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Therapeutical Medical Technology

Type of study Follow-up Master
Language of instruction Czech
Code 450-4013/04
Abbreviation LTP
Course title Therapeutical Medical Technology
Credits 4
Coordinating department Department of Cybernetics and Biomedical Engineering
Course coordinator prof. Ing. Marek Penhaker, Ph.D.

Osnova předmětu

Lectures
1. Concepts of therapeutic systems, therapeutic dose, influence of physical fields on living tissues, electromagnetic radiation, ultrasonic waves, effects of laser radiation, diathermic heating, patient safety.
2. Technical solutions of therapeutic systems, principal block diagrams and parameters of individual blocks of therapeutic systems. Physical therapies, technical aspects and therapeutic aspects.
3. Electrotherapy of the heart - pacemakers, distribution, types, stimulation electrodes and their terminals, programming of pacemakers. Types and modes of stimulation, technical application of pacemakers in implants. Power sources of implantable pacemakers. Coding of implantable pacemakers.
4. Electrotherapy of the heart - defibrillators. Distribution, types, defibrillation electrodes, sources. Types and modes of pacing. Technical application of defibrillators.
5. Anesthesia and resuscitation systems. Artificial pulmonary ventilation and ventilation modes. Inhalative anesthesia. Principle and function of anesthetic devices. Fan classification, basic, control and control elements, optional equipment.
6. Laser technology, properties of laser radiation, basic types of lasers, exposure of laser beams to biological tissue. Advantages of coherent laser radiation. Clinical applications.
7. Electromagnetic Field Technique, Physical Principles, Energy and Electromagnetic Field Effects, Microwave Technology. Medical applications, microwave hyperthermia, microwave diathermy, microwave scalpel.
8. Ultrasound technique, biological effects, cavitation, acoustic flow, thermal effects, physical therapy. Security aspects.
9. Wavewave Technique, Wavewave Principles and Behavior, ESWT, ESWL, and PSWT - Focused Shockwave, PEK, Mechanical, Electro-Hydraulic, and Laser Blast Destruction. Effects of treatment of the locomotive apparatus by shock wave.
10. Ionizing Radiation Technique, Radiotherapy, Technology and Radiation Sources. Fundamentals of Nuclear Medicine. Radioisotope therapy. Leksell\'s gamma knife, hadron radiotherapy, meson radiotherapy, brachyradiotherapy, proton therapy.
11. Instruments for rehabilitation and physical therapy, iontophoresis, function generators, magnetotherapy.
12. Low temperature technique, cryosurgery, physiological effects of low temperatures, cryotherapy. Technical and constructional design of cryocoter, safety of work and clinical application of cryosurgery.
13. Complementary devices for surgical fields. Endoscopy, endoscopic diagnostic and therapeutic methods, laparoscopy of arthroscopy, balloon pulse contrast. Principles of electrocoagulation, homeostasis, radiofrequency, microwave ablation. Harmonic scalpel. Nanoknife, principles and design of an UZV aspirator. Veinviewer.
14. Extra-circulatory circulation, artificial heart system for extracorporeal circulation, artificial kidney, infusion technique.

Laboratory Exercises:
Within the framework of the exercises the students make diagrams of the connection of the partial electrotechnical parts of medical instrumentation and carry out measurements and comparison with commercially certified devices. This is mainly about hardware design and measurement of simulators, stimulators and cardiotachometers. Other circuits are supportive and aid to the whole.

