Medical devices : use and safety / Bertil Jacobson and Alan Murray.

By:

Jacobson, Bertil

Contributor(s):

Murray, Alan, 1946-

Material type: Text

TextPublication details: Edinburgh : Churchill Livingstone, 2007.Description: xii, 376 pages : illustrations ; 24 cmISBN:

9780443102592 (pbk.) :
0443102597 (pbk.) :

Subject(s):

DDC classification:

610.28 JAC 22

Holdings
Item type	Current library	Call number	Status	Date due	Barcode
Standard Loan	Moylish Library Main Collection	610.28 JAC (Browse shelf(Opens below))	Available		39002100611251

Enhanced descriptions from Syndetics:

Patient safety is important to all health professionals, but fatal accidents occur with medical devices every year. This is the first book for people who use medical equipment, rather than for engineers or technicians. It will help personnel within healthcare to avoid accidents by bridging the gap between the design principles and the user. The book encourages safe use of a wide range of equipment, from simple thermometers and blood-pressure cuffs to complex equipment such as pacemakers, ventilators and patient monitors. Simple explanations of basic medical devices Case histories of real-life accidents to highlight risk areas Clear, attractive illustrations "Tips" boxes identify particular problems "Basic Facts" boxes supply fundamental information needed by all readers "Technology" boxes provide more-advanced explanations for interested or experienced readers

