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Recent studies on
measurement
device
By-
Yash Channe PA 29
Shubhangi Prasad PA 181
Shivali Yadav PA 185
Vivek Vijayan PA 214
NEBULIZER
&
INHALER
01
NEBULIZER: INTRODUCTION
● A nebulizer is a piece of medical equipment
that a person with asthma or another
respiratory condition can use to administer
medication directly and quickly to the lungs.
● A nebulizer turns liquid medicine into a very
fine mist that a person can inhale through a
face mask or mouthpiece. Taking medicine
this way allows it to go straight into the lungs
and the respiratory system where it is
needed.
● It is prescribed for children and severe
Asthma patient who cannot use inhalers.
CONCEPT
● A nebulizer turns liquid medicine into a mist to
help treat your asthma. They come in electric
or battery-run versions.
● They come in both a portable size you can
carry with you and a larger size that’s meant to
sit on a table and plug into a wall. Both are
made up of a base that holds an air
compressor, a small container for liquid
medicine, and a tube that connects the air
compressor to the medicine container.
● Above the medicine container is a mouthpiece
or mask you use to inhale the mist.
HOW DOES IT WORK?
Pressurized air passes through the tube and turns the liquid medicine into a mist. During an
asthma attack or a respiratory infection, the mist may be easier to inhale than the spray from a
pocket inhaler. When your airways become narrow — like during an asthma attack — you can’t
take deep breaths. For this reason, a nebulizer is a more effective way to deliver the medication
than an inhaler, which requires you to take a deep breath.
Nebulizers can deliver short-acting (rescue) or long-acting (maintenance to prevent acute
attacks) asthma medication therapy. Also, more than one medication can be given in the same
treatment.
The doctor determines which medications you need to take in the nebulizer based on your
individual needs. The type of medication and dose will be prescribed by your doctor. You may
receive premixed containers of liquid that can be opened and placed in the machine, or you may
have to mix the solution before each use.
STEPS TO USE A NEBULIZER
2
Assemble the top
piece, tubing,
mask, and
mouthpiece and
attach the tubing
to the machine,
according to the
instructions.
1
Wash the hands
and add the
medicine to the
medicine cup,
according to the
doctor’s
prescription.
3
Turn the nebulizer
on and hold the
mouthpiece and
medicine cup
upright to help
deliver all the
medication.
4
Take slow, deep
breaths through
the mouthpiece
and inhale all the
medicine.
ADVANTAGES AND DISADVANTAGES
ADVANTAGES
1. No coordination required
2. Allows large dosage of
medicine
3. Option for those who cannot
use pMDI or DPI
4. Soft mist
DISADVANTAGES
1. Less portable / convenient
2. Longer time for set-up
3. Expensive
SIDE EFFECTS & CONTRADICTIONS
● Dry or irritated throat, temporary
or occasional cough
● Sneezing, stuffy or itchy nose,
watery eyes.
● Burning or bleeding of your nose
● Nausea, heartburn, stomach
pain.
● Urinating more or less than
usual.
● Dizziness, drowsiness, headache.
● Unusual or unpleasant taste in
your mouth.
● In some cases, nebulization is
restricted or avoided due to
possible untoward results or
rather decreased effectiveness
such as:
● Patients with unstable and
increased blood pressure
● Individuals with cardiac irritability
(may result to dysrhythmias)
● Persons with increased pulses
● Unconscious patients (inhalation
may be done via mask but the
therapeutic effect may be
significantly low)
INHALER
INHALER: INTRODUCTION AND CONCEPT
● An inhaler (also known as a puffer, pump or allergy spray) is a medical device
used for delivering medicines into the lungs through the work of a person's
breathing. This allows medicines to be delivered to and absorbed in the lungs,
which provides the ability for targeted medical treatment to this specific region
of the body, as well as a reduction in the side effects of oral medications. There
are a wide variety of inhalers, and they are commonly used to treat numerous
medical conditions with asthma and chronic obstructive pulmonary disease
(COPD) being among the most notable.
