Status
Published
Publication Date
22-Oct-2026
Current Stage
6060 - Document made available - Publishing
Start Date
23-Oct-2026
Due Date
29-Oct-2027
Completion Date
23-Oct-2026

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Amendment

EN IEC 60601-2-28:2020/A1:2026

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EN IEC 60601-2-28:2019/A1:2026 is CLC’s amendment to the IEC 60601-2-28 standard for X-ray tube assemblies used in medical diagnosis. It updates the particular requirements for basic safety and essential performance, mainly for manufacturers, test organizations, and others who specify, mark, document, or verify this equipment. The amendment aligns the text with newer IEC references and clarifies several safety, radiation-protection, and documentation points.

What does EN IEC 60601-2-28:2019/A1:2026 specify?

EN IEC 60601-2-28:2019/A1:2026 specifies changes to the European adoption of Part 2-28 for X-ray tube assemblies for medical diagnosis. It is an amendment, so it revises selected subclauses of the existing part rather than replacing the whole document.

The amendment updates the links to the general IEC 60601 series, the collateral radiation-protection standard, the focal-spot and filtration references, and several product-information requirements. It also revises Annex AA, the bibliography, and the index of defined terms.

What are the key requirements of EN IEC 60601-2-28:2019/A1:2026?

Marking and identification

Clause 201.7.2.101 requires X-RAY TUBES to show the MANUFACTURER name or trademark, a MODEL OR TYPE REFERENCE, and individual identification. The markings must stay clearly legible over the expected service life, which matters because the tube has to be traceable back to its documents during service, repair, and acceptance checking.

Clause 201.7.3.7 says supply terminals must be marked adjacent to the terminals unless the design prevents interchange or interchange would not create an unacceptable RISK. In practice, this tells designers when terminal marking is needed and when the design itself provides the protection.

Clause 201.7.9.3.101 expands the technical description. It requires information on compatible supply equipment and HIGH-VOLTAGE GENERATOR(S), the required high voltage, ELECTRON emitter supply, beam-control supply functions, ANODE rotation supply where relevant, CATHODE emission characteristics, removable HIGH VOLTAGE connectors, auxiliary equipment, and any additional supply interfaces needed for safe operation and captured in the RISK MANAGEMENT FILE.

Safety, temperature, and usability-related approach

Clause 201.7.9.1 replaces the usability note with a risk-based approach. The amendment states that the USABILITY ENGINEERING PROCESS is not applicable for an X-RAY TUBE ASSEMBLY and points instead to the RISK MANAGEMENT PROCESS based on ISO 14971:2019 and ISO/TR 24971:2020. For users, that means usability concerns are handled through risk analysis and intended-use thinking rather than the separate usability process used elsewhere in IEC 60601.

Clause 201.11.1.1 sets a temperature limit for painted metal surfaces that may be touched unintentionally for up to 1 second during NORMAL USE. Clause 201.13.1.2 also uses a 1-second touch assumption when judging enclosure or temperature-related emission requirements. In practice, manufacturers need to classify touchable surfaces and document how they measured them.

Radiation protection and filtration

Clause 203.6.7.3 says the NOMINAL FOCAL SPOT VALUES of the X-RAY TUBE(S) FOCAL SPOT(S) in the equipment shall be stated according to IEC 60336. Clause 203.7.3 requires the X-RAY TUBE ASSEMBLY to be marked with PERMANENT FILTRATION according to IEC 60522-1:2020, or with the relevant material thicknesses and chemical symbols. That means the tube’s radiation output and filtration data must be stated in a way that supports compliance and comparison.

Clause 203.8.3 limits the DIAPHRAGM so the radiation aperture is no larger than needed for the largest X-RAY BEAM across the intended applications, and the material defining the aperture should be placed as close as practicable to the FOCAL SPOT. Compliance is checked by verifying the design data, so the design file matters as much as the physical build.

