| Course Unit Code | 450-4013/05 |
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| Number of ECTS Credits Allocated | 4 ECTS credits |
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| Type of Course Unit * | Optional |
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| Level of Course Unit * | Second Cycle |
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| Year of Study * | |
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| Semester when the Course Unit is delivered | Summer Semester |
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| Mode of Delivery | Face-to-face |
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| Language of Instruction | English |
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| Prerequisites and Co-Requisites | |
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| Prerequisities | Course Unit Code | Course Unit Title |
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| 450-4008 | Diagnostic Instruments in Medicine |
| Name of Lecturer(s) | Personal ID | Name |
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| PEN72 | prof. Ing. Marek Penhaker, Ph.D. |
| Summary |
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| In the course students are familiarized and practically verify principles by acting of various types of physical energies on living organisms using medical therapeutical instrumentation. The use of these effects for therapy purposes is discussed in more detail, the critical doses that are acceptable under different treatment conditions are listed. The individual therapeutic methods are discussed and the nature of the device, the description and its construction, including the relation to the valid legislation regulating their use, are explained. Safety risks are explained using medical instrumentation and individual therapeutic methods. |
| Learning Outcomes of the Course Unit |
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| The aim of the course is to provide detailed information about medical therapeutical instruments, their activities, construction, and the relationship of legislation governing their use. Students acquire knowledge about medical therapeutical devices and devices, including inclusion in individual therapeutic methods. The acquired knowledge and skills in this subject form the basic prerequisite of knowledge of biomedical engineer. |
| Course Contents |
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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. |
| Recommended or Required Reading |
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| Required Reading: |
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• 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.
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PENHAKER, Marek. Lékařské terapeutické přístroje. Ostrava: VŠB - Technická univerzita Ostrava, 2007. ISBN 978-80-248-1558-9.
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| Recommended Reading: |
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• 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
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• ROZMAN, Jiří. Terapeutická technika. Brno: Vysoké učení technické, 2000. ISBN 80-214-1488-X.
• HOZMAN, Jiří a Josef CHALOUPKA. Praktika z biomedicínské a klinické techniky. Praha: Česká technika - nakladatelství ČVUT, 2008. ISBN 978-80-01-04025-6.
• ROZMAN, Jiří. Ultrazvuková technika v lékařství: diagnostické systémy. Brno: Vysoké učení technické, 1979. Učební texty vysokých škol.
• PENHAKER, Marek, Petr TIEFENBACH a František KOBZA. Anglicko-český tématický slovník pro biomedicínské obory. Ostrava: VŠB - Technická univerzita Ostrava, 2007. ISBN 978-80-248-1589-3.
• PENHAKER, Marek, Petr TIEFENBACH a František KOBZA. Modelování a simulace biologických systémů: cvičení. Ostrava: VŠB - Technická univerzita Ostrava, 2007. ISBN 978-80-248-1560-2.
• PENHAKER, Marek, Petr TIEFENBACH a František KOBZA. Lékařská kybernetika. Ostrava: VŠB - Technická univerzita Ostrava, 2007. ISBN 978-80-248-1561-9.
• TIEFENBACH, Petr, Marek PENHAKER a František KOBZA. Odborná terminologie pro biomedicínské obory. Ostrava: VŠB - Technická univerzita Ostrava, 2007. ISBN 978-80-248-1590-9.
• VRÁNA, Milan a Miroslav NETUŠIL. Lékařská elektronika. Praha: Avicenum, 1975.
• JUREK, František. Elektronika na koronární jednotce. Ostrava: Dům techniky ČSVTS, 1988.
• SVATOŠ, Josef. Biologické signály I: geneze, zpracování a analýza. Vyd. 2. Praha: České vysoké učení technické, 1998. ISBN 80-01-01822-9.
• SVATOŠ, Josef. Biologické signály. Vyd. 2. Praha: České vysoké učení technické, 1998. ISBN 80-01-01822-9.
• CHMELAŘ, Milan. Lékařská přístrojová technika. Brno: Fakulta elektrotechniky a informatiky VUT, 1995. ISBN 80-85867-63-X.
• CHMELAŘ, Milan. Lékařská přístrojová technika I. Brno: CERM, 1995. Učební texty vysokých škol. ISBN 80-85867-63-X.
• CHMELAŘ, Milan, Jiří ROZMAN a Aleš DRASTICH. Lékařská přístrojová technika II. Praha: SNTL, 1984.
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| Planned learning activities and teaching methods |
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| Lectures, Individual consultations, Tutorials, Experimental work in labs |
| Assesment methods and criteria |
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| Tasks are not Defined |