● Some of the common types of inhalers include meter-dosed inhalers, dry powder
inhalers, soft mist inhalers, and nebulizers. Each device has advantages and
disadvantages and can be selected based on specific patient needs, as well as
age, coordination, and lung function. Proper education on inhaler use is
important to ensure that inhaled medication takes its proper effects in the lungs.
PARTS OF
INHALER
● 1. Canister:
○ The canister which is produced in aluminium or stainless steel , where the
formulation resides.
● 2. Actuator:
○ The complete made canister is fitted into a plastic container this is called actuator,
which allows the patient to operate the device and directs the aerosol into the patient
lungs.
● 3. Metering valve:
○ It allows a metered quantity of the formulation.
● 4. Actuator seat:
○ It holds metering valve and actuator nozzle.
● 5. Actuator nozzle:
○ It helps to spread the component into the mouth.
HOW TO USE AN INHALER
ADVANTAGES
● It reduces dose lose.
● It allows pressurized metered dose.
● It deliver specific amount of medication to patients.
● No drug preparation is needed.
● It is small size & convenience to patients.
● Usually, it is inexpensive as compared to Dry Powder Inhaler(DPI) &
Nebulizer.
● Quick to use than other device.
● It has multi-dose capability, more than hundred (100) dose are available.
DISADVANTAGES
● Accessory device decreases portability.
● Additional cost.
● Possible dosing error.
● There is no information about the number of dose left in the MDI.
● Proper coordination is essential.
● Difficult to deliver high dose.
DIFFERENCES BETWEEN
NEBULIZER AND INHALERS
Inhalers and nebulizers both send medication into your lungs, and both have pros and
cons.
A nebulizer is often easier for young children to use because all they have to do is
breathe normally. It takes longer to deliver medicine: at least 5 or 10 minutes. And even
portable nebulizers can be bulky and hard to carry around. But some people prefer
nebulizers because they can see and feel the mist of medication.
Inhalers are often cheaper and tend to have fewer side effects than nebulizers. You can
carry one in your pocket or bag. An inhaler can be tricky to use at first, but most people
quickly get the hang of it. It delivers an exact dose of medication.
ELECTROOCULOGRAPHY
● Electrooculography (EOG) is a technique for measuring the corneo-retinal
standing potential that exists between the front and the back of the human eye.
The resulting signal is called the electrooculogram.
● It is a technique to help systems to control and guide autonomous mobile robots.
● EOG serves as a means of control for allowing the handicapped, especially those
with only eye-motor coordination, to live more independent lives.
● This is a low cost assistive system for disabled people.
● This system allow their users to travel more efficiently and with greater ease.
Introduction
The eye acts as a dipole in which the anterior pole is
positive and the posterior pole is negative.
1. Left gaze: the cornea approaches the
electrode near the outer canthus of the left
eye, resulting in a negative-trending change
in the recorded potential difference.
2. Right gaze: the cornea approaches the
electrode near the inner canthus of the left
eye, resulting in a positive-trending change in
the recorded potential difference.
Principle
● Four to five electrodes, the amplifiers
and filters are required.
● Measurement of eye movements is
done by placing pairs of electrodes
either above and below the eye or to
the left and right of the eye.
● If the eye moves from center position
toward one of the two electrodes, this
electrode sees the positive side of the
eye and the opposite electrode sees the
negative side of the eye.
● Potential difference occurs between the
electrodes. The recorded potential is a
measure of the eye's position.
Working
wewwFp2 weeewwFp2 wewwFp2
1. The red electrodes represent vertical
placement. VEOG signals are obtained from
vertical eye movements.
2. The blue electrodes represent horizontal
placement. HEOG signals are obtained from
horizontal eye movements.
3. The grey electrode represent reference
placement. Blink signals are obtained due to
blinking of eyes.
Placement of electrodes
The electro-oculography has a wide range of applications in variety of fields mentioned
as follows:
1. Human Computer Interfacing
2. Medical diagnosis
3. Study of different eye movements
4. Driver Drowsiness Detection
Applications
An EOG interface has many advantages because of its simple configuration.
