💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
Buying Right Neonatal equipment LSD
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
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
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.
15. 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.
16. 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.
17. 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.
18. 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
19. 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.
20. 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
21. Refurbished Equipment
the basis 'affordable buying‘
increasing demand
cuts down capital investments
gives an opportunity to purchase latest
technology
an affordable alternative
22. 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
23. Refurbished Equipment
benefits the economy,
increases patient satisfaction,
reduces electronic and toxic
waste
improves overall healthcare
quality throughout the world.
24. 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
25. 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.
26. 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.
27. 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
28. 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
29. 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.
30. 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
31. 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)
32. Major players In Indian market
include
GE,
Phoenix,
Zeal Medical,
Sreeyash Electro Medicals
Fisher & Paykel,
Nice Neotech
SS Technomed,
Meditrend Inc.
.