Responsibilities of the Biomedical Engineer of th… · Biomedical Engineering Branches As a relatively new discipline, much of the work in biomedical engineering consists of research

Responsibilities of the Biomedical Engineer

Dr. Salah Al-Khallagi28 May 2008

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Topics

• Role & responsibilities of biomedical Engineer

• Convergence between biomedical engineering and Information technology

• Changes in healthcare environment

• The future of biomedical engineering

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Change of title to

Responsibilities of the Clinical Engineering


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Introduction

Biomedical technology and instrumentation have always been used in healthcare environment. As the time is advancing the technology is growing rapidly and the number of new and sophisticated medical equipment and systems in recent years is very enormous.

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Introduction

Engineers involve the fundamental aspects of device and system analysis, design, and practical application all of which lie at the heart of processes that are:

Fundamental To Engineering Practice

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Biomedical Engineering (BME)

What is Biomedical Engineering?

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Biomedical Engineering (BME)

Sometimes referred to as Bioengineering —

It combines the design and problem solving skills of engineering with the medical and biological science to help improve patient health care and the quality of life of healthy individuals

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Biomedical Engineering Branches

What are these Branches?

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As a relatively new discipline, much of the work in biomedical engineering consists of research and development, covering an array

of fields such as but not limited to:• Bioinformatics,

• Medical imaging,

• Tissue engineering,

• Physiological signal processing,

• Biomechanics,

• Biomaterials, etc…………

http://en.wikipedia.org/wiki/Bioinformatics

http://en.wikipedia.org/wiki/Bioinformatics

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Activities of Biomedical Engineers

What do Biomedical engineers do?

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Some of biomedical engineers activities:

Development of new diagnostic instrument Computer modeling of the human heart function Writing software for analysis of clinical data Analysis of medical device hazards for safety Development of new diagnostic imaging systems Design of telemetry systems Design of biomedical sensors Modeling of physiologic systems of the human body, etc……………….

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Change of title to

Responsibilities of the Clinical Engineering


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Clinical Engineering

What is Clinical Engineering?

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Clinical Engineering

Clinical engineering is a branch of

Biomedical Engineering for professionals responsible for the management of medical equipment in a hospital.

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Medical Technology Program Mission

Our Goal: To support delivery of healthcare

What we do: Provide safe & Effective Medical Technology

How we do it: In a cooperative effort with other members of the healthcare professionals

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Management Of Technology

Management of technology will continue to be

a necessary element of successful health care systems from both a financial and quality-of-care perspective.

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Organizational Chart of Clinical Engineering

Reporting Mechanism

for Clinical Engineering

within healthcare organization

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Organizational Chart of Medical Division

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Clinical Engineer

Who is Clinical Engineer?

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Clinical Engineer

Clinical Engineer

is

Biomedical Engineer

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Clinical Engineer

By definition:

Clinical Engineer is a professional who

supports and advances patient care by applying engineering and managerial skills to healthcare technology.

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What do Clinical engineers do?

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Clinical Engineer

The following list of activities of typical clinical

engineers:

• Engage in clinical applications engineering

• Repair sophisticated medical instruments or systems

• Establish performance benchmarks for all equipment

• Inspect all incoming equipment

• Supervise biomedical equipment technologists (BMETs)

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Clinical Engineer

• Organize medical equipment inventory control

• Manage medical equipment calibration and repair

• Coordinate use of outside technical services

• Collaborate with Information Technology (IT) professionals

• Provide input to the design of clinical facilities where medical technology is used

and more ………….

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Clinical Engineer

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Clinical Engineer and IT

Clinical Engineering is Converging with Information Technology

CE IT

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Collaborate with Information Technology (IT)

professionals to achieve an improved technical quality for the health care facility.

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Today, clinical equipment and information

systems are converging to create an Environment of Information that extends outward from the patient, carrying signals, statistics, and identifiers to all corners of the hospital and beyond.

