Medium-voltage circuit breakers rated between 1 and 72 kV may be assembled into metal-enclosed switchgear line ups for indoor use, or may be individual components installed outdoors in a substation. Medium-voltage circuit breakers nearly always use separate current sensors and protection relays, instead of relying on built-in thermal or magnetic overcurrent sensors. Medium-voltage circuit breakers can be classified by the medium used to extinguish the arc: vacuum, air and SF6.

Medium-voltage circuit breakers may be connected into the circuit by bolted connections to bus bars or wires, especially in outdoor switchyards. Medium-voltage circuit breakers in switchgear line-ups are often built with draw-out construction, allowing the breaker to be removed without disturbing the power circuit connections, using a motor-operated or hand-cranked mechanism to separate the breaker from its enclosure.

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