Yes, but I was trying to keep it simple. It's the
difference in impedances that is the crucial point. Traditionally, the LIM serves as a
warning that excessive "risk" currents would flow should the protective earth be lost.
ELIS has headed up this thread
Unearthed insulation system ... does he mean to say that there is
no protective "earth" in the theatre in question, I wonder? Isolated power systems should still have an earth. It's just that the L1 and L2 power lines are not referenced to it (in other words, they are "floating", but with 220 volts - or whatever - across them).
Whether it is wise to use in a patient environment..well, that is another question entirely!
... where else is it likely to be used?