Foreword |
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xv | |
Preface |
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xvii | |
Acknowledgment |
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xxi | |
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1 | (58) |
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1 | (3) |
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4 | (1) |
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4 | (1) |
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1.2 Problem Formulation in Product Design |
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4 | (2) |
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1.3 The Business Context for Design |
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6 | (4) |
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1.4 The Engineering Product Design Process |
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10 | (5) |
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1.5 System-subsystem Decomposition |
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15 | (6) |
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1.6 The Product Development Life Cycle |
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21 | (3) |
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1.7 Project Management in Product Design |
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24 | (6) |
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1.8 Intellectual Property Rights and Reuse |
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30 | (2) |
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32 | (1) |
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1.11 The ECG: Introduction |
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32 | (2) |
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1.11.1 The ECG's diagnostic relevance |
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32 | (1) |
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33 | (1) |
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1.12 The ECG Design Problem Formulation |
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34 | (2) |
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1.13 The ECG Business Plan |
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36 | (4) |
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1.13.1 Market Size and Trend |
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37 | (1) |
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1.13.2 Core and Distinctive Features |
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38 | (2) |
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1.14 The ECG Design Process |
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40 | (4) |
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1.14.1 Transverse Activities of the ECG Design Process |
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43 | (1) |
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1.14.2 Core Activities of the ECG Design Process |
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44 | (1) |
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1.15 ECG System-subsystem Decomposition |
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44 | (2) |
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1.15.1 Hardware Platform Decomposition |
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45 | (1) |
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1.15.2 Software Application Decomposition |
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45 | (1) |
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1.16 ECG Product Life Cycle |
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46 | (5) |
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1.16.1 Overcoming Risk of Inadequate Visualization of ECG Signal |
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47 | (3) |
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1.16.2 Overcoming Risk of Error Fixing in System Integration |
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50 | (1) |
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1.16.3 Overcoming Risks for Non-stable/Unfeasible Requirements |
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50 | (1) |
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1.17 The ECG Development Plan and Project Management |
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51 | (4) |
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1.18 IPR and Reuse Strategy for the ECG |
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55 | (4) |
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57 | (2) |
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2 Concepts And Requirements |
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59 | (78) |
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59 | (2) |
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61 | (1) |
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61 | (1) |
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2.2 The Medical Instrumentation Approach |
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62 | (5) |
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2.3 Extraction of Physiological Parameters |
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67 | (3) |
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70 | (9) |
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72 | (2) |
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2.4.2 Blood Flow and Hemodynamics |
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74 | (5) |
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2.5 Biopotential Recording |
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79 | (2) |
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2.6 Electroencephalography |
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81 | (4) |
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85 | (3) |
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88 | (1) |
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88 | (1) |
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2.9 Requirements Management |
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89 | (2) |
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2.10 Medical Instruments Requirements and Standards |
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91 | (3) |
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94 | (2) |
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2.12 The Patient Component |
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96 | (3) |
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2.12.1 The Heart's Pumping Function and the Circulatory System |
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96 | (1) |
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2.12.2 Heart Conduction `Control' System |
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97 | (2) |
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2.13 The ECG Method for Observation |
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99 | (9) |
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2.13.1 Recording the Heart's Electrical Signals |
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99 | (4) |
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2.13.2 ECG Definition and History |
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103 | (1) |
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2.13.3 ECG Standard Method of Observation |
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103 | (5) |
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2.14 Features of the Observations |
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108 | (11) |
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108 | (2) |
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2.14.2 Clinically Significant Signal |
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110 | (7) |
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117 | (1) |
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2.14.4 Isoelectric Line Instability |
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118 | (1) |
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119 | (1) |
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2.15 Requirements Related to Measurements |
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119 | (7) |
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126 | (5) |
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128 | (3) |
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2.17 Usability and Marketing Requirements |
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131 | (1) |
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132 | (2) |
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2.19 Economic Requirements |
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134 | (3) |
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135 | (2) |
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3 Biomedical Engineering Design |
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137 | (44) |
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138 | (1) |
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139 | (1) |
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3.1 Design Principles and Regulations |
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139 | (2) |
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3.2 General Design System Model |
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141 | (1) |
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3.3 Pressure and Flow Instruments |
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142 | (6) |