● Detection and measurement of eye movement.
● Recording techniques are simple and cheap and can be done with minimal
discomfort.
● Recording eye movement patterns.
● EOG readings can be measured even when eye is closed.
● EOG can be utilized as an aid to detect the neurological disorders.
● EOG can be employed in modelling ophthalmic instruments which are capable of
accompanying in disease diagnosis as well as for therapeutic purposes.
● Aid to assist fully or partially differently abled persons through human-machine
interfacing.
Advantages
● The signal seldom is deterministic,even for same person in different environment.
● The EOG signal is a result of a number of factors, including eyeball rotation and
movement ,eyelid movement, different sources of artifact such as EEG, electrode
placement, head movements, influence of the luminance.
● The detected signals are easily contaminated with a group in long-term
measurements.
● The EOG suffers from a lack of accuracy at the extremes, due to noise
compounded from the effects of an EEG, EMG, and the recording equipment
equivalent to approximately 100 of a movement. Thus movements of less than
100 are difficult to record.
Disadvantages
RETINOGRAPHY
● Retinography is a diagnostic test used by
ophthalmologists to obtain a detailed picture
of the fundus and the retina.
● It is a biometric technique that uses unique
patterns on a person's retina blood vessels.
● This kind of photography of the eyeball allows
examining important areas of the eye for
vision, such as taint and the optical disk.
Introduction
● Retinography is a medical test that involves dilating the pupil of the patient in
order to obtain a detailed picture of the deepest parts of the eye.
● This test aims to study the blood circulation of the retina and the optic nerve, and
allows to obtain a color photograph of the inside of the eye to be able to observe
the retina in detail.
● The results of the retinography allow the doctor to obtain valuable information
about the patient's eye.
● It enables the doctor to pick up signs of many diseases.
● Retinography makes it possible to quickly and effectively prevent and diagnose
damage to the retina and the optic nerve in order to treat any lesion early.
Concept
● The retinography is carried out with a retinograph, which is the medical team
responsible for performing the color photograph of the fundus of the eye. The
retinographer has a tool called opthalmoscope, which has a camera to make the
photographic shot and records the images on the doctor's computer.
● A retinal scan is performed by casting an unperceived beam of low-energy
infrared light into a person’s eye as they look through the scanner's eyepiece.
This beam of light traces a standardized path on the retina.
Working
● Low occurrence of false positives.
● Extremely low (almost 0%) false negative rates.
● Highly reliable because no two people have the same retinal pattern.
● Speedy results: Identity of the subject is verified very quickly.
● A number of diseases can be identified by retinal scanning.
Advantages
● Measurement accuracy can be affected by a disease such as cataracts or by
severe astigmatism
● Scanning procedure is perceived by some as invasive
● Not very user friendly.
● Subject being scanned must be very close to the camera optics.
● High equipment cost
● Leads to eye problems that can be identified by CT Scan.
● Cheap equipment used can damage your eyes on regular usage.
Disadvantages
● Retinal scanning has medical application. By looking at and evaluating the blood
vessels and nerves doctors are able to pick up signs of diseases like diabetes,
high blood pressure, strokes, cardiovascular diseases, high cholesterol, multiple
sclerosis, and thyroid diseases. Also Communicable illnesses as well as
hereditary diseases.
● Retinal scanners are typically used for authentication and identification purposes.
It has been utilized by several government agencies.
● Retinal scanning is also being used in prisons, and for ATM identity verification
and the prevention of welfare fraud.
Applications
● https://en.wikipedia.org/wiki/Retinal_scan#Introduction
● https://www.encyclopedia.com/medicine/medical-journals/retinography
● https://www.youtube.com/watch?v=FN99FQNnFmM
● https://areaoftalmologica.com/en/terminos-de-oftalmologia/retinografia/
● https://www.nature.com/articles/s41598-018-27865-5
● https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6797659/
● https://www.realexposer.com/2010/01/advantages-and-disadvantages-of-electro.html?
