Presented by :Shalini Dey

Department of Biomedical EngineeringNetaji Subhash Engineerimg College

HOSPITAL TRAINING ON BIOMEDICAL INSTRUMENTS AND EQUIPMENTS AT

WOODLANDS MULTISPECIALITY HOSPITAL

More than100 bedded multispecialty hospital,located at Alipore road, kolkata, having all the modern facilities and latest equipments.The Departments are:Department of Critical care unitDepartment of endoscopyDepartment of radiologyDialysisOperation theatreWomen and child care unitENT UrologyNeurologyOpthalmology DentalCSSD

Roles of a Biomgedical Engineer

Head of the Department Senior / junior Biomedical Engineer

Planning

Decision making

Evaluation & inspection

organizing

Maintaining contract services

(A.M.C / C.M.C)

Keeping Records

Breakdown

Operational check-ups

Technical support

Monitoring

Preventive Maintenance

Callibration

Some important equipments and their maintenance:

BEDSIDE MONITOR

PHILIPS INTELLIVUE MP 20

•Displays real-time data (Vital parameters) Vital parameters are: Blood pressure Temperature ECG Oxygen Saturation•alarms in the case of patient or equipment problems•Touchscreen , with navigation option

Battery module

Some important equipments and their maintenance:

VENTILLATOR

MAQUET SERVO S VENTILLATOR

Easy to operate Volume/Pressure and Flow/Volume loopsSuction SupportAudible and visual alarms for patient safetyBack-up apnea function ensures safe ventilation in pressure support24 hours patients trends storage

EQUIPMENTS OF CRITICAL CARE UNIT

Some important equipments and their maintenance:

EQUIPMENTS OF CRITICAL CARE UNIT

DEFIBRILLATORPHILIPS DFM 100 DEFIBRILLATOR

• used on both adult and infant/child patients for defi brillation, monitoring, synchronized cardioversion or pacing. •An optional AED mode (including infant/child AED capability) • Optional parameters (SpO2, NBP, EtCO2) for continuous monitoring of patient vital signs•deliver upto 150J shock within 5 seconds – using the SMART biphasic therapy

OPERATIONAL CHRCK:

Pads or Paddles attatched to the therapy cable.ECG cable is attatched.Therapy Knob is turned to Monitor.Operational Check is selected and the Menu Select button is pressed. Run Operational Check is selected and the Menu Select button is pressed

Some important equipments and their maintenance:

DIALYSIS MACHINE:

FRESENIUS 4008S DIALYSIS MACHINE

• Single-needle or single-needle click-clack, ultrafiltration and sodium profiles•The automated acquisition, monitoring• Monitoring of dialysis dose by OCM (Online clearance monitoring and plasma sodium measurement)• Use of hygienic, dry bicarbonate concentrate, single-needle method and connection for central concentrate supply.

PREVENTIVE MAINTENANCE CHECKS:

Done from the company end.Emergency breakdown and pre – use checks done by biomedical engineer after every 24 hoursThings to be checked before use:•Dialyzer•Sample line•Concentrated solution flow•All tubings •Venous pressure•O-Rings

Some important equipments and their maintenance

EQUIPMENTS OF RADIOLOGY UNIT

X_RAY MACHINESIEMENS MULTIMOBIL 2.5 • High-quality images every day in mobile X-ray imaging• High power output of 16 kW/250 mA (optional: 20 kW/300 mA)• Minimum exposure time ≤ 4 ms for reduced motion blurring• Consistent image quality• Makes it easy to bring mobile X-ray imaging to the patient

ULTRASOUND MACHINE

•GE Logiq P5•Lightweight console ultrasound machine. •Ideal for OB/GYN, vascular, venous, abdominal and other general imaging needs.•It also features solid 4D OB/GYN imaging •Include Speckle Reduction Imaging, •Offers high quality B-Mode and Doppler Imaging with •Allows to acquire three-dimensional images in real time to reveal the smallest anatomical details with stunning image clarity.

COMPUTED TOMOGRAPHY MACHINE

SIEMENS SOMATOM DEFINITION•The scanner can perform a scan of the entire heart in just 250 milliseconds, less than half a heart beat, the scanner can image hearts with a fast pulse or an irregular beat•Less radiation dose•Increased contrast•High image quality

Some important equipments and their maintenance

EQUIPMENTS OF OPERATION THEATRE

Siemens Angiography Monitor

Maquet ALPHASTAR PRO OT Table

Angeniux ALM

Maquet HL20 Heart-Lung Machine

Drager Fabius PlusAnaesthesia Machine

Valleylab Force FX Surgical Diathermy

Other Equipments:

ENDOSCOPY SYSTEM

INFUSION PUMP & SYRINGE PUMP

BIPAP PHOTO THERAPY UNITPORTABLE SUCCTION APPARATUS

RADIANT WARMERS

Minor Breakdowns:

SL.No.Name of the Equipment

Description of Breakdown

Downtime Solution

Completed by

1.B.P

ApparatusB.P dial clock

not working 20 mins Dial clock changed Biomedical

2. centrifugeCarbon brush

used up30 mins Replaced with new carbon

brushBiomedical

3. OT lightOne blub not

working 30 mins Defected bulb is replaced Biomedical

4.Bedside Monitor

ECG waveform not displaying

2 hours ECG cable repaired Biomedical

5.Suction

ApparatusNot working 3 hours Clots cleared and one of

the leak diaphragm replaced by new one

Biomedical

6. larynxscope Light not working

2 hours Contact filed and repaired Biomedical

Major BreakdownSl. No.

Name of the Equipment

Description of breakdown

Downtime

Solution Completed by

1. Lithotripter Shocks not working

5 hours Magnetic shock emitterreplaced

Serviece Engineer

2. SurgicalDiathermy

Cutting operation not proper

1 day Improper flow of current due to breakage in current path, formation of air bubble in sample(miss use), training provided

Biomedical Engineer

3. Dialysis machine

Venous pressure not proper

1 day Repaired by service engineer

Service engineer

4. Fluoroscopic monitor

Black spot in display

1 day solved by service engineer (settings error)

Service engineer

5. USG Machine

Printer not working properly

1 day Repaired by service engineer

Service engineer

ConclusionI gained a lot from this training. It helped me to enhance my knowledge regarding the various equipments that are being used in the medical field in modern times. Advancement in the Bio Medical Instrumentation is one of the top technological advancements in this world. Many new technologies are still being under experimental phases and further studies are still going on. In coming future we are assured that the level of advancements in this field is going to be such that people will be just amazed about beautiful interaction between a machine and human body. With this advancements the responsibilities of clinical engineers are also increasing.

Acknowledgement:

Mr. Aloy Jyoti BhaumikAssistant Biomedical Engineer,

Woodlands multispeciality hospital

Mr.Gautam Kumar,HOD , Biomedical,Woodlands multispeciality hospital

Nandita NaskarCo-Intern

Netaji Subhash Engineering College

Dr. Sukumar RoyHOD, BiomedicalNetai Subhash Engineering College