Hospital Bio-Medical

Engineering Department

SKS HosPlan
Dr. Sachin Wagh
Medical Planner &
Hospital Design Expert

(w): www.skshosplan.com (m): +91 98205 22159 (e): drswagh@skshosplan.com

© Strategic Knowledge Solution
Modalities for patient management
 Electromagnetic radiation X-ray, UV
 Sound waves Sonography
 Light Phototherapy
 Electrical impulses ECG, EEG, EMG
 Electrical voltage Interferential current
 Heat Cautery
 Physical, pressure, force Mechanical sensor
 Chemical Biosensors/ analyzer
 Electronic Image capturing
 Computer science Image reconstruction 2
Bio-medical engineering
 Cross-disciplinary field that incorporates
 Engineering
 Biology
 Chemistry
 Medicine

 Biomedical instrumentation
 Monitoring techniques
 Diagnostic means
 Therapeutic assistance

 Bridge between medicine & engineering 3

Bio-medical equipment classification
 Diagnostic equipment
 X-ray, USG, CT, MRI

 Treatment equipment
 Infusion pumps, lasers

 Life support equipment

 Ventilators, anesthetic, dialysis & ECMO machine

 Medical monitors
 ECG, EEG, BP
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Bio-medical equipment classification
 Medical laboratory equipment
 Analyze blood, urine, genes

 Diagnostic Medical Equipment

 POC/ home e.g. diabetes

 Therapeutic
 CPM in Physiotherapy

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Bio-medical equipment (additional scope)
 Devices
 Thermometer, BP Apparatus

 Surgical Instruments
 Scalpel, knife

 Hospital Furniture
 Beds, trolleys, dental chair, X-ray view box

 Utility fixtures
 Scrub, Slope hopper sink
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Bio-medical equipment (additional scope)
 Sterilization
 CSSD

 Cold storage
 Blood bank

 Pneumatic Tube System

 Nurse Call system

 Medical Gas Piping System

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Importance
 High dependency
 continuity of patient care
 reliability of deliverables
 warrants appropriate & safe operation
 Wide range of specifications impacts cost
 Heavy reliance on equipment vendors
 Fast pace of obsolescence
 ‘right choice’ becomes difficult
 Scientific techniques not used for analysis
 leading to wrong ‘buys’
 High cost items 8
Procurement of new equipment
 BME Planning
 Technical feasibility
 Balance level of technology with budget
 Compliance with regulatory agencies
 AERB/ FDA/ COE

 Arrive at RFP/ specifications/ features

 Safety/ regulatory/ III party certificates
 Technical & financial comparatives
 Service contract analysis, negotiations
 Spares, consumables, buy-back & upgrades 9
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Procurement of new equipment
 Schedule preparation

 Site evaluation & utility requirement

 Installation of equipment

 Staff education & training

 Evaluations of new technology

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Equipment Power Calculation
Medical Gases
 Oxygen White
 Liquid medical oxygen
 Portable cryogenic container
 Oxygen generator
 Cylinder manifold
 Nitrous oxide (Cylinder manifold) Blue
 Air 4 bar/ 7 bar (Compressor) BW
 Vacuum (Pump) Yellow
 Nitrogen Black
 Carbon dioxide Grey 13
Medical Gases
 4 Tenets of Medical Gas System Safety
 Continuity: gas supplies must always be available
 Adequacy: correct flow & pressure
 Identity: correct gas should always be administered
 Quality: gases must be safe and pure

 Copper piping (color code)

 Outlets
 Bed head panel/ pendants

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International standards for MGPS

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Organization
 Bio-medical engineer
 Under Medical administrator
 Additional scope of OT Technician
 Independent department
 Regular duty with engineer on-call

 Routine
 Daily facility rounds
 Inspections
 Maintenance
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Maintenance
 Preventive maintenance
 Master PM schedule
 Equipment specific history card
 Availability of spares, consumables, tools
 Maintenance/ service report
 Note in Equipment History Register
 Calibration schedule

 Repair maintenance
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Repair Maintenance
 User department informs BMED (complaint)
 Note problem, date, time & location
 Visit to department & confirm problem
 Check if under contract
 If yes, contact service agency & follow-up
 If no, inform management
 then contact service agency & follow-up
 Service repair & spares justification
 Service report
 Enter in equipment History Book
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Equipment History Record
 Purchase order/ terms & conditions
 Date of supply/ installation
 Receipt/ acceptance of equipment
 Asset code/ RFID tag
 AMC/ CMC & renewals
 Legal compliances & renewals
 Insurance
 Service centre contact details
 Calibration schedule, agency, contract & renew
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Equipment History Record
 Schedule for PM/ Spares
 Time bound/ use bound
 Device incident investigations
 Entry of maintenances & replacements
 Cost of repairs & spares
 Staff Training
 Checklist of dos & don’ts
 Safety, prevention, minor repairs
 Performance record
 Total downtime
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