Biomedical equipment and medical services in India.

K B Sahay, R K Saxena
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Abstract

Varieties of Biomedical Equipment (BME) are now used for quick diagnosis, flawless surgery and therapeutics etc. Use of a malfunctioning BME could result in faulty diagnosis and wrong treatment and can lead to damaging or even devastating aftermath. Modern Biomedical Equipments inevitably employ highly sophisticated technology and use complex systems and instrumentation for best results. To the best of our knowledge the medical education in India does not impart any knowledge on the theory and design of BME and it is perhaps not possible also. Hence there is need for a permanent mechanism which can maintain and repair the biomedical equipments routinely before use and this can be done only with the help of qualified Clinical Engineers. Thus there is a genuine need for well organized cadre of Clinical Engineers who would be persons with engineering background with specialization in medical instrumentation. These Clinical engineers should be made responsible for the maintenance and proper functioning of BME. Every hospital or group of hospitals in the advanced countries has a clinical engineering unit that takes care of the biomedical equipments and systems in the hospital by undertaking routine and preventive maintenance, regular calibration of equipments and their timely repairs. Clinical engineers should be thus made an essential part of modern health care system and services. Unfortunately such facilities and mechanism do not exist in India. To make BME maintenance efficient and flawless in India, study suggests following measures and remedies: (i) design and development of comprehensive computerized database for BME (ii) cadre of Clinical engineers (iii) online maintenance facility and (iv) farsighted managerial skill to maximize accuracy, functioning and cost effectiveness.

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印度的生物医学设备和医疗服务。
各种生物医学设备(BME)现在用于快速诊断,完美的手术和治疗等。使用故障的BME可能导致错误的诊断和错误的治疗,并可能导致破坏性甚至毁灭性的后果。现代生物医学设备不可避免地采用高度精密的技术,并使用复杂的系统和仪器来获得最佳效果。据我们所知,印度的医学教育没有传授任何关于BME理论和设计的知识,也许这也是不可能的。因此,需要一种永久性的机制,可以在使用前对生物医学设备进行日常维护和维修,这只能在合格的临床工学技士的帮助下完成。因此,确实需要组织良好的临床工学技士骨干,他们将具有工程背景,专门从事医疗仪器。这些临床工程师应该负责BME的维护和正常运作。先进国家的医院或医院集团都设有临床工程单位,负责医院生物医学设备和系统的日常和预防性维护,定期对设备进行校准和及时维修。因此,临床工学技士应该成为现代卫生保健系统和服务的重要组成部分。不幸的是,印度不存在这样的设施和机制。为了使印度的BME维护高效和完美,研究建议采取以下措施和补救措施:(i)为BME设计和开发全面的计算机数据库;(ii)临床工程师骨干;(iii)在线维护设施;(iv)有远见的管理技能,以最大限度地提高准确性、功能和成本效益。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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