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Showing posts with label hospital equipment. Show all posts
Showing posts with label hospital equipment. Show all posts

Avoiding Electromagnetic Interference in Hospitals


Over the past 2 decades, there has been remarkable growth in the sources of RF energy. Twenty years ago, people did not have cell phones, pagers, or laptop computers with wireless modems installed.

Over the years, many incidents of suspected electromagnetic interference (EMI) with medical devices have been documented. Defibrillators are one type of medical implant that has had problems due to electromagnetic interference that has been well-documented in medical journals. There is increased concern for the safe and effective use of devices in an environment that has become crowded with potential sources of electromagnetic interference (EMI).

Because of its concern for public health and safety, the Center for Devices and Radiological Health (CDRH), which is part of the Food and Drug Administration (FDA), in the US, has been at the forefront of examining medical device electromagnetic interference and providing solutions. Extensive laboratory testing by CDRH and others has revealed that many medical devices can be susceptible to problems caused by EMI.

According to the CDRH, the key to addressing electromagnetic interference (EMI) is the recognition that it involves not only the device itself, but also the environment in which it is used, and anything that may come into that environment. More than anything else, the concern with EMI must be viewed as a systems problem requiring a systems approach. In this case, the solution requires the involvement of the medical device industry, the EM source industry (e.g., power industry, telecommunications industry), and the clinical user and patient.

The public must also play a part in the overall approach to recognizing and dealing with EMI. Electromagnetic compatibility, or EMC, is essentially the opposite of EMI. EMC means that the device is compatible with (i.e., no interference caused by) its EM environment, and it does not emit levels of EM energy that cause EMI in other devices in the vicinity. The wide variation of medical devices and use environments makes them vulnerable to different forms of EM energy which can cause EMI: conducted, radiated, and electrostatic discharge (ESD). Further, EMI problems with medical devices can be very complex, not only from the technical standpoint but also from the view of public health issues and solutions.

It is important to make sure you have the right kind of EMI/RFI filtering for your medical devices and hospital equipment. RFI filters play an especially important role in high-frequency and medical equipment applications. The typical frequency filtered is 10,000Hz to 30,000,000Hz for noise picked up and conducted through external wires or power cords. 30,000,000Hz to 1GHz is the frequency filtered for noise that is radiating and being picked up through the air. Low-leakage filters are used for medical equipment and devices, as they provide low levels of leakage current to meet patient safety requirements.

Electromagnetic interference (EMI) and Radio Frequency interference (RFI) are disturbances that can affect the electrical circuit because of electromagnetic induction or electromagnetic radiation from external sources. These disturbances can interrupt, degrade and/or limit the performance of the circuit itself. Many countries have requirements for products to meet Electromagnetic Compatibility (EMC) standards.

MedWOW, the multilingual global medical equipment platform, offers medical equipment professionals a selection of RFI filters for a variety of different devices. If there is a particular RFI filter or part that you can’t find in MedWOW’s international inventories, you can post an RFI filter request or take advantage of MedWOW’s efficient part finder service. Currently filters are available from Siemens, GE Healthcare, Philips and more.

The Importance of Forced-Air Warming Devices


What Does a Forced-Air Warming Device Do?
A forced air warming system is a medical electrical device used to help keep patients warm during anesthesia and surgery. The forced air warming unit is made up of a reusable controller and disposable, single-use blankets.
A forced air warming system comprises a controller plus a compatible disposable blanket. The controller contains the following components:
  • Electric motor and fan
  • Electric heating element
  • Thermostats
  • Air filter
  • Hose
In operation the fan draws in air through the filter and the heating element heats it to a selected temperature, controlled by the thermostats. Heated air travels through the hose to the blanket, which connects to the hose nozzle.
The blanket is double layered and inflates in operation. The patient contact surface is permeable to air and the warm air exits the blanket and moves over the patient's skin and transfers heat to the patient by convection.
The most significant operational factors relate to the single use blankets. It is essential that the blankets are compatible with the controller and the range of blankets available for the controller is an important factor in the purchasing decision.
The blankets are bulky and require storage space.
Unplanned hypothermia (a core temperature of less than 36 degrees C) can negatively impact patients in many ways. Even mild hypothermia may contribute to complications such as: surgical site infection, altered drug metabolism, impaired blood clotting, cardiovascular ischemia, prolonged recovery following surgery and shivering.
It is maintained by many professionals in the field that active patient warming is associated with normalizing patient temperature. The literature supports the use of forced air warming devices for normalizing patient temperature and reducing shivering. In addition, the literature suggests that forced-air warming is associated with reduced time in recovery. Also, it is agreed that both the perioperative maintenance of normothermia and the use of forced-air warming reduce shivering and improve patient comfort and satisfaction. It is recommended that normothermia should be a goal during emergence and recovery, and that when available, forced-air warming systems should be used for treating hypothermia.
The Risks of Hypothermia
Inadvertent perioperative hypothermia is a common and preventable complication of surgery. Inadvertent perioperative hypothermia is defined when the core body temperature is drops below 360C and is associated with poor outcomes for patients.
The possible consequences of hypothermia are:
  • Increased risk of wound infection
  • Increased perioperative blood loss
  • Longer post-anesthetic recovery
  • Postoperative shivering and thermal discomfort
  • Morbid cardiac events including arrhythmia
  • Altered drug metabolism
  • Increased risk of pressure sores
  • Reduced patient satisfaction with the surgical experience
  • Longer hospital stay
Preventing Hypothermia Using Forced-Air Warming
Prevention of hypothermia requires the use of simple measures, such as warm clothing, use of a duvet (comforter) or blankets preoperatively and active warming of the patient and intravenous fluids, especially in the operating room. A range of active patient warming devices have been designed for use in the perioperative and critical care environment, including: electric blankets, heated fluid filled mattresses, radiant warmers and forced air warming devices.
The cost of disposable blankets is the most significant cost of forced air warming and purchasers should make use of bulk purchasing arrangements in order to benefit from volume discounts.
Where to Find Forced Air-Warming Devices
MedWOW offers a comprehensive selection of new, used and refurbished Forced Air-Warming Systems from a multiplicity of manufacturers and distributors throughout the world. As the main global eCommerce platform for all kinds of medical equipment, MedWOW features a comprehensive searchable catalogue that allows you to filter for make, manufacturer, continent, condition, price range, seller’s business type, heating intensity, size and uses when looking for the forced Air-warming device best-suited to your particular medical facility.
Currently MedWOW features Forced Air-Warming Systems from the following manufacturers:
Augustine Medical, Cincinnati Sub-zero, Gaymar Industries, Gibek, Kan Med, Mallinckrodt Puritan, Stihler Electronic and The Surgical Company.
If you don’t find the specific Forced Air Warmer you are looking for, you can post a free buying request which typically will bring you a number of competitive quotes from MedWOW’s global distributors.