It's good that your equipment meets IEC60601-1, but what really matters here is the practicality of the situation.
Are you wondering if each item of equipment needs an isolating transformer ...?

Can we assume that the pendant you mention is in an operating theatre?
Is the pendant part of an isolated power system? Is there a LIM (what does it tell you)?
The RCCB(s) won't offer much protection against high leakage current(s), but rather against equipment faults (short to earth,
etc.). But having said that, 10 mA sounds a bit low to me. After all, the main reason (these days) for an isolated power system is to
prevent power interruptions (even in the event of "minor" equipment faults).
Where are you using the "system installed on mobile trolley"? Outside of the OR? You may or may not need an isolating transformer - it all depends on the total leakage current the system delivers.
How many items of equipment in the "system" on the trolley? Which items are they?
Lastly, how good is the electrical system in general where you are? Can you rely on decent earths, for example? And is neutral connected to earth - or floating about at some other level?
In short - more information required!
