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Buying Right Neonatal equipment LSD

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  • 1. L S Deshmukh DM (Neonatology) Professor of Neonatology deshmukhls@yahoo.com
  • 2. Introduction  Optimum care needs help of technology  Level of care decides type  Bed numbers decide the quantity  Mostly imported  Many indigenous available
  • 3. Good Medical Equipment Important features - works for longer life (5-15 yr) - Has lower maintenance cost - Has less break downs - Has lower down time - Perform to its specifications - Most imp. Serves the purpose
  • 4. Choosing Medical Equipment Consider  need  Quality  Size  Rationality  Price  Safety
  • 5. Choosing Medical Equipment Need  most important question  Suitability for the level  Use for various conditions  Caters to specific needs
  • 6. Choosing Medical Equipment Quality  Always check  includes the features  certification of standardization  Demo must
  • 7. Choosing Medical Equipment Size  Know the work space  most current equipments compact  important for equipments like X-ray machine, radiant warmers etc.
  • 8. Choosing Medical Equipment Rationality  Always have basic ones before more advanced  Know your type of care  Have trained staff  Enough number of staff  Consider phasic upgradation Always look at and compare the price
  • 9. Choosing Medical Equipment specifications  Before buying, always have specs  Do some research - manufacturer websites and other reliable sources - meets your requirements
  • 10. Choosing Medical Equipment Additional Considerations  Equipment Model - popular model with many installations  Product Reliability - crucial point - especially with a newly developed product - history of problems, first customer experience, reliability record
  • 11. Choosing Medical Equipment Additional Considerations  Vendor Track Record – beware newer / attractive offers  Product Support: Buying a discontinued product very risky  User Reference: It is a nice point to check with existing user  proper warranty  Accessories
  • 12. Choosing Medical Equipment Safety  Always look for safety features  check for electrical & fire safety, battery back up, alarms  Approval ratings - 'CE', 'UL', and 'GS' are electrical safety ratings  ISO - a manufacturer "has introduced and applies a Quality Management System“
  • 13. Choosing Medical Equipment Safety  FDA -"have determined that your device is substantially equivalent to legally marketed predicate devices”  The FDA and CE-approved products are preferred because of their better quality and performance
  • 14. Selecting The Right Equipment Some Tips • Consult various personnel at all levels to learn • • • • the equipment requirement. Keep a watch on technological updates. Approach at least three vendors before selecting the equipment. Have an eye on technical specifications. Note down the requirements of the equipment like power & area, operating parameters.
  • 15. Selecting The Right Equipment Some Tips • Enquire about the after sales support, training, availability of spares etc. • Get feedback from existing users on technical and support areas. • Check the reputation of the vendor. • Ask for a certificate from the manufacturer endorsing the vendor.
  • 16. Selecting The Right Equipment Some Tips • Check for accreditations. • Check the terms and conditions of the warranty. • Check for software upgrade, and accompanying hardware. • Review the lifespan of the equipment. • Negotiate on the price.
  • 17. Purchasing Medical Equipments Some interesting Facts  Purchasing at a the lowest price is not a success  80% products launched by new firms are failures  25%of models launched by MNCs are failures  90% of new manufacturers wind up operations within 5 yrs  Cost of maintenance is inversely proportional to the installation base in the region Source : www.akasmedical.com
  • 18. Purchasing Medical equipments- key  A good rule to follow is to choose industry names. They are more expensive, however, they offer much better value for money. Everything that is low priced is not bad, and everything that is high priced need not necessarily be good.
  • 19. Indigenous Vs Imported equipments  Many good quality equipments available  May not have sleek look, look bulky  Radiant warmers, PT units, resuscitation bags, O2 hoods, weighing scales – acceptable quality  Better to buy indian - Cost saving  Ventilators , incubators , pulse oxymetres , ABG – imported better
  • 20. Refurbished Equipment  the basis 'affordable buying‘  increasing demand  cuts down capital investments  gives an opportunity to purchase latest technology  an affordable alternative
  • 21. Refurbished Equipment  repaired and tested to meet all OEM specifications  considerably less expensive  most often comes with a warranty included  to replace the old, unreliable equipment  Allows to offer a wider range of services
  • 22. Refurbished Equipment  benefits the economy,  increases patient satisfaction,  reduces electronic and toxic waste  improves overall healthcare quality throughout the world.
  • 23. Refurbished Equipment- considerations  Brand Name of the Vendor: check the background and track the record  Equipment Model: choose the equipment based on the year of manufacture - choose a very popular model  Quality: make sure it is actually refurbished  Warranty: comes with guarantees or limited warranty
  • 24. Refurbished Equipment- considerations  Cost Savings: depend on the type of machine, overall condition and warranty options.  User Reference: It is a nice point to check with existing user  Product Reliability: a crucial point especially with a newly developed product or software.
  • 25. Refurbished Equipment- considerations  Too Old Equipment: frequent breakdown or outdated technology  As a thumb rule, always invests into 'not so old' equipment so that it will give a reasonable time to re-invest into equipment.
  • 26. Refurbished Equipment- considerations  Refurbishing generally involves - cleaning, disinfection, repair, - replacement of defective parts, - reconditioning, reprocessing, - updating the software  Avoid buying repainted equipments instead of refurbished equipments
  • 27. Refurbished Equipment- What to Expect  very important not to over expect on the quality or reliability  possible breakdowns or drop in quality due to wear and tear or ageing parts  equipment that are no longer supported by the manufacturer  Buying pieces sold 'as-is' may be risky
  • 28. List Equipments For Level II Care Monitoring Equipments  Stethoscope with neonatal chest piece  Non-invasive BP monitors  Pulse oximeter  Low reading clinical thermometers  Room thermometers  Electronic weighing scale  Mechanical weighing scale Equipment for Management of Conditions  Radiant warmer (with Servo control)  Phototherapy unit List modified from the FBNC Operational Guidelines forImplementation. MoHFW; 2011.
  • 29. List Equipments For Level II Care Resuscitation equipments  Self inflating bag  Foot operated suction apparatus/mucus trap  Central O2  O2 cylinders  O2 concentrators Equipments for investigations  Micro hematocrit  Dextrometer  Multistix  Bilirubinometer  Microscope
  • 30. List Equipments For Level II Care General equipments  Generators  Refrigerator  Wall clock with second’s hand  Autoclaving equipments  Surgical instruments  Spot lamps  Syringe hub cutters  ECG machine  Measuring tape (vinyl coated, 1.5 m)  Infusion stands  Air conditioners  Heat convectors or hot-air blowers (to maintain ambient temperature)
  • 31. Major players In Indian market include  GE,  Phoenix,  Zeal Medical,  Sreeyash Electro Medicals  Fisher & Paykel,  Nice Neotech  SS Technomed,  Meditrend Inc. .