1. Introduction to schematics and their complex integration - familiarization with elements and power for construction
2.Water pump
3.Alarm system with memory
4. EEG simulator - white noise generator
5. Cardiotachometer
6.AC stability - two-way controller for compression control
7.DC transformer - modulator and voltage demodulator
8.Binar counter with emitter tracker for segment indicator
9. Impedance reograph
10.Logarithmic siemensmeter - Measurement of skin resistance
11. Signal distortion rate
12. Pulse wave detector
13. Matching Component
14.Control and connection functionality. Verification of the result by comparison to certified medical devices.Lectures
1. Concepts of therapeutic systems, therapeutic dose, influence of physical fields on living tissues, electromagnetic radiation, ultrasonic waves, effects of laser radiation, diathermic heating, patient safety.
2. Technical solutions of therapeutic systems, principal block diagrams and parameters of individual blocks of therapeutic systems. Physical therapies, technical aspects and therapeutic aspects.
3. Electrotherapy of the heart - pacemakers, distribution, types, stimulation electrodes and their terminals, programming of pacemakers. Types and modes of stimulation, technical application of pacemakers in implants. Power sources of implantable pacemakers. Coding of implantable pacemakers.
4. Electrotherapy of the heart - defibrillators. Distribution, types, defibrillation electrodes, sources. Types and modes of pacing. Technical application of defibrillators.
5. Anesthesia and resuscitation systems. Artificial pulmonary ventilation and ventilation modes. Inhalative anesthesia. Principle and function of anesthetic devices. Fan classification, basic, control and control elements, optional equipment.
6. Laser technology, properties of laser radiation, basic types of lasers, exposure of laser beams to biological tissue. Advantages of coherent laser radiation. Clinical applications.
7. Electromagnetic Field Technique, Physical Principles, Energy and Electromagnetic Field Effects, Microwave Technology. Medical applications, microwave hyperthermia, microwave diathermy, microwave scalpel.
8. Ultrasound technique, biological effects, cavitation, acoustic flow, thermal effects, physical therapy. Security aspects.
9. Wavewave Technique, Wavewave Principles and Behavior, ESWT, ESWL, and PSWT - Focused Shockwave, PEK, Mechanical, Electro-Hydraulic, and Laser Blast Destruction. Effects of treatment of the locomotive apparatus by shock wave.
10. Ionizing Radiation Technique, Radiotherapy, Technology and Radiation Sources. Fundamentals of Nuclear Medicine. Radioisotope therapy. Leksell\'s gamma knife, hadron radiotherapy, meson radiotherapy, brachyradiotherapy, proton therapy.
11. Instruments for rehabilitation and physical therapy, iontophoresis, function generators, magnetotherapy.
12. Low temperature technique, cryosurgery, physiological effects of low temperatures, cryotherapy. Technical and constructional design of cryocoter, safety of work and clinical application of cryosurgery.
13. Complementary devices for surgical fields. Endoscopy, endoscopic diagnostic and therapeutic methods, laparoscopy of arthroscopy, balloon pulse contrast. Principles of electrocoagulation, homeostasis, radiofrequency, microwave ablation. Harmonic scalpel. Nanoknife, principles and design of an UZV aspirator. Veinviewer.
14. Extra-circulatory circulation, artificial heart system for extracorporeal circulation, artificial kidney, infusion technique.

Laboratory Exercises:
Within the framework of the laboratory exercises the students make diagrams of the connection of the partial electrotechnical parts of medical instrumentation and carry out measurements and comparison with commercially certified devices. This is mainly about hardware design and measurement of simulators, stimulators and cardiotachometers. Other circuits are supportive and aid to the whole.

1. Introduction to schematics and their complex integration - familiarization with elements and power for construction
2.Water pump
3.Alarm system with memory
4. EEG simulator - white noise generator
5. Cardiotachometer
6.AC stability - two-way controller for compression control
7.DC transformer - modulator and voltage demodulator
8.Binar counter with emitter tracker for segment indicator
9. Impedance reograph
10.Logarithmic siemensmeter - Measurement of skin resistance
11. Signal distortion rate
12. Pulse wave detector
13. Matching Component
14.Control and connection functionality. Verification of the result by comparison to certified medical devices.

Povinná literatura

• ROZMAN, Jiří. Medical Instrumentation III. Brno: University of Technology, 2000. ISBN 80-214-1667-X.
• BRONZINO, Joseph D. The biomedical engineering handbook. 3rd ed. Boca Raton: CRC/Taylor & Francis, 2006. ISBN 0849321239 .
• WEBSTER, John G., ed. Medical instrumentation: application and design. 3rd ed. S.l.: John Wiley, c1998. ISBN 0-471-15368-0.

Advised literature

• DAVID, Yadin. Clinical engineering. Boca Raton: CRC Press, c2003. Principles and applications in engineering. ISBN 0849318130 .
• PEREZ, Reinaldo. Design of medical electronic devices. San Diego: Academic Press, c2002. ISBN 0125507119.
• CARR, Joseph J. a John M. BROWN. Introduction to biomedical equipment technology. 4th ed. Upper Saddle River, N.J.: Prentice Hall, c2001. ISBN 0130104922.
• MACKAY, R. Stuart. Bio-medical telemetry; sensing and transmitting biological information from animals and man. New York: Wiley, 1968.
• FRADEN, Jacob. AIP handbook of modern sensors: physics, designs and applications. 3rd print. New York: American Institute of Physics, 1995. AIP series in modern instrumentation and measurements in physics & engineering. ISBN 1-56396-108-3 .
• OLANSEN, Jon B. a Eric. ROSOW. Virtual bio-instrumentation: biomedical, clinical, and healthcare applications in LabVIEW. Upper Saddle River, NJ: Prentice Hall, 2002. ISBN 0130652164.
• DAVIM, J. Paulo, ed. The design and manufacture of medical devices. Cambridge: Woodhead Publishing, 2012. Woodhead Pu blishing reviews: mechanical engineering. ISBN 978-1-907568-72-5