Reference
THANK YOU

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Nebulizer, Inhaler, Electroacculograph, Retinograph

  • 1. Recent studies on measurement device By- Yash Channe PA 29 Shubhangi Prasad PA 181 Shivali Yadav PA 185 Vivek Vijayan PA 214
  • 3. NEBULIZER: INTRODUCTION ● A nebulizer is a piece of medical equipment that a person with asthma or another respiratory condition can use to administer medication directly and quickly to the lungs. ● A nebulizer turns liquid medicine into a very fine mist that a person can inhale through a face mask or mouthpiece. Taking medicine this way allows it to go straight into the lungs and the respiratory system where it is needed. ● It is prescribed for children and severe Asthma patient who cannot use inhalers.
  • 4. CONCEPT ● A nebulizer turns liquid medicine into a mist to help treat your asthma. They come in electric or battery-run versions. ● They come in both a portable size you can carry with you and a larger size that’s meant to sit on a table and plug into a wall. Both are made up of a base that holds an air compressor, a small container for liquid medicine, and a tube that connects the air compressor to the medicine container. ● Above the medicine container is a mouthpiece or mask you use to inhale the mist.
  • 5.
  • 6. HOW DOES IT WORK?
  • 7. Pressurized air passes through the tube and turns the liquid medicine into a mist. During an asthma attack or a respiratory infection, the mist may be easier to inhale than the spray from a pocket inhaler. When your airways become narrow — like during an asthma attack — you can’t take deep breaths. For this reason, a nebulizer is a more effective way to deliver the medication than an inhaler, which requires you to take a deep breath. Nebulizers can deliver short-acting (rescue) or long-acting (maintenance to prevent acute attacks) asthma medication therapy. Also, more than one medication can be given in the same treatment. The doctor determines which medications you need to take in the nebulizer based on your individual needs. The type of medication and dose will be prescribed by your doctor. You may receive premixed containers of liquid that can be opened and placed in the machine, or you may have to mix the solution before each use.
  • 8. STEPS TO USE A NEBULIZER 2 Assemble the top piece, tubing, mask, and mouthpiece and attach the tubing to the machine, according to the instructions. 1 Wash the hands and add the medicine to the medicine cup, according to the doctor’s prescription. 3 Turn the nebulizer on and hold the mouthpiece and medicine cup upright to help deliver all the medication. 4 Take slow, deep breaths through the mouthpiece and inhale all the medicine.
  • 9. ADVANTAGES AND DISADVANTAGES ADVANTAGES 1. No coordination required 2. Allows large dosage of medicine 3. Option for those who cannot use pMDI or DPI 4. Soft mist DISADVANTAGES 1. Less portable / convenient 2. Longer time for set-up 3. Expensive
  • 10. SIDE EFFECTS & CONTRADICTIONS ● Dry or irritated throat, temporary or occasional cough ● Sneezing, stuffy or itchy nose, watery eyes. ● Burning or bleeding of your nose ● Nausea, heartburn, stomach pain. ● Urinating more or less than usual. ● Dizziness, drowsiness, headache. ● Unusual or unpleasant taste in your mouth. ● In some cases, nebulization is restricted or avoided due to possible untoward results or rather decreased effectiveness such as: ● Patients with unstable and increased blood pressure ● Individuals with cardiac irritability (may result to dysrhythmias) ● Persons with increased pulses ● Unconscious patients (inhalation may be done via mask but the therapeutic effect may be significantly low)
  • 12. INHALER: INTRODUCTION AND CONCEPT ● An inhaler (also known as a puffer, pump or allergy spray) is a medical device used for delivering medicines into the lungs through the work of a person's breathing. This allows medicines to be delivered to and absorbed in the lungs, which provides the ability for targeted medical treatment to this specific region of the body, as well as a reduction in the side effects of oral medications. There are a wide variety of inhalers, and they are commonly used to treat numerous medical conditions with asthma and chronic obstructive pulmonary disease (COPD) being among the most notable. ● Some of the common types of inhalers include meter-dosed inhalers, dry powder inhalers, soft mist inhalers, and nebulizers. Each device has advantages and disadvantages and can be selected based on specific patient needs, as well as age, coordination, and lung function. Proper education on inhaler use is important to ensure that inhaled medication takes its proper effects in the lungs.
