The focus of the standard is on parts that are critical for safety and in particular parts that are used to protect against electric shock and other serious harm.
For the purpose of a third party test lab (not involved in the design) for other parts such as electronics (SMD capacitors, LDO, micros, resistors etc) it is assumed that a typical design will keep these well away from limits, mainly because there is not time to assess every parts, and because the parts are usually used well below specifications and are not located near heat sources. In special cases there might be for example a power resistor or power transistor, or electronics located near a heater that might get some attention from the lab, but otherwise it is assumed to be OK.
However, under Clause 4.8 and under normal condition, all parts should be used within specified temperatures. So if you know there is a 0402 capacitor that is getting to 108°C and the part manufacturer specifies the capacitor as maximum 85°C, it is a failure in IEC 60601-1, as well as being pretty bad design. The standard allows the use of risk management, but really there is no reasonable justification in this case.
Under abnormal/fault condition there is no temperature limits for electronic parts used in practice (in theory there is, but not in practice). The part itself can anyhow be considered to fail, and flammability is covered by the use of flame retardants in the PCB, wiring, case.
In the case of high risk systems (where faults in electronic control system could otherwise cause serious harm, death) there is normally a second independent system (protection system) that can prevent serious harm. Of course, consideration should be given to a single fault leading to both control and protection system electronic components exceeding temperature limits.