Clause 201.17 says the MANUFACTURER is not required to check conformity with IEC 60601-1-2 on the stand-alone X-RAY TUBE ASSEMBLY. This narrows the responsibility at the tube-assembly level and helps separate tube assessment from system-level EMC work.

What terms does EN IEC 60601-2-28:2019/A1:2026 define?

  • X-RAY TUBE ASSEMBLY - the product covered by the part; the standard sets tube-specific safety and documentation requirements for medical diagnosis.
  • HIGH-VOLTAGE GENERATOR - the source that provides the high voltage needed to operate the tube assembly and must be identified in the technical description.
  • RISK MANAGEMENT FILE - the file that records the safety justification for additional interfaces or design choices needed for safe operation.
  • QUALITY EQUIVALENT FILTRATION - the filtration concept linked to diagnostic X-ray quality, with methods referenced to IEC 60522-1:2020.
  • RADIATION APERTURE - the opening that shapes the beam; its size and placement are controlled by Clause 203.8.3.
  • X-RAY BEAM - the emitted beam whose size and application range determine the diaphragm limit.
  • USABILITY - a defined term carried over from the general IEC 60601 framework, but the amendment routes usability considerations through risk management for this product.

Who uses EN IEC 60601-2-28:2019/A1:2026?

Manufacturers of X-RAY TUBE ASSEMBLIES use this standard to define markings, technical data, filtration information, and safety-related design choices. Test organizations use it when checking temperature, identification, radiation-protection, and documentation-related points.

Regulatory and quality staff use it to review conformity files, risk management records, and product descriptions. System integrators and medical imaging equipment designers use it when selecting compatible supply equipment, HIGH-VOLTAGE GENERATOR(S), and auxiliary equipment. Buyers and technical evaluators use it to compare tube assemblies by documented performance and safety information.

What changed in EN IEC 60601-2-28:2019/A1:2026 from the previous edition?

This amendment to IEC 60601-2-28:2017 updates references to IEC 60601-1-3, IEC 60336, and IEC 60522-1:2020, and aligns the text with IEC 60601-1:2005/AMD2:2020. It revises marking, technical-description, temperature, EMC, and radiation-protection wording, and it updates Annex AA terminology from filament-based wording to ELECTRON emitter wording. The foreword says it was prepared to provide a complete set of safety requirements for X-RAY TUBE ASSEMBLIES and to correct references to actual standards.

Which standards are used with EN IEC 60601-2-28:2019/A1:2026?

  • IEC 60601-1-3:2008 / AMD1:2013 / AMD2:2021 - provides the collateral radiation-protection requirements used throughout the amendment.
  • IEC 60336 - gives the basis for focal spot dimensions and related characteristics, including nominal focal spot values.
  • IEC 60522-1:2020 - provides methods for quality equivalent filtration and permanent filtration.
  • ISO 14971:2019 and ISO/TR 24971:2020 - support the risk-management approach used for usability-related considerations.
  • IEC 60806:2022 - is the reference for stating the maximum symmetrical radiation field when that value is given.
  • IEC 60601-1-2 and IEC 60601-1-6 - are named in the text to clarify stand-alone EMC and usability handling for X-RAY TUBE ASSEMBLIES.

What does the EN IEC 60601-2-28:2019/A1:2026 document contain?

The amendment contains replacement text for several clauses, not a complete standalone test method. Its content focuses on updated references, marking rules, technical-description items, temperature notes, and radiation-protection requirements.

It also revises Annex AA general considerations, especially terminology around ELECTRON emitter supply. The bibliography is updated with the standards and guidance documents used by the amended requirements.

The document also includes an updated index of defined terms for items such as ELECTRON, RADIATION APERTURE, RADIATION FIELD, X-RAY BEAM, and QUALITY EQUIVALENT FILTRATION.