Formerly CIP. Uk

Table of contents provided by Syndetics

Preface (p. xi)
1 Safety in health care (p. 1)
Quality assurance (p. 3)
Safe medical devices (p. 3)
Device requirements (p. 5)
Devices of varying age (p. 5)
Initial inspection (p. 10)
Maintenance (p. 11)
Safe handling and operation (p. 13)
Training (p. 14)
Read the instructions for use (p. 16)
Alarms and indicators (p. 17)
Unexpected malfunctions (p. 17)
Watch over the patient (p. 18)
Believe the patient (p. 20)
Reporting (p. 21)
Summary (p. 24)
2 Mechanics and safety (p. 25)
Bed rails (p. 25)
Flawed mechanics (p. 27)
Removable parts and packaging (p. 30)
3 Electricity and safety (p. 33)
Macroshock and microshock (p. 34)
Macroshock (p. 34)
Microshock (p. 37)
Current, voltage and conductance (p. 37)
Conductance (p. 38)
Earth and protection classes (p. 42)
Earth fault circuit breakers and isolation transformers (p. 46)
Leakage currents (p. 46)
Biological effects of electromagnetic fields (p. 51)
High-frequency electromagnetic fields (p. 51)
Low-frequency electromagnetic fields (p. 51)
Electrostatic fields (p. 52)
Magnetic fields (p. 52)
Electromagnetic compatibility (p. 53)
Susceptibility to water (p. 54)
4 Gas, fire and heat (p. 57)
Gas technology (p. 57)
Medical gases (p. 57)
Medical gas devices (p. 62)
Oxygen concentrators (p. 72)
Evacuation of waste anaesthetic gases (p. 73)
Patient suction devices (p. 74)
Fire (p. 77)
Flammable gases and liquids (p. 77)
Oxidizing gases (p. 79)
Ordinary fires (p. 81)
Thermal injuries (p. 83)
Impaired states (p. 83)
Blood circulation shut off (p. 85)
5 Measurement techniques (p. 87)
Accuracy and precision (p. 89)
Measurement uncertainty (p. 90)
Characteristics of measuring devices (p. 92)
Measurement range (p. 92)
Sensitivity (p. 92)
Frequency-response characteristic (p. 92)
Stability (p. 92)
Signal-to-noise ratio (p. 93)
Electrical isolation (p. 93)
6 Measurement methods and values (p. 95)
Temperature (p. 95)
Thermometers (p. 96)
Incubators (p. 97)
Sound (p. 99)
Percussion (p. 100)
Auscultation (p. 102)
Pressure (p. 105)
Blood pressure (p. 106)
Blood flow (p. 112)
Central circulation (p. 112)
Peripheral circulation (p. 114)
Electrophysiology (p. 116)
Electrocardiography (p. 117)
Electroencephalography (p. 121)
Electromyography (p. 123)
Motor conduction velocity (p. 123)
Intensive care monitoring (p. 124)
Sensors and analytical instruments (p. 125)
Monitored functions (p. 126)
Fetal monitoring (p. 127)
Telemetry monitoring (p. 130)
7 Medical images (p. 133)
Types of images (p. 133)
Endoscopy (p. 134)
Principle (p. 135)
Use (p. 137)
Endoscopic surgery (p. 139)
Special optical methods (p. 143)
X-ray diagnostics (p. 144)
Principle (p. 145)
Computer tomography (p. 150)
Interventional radiology (p. 152)
Risks (p. 152)
Use (p. 154)
Bone mineral densitometry (p. 155)
Magnetic resonance imaging (p. 156)
Principle (p. 156)
Use (p. 160)
Nuclear medicine imaging (p. 161)
Principle (p. 161)
Risks (p. 161)
Use (p. 161)
Ultrasound diagnostics (p. 164)
Principle (p. 165)
Use (p. 171)
8 Ventilation (p. 173)
Ventilators (p. 174)
Manual breathing bags (p. 174)
Fundamental components of a ventilator (p. 175)
Ventilator use (p. 179)
Anaesthetic machines (p. 185)
Anaesthetic systems (p. 185)
Risks during anaesthesia (p. 187)
Oxygen treatment (p. 194)
Need for oxygen treatment (p. 194)
Risks (p. 195)
Treatment at home (p. 195)
Treatment with nitric oxide (p. 197)
Pressure chamber treatment (p. 197)
Incubators (p. 198)
Monitoring (p. 199)
Blood gas analysis (p. 199)
Pulse oximetry (p. 199)
Transcutaneous blood gas monitoring (p. 201)
Capnograpby (p. 201)
Monitoring during anaesthesia (p. 202)
9 Parenteral administration of drugs (p. 203)
Risk for hospital staff (p. 204)
Medical requirements (p. 204)
Infusion sets (p. 207)
Drop counters (p. 211)
Infusion pumps (p. 213)
Peristaltic pumps (p. 213)
Syringe pumps (p. 216)
Safety aspects (p. 217)
Risk of interference (p. 217)
Delays (p. 220)
Effects of various types of infusion solutions (p. 221)
Patient-controlled administration (p. 222)
Administration of insulin (p. 222)
Portable pumps for analgesia (p. 224)
Implantable devices (p. 225)
Injection ports (p. 226)
Catheters (p. 228)
Skin absorption (p. 229)
Safety hazards (p. 229)
10 Artificial organs and stimulators (p. 231)
Biomaterials (p. 231)
Orthopaedic prostheses (p. 235)
Types of prostheses (p. 235)
Fixation of prostheses (p. 235)
Cardiovascular prostheses (p. 237)
Vascular grafts (p. 237)
Valvular prostheses (p. 238)
Cardiac pumps (p. 239)
Artificial blood (p. 240)
Oxygenators (p. 240)
Dialysis machines (p. 241)
Haemodialysis (p. 242)
Haemofiltration (p. 244)
Peritoneal dialysis (p. 245)
Renal replacement therapy in intensive care (p. 246)
Extracorporeal immunoadsorption (p. 248)
Hearing aids (p. 248)
Types of hearing aids (p. 249)
Hearing implants (p. 252)
Voice aids (p. 253)
Pacemakers (p. 254)
Pacemaker types (p. 255)
Physiological rate regulation (p. 257)
Defibrillators (p. 258)
Defibrillator types (p. 259)
Defibrillation energies (p. 262)
Implantable cardiac defibrillators (ICD) (p. 265)
Muscle stimulators (p. 265)
Nerve stimulators (p. 266)
Functional nerve stimulators (p. 266)
Pain relief and peripheral blood flow increase (p. 267)
Stimulation in the brain (p. 269)
Death certificates (p. 269)
11 Tissues and calculi (p. 271)
Surgical diathermy (p. 272)
Types of tissue effects (p. 273)
The patient return electrode (p. 280)
Controls and colour coding (p. 284)
Diathermy during endoscopy (p. 285)
Diathermy injuries (p. 287)
Laser surgery (p. 294)
Effects (p. 294)
Risks (p. 296)
Areas of use (p. 297)
Ultrasonic surgical aspiration (p. 299)
Lithotripsy (p. 300)
Balloon dilatation (p. 301)
Cryosurgery (p. 303)
Mechanisms (p. 303)
Types of cryodevices (p. 304)
Risks (p. 304)
Area of use (p. 304)
Heat treatment (p. 305)
Electromagnetic high-frequency energy (p. 305)
Ultrasound energy (p. 306)
Electroconvulsive therapy (p. 306)
Radiotherapy (p. 307)
Radiation therapy devices (p. 308)
Dose planning (p. 309)
12 Computers in health care (p. 311)
The computer (p. 311)
Data acquisition (p. 313)
Confidentiality (p. 314)
Patient data (p. 314)
Administrative data (p. 314)
Laboratory results (p. 315)
Anaesthesia and intensive care (p. 315)
Radiation therapy (p. 317)
Expert systems (p. 318)
Telemedicine (p. 319)
Computerized patient records (p. 320)
Standardization within health care (p. 322)
The internet (p. 322)
Home pages and sites (p. 323)
Email (p. 323)
User groups (p. 323)
Limitation of information technology (p. 324)
13 Responsibility (p. 325)
Standards (p. 327)
Medical devices (p. 328)
Quality management (p. 330)
Risk management (p. 332)
Types of responsibility (p. 333)
Legal responsibilities (p. 333)
Political responsibilities (p. 333)
Administrative management responsibilities (p. 334)
Medical and other professional management responsibilities (p. 334)
Personal responsibilities (p. 335)
Liability (p. 336)
Delegating (p. 337)
Procurement (p. 338)
Statutes and other publications (p. 339)
Overall responsibility (p. 340)
14 Checklists (p. 345)
Hospital director (or health care director) (p. 346)
Purchasing officer (p. 347)
Head of department or ward (p. 347)
Head nurse (p. 348)
Users (p. 349)
Index (p. 351)

Author notes provided by Syndetics

Alan Murray is the Washington bureau chief of the "Wall Street Journal", a columnist for "SmartMoney" magazine, and a twice-daily commentator on CNBC. He is the author, with Jeffrey Birnbaum, of "Showdown at Gucci Gulch". He lives in Washington, D.C.

(Bowker Author Biography)