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E-raamat: Medical Device Technologies: A Systems Based Overview Using Engineering Standards

(Department of Engineering, Loyola University Chicago, IL, USA)
  • Formaat: PDF+DRM
  • Ilmumisaeg: 28-Sep-2011
  • Kirjastus: Academic Press Inc
  • Keel: eng
  • ISBN-13: 9780080961125
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  • Formaat: PDF+DRM
  • Ilmumisaeg: 28-Sep-2011
  • Kirjastus: Academic Press Inc
  • Keel: eng
  • ISBN-13: 9780080961125
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The goal of this textbook is to provide undergraduate engineering students with an introduction to commonly manufactured medical devices. It is the first textbook that discusses both electrical and mechanical medical devices. The first 20 chapters are medical device technology chapters; the remaining 8 chapters are medical device laboratory experiment chapters.

Each medical device chapter begins with an exposition of appropriate physiology, mathematical modeling or biocompatibility issues, and clinical need. A device system description and system diagram provide details on technology function and administration of diagnosis and/or therapy. The systems approach enables students to quickly identify the relationships between devices. Device key features are based on five applicable consensus standard requirements from organizations such as ISO and the Association for the Advancement of Medical Instrumentation (AAMI).

 

Key Features:

  • The medical devices discussed are Nobel Prize or Lasker Clinical Prize winners, vital signs devices, and devices in high industry growth areas
  • Three significant Food and Drug Administration (FDA) recall case studies which have impacted FDA medical device regulation are included in appropriate device chapters
  • Exercises at the end of each chapter include traditional homework problems, analysis exercises, and four questions from assigned primary literature
  • Eight laboratory experiments are detailed that provide hands-on reinforcement of device concepts


The goal of this textbook is to provide undergraduate engineering students with an introduction to commonly manufactured medical devices. It is the first textbook that discusses both electrical and mechanical medical devices. The first 20 chapters are medical device technology chapters; the remaining 8 chapters are medical device laboratory experiment chapters.

Each medical device chapter begins with an exposition of appropriate physiology, mathematical modeling or biocompatibility issues, and clinical need. A device system description and system diagram provide details on technology function and administration of diagnosis and/or therapy. The systems approach enables students to quickly identify the relationships between devices. Device key features are based on five applicable consensus standard requirements from organizations such as ISO and the Association for the Advancement of Medical Instrumentation (AAMI).

Key Features:

  • The medical devices discussed are Nobel Prize or Lasker Clinical Prize winners, vital signs devices, and devices in high industry growth areas
  • Three significant Food and Drug Administration (FDA) recall case studies which have impacted FDA medical device regulation are included in appropriate device chapters
  • Exercises at the end of each chapter include traditional homework problems, analysis exercises, and four questions from assigned primary literature
  • Eight laboratory experiments are detailed that provide hands-on reinforcement of device concepts