Relations

Effective Date
13-Oct-2026
Effective Date
13-Oct-2026
Effective Date
13-Oct-2026
Effective Date
13-Oct-2026
Effective Date
13-Oct-2026
Effective Date
13-Oct-2026
Effective Date
27-Oct-2026
Effective Date
27-Oct-2026
Effective Date
27-Oct-2026
Effective Date
23-Sep-2025

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Amendment

EN IEC 60601-2-28:2020/A1:2026

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Frequently Asked Questions

EN IEC 60601-2-28:2019/A1:2026 is a amendment published by CLC. Its full title is "Medical electrical equipment - Part 2-28: Particular requirements for the basic safety and essential performance of X-ray tube assemblies for medical diagnosis". This standard covers: Medical electrical equipment - Part 2-28: Particular requirements for the basic safety and essential performance of X-ray tube assemblies for medical diagnosis

Medical electrical equipment - Part 2-28: Particular requirements for the basic safety and essential performance of X-ray tube assemblies for medical diagnosis

EN IEC 60601-2-28:2019/A1:2026 is classified under the following ICS (International Classification for Standards) categories: 11.040.55 - Diagnostic equipment. The ICS classification helps identify the subject area and facilitates finding related standards.

EN IEC 60601-2-28:2019/A1:2026 has the following relationships with other standards: It is inter standard links to EN 60601-1-3:2008/A1:2013, EN IEC 60336:2021, EN IEC 60522-1:2021, EN 60601-1-3:2008, EN 60601-1-3:2008/A2:2021, EN IEC 60806:2023, EN 13718-1:2008, EN 1789:2007+A2:2014, EN 1789:2007+A1:2010, EN IEC 60601-2-28:2019. Understanding these relationships helps ensure you are using the most current and applicable version of the standard.

EN IEC 60601-2-28:2019/A1:2026 is available in PDF format for immediate download after purchase. The document can be added to your cart and obtained through the secure checkout process. Digital delivery ensures instant access to the complete standard document.

Standards Content (Sample)


SLOVENSKI STANDARD
01-december-2026
Medicinska električna oprema - 2-28. del: Posebne zahteve za osnovno varnost in
bistvene lastnosti rentgenskih sestavov za medicinsko diagnostiko - Dopolnilo A1
(IEC 60601-2-28:2017/AMD1:2026)
Medical electrical equipment - Part 2-28: Particular requirements for the basic safety and
essential performance of X-ray tube assemblies for medical diagnosis (IEC 60601-2-
28:2017/AMD1:2026)
Medizinische elektrische Geräte - Teil 2-28: Besondere Festlegungen für die Sicherheit
einschließlich der wesentlichen Leistungsmerkmale von Röntgenstrahlern für die
medizinische Diagnostik (IEC 60601-2-28:2017/AMD1:2026)
Appareils électromédicaux - Partie 2-28: Exigences particulières pour la sécurité de base
et les performances essentielles des gaines équipées pour diagnostic médical (IEC
60601-2-28:2017/AMD1:2026)
Ta slovenski standard je istoveten z: EN IEC 60601-2-28:2019/A1:2026
ICS:
11.040.50 Radiografska oprema Radiographic equipment
11.040.55 Diagnostična oprema Diagnostic equipment
2003-01.Slovenski inštitut za standardizacijo. Razmnoževanje celote ali delov tega standarda ni dovoljeno.