  • 14. ● 1. Canister: ○ The canister which is produced in aluminium or stainless steel , where the formulation resides. ● 2. Actuator: ○ The complete made canister is fitted into a plastic container this is called actuator, which allows the patient to operate the device and directs the aerosol into the patient lungs. ● 3. Metering valve: ○ It allows a metered quantity of the formulation. ● 4. Actuator seat: ○ It holds metering valve and actuator nozzle. ● 5. Actuator nozzle: ○ It helps to spread the component into the mouth.
  • 15. HOW TO USE AN INHALER
  • 16. ADVANTAGES ● It reduces dose lose. ● It allows pressurized metered dose. ● It deliver specific amount of medication to patients. ● No drug preparation is needed. ● It is small size & convenience to patients. ● Usually, it is inexpensive as compared to Dry Powder Inhaler(DPI) & Nebulizer. ● Quick to use than other device. ● It has multi-dose capability, more than hundred (100) dose are available.
  • 17. DISADVANTAGES ● Accessory device decreases portability. ● Additional cost. ● Possible dosing error. ● There is no information about the number of dose left in the MDI. ● Proper coordination is essential. ● Difficult to deliver high dose.
  • 18. DIFFERENCES BETWEEN NEBULIZER AND INHALERS Inhalers and nebulizers both send medication into your lungs, and both have pros and cons. A nebulizer is often easier for young children to use because all they have to do is breathe normally. It takes longer to deliver medicine: at least 5 or 10 minutes. And even portable nebulizers can be bulky and hard to carry around. But some people prefer nebulizers because they can see and feel the mist of medication. Inhalers are often cheaper and tend to have fewer side effects than nebulizers. You can carry one in your pocket or bag. An inhaler can be tricky to use at first, but most people quickly get the hang of it. It delivers an exact dose of medication.
  • 20. ● Electrooculography (EOG) is a technique for measuring the corneo-retinal standing potential that exists between the front and the back of the human eye. The resulting signal is called the electrooculogram. ● It is a technique to help systems to control and guide autonomous mobile robots. ● EOG serves as a means of control for allowing the handicapped, especially those with only eye-motor coordination, to live more independent lives. ● This is a low cost assistive system for disabled people. ● This system allow their users to travel more efficiently and with greater ease. Introduction
  • 21. The eye acts as a dipole in which the anterior pole is positive and the posterior pole is negative. 1. Left gaze: the cornea approaches the electrode near the outer canthus of the left eye, resulting in a negative-trending change in the recorded potential difference. 2. Right gaze: the cornea approaches the electrode near the inner canthus of the left eye, resulting in a positive-trending change in the recorded potential difference. Principle
  • 22. ● Four to five electrodes, the amplifiers and filters are required. ● Measurement of eye movements is done by placing pairs of electrodes either above and below the eye or to the left and right of the eye. ● If the eye moves from center position toward one of the two electrodes, this electrode sees the positive side of the eye and the opposite electrode sees the negative side of the eye. ● Potential difference occurs between the electrodes. The recorded potential is a measure of the eye's position. Working wewwFp2 weeewwFp2 wewwFp2
  • 23. 1. The red electrodes represent vertical placement. VEOG signals are obtained from vertical eye movements. 2. The blue electrodes represent horizontal placement. HEOG signals are obtained from horizontal eye movements. 3. The grey electrode represent reference placement. Blink signals are obtained due to blinking of eyes. Placement of electrodes
  • 24. The electro-oculography has a wide range of applications in variety of fields mentioned as follows: 1. Human Computer Interfacing 2. Medical diagnosis 3. Study of different eye movements 