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3.3.1 Blood Pressure Instruments |
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144 | (2) |
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146 | (1) |
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3.3.3 Measuring Oxygen Concentration |
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147 | (1) |
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3.4 Biopotential Instruments |
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148 | (4) |
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3.4.1 Electroencephalographs |
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148 | (3) |
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151 | (1) |
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152 | (8) |
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3.5.1 The Conceptual Design |
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155 | (1) |
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3.5.2 System-wide Design Decisions |
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156 | (1) |
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3.5.3 System Architectural Design |
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157 | (1) |
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157 | (3) |
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160 | (1) |
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160 | (10) |
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3.6.1 The Gamma Cardio CG Use Case |
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160 | (1) |
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3.6.2 Human Factors and the User Interface Design |
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161 | (6) |
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3.6.3 Patient Interface: the Biopotential Electrodes |
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167 | (3) |
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3.7 The ECG System Architectural Design |
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170 | (9) |
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3.7.1 Subsystem Identification |
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170 | (1) |
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3.7.2 The Communication Interfaces |
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171 | (3) |
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3.7.3 Acquisition Hardware Requirements |
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174 | (2) |
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3.7.4 Firmware Requirements |
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176 | (1) |
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3.7.5 Software Application Requirements |
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177 | (1) |
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3.7.6 Concept of Execution among Subsystems |
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178 | (1) |
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3.8 Gamma Cardio CG Technical File Structure |
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179 | (2) |
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180 | (1) |
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4 Signal Processing And Estimation |
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181 | (50) |
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181 | (3) |
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184 | (1) |
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4.1 Discrete Representations of Analog Systems |
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184 | (5) |
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4.2 Discrete Fourier Transform |
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189 | (8) |
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4.2.1 Discrete Fourier Transform Statistics |
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194 | (3) |
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4.3 Estimation Theory Framework |
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197 | (7) |
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4.3.1 Minimum Mean Square Error Estimate |
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199 | (2) |
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4.3.2 Minimum Mean Absolute Error Estimate (MMAE) |
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201 | (1) |
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4.3.3 Maximum A Posteriori (MAP) Probability Estimate |
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202 | (1) |
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4.3.4 Maximum Likelihood Estimation (MLE) |
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203 | (1) |
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4.4 Performance Indicators |
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204 | (10) |
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4.4.1 Efficient Estimators |
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208 | (1) |
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4.4.2 Fisher's Information Matrix |
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209 | (3) |
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4.4.3 Akaike Information Criterion |
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212 | (2) |
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214 | (1) |
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4.5 Analog to Digital Conversion |
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214 | (7) |
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4.5.1 Indirect Sampling versus Direct Sampling |
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214 | (2) |
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216 | (5) |
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221 | (3) |
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4.6.1 White Gaussian Signals in Additive White Gaussian Noise |
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221 | (1) |
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4.6.2 Denoising of Gaussian Cyclostationary Signals |
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222 | (1) |
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4.6.3 MMSE Digital Filter |
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222 | (2) |
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4.7 Time of Arrival Estimation |
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224 | (7) |
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229 | (2) |
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231 | (128) |
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231 | (2) |
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233 | (2) |
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235 | (1) |
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236 | (7) |
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5.2 Circuit Protection Function |
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243 | (11) |
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246 | (1) |
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5.2.2 Transient Voltage Suppressors |
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247 | (1) |
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5.2.3 RF Filter Circuit Protection |
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248 | (3) |
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5.2.4 Circuit Frequency Response |
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251 | (3) |
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254 | (4) |
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5.3.1 Operational Amplifiers |
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256 | (2) |
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5.4 Analog Signal Processing |
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258 | (4) |
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5.4.1 Summing Amplifier Circuit |
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259 | (1) |
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5.4.2 Analog Signal Switching |
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260 | (2) |
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5.5 Interference and Instrumentation Amplifiers |
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262 | (11) |
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5.5.1 Eliminating In-band Interference |
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262 | (5) |
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267 | (1) |
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268 | (2) |
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5.5.4 Right Leg Connection |
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270 | (2) |
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5.5.5 Right Leg Driver Circuit |
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272 | (1) |
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273 | (6) |
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273 | (5) |
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5.6.2 Analog versus Digital Filtering |
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278 | (1) |
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279 | (6) |
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285 | (4) |
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289 | (12) |
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290 | (4) |