EUROPEAN STANDARD EN IEC 60601-2-28:2019/A1

NORME EUROPÉENNE
EUROPÄISCHE NORM October 2026
ICS 11.040.55
English Version
Medical electrical equipment - Part 2-28: Particular requirements
for the basic safety and essential performance of X-ray tube
assemblies for medical diagnosis
(IEC 60601-2-28:2017/AMD1:2026)
Appareils électromédicaux - Partie 2-28: Exigences Medizinische elektrische Geräte - Teil 2-28: Besondere
particulières pour la sécurité de base et les performances Festlegungen für die Sicherheit einschließlich der
essentielles des gaines équipées pour diagnostic médical wesentlichen Leistungsmerkmale von Röntgenstrahlern für
(IEC 60601-2-28:2017/AMD1:2026) die medizinische Diagnostik
(IEC 60601-2-28:2017/AMD1:2026)
This amendment A1 modifies the European Standard EN IEC 60601-2-28:2019; it was approved by CENELEC on 2026-10-21. CENELEC
members are bound to comply with the CEN/CENELEC Internal Regulations which stipulate the conditions for giving this amendment the
status of a national standard without any alteration.
Up-to-date lists and bibliographical references concerning such national standards may be obtained on application to the CEN-CENELEC
Management Centre or to any CENELEC member.
This amendment exists in three official versions (English, French, German). A version in any other language made by translation under the
responsibility of a CENELEC member into its own language and notified to the CEN-CENELEC Management Centre has the same status as
the official versions.
CENELEC members are the national electrotechnical committees of Austria, Belgium, Bulgaria, Croatia, Cyprus, the Czech Republic,
Denmark, Estonia, Finland, France, Germany, Greece, Hungary, Iceland, Ireland, Italy, Latvia, Lithuania, Luxembourg, Malta, the
Netherlands, Norway, Poland, Portugal, Republic of North Macedonia, Romania, Serbia, Slovakia, Slovenia, Spain, Sweden, Switzerland,
Türkiye and the United Kingdom.

European Committee for Electrotechnical Standardization
Comité Européen de Normalisation Electrotechnique
Europäisches Komitee für Elektrotechnische Normung
CEN-CENELEC Management Centre: Rue de la Science 23, B-1040 Brussels
© 2026 CENELEC All rights of exploitation in any form and by any means reserved worldwide for CENELEC Members.
Ref. No. EN IEC 60601-2-28:2019/A1:2026 E

European foreword
The text of document 62B/1396/CDV, future edition 3 of IEC 60601-2-28/AMD1, prepared by SC 62B
"Medical imaging equipment, software, and systems" of IEC/TC 62 "Medical equipment, software, and
systems" was submitted to the IEC-CENELEC parallel vote and approved by CENELEC as
The following dates are fixed:
• latest date by which the document has to be implemented at national (dop) 2027-10-31
level by publication of an identical national standard or by endorsement
• latest date by which the national standards conflicting with the (dow) 2029-10-31
document have to be withdrawn
Attention is drawn to the possibility that some of the elements of this document may be the subject of
patent rights. CENELEC shall not be held responsible for identifying any or all such patent rights.
Any feedback and questions on this document should be directed to the users’ national committee. A
complete listing of these bodies can be found on the CENELEC website.
Endorsement notice
The text of the International Standard IEC 60601-2-28:2017/AMD1:2026 was approved by CENELEC
as a European Standard without any modification.
In the official version, for Bibliography, the following notes have to be added for the standard indicated:
IEC 60601-1-2 NOTE Approved as EN 60601-1-2
IEC 60601-1-6 NOTE Approved as EN 60601-1-6
IEC 60601-1-8 NOTE Approved as EN 60601-1-8
ISO 13732-1:2006 NOTE Approved as EN ISO 13732-1:2008 (not modified)
Annex ZA
(normative)
Normative references to international publications
with their corresponding European publications
The following documents are referred to in the text in such a way that some or all of their content
constitutes requirements of this document. For dated references, only the edition cited applies. For
undated references, the latest edition of the referenced document (including any amendments)
applies.
NOTE 1  Where an International Publication has been modified by common modifications, indicated by (mod),
the relevant EN/HD applies.
NOTE 2  Up-to-date information on the latest versions of the European Standards listed in this annex is available
here: www.cencenelec.eu.
Replace the following references:
Publication Year Title EN/HD Year
IEC 60601-1-3 2008 Medical electrical equipment - Part 1-3: EN 60601-1-3 2008
General requirements for basic safety and
essential performance - Collateral Standard:
Radiation protection in diagnostic X-ray
equipment
- - + corrigendum Mar. 2010
+ A1 2013 + A1 2013
- - + AC 2014
- - + A11 2016
+ A2 2021 + A2 2021
- - + A12 2026
IEC 60336 - Medical electrical equipment - X-ray tube EN IEC 60336 -
assemblies for medical diagnosis - Focal spot
dimensions and related characteristics
IEC 60522-1 - Medical electrical equipment - Diagnostics X- EN IEC 60522-1 -
rays - Part 1: Determination of quality
equivalent filtration and permanent filtration
Add the following reference:
Publication Year Title EN/HD Year
IEC 60806 - Determination of the maximum symmetrical EN IEC 60806 -
radiation field of X-ray tube assemblies and X-
ray source assemblies for medical diagnosis

