The IP22 requirement in IEC 60601-1-11 is a bit of overreach and will probably be clarified in the future. Likely what the intention of the standard was to require that all devices undergo an IP22 test as an abnormal condition, in which generally essential performance is not required except in special cases (e.g. a high risk device that should continue to perform or shut down safety). And of course, any device that has exposure to liquids in normal condition should be designed and tested for those as a normal condition, and essential performance should remain (even for low risk devices). However, this aspect is already covered by 11.6 in the general standard.
It is not practical for many devices to work normally during or after in an IP22 test, which is a basic requirement of IEC 60529 (irrespective of any essential performance claim, see Clause 14.3, "water ... shall not ... interfere with normal operation ... "). For example, a common medical device used at home is a NIBP (non-invasive, cuff based, blood pressure). This kind of device could not reasonably perform during an IP test, or directly after the test (even with surface water removed), as the cuff would probably take days to dry effectively to the point where it doesn't affect sensitive pressure measurements.
However, if such a device has warnings against use with liquids, rain etc, using the umbrella mark (keep dry), then the IP22 test can be seen as an abnormal condition, for which it needs to be confirmed that the device does not catch on fire, cause shock or other basic safety issue.
Although the standard does refer to "essential performance", it is possible to define different levels of performance for different conditions. Under normal conditions, most devices should work normally. It is not reasonable to claim any device has no essential performance, although this is popular route. Rather, EP should be refined to cover different conditions, not a single blanket statement. Then, if the IP22 test is identified as an abnormal condition then it is plausible to claim "no essential performance" for that condition.
For a body worn device, there will potentially sweat and also rain. Therefore, the claim that IP22 is genuinely an "abnormal" condition would need to be carefully evaluated. If liquids are expected a waterproof design is reasonable and performance should be maintained under those conditions, even if low risk. It is nonsensical to have a medical device that cannot perform under reasonably expected normal conditions, regardless of the risk category. Note that the water exposure test condition could be refined to match the expected normal condition, if IP22 is considered excessive or not representative.