Version 08/2012 A short orientation about the course FYS 4250 Biomedical Instrumentation Timetable p.2 Topics p.3 Required reading p.4-5 Course structure p.6 Terminology, p.7 Problems, p.8-15 Project work p.16-17 Measurement errors p.18 Fra BBB: Migration and diffusion p.28-30 Electrical safety p.398-409 Jan Olav Høgetveit Utskrift: 12.02.16 FYS 4250 Orientation 2011 1 Timetable FYS 4250 Day Tuesday Thursday Tuesday Thursday Tuesday Thursday Tuesday Thursday Tuesday Thursday Tuesday Thursday Tuesday Thursday Tuesday Thursday Tuesday Thursday Tuesday Thursday Tuesday Thursday Tuesday Thursday Tuesday Thursday Tuesday Thursday Date 21. August 23. 28. 30. 4. September 6. 11. 13. 18. 20. 25. 27. 2. October 4. 9. 11. 16. 18. 23. 25. 30. 1. November 6. 8. 13. 15. 20. 22. Exam date Friday 7.dec Jan Olav Høgetveit Utskrift: 12.02.16 Autumn 2012 Chapter 1 2-3 3 4 5-6 7 8 9 10 11 EXAM 12 Rad/Nukl 12 MR 12 US 13 Card 13 Anest 13 Sur 14 Imp. top rep Loc Fys Fys 14:30, 3h ? Fys Fys Fys Fys Fys Fys Fys Fys Fys Fys Fys Fys Fys RH RH Fys Fys Fys Fys FYS 4250 Orientation 2011 Comment Midterm exam Project subjects Subject selection Handing in Last day EXAMINATION 2 COURSE DESCRIPTION FYS 4250 Biomedical instrumentation 10 study points Contents: Instrumentation principles, regulation systems, sensors, amplifiers, digital signal processing. Diagnostic and therapeutic equipment. Electrophysiological methods like ECG, EEG, EMG, defibrillators and pacemakers. Measuring methods for pressure, flow, ventilation and circulation, monitoring. Microbiology and sterilization of equipment. Clinical chemical analyzing principles. Imaging techniques, x-ray, nuclear medical, ultrasound, magnetic resonance. Digital pictures, supporting equipment like dialysis machines, heart-lung machines, anesthesia workstations, surgical instrumentation with cryo, diathermia and laser. Medical information, patient safety. Goals: That the students should have a good knowledge of modern medical instrumentation and the physical and medical principles basis for this instrumentation. Preferred basis knowledge: FYS1120 – Electromagnetism and FYS1210 Elementary electronics with project works. Lectures: 4 hours each week in one semester (autumn). Exam: Written or oral. The final mark consist of: Midterm exam (2 hours, written) – 25% Project work (written) – 10% Final exam (written or oral) – 65% Jan Olav Høgetveit Utskrift: 12.02.16 FYS 4250 Orientation 2011 3 Version: 01/2010 REQUIRED READING FYS4250 BIOMEDICAL INSTRUMENTATION JOHN WEBSTER: MEDICAL INSTRUMENTATION, FOURTH EDITION (2009) I’ve been told from Akademika that this text book is sold out from the publisher, but it seems to be available at amazon.com SVERRE GRIMNES, ØRJAN MARTINSEN: BIOIMPEDANCE AND BIOELECTRICITY BASICS (2008). Chapter 2.4.2: Migration and diffusion Chapter 9.17: Electrical Safety, Hazards. My e-mail address: jan.olav.hogetveit@gmail.com Jan Olav Høgetveit Utskrift: 12.02.16 FYS 4250 Orientation 2011 4 COURSE STRUCTURE: FYS 4250 Biomedical instrumentation There are principally two different approaches to biomedical instrumentation: 1) A scientific starting point and classification. Different physical principles and technologies are used as a basis for medical instruments. 2) A medical starting point and classification. The human body and medical situation with a need of diagnosis, therapy and supportive treatment is used as a starting point for medical instrumentation with the necessary physical and technological principles. This course has previously been based on Bertil Jacobsons book "Medicin och teknik" which uses method number 2. However, this book was available in Swedish only, and was withdrawn from the market in 2005, which has led to Websters ”Medical Instrumentation” book which the course is now based on. However, I am aiming at a basis in the middle between the medical and the scientific fields of interest. My basic intention is first of all to make the student able to understand the concepts of medical instrumentation, not the details. (The details may be learned when the concepts are understood). Jan Olav Høgetveit Jan Olav Høgetveit Utskrift: 12.02.16 FYS 4250 Orientation 2011 ver. 01/2012 5 ver. 01/2012 Terminology Physics - Technology Is scientific subject areas. The physics in this course is focused on how to use the physical principles to design medical instruments. Biophysics Is the part of physics studying the life processes. Medical instrumentation - (clinical engineering) Is about instrumentation in human medicine, especially the hospital based instrumentation. The main focus is the very special demands for this type of instruments Medical technology Is the science of how to design, produce and market medical equipment. Jan Olav Høgetveit Utskrift: 12.02.16 FYS 4250 Orientation 2011 6 ver. 08/2012 FYS 4250 PROJECT WORK Content (max 5 pages including images and references): A specified medical equipment or technology and its medical field of application. Topics: Physical/technological description The intended use of the device Interface device/operator/patient Sources of error and hazards Speed of technology development (stable - unstable) Who are you writing for? Your fellow students participating in this course. References: You may write with your own words, but it is important to declare the basis of your information and images. You have to put quotation marks around quotations including a link to the source. Quotations without quotation marks and source reference are a theft. CHOOSE A TOPIC OF YOUR OWN INTEREST! This is a list of proposals in order to give you some ideas! 1. The temperature regulation of the body with a reference to servo systems. The temperature balance, measuring body temperature, sources of error. 2. Blood gases, measurement, sources of error 3. Henderson-Hasselbachs equation 4. Bernoulli (or Stoke or Poiseuille or Pascal) equations in medicine. 5. Medical equipment between the doctor and the patient. 6. Catheterization, hazards. 7. Measurement of blood pressure 8. Measurement of blood flow 9. Gamma-cameras 10.ECG-leads 11.Vectorcardiography Jan Olav Høgetveit Utskrift: 12.02.16 FYS 4250 Orientation 2011 7 12.Bioamplifiers for electrophysical signals 13.Defibrillators 14.Resuscitations (gjenopplivning) 15.Pacemakers 16.EEG 17.EMG 18.Electrodes, biosensors 19.Positron camera 20.Blood analysis methods 21.Immunologic measurement methods 22.Flowcytometers 23.Electrical bioimpedance 24.Micro-organisms and sterilization of equipment 25.Contrast in X-ray pictures 26.Sources of X-ray radiation 27.Digital medical images 28.Tomography 29.Bone mineral scanners 30.CT 31.Ultrasound imaging 32.MR 33. Anesthesia workstations 34. Electrosurgery 35.Lasers and their medical applications 36.Cryosurgery 37.Lithotripter (nyrestensknuser) 38.Endoscopy 39.Passive implants, biocompatibility 40.Stenting 41.Electrical safety and equipment in the patient surroundings 42.Hearing aid, implants 43.Ventilators 44.Medical gases and gas monitoring 45.Heart-lung machine 46.Artificial hearts 47.Dialysis 48.Pulseoxymeters 49.Infusion pumps Jan Olav Høgetveit Utskrift: 12.02.16 FYS 4250 Orientation 2011 8 ver. 08/2012 MEASUREMENT ERRORS Example: Non-invasive measurement of blood pressure: In a medical measurement situation, a number of measurement errors may occur. Some of them are listed in one of the four categories below: 1. Technical parameters Communication line without errors Scale (like . temp.dependency) Scale in vertical position Zero 2. Tissue factors Width of the cuff Clothes under the cuff Pressure propagation Compressibility 3. Metrology-parameters Speed of pressure release Digit preferences Hearing/training 4. Physiological parameters Roomtemperature/clothing Efforts/previous history Body position Point of measurement Stress/anxiety/fatigue Closure time cuff Jan Olav Høgetveit Utskrift: 12.02.16 FYS 4250 Orientation 2011 9