IEC 60601-2-28 ®
Edition 3.0 2026-09
INTERNATIONAL
STANDARD
AMENDMENT 1
Medical electrical equipment -
Part 2-28: Particular requirements for the basic safety and essential performance
of X-ray tube assemblies for medical diagnosis
ICS 11.040.55  ISBN 978-2-8327-1479-9

IEC 60601-2-28:2017-06/AMD1:2026-09(en)

IEC 60601-2-28:2017/AMD1:2026 © IEC 2026
INTERNATIONAL ELECTROTECHNICAL COMMISSION
____________
Medical electrical equipment -
Part 2-28: Particular requirements for the basic safety and essential
performance of X-ray tube assemblies for medical diagnosis

AMENDMENT 1
FOREWORD
1) The International Electrotechnical Commission (IEC) is a worldwide organization for standardization comprising
all national electrotechnical committees (IEC National Committees). The object of IEC is to promote international
co-operation on all questions concerning standardization in the electrical and electronic fields. To this end and
in addition to other activities, IEC publishes International Standards, Technical Specifications, Technical Reports,
Publicly Available Specifications (PAS) and Guides (hereafter referred to as "IEC Publication(s)"). Their
preparation is entrusted to technical committees; any IEC National Committee interested in the subject dealt with
may participate in this preparatory work. International, governmental and non-governmental organizations liaising
with the IEC also participate in this preparation. IEC collaborates closely with the International Organization for
Standardization (ISO) in accordance with conditions determined by agreement between the two organizations.
2) The formal decisions or agreements of IEC on technical matters express, as nearly as possible, an international
consensus of opinion on the relevant subjects since each technical committee has representation from all
interested IEC National Committees.
3) IEC Publications have the form of recommendations for international use and are accepted by IEC National
Committees in that sense. While all reasonable efforts are made to ensure that the technical content of IEC
Publications is accurate, IEC cannot be held responsible for the way in which they are used or for any
misinterpretation by any end user.
4) In order to promote international uniformity, IEC National Committees undertake to apply IEC Publications
transparently to the maximum extent possible in their national and regional publications. Any divergence between
any IEC Publication and the corresponding national or regional publication shall be clearly indicated in the latter.
5) IEC itself does not provide any attestation of conformity. Independent certification bodies provide conformity
assessment services and, in some areas, access to IEC marks of conformity. IEC is not responsible for any
services carried out by independent certification bodies.
6) All users should ensure that they have the latest edition of this publication.
7) No liability shall attach to IEC or its directors, employees, servants or agents including individual experts and
members of its technical committees and IEC National Committees for any personal injury, property damage or
other damage of any nature whatsoever, whether direct or indirect, or for costs (including legal fees) and
expenses arising out of the publication, use of, or reliance upon, this IEC Publication or any other IEC
Publications.
8) Attention is drawn to the Normative references cited in this publication. Use of the referenced publications is
indispensable for the correct application of this publication.
9) IEC draws attention to the possibility that the implementation of this document may involve the use of (a)
patent(s). IEC takes no position concerning the evidence, validity or applicability of any claimed patent rights in
respect thereof. As of the date of publication of this document, IEC had not received notice of (a) patent(s), which
may be required to implement this document. However, implementers are cautioned that this may not represent
the latest information, which may be obtained from the patent database available at https://patents.iec.ch [and/or]
www.iso.org/patents. IEC shall not be held responsible for identifying any or all such patent rights.
Amendment 1 to IEC 60601-2-28:2017 has been prepared by subcommittee 62B: Medical
imaging equipment, software, and systems, of IEC technical committee 62: Medical equipment,
software, and systems.
The text of this Amendment is based on the following documents:
Draft Report on voting
62B/1396/CDV 62B/1409/RVC
Full information on the voting for its approval can be found in the report on voting indicated in
the above table.
IEC 60601-2-28:2017/AMD1:2026 © IEC 2026
The language used for the development of this Amendment is English.
This document was drafted in accordance with ISO/IEC Directives, Part 2, and developed in
accordance with ISO/IEC Directives, Part 1 and ISO/IEC Directives, IEC Supplement, available
at www.iec.ch/members_experts/refdocs. The main document types developed by IEC are
described in greater detail at www.iec.ch/publications/.
The committee has decided that the contents of this document will remain unchanged until the
stability date indicated on the IEC website under webstore.iec.ch in the data related to the
specific document. At this date, the document will be
– reconfirmed,
– withdrawn, or
– revised.
NOTE The attention of National Committees is drawn to the fact that equipment MANUFACTURERS and testing
organizations may need a transitional period following publication of a new, amended or revised IEC publication in
which to make products in accordance with the new requirements and to equip themselves for conducting new or
revised tests. It is the recommendation of the committee that the content of this publication be adopted for
implementation nationally not earlier than 3 years from the date of publication.

