– Multi-channel transmission (128~256 elements)
– Ultra-flexible design (bend cycles >100,000)
– Resistant to coupling gel corrosion (non-PVC jacket)
– Low signal delay (phase consistency ±5°)
– Miniaturization (probe cable diameter ≤1mm)
– Micro coaxial cables (e.g., RG178)
– Silicone-jacketed waterproof cables
IEC 61157 (acoustic output measurement)
ISO 10993-5 (biocompatibility)
Endoscopes (Electronic/Fiber Optic)– HD video signals (HDMI/CoaXPress)
– High-frequency electrosurgical signals (≥300kHz)
– Ultra-fine conductors (≤0.3mm single-core wire)
– Withstands autoclaving (121°C/15psi)
– Bend fatigue resistance (360° rotation tolerance)
– Fluid ingress protection (IP68 sealing)
– Silver-plated micro coaxial cables
– Hybrid fiber-optic/power cables
ISO 13485 (quality management)
AAMI ST91 (sterilization compatibility)
Electrosurgical Units (ESU)– High-frequency current (300kHz~3MHz)
– High-voltage pulses (peak ≥4kV)
– High-voltage insulation (silicone/ETFE materials)
– Low capacitance design (minimizes energy loss)
– Arc-resistant coating
– Dedicated monopolar/bipolar structures
– Dual-layer silicone-insulated cables
– Shielded high-frequency electrosurgical cables
IEC 60601-2-2 (electrosurgical safety)
UL 544 (electrical safety)
Patient Monitors (ECG/EEG)– Weak bioelectric signals (0.05Hz~10kHz)
– Motion artifact immunity
– High signal-to-noise ratio (≥85% shield coverage)
– Anti-static interference (conductive carbon coating)
– Skin-contact safety (nickel-free connectors)
– Lightweight (cable weight <50g/m)
– Silver-plated braided shielded cables
– Detachable ferrite bead filters
IEC 60601-2-27 (ECG equipment)
ANSI/AAMI EC53
Surgical Robots (e.g., Da Vinci System)– High-speed data (USB3.0/fiber optic)
– Real-time control signals (latency <1ms)
– High bandwidth (≥10Gbps)
– EMI resistance (twisted pair + foil shielding)
– Robotic arm motion tolerance (bend radius ≥5D)
– Modular plug-and-play design
– Hybrid fiber-optic/copper cables
– Robotic drag chain cables
ISO 13482 (robot safety)
IEC 61000-6-2 (EMC)
In Vitro Diagnostic Devices (PCR/Blood Analyzers)– High-frequency RF heating (PCR)
– Precision sensor signals (μV-level)
– Thermal cycling resistance (-20°C~120°C)
– Low thermal expansion coefficient (minimizes drift)
– Chemically inert materials (resists acids, blood)
– PTFE-insulated wires
– Sealed connectors (fluid splash-proof)
CLIA (lab standards)
ISO 15189

Summaries


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