Pub Date : 2019-07-01DOI: 10.2345/0899-8205-53.4.306
Axel Wirth
{"title":"Cyberinsights: The Specific Risk Considerations Imparted by Cyber-Physical Systems.","authors":"Axel Wirth","doi":"10.2345/0899-8205-53.4.306","DOIUrl":"https://doi.org/10.2345/0899-8205-53.4.306","url":null,"abstract":"","PeriodicalId":35656,"journal":{"name":"Biomedical Instrumentation and Technology","volume":"53 4 1","pages":"306-309"},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2345/0899-8205-53.4.306","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41786675","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-07-01DOI: 10.2345/0899-8205-53.4.280
S. Kovach
Background: Ultrasonic cleaners are used for fine cleaning of medical devices, removing soil from joints, crevices, lumens, and other areas that are difficult to clean using other methods. To accomplish this fine cleaning, ultrasonic cleaners use a process known as cavitation. To understand the function of the cavitation process on items that require enhanced cleaning, a study was conducted to determine whether four commercially available products claiming to test for cavitation actually detect cavitation activity. Methods: Each of the products selected for the study were placed into a Mason jar containing cleaning solution at temperatures of 77°F (25°C) and 100°F (38°C), with no cavitation energy generated. The jars were agitated by vigorous manual shaking for five seconds (one time per minute for 15 minutes) by the same operator. The results of the commercial testing products were interpreted according to manufacturers' instructions for use and recorded following the 15-minute agitation process. Each test was repeated three times. Results: Three of the four commercially available tests claiming to detect cavitation were demonstrated to not be specific to cavitation. Each of the three tests satisfied the criteria for passing when in the absence of cavitation. Conclusion: Cavitation is an important and necessary function of all ultrasonic cleaners. The results of the study clearly demonstrate that even when no cavitation is being produced, certain tests will still provide results indicating the presence of cavitation. Those tests do not distinguish between cavitation energy and the other parameters in an ultrasonic cleaner.
{"title":"Research: Ensuring Cavitation in a Medical Device Ultrasonic Cleaner.","authors":"S. Kovach","doi":"10.2345/0899-8205-53.4.280","DOIUrl":"https://doi.org/10.2345/0899-8205-53.4.280","url":null,"abstract":"Background: Ultrasonic cleaners are used for fine cleaning of medical devices, removing soil from joints, crevices, lumens, and other areas that are difficult to clean using other methods. To accomplish this fine cleaning, ultrasonic cleaners use a process known as cavitation. To understand the function of the cavitation process on items that require enhanced cleaning, a study was conducted to determine whether four commercially available products claiming to test for cavitation actually detect cavitation activity. Methods: Each of the products selected for the study were placed into a Mason jar containing cleaning solution at temperatures of 77°F (25°C) and 100°F (38°C), with no cavitation energy generated. The jars were agitated by vigorous manual shaking for five seconds (one time per minute for 15 minutes) by the same operator. The results of the commercial testing products were interpreted according to manufacturers' instructions for use and recorded following the 15-minute agitation process. Each test was repeated three times. Results: Three of the four commercially available tests claiming to detect cavitation were demonstrated to not be specific to cavitation. Each of the three tests satisfied the criteria for passing when in the absence of cavitation. Conclusion: Cavitation is an important and necessary function of all ultrasonic cleaners. The results of the study clearly demonstrate that even when no cavitation is being produced, certain tests will still provide results indicating the presence of cavitation. Those tests do not distinguish between cavitation energy and the other parameters in an ultrasonic cleaner.","PeriodicalId":35656,"journal":{"name":"Biomedical Instrumentation and Technology","volume":"53 4 1","pages":"280-285"},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2345/0899-8205-53.4.280","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48734852","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-07-01DOI: 10.2345/0899-8205-53.4.312
Vidya Murthy
{"title":"Regulatory Wrap: Cybersecurity-Related Regulatory Considerations for Medical Devices.","authors":"Vidya Murthy","doi":"10.2345/0899-8205-53.4.312","DOIUrl":"https://doi.org/10.2345/0899-8205-53.4.312","url":null,"abstract":"","PeriodicalId":35656,"journal":{"name":"Biomedical Instrumentation and Technology","volume":"53 4 1","pages":"312-314"},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2345/0899-8205-53.4.312","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42632204","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-07-01DOI: 10.2345/0899-8205-53.4.318
B. Crossley
{"title":"Troubleshoot It: Focus on Fundamentals When Troubleshooting New Video Integration Systems.","authors":"B. Crossley","doi":"10.2345/0899-8205-53.4.318","DOIUrl":"https://doi.org/10.2345/0899-8205-53.4.318","url":null,"abstract":"","PeriodicalId":35656,"journal":{"name":"Biomedical Instrumentation and Technology","volume":"53 4 1","pages":"318-319"},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2345/0899-8205-53.4.318","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46718344","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-07-01DOI: 10.2345/0899-8205-53.4.270