___________
INTRODUCTION
This first amendment to the third edition of IEC 60601-2-28 has been prepared to provide a
complete set of safety requirements for X-RAY TUBE ASSEMBLIES, based on the second
amendment (2020) to IEC 60601-1:2005 and associated collateral standards. It corrects
references to actual standards (e.g. IEC 60336, IEC 60522-1, and the IEC 60601 series) and
clarifies single requirements within the standard.
Users of this document should note that when constructing the dated references to specific
elements in a standard, such as definitions, amendments are only referenced if they modified
the text being cited. For example, if a reference is made to a definition that has not been
modified by an amendment, then the reference to the amendment is not included in the dated
reference.
___________
201.1 Scope, object and related standards
Replace, in the existing footnote 1, "IEC 60601-1:2005 and IEC 60601-1:2005/AMD1:2012",
with "IEC 60601-1:2005, IEC 60601-1:2005/AMD1:2012 and IEC 60601-1:2005/AMD2:2020".
201.1.3 Collateral standards
Replace, in the existing second paragraph of the Addition, "IEC 60601-1-3:2008 and
IEC 60601-1-3:2008/AMD1:2013 applies as modified in Clause 203.", with
"IEC 60601-1-3:2008, IEC 60601-1-3:2008/AMD1:2013 and IEC 60601-1-3:2008/AMD2:2021
apply as modified in Clause 203.".
IEC 60601-2-28:2017/AMD1:2026 © IEC 2026
201.1.4 Particular standards
Replace, in the existing third paragraph of the Replacement, "IEC 60601-1:2005 and
IEC 60601-1:2005/AMD1:2012", with "IEC 60601-1:2005, IEC 60601-1:2005/AMD1:2012 and
IEC 60601-1:2005/AMD2:2020".
Replace, in the existing eighth paragraph of the Replacement, "3.147" with "3.154".
201.2 Normative references
Replace the existing reference of the Replacement "IEC 60601-1-3:2008" with:
IEC 60601-1-3:2008, Medical electrical equipment - Part 1-3: General requirements for basic
safety and essential performance - Collateral Standard: Radiation protection in diagnostic X-ray
equipment
IEC 60601-1-3:2008/AMD1:2013
IEC 60601-1-3:2008/AMD2:2021
Replace the existin
...