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Examples of

• Medical Imaging

• Data Security and Protection for Medical Images

• PACS and Medical Imaging Informatics for Filmless Hospitals

• Integrated Multimedia Patient Record Systems

• Computer-Aided Diagnosis (e.g. Cancer)

• Medical Robotics and Computer-Integrated Interventional Medicine

• Telemedicine

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Vent

Vital

Signs

Monitor

Infusion

Pumps

Pulse

Ox

Dialysis

Machin

e

PoC Integration (X73)

Device

Data

Manage

r

Enterprise Integration

(HL7, DICOM, X12,…X73)

HIS

PACS

CIS

Pharmac

y

LAB

Gateway

Example of integration

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Clinical Engineer and Facilities Design

Clinical Engineering contribute in Facilities Design

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Provide input to the design of new or

renovated healthcare facilities where medical technology is used,

Such as:

Operating Rooms, Imaging Facilities, and Radiology Treatment Centers, etc…

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Operating Room Layout1020 3 Cabinet, Equipment, Wall Mounted

3110 3 Stand, Dual Basin

3165 1 Table, Instrument

3025 1 Stand, w/Foot Platforms

2150 1 Cart, Crash

3175 1 Table Utility, Small

1115 1 Illuminator, 4 panel

2000 1 Anesthesia Machine

3105 1 Stool, Anesthesia

3140 1 Stand, IV

3150 1 Stand Mayo

2035 1 Cart, Anesthesia

3125 1 Stool Examination

3080 2 Hamper, Triangle Shaped

3185 2 Transfer Board, Patient

3135 1 Consult Drawing or SME(s), this item.

1315 1 Medical Gas Boom



3095 1 Kick Bucket, Single

2125 1 Table, Surgical, Major

1316 1 Boom, Medical Gases

1140 1 Light, Surgical, Dual

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Clinical engineers have a long history of

working with clinicians and facilities engineers, and they are skilled in weighing the concerns of the various parties in the planning process and in communicating the needs of one group to the others.

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Why is it necessary to involve clinical engineers in

the process of designing health-care facilities?

Experienced clinical engineers usually are familiar not only with the specific medical devices, but also with the environment in which they are used.

Clinical engineers can make significant contributions to the proper (optimal) design of patient-care facilities. Their participation in this area is, therefore, to be encouraged.

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Study case:

Biological Safety Cabinet (Oncology Pharmacy) Room Requirement.

Air flow in the room(Ventilation)

http://images.google.com.sa/imgres?imgurl=http://www.bakerco.com/lib/images/diagrams/bsc2.jpg&imgrefurl=http://www.bakerco.com/resources/intro.php&h=339&w=250&sz=9&hl=ar&start=5&tbnid=fa-mojw21PcyzM:&tbnh=119&tbnw=88&prev=/images%3Fq%3Dsafety%2Bcabinet%2Btype%2BII%2Broom%2Bdesign%26gbv%3D2%26hl%3Dar

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Study case:

Sleep Disorder Laboratory Room Requirements.

Electromagnetic Interference(EMI) and soundproof of the room.

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Clinical Engineer and Environment

Clinical Engineering play a part in Healthcare Environment

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Clinical engineering play a role in the

healthcare facility environment to achieve an improved technical quality and safety of the healthcare facility, patient and others.

For example, if an operator is not using a device properly, we need to identify the problem and teach him or her the correct procedure.

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Health care facilities use a number of

mercury-containing products. Some examples

include:

Thermometers

Batteries

Blood pressure monitoring devices (sphygmomanometers)

Mirrored instruments

Fluorescent light bulbs, etc…..

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Clinical Engineer helps healthcare facility to prevent mercury

How?