Amber Logan
On Nov. 8, 2018, Rob Harry, site director of clinical engineering for Adventist Health Feather River, and his team—BMET III Marc Silver, BMET III David Falcon, and Network Systems Specialist Jared Wilson—helped evacuate at least 45 patients from their hospital as a wildfire swept through the town of Paradise, CA, leaving them with little time to escape themselves. The Camp Fire, as it became known, would go on to become the most destructive and deadly wildfire in California history, killing at least 85 people, destroying 14,000 residences, and charring an area the size of Chicago. “It hit within minutes, and within minutes, the whole town was gone,” Harry said, recalling the fire that would destroy his community, his hospital, and ultimately tear his team apart. “There was only time to evacuate—and not even enough time for that.” A Day Like Any Other Fire is nothing new for those living and working in Paradise. “We’re fairly used to it,” said Wilson, whose family has lived on the ridge since the 1930s. “We live in Paradise. It’s common.” In fact, on Wilson’s first day at Feather River, he had to help evacuate the hospital because of a fire in the same area. “It burned down to the river and stopped. It never jumped over to the other side,” Wilson said of the Humboldt Fire that sprang up in July 2008. Last year’s Camp Fire, however, was a different beast. Just as members of Feather River’s healthcare technology management (HTM) team were starting their day around 6:30 a.m., the Camp Fire began kindling in a wooded area near Pulga, about seven miles northeast of Paradise. Silver arrived at the hospital around 7 a.m. “As I was unloading my car, I kept hearing plunks hit the ground and these little bumps hit my car,” he remembered. “I look, and Amber Logan was director of
2018年11月8日，基督复临安息日会健康羽毛河医院临床工程现场主任Rob Harry和他的团队——BMET III Marc Silver、BMET III David Falcon和网络系统专家Jared Wilson——在野火席卷加利福尼亚州天堂镇时，帮助从医院疏散了至少45名患者，使他们几乎没有时间逃离。众所周知，营地大火将成为加州历史上最具破坏性和致命性的野火，造成至少85人死亡，14000栋住宅被毁，芝加哥大小的地区被烧焦。“几分钟内就发生了，几分钟内，整个城镇都消失了，”哈里回忆起那场大火，那场大火将摧毁他的社区和医院，并最终撕裂他的团队。“只有撤离的时间，甚至没有足够的时间。”对于那些在天堂生活和工作的人来说，像其他火灾一样的一天并不是什么新鲜事。“我们已经习惯了，”威尔逊说，他的家人自20世纪30年代以来一直住在山脊上。“我们住在天堂。这很常见。”事实上，威尔逊在羽毛河的第一天，由于同一地区发生火灾，他不得不帮助疏散医院。威尔逊在谈到2008年7月爆发的洪堡大火时说：“它一直烧到河边，然后停了下来。它从未跳到对岸。”。然而，去年的“营地大火”却是另一回事。就在羽毛河医疗技术管理团队的成员早上6:30左右开始他们的一天时，营地大火开始在天堂东北约7英里的普尔加附近的一片树林中点燃。西尔弗在早上7点左右到达医院。他回忆道：“当我下车时，我一直听到砰的一声，这些小颠簸撞到了我的车上。”。“我看，Amber Logan是
{"title":"Trial by Fire: HTM Team Demonstrates Valor in the Face of Uncertain Odds.","authors":"Amber Logan","doi":"10.2345/0899-8205-53.4.270","DOIUrl":"https://doi.org/10.2345/0899-8205-53.4.270","url":null,"abstract":"On Nov. 8, 2018, Rob Harry, site director of clinical engineering for Adventist Health Feather River, and his team—BMET III Marc Silver, BMET III David Falcon, and Network Systems Specialist Jared Wilson—helped evacuate at least 45 patients from their hospital as a wildfire swept through the town of Paradise, CA, leaving them with little time to escape themselves. The Camp Fire, as it became known, would go on to become the most destructive and deadly wildfire in California history, killing at least 85 people, destroying 14,000 residences, and charring an area the size of Chicago. “It hit within minutes, and within minutes, the whole town was gone,” Harry said, recalling the fire that would destroy his community, his hospital, and ultimately tear his team apart. “There was only time to evacuate—and not even enough time for that.” A Day Like Any Other Fire is nothing new for those living and working in Paradise. “We’re fairly used to it,” said Wilson, whose family has lived on the ridge since the 1930s. “We live in Paradise. It’s common.” In fact, on Wilson’s first day at Feather River, he had to help evacuate the hospital because of a fire in the same area. “It burned down to the river and stopped. It never jumped over to the other side,” Wilson said of the Humboldt Fire that sprang up in July 2008. Last year’s Camp Fire, however, was a different beast. Just as members of Feather River’s healthcare technology management (HTM) team were starting their day around 6:30 a.m., the Camp Fire began kindling in a wooded area near Pulga, about seven miles northeast of Paradise. Silver arrived at the hospital around 7 a.m. “As I was unloading my car, I kept hearing plunks hit the ground and these little bumps hit my car,” he remembered. “I look, and Amber Logan was director of","PeriodicalId":35656,"journal":{"name":"Biomedical Instrumentation and Technology","volume":"53 4 1","pages":"270-276"},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42977264","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-07-01DOI: 10.2345/0899-8205-53.4.250
Joseph Sheffer
{"title":"Frontlines: 'Shifting into Medical Application Mode'.","authors":"Joseph Sheffer","doi":"10.2345/0899-8205-53.4.250","DOIUrl":"https://doi.org/10.2345/0899-8205-53.4.250","url":null,"abstract":"","PeriodicalId":35656,"journal":{"name":"Biomedical Instrumentation and Technology","volume":"53 4 1","pages":"250"},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2345/0899-8205-53.4.250","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45474642","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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