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5.9.2 Electrical Safety and Appliance Design |
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294 | (4) |
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5.9.3 Power Module Design |
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298 | (3) |
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5.10 Baseband Digital Communication |
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301 | (12) |
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5.10.1 Data Transmission Elements |
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302 | (11) |
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313 | (1) |
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5.20 Gamma Cardio CG Architecture |
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313 | (4) |
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5.20.1 ECG Design Choices |
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314 | (3) |
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5.20.2 Gamma Cardio CG Complete Scheme |
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317 | (1) |
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317 | (4) |
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5.22 Gamma Cardio CG Protection |
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321 | (4) |
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5.23 Gamma Cardio CG Buffer Stage |
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325 | (2) |
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327 | (5) |
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331 | (1) |
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332 | (7) |
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333 | (4) |
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5.25.2 Input Dynamic Range: Requirement Demonstrations |
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337 | (1) |
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5.25.3 Gain Error: Requirement Demonstrations |
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338 | (1) |
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339 | (3) |
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342 | (4) |
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346 | (5) |
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347 | (1) |
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348 | (3) |
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351 | (2) |
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5.29.1 Power Module Circuit |
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353 | (1) |
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5.30 Communication Module |
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353 | (6) |
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357 | (1) |
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358 | (1) |
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359 | (60) |
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359 | (2) |
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361 | (1) |
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361 | (4) |
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6.1.1 Intrinsic Risks and Software Engineering |
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362 | (1) |
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6.1.2 Main Concepts in Software Development |
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363 | (1) |
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6.1.3 Regulatory Requirements for Software |
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364 | (1) |
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6.2 The Process: a Standard for Medical Software |
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365 | (9) |
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6.2.1 IEC/EN 62304 Overview |
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365 | (3) |
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6.2.2 Risk Analysis for Hardware and Software Design |
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368 | (2) |
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6.2.3 Software Safety Classification |
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370 | (1) |
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6.2.4 System Decomposition and Risks |
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371 | (1) |
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6.2.5 Impact of Safety Classification |
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372 | (1) |
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372 | (2) |
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6.3 Risk Management Process |
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374 | (5) |
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6.3.1 Risk Management in Software |
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376 | (1) |
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6.3.2 Risk Management for Medical Instrument Software |
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377 | (2) |
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6.4 Software Development Process |
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379 | (10) |
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6.4.1 Software Development Planning |
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380 | (1) |
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6.4.2 Software Requirements Analysis |
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381 | (1) |
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6.4.3 Software Architectural Design |
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382 | (3) |
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6.4.4 Detailed Software Design |
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385 | (1) |
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6.4.5 Software Unit Implementation and Verification |
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385 | (2) |
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6.4.6 Software Integration and Integration Testing |
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387 | (1) |
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6.4.7 Software System Testing |
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388 | (1) |
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388 | (1) |
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6.5 Software Configuration Management Process |
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389 | (2) |
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6.6 Software Problem Resolution Process |
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391 | (1) |
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6.7 Software Maintenance Process |
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392 | (1) |
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6.8 Guidelines on Software Design |
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393 | (7) |
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395 | (1) |
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6.8.2 Basic Recommendations |
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396 | (1) |
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6.8.3 Software Core Services |
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396 | (2) |
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6.8.4 Defensive Programing |
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398 | (2) |
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400 | (1) |
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400 | (2) |
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6.9.1 Gamma Cardio CG Use Case |
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400 | (1) |
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6.9.2 System Decomposition |
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401 | (1) |
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402 | (1) |
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6.11 Software Application |
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403 | (8) |
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6.11.1 Software Requirements |
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403 | (4) |
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6.11.2 Architectural Design |
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407 | (2) |
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6.11.3 Elaboration Module |
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409 | (2) |
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411 | (8) |
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6.12.1 Firmware Requirements |
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411 | (2) |
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6.12.2 Architectural Design |
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413 | (3) |
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6.12.3 Automatic Test Capability |
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416 | (2) |
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418 | (1) |
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419 | (48) |
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420 | (1) |
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421 | (1) |
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421 | (5) |
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7.1.1 The Assessment Framework |
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421 | (1) |