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Hazardous Chemicals used in healthcare

facility such as laboratory and pharmacy

Example:Biological Safety Cabinet (BSC)

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Clinical Engineer helps healthcare facility selecting the right cabinet for the right

procedure

How?

http://images.google.com.sa/imgres?imgurl=http://www.safelab.co.uk/images/thumb_class2.jpg&imgrefurl=http://www.safelab.co.uk/products_medical.htm&h=150&w=150&sz=4&hl=ar&start=121&tbnid=myDbFUirPng35M:&tbnh=96&tbnw=96&prev=/images%3Fq%3Dsafety%2Bcabinet%2Btype%2BII%2Broom%2Bdesign%26start%3D120%26gbv%3D2%26ndsp%3D20%26hl%3Dar%26sa%3DN

http://images.google.com.sa/imgres?imgurl=http://www.astec-microflow.co.uk/Pictures/ABS%2520Class%2520II.jpg&imgrefurl=http://www.astec-microflow.co.uk/microflow.asp%3Fid%3D78&h=452&w=350&sz=126&hl=ar&start=4&tbnid=FzvXUhSZncBIMM:&tbnh=127&tbnw=98&prev=/images%3Fq%3Dsafety%2Bcabinet%2Broom%2Bdesign%26gbv%3D2%26hl%3Dar

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Clinical Engineer and Future

Evidence of biomedical engineering can be found everywhere in modern medicine.

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Hospitals are full of devices, instruments and

machines that have been designed and produced by

engineers working in collaboration with doctors,

nurses, biochemists, physicists, microbiologists and

technicians.

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Present research indicates that the field will continue

expanding and growing at high rates with numerous

amazing contributions to public and individual health.

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Evolution of Healthcare – Past & today

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The Future OR

smart-room• Combine technologies • Build on patient centricity• OR combo concept• Surgery + X-Ray + US• Integrated OR Cockpit

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The future holds new possibilities of providing

telemedicine and e-health services, new ways of

home self-care, sophisticated new sensors, and new

ways of heath care for older persons.

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The future will continue

.

.

Clinical Engineer continue to contribute

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References

• American College of Clinical Engineering, Clinical Engineering and Information Technology, http://accenet.org/downloads/reference/Clinical_Engineering_and_ Information_Technology.pdf

• Bronzino, Joseph D, (2000). The Biomedical Engineering Handbook - Second Edition. CRC Press.

• Bronzino, Joseph D, (1992), Management of Medical Technology: a primer for clinical engineers, Butterworth-Heinemann

• David Hoglund, (November/December 2007), Wireless Technology Infrastructure: A Business Strategy, Biomedical Instrumentation & Technology, Volume 41, Issue 6 pp. 457–460

• John Enderle, Susan Blanchard & Joseph Bronzino, (2000), Introduction to Biomedical Engineering, Academic Press.

• Jonathan Hill, (September-October 2007), Improving the Environment of Care, Biomedical Instrumentation & Technology, Volume 41, Issue 5 pp. 373–374

• Joseph Dyro, (2004), Clinical Engineering Handbook, Elsevier Academic Press,.• Robyn Reed, (September-October 2005), How to Build Your Role in Healthcare Construction

Projects, Biomedical Instrumentation & Technology, Volume 39, Issue 5 pp. 347–352 • Russell W. Bessette, (2003), New York State Office of Science Technology & Academic Research

(NYSTAR), The Future of Biomedical Engineering and the Empire State, http://www.nystar.state.ny.us/sp/03/031101sp.htm

• Steven J. Yelton, PE,, (July/August 2003), Designing a Biomedical Engineering Technology Program for the Future, Biomedical Instrumentation & Technology, Volume 37, Issue 4 pp. 297–299

• The National Academy of Engineering (NAE), (2008), Future Challenges In Biomedical Engineering, http://www.nae.edu/NAE/NAECAETS.nsf/weblinks/NAEW-5CAJK5?OpenDocument#Biomed.

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Documents

Responsibilities of the Biomedical Engineer of th… · Biomedical Engineering Branches As a relatively new discipline, much of the work in biomedical engineering consists of research