Muu info

The first textbook for biomedical engineering courses in medical device design and instrumentation. Comprehensive and self-contained, the book introduces all necessary math (from Junior level calculus) and theory, and is also supported by a rich pedagogy and an extensive range of supporting tutorial and lab based projects.
Preface ix
About the Author xii
Nomenclature xiii
I Medical Devices
1 Diagnosis and Therapy
Medical Device Definitions
3(2)
Clinical Need
5(1)
Medical Devices vs. Medical Instruments
5(6)
Sensors
11(10)
Patient and Operator Safety
21(1)
Amplification
22(3)
Data Acquisition
25(2)
Medical Electrical Stimulators
27(6)
Systems
33(1)
Summary
34(6)
2 Electrocardiographs
Cardiac Electrical Conduction
40(2)
Standard Leads
42(5)
Two Arrhythmia Classes
47(3)
Clinical Need
50(1)
Historic Devices
50(2)
System Description and Diagram
52(1)
Key Features from Engineering Standards
52(4)
Summary
56(4)
3 Pacemakers
Two Arrhythmia Classes
60(3)
Heart Failure
63(2)
Tissue Response to Stimulation Voltage
65(1)
Clinical Need
66(1)
Historic Devices
66(3)
System Description and Diagram
69(6)
Key Features from Engineering Standards
75(4)
Temporary Cardiac Pacing
79(1)
Summary
79(5)
4 External Defibrillators
Tachyarrhythmias
84(3)
Sudden Cardiac Arrest and Cardiopulmonary Resuscitation
87(1)
Defibrillation Mechanism and Threshold
88(1)
Clinical Need
89(1)
Historic Devices
90(5)
System Description and Diagram
95(2)
Key Features from Engineering Standards
97(2)
Summary
99(5)
5 Implantable Cardioverter Defibrillators
Wound-Healing Response
104(4)
Clinical Need
108(1)
Historic Devices
108(3)
System Description and Diagram
111(2)
Key Features from Engineering Standards
113(2)
FDA Case Study: Guidant ICD Recall
115(3)
Summary
118(3)
6 Heart Valves
Cardiac Mechanics
121(6)
Blood Coagulation
127(1)
Clinical Need
128(1)
Historic Devices
129(4)
System Description and Diagram
133(2)
FDA Case Study: Bjork-Shiley Heart Valve
135(4)
Key Features from Engineering Standards
139(2)
Summary
141(7)
7 Blood Pressure Monitors
Blood Pressure Propagation
148(2)
Clinical Need
150(1)
Historic Devices
151(1)
System Descriptions and Diagrams
152(8)
Key Features from Engineering Standards
160(1)
Summary
161(5)
8 Catheters, Bare Metal Stents, and Synthetic Grafts
Atherosclerosis
166(1)
Percutaneous Coronary Interventions
167(4)
Aneurysms
171(2)
Clinical Need
173(1)
Historic Devices
173(3)
System Descriptions and Diagrams
176(8)
FDA Case Study: Guidant Ancure Endovascular Graft System
184(3)
Key Features from Engineering Standards
187(2)
Summary
189(5)
9 Hemodialysis Delivery Systems
Body Fluid Compartments
194(2)
Renal Anatomy and Physiology
196(4)
Renal Replacement Therapies
200(2)
Dialysis Adequacy Through Urea Modeling
202(2)
Clinical Need
204(1)
Historic Devices
205(2)
System Description and Diagram
207(4)
Key Features from Engineering Standards
211(2)
Summary
213(5)
10 Mechanical Ventilators
Pulmonary Physiology
218(5)
Ventilator Mechanics
223(3)
Clinical Need
226(1)
Historic Devices
226(2)
System Description and Diagram
228(5)
Key Features from Engineering Standards
233(1)
Summary
234(4)
11 Pulse Oximeters
Oxygen Transport in Blood
238(3)
Beer-Lambert Law
241(2)
Adaptive Filtering
243(2)
Clinical Need
245(1)
Historic Devices
245(5)
System Description and Diagram
250(1)
Key Features from Engineering Standards
250(2)
Respiration Monitors
252(1)
Summary
252(6)
12 Thermometers
Thermoregulation Physiology
258(2)
Skin Temperature vs. Core Temperature
260(2)
Clinical Need
262(1)
Historic Devices
263(1)
System Descriptions and Diagrams
264(4)
Key Features from Engineering Standards
268(3)
FDA Consensus Standards for Accuracy
271(1)
Summary
272(4)
13 Electroencephalographs
Brain Physiology
276(4)
Original 10-20 System
280(6)
Clinical Need
286(2)
Historic Devices
288(1)
System Description and Diagram
289(2)
Key Features from Engineering Standards
291(1)
Bispectral Index Monitors
291(2)
Summary
293(5)
14 Deep Brain Stimulators
Basal Ganglia
298(1)
Target Localization
299(3)
Clinical Need
302(1)
Historic Devices
303(1)
System Description and Diagram
304(5)
Key Features from Engineering Standards
309(2)
Summary
311(5)
15 Cochlear Implants
Auditory Physiology
316(4)
Speech Processing
320(2)
Clinical Need
322(2)
Historic Devices
324(2)
System Description and Diagram
326(3)
Key Features from Engineering Standards
329(3)
Summary
332(4)
16 Functional Electrical Stimulators
Spinal Nerves
336(4)
Electrical Stimulation
340(3)
Clinical Need
343(1)
Historic Devices
344(1)
System Description and Diagram
345(2)
Emerging Technologies
347(5)
Key Features from Engineering Standards
352(1)
Summary
353(5)
17 Intraocular Lens Implants
Ocular Physiology
358(3)
Ultrasound
361(6)
Clinical Need
367(1)
Historic Devices
367(3)
System Description and Diagram
370(4)
Key Features from Engineering Standards
374(3)
Summary
377(5)
18 Total Hip Prostheses
Hip Physiology
382(4)
Wear-Mediated Osteolysis
386(3)
Clinical Need
389(1)
Historic Devices
389(2)
System Descriptions and Diagrams
391(5)
Key Features from Engineering Standards
396(4)
Summary
400(6)
19 Drug-Eluting Stents
Combination Products
406(1)
Drug Delivery Using Coatings
407(4)
Clinical Need
411(1)
Engineering Design
411(2)
Drug-Eluting Stent Requirements
413(1)
System Descriptions and Diagrams
414(3)
Key Features from Engineering Standards
417(1)
Summary
417(7)
20 Artificial Pancreas
Blood Glucose Regulation
424(3)
Compartmental Models
427(6)
Clinical Need
433(2)
Historic Devices
435(3)
Artificial Pancreas Requirements
438(3)
System Description and Diagram
441(3)
Key Features from Engineering Standards
444(4)
Summary
448(7)
II Lab Experiments
21 Electrocardiograph Design Lab
Strategic Planning
455(1)
Materials and Methods
455(2)
Results and Analysis
457(1)
Discussion
457(2)
22 Electrocardiograph Filtering Lab
Strategic Planning
459(1)
Introduction to Wavelet Filters
460(2)
Materials and Methods
462(1)
Results and Analysis
463(1)
Discussion
464(1)
23 Pacemaker Programming Lab
Strategic Planning
465(1)
Materials and Methods
465(4)
Results and Analysis
469(1)
Discussion
469(2)
24 Echocardiography Lab
Strategic Planning
471(1)
Materials and Methods
472(6)
Results and Analysis
478(1)
Discussion
478(1)
25 Patient Monitoring Lab
Strategic Planning
479(1)
Patient Monitoring
479(2)
Materials and Methods
481(1)
Results and Analysis
482(1)
Discussion
483(2)
26 Thermometry Accuracy Lab
Strategic Planning
485(1)
Materials and Methods
486(2)
Results and Analysis
488(1)
Discussion
488(1)
27 Surface Characterization Lab
Strategic Planning
489(1)
Medical Device Coatings
489(1)
Materials and Methods
490(2)
Results and Analysis
492(1)
Discussion
492(3)
28 Entrepreneurship Lab
Strategic Planning
495(1)
Crossing the Chasm Background
496(1)
Materials and Methods
497(2)
Crossing the Chasm Discussion Lecture
499(2)
Index 501
Dr. Baura received her BS Electrical Engineering degree from Loyola Marymount University, her MS Electrical Engineering and MS Biomedical Engineering degrees from Drexel University, and her PhD Bioengineering degree from the University of Washington. Between her graduate degrees, she worked as a loop transmission systems engineer at AT&T Bell Laboratories. She then spent 13 years in the medical device industry conducting medical device research and managing research and product development at several companies. She holds 20 U.S. patents. In her last industry position, Dr. Baura was Vice President, Research and Chief Scientist at CardioDynamics. In 2006, she returned to academia as a Professor of Medical Devices at Keck Graduate Institute of Applied Life Sciences, which is one of the Claremont Colleges.Throughout her career, Dr. Baura has championed engineering curriculum excellence. She has written four engineering textbooks, three of which are medical device textbooks. She is an ABET Engineering Accreditation Commissioner. In her new position as Director of Engineering Science at Loyola, she is constructing a general engineering curriculum that incorporates substantial industry input and prepares new engineering graduates for positions in the medical device, semiconductor, and wastewater treatment industries.