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7.1.2 Assessment Framework for the Health Sector |
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422 | (4) |
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7.2 The Cloud Computing Model |
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426 | (9) |
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7.2.1 Basics of Cloud Computing |
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426 | (2) |
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428 | (2) |
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7.2.3 Services in the Cloud |
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430 | (2) |
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432 | (2) |
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7.2.5 Features of the Clouds |
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434 | (1) |
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435 | (7) |
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7.3.1 Interoperability in e-Health |
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437 | (5) |
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7.4 Electronic Health Record (EHR) |
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442 | (3) |
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445 | (5) |
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449 | (1) |
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450 | (1) |
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7.6.1 Application Scenario |
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450 | (1) |
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7.7 Telecardiology Technology |
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451 | (4) |
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7.8 Workflow in Telecardiology |
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455 | (8) |
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455 | (2) |
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7.8.2 Alternative Workflows |
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457 | (3) |
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7.8.3 Where and When Telecardiology Can Be Used |
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460 | (3) |
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7.9 Risks of Telecardiology |
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463 | (4) |
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465 | (2) |
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467 | (92) |
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467 | (2) |
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469 | (1) |
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8.1 Certification Objectives and Processes |
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469 | (5) |
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8.1.1 Certification, Standards and Definitions |
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470 | (4) |
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8.2 Regulations, Standards and Organizations |
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474 | (6) |
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8.2.1 Technical Standards for Medical Devices |
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477 | (1) |
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478 | (2) |
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8.3 Basic Protection Concepts |
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480 | (6) |
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8.3.1 Protection Against Electric Shock |
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480 | (4) |
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484 | (1) |
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8.3.3 Degree of Protection Provided by Enclosures |
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485 | (1) |
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8.4 Verification of Constructional Requirements |
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486 | (9) |
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8.4.1 Choice of Safety Critical Materials and Components |
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486 | (3) |
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8.4.2 Creepage Distances and Air Clearances |
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489 | (1) |
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490 | (2) |
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492 | (2) |
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8.4.5 Connections to the Power Supply |
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494 | (1) |
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495 | (1) |
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8.5 Medical Equipment Safety Tests |
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495 | (9) |
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497 | (2) |
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499 | (1) |
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8.5.3 Dielectric Strength |
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500 | (1) |
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8.5.4 Stability and Mechanical Strength |
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500 | (1) |
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8.5.5 Abnormal Operating and Fault Conditions |
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501 | (1) |
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8.5.6 Continuity of Protective Earthing |
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502 | (1) |
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503 | (1) |
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8.5.8 Voltage on the Accessible Parts |
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503 | (1) |
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8.5.9 Energy Stored - Pressurized Part |
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503 | (1) |
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8.5.10 Current and Power Consumption |
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504 | (1) |
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8.6 Electromagnetic Compatibility |
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504 | (11) |
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506 | (5) |
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511 | (2) |
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513 | (2) |
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515 | (1) |
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515 | (22) |
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8.11.1 Device Description |
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516 | (1) |
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8.11.2 Medical Device Classes |
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516 | (3) |
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8.11.3 EU Conformity Assessment |
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519 | (1) |
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8.11.4 Risk Management Deliverable |
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520 | (7) |
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8.11.5 The Technical File |
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527 | (10) |
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8.12 Regulatory Approaches to Medical Device Market Placement |
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537 | (3) |
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8.13 Basic Concepts in Device Implementation |
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540 | (4) |
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8.13.1 Protection Against Electric Shock |
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541 | (1) |
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541 | (3) |
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8.13.3 Enclosure IP Protection |
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544 | (1) |
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8.14 Verification on Design Performance |
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544 | (2) |
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8.14.1 Safety-critical Materials |
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544 | (1) |
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8.14.2 Creepage and Air Clearance |
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545 | (1) |
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8.14.3 Other Verifications |
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545 | (1) |
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546 | (2) |
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546 | (1) |
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546 | (1) |
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8.15.3 Other Safety Tests |
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547 | (1) |
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8.16 Electromagnetic Compatibility |
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548 | (11) |
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549 | (1) |
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550 | (4) |
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554 | (1) |
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Summary of Regulations and Standards |
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555 | (4) |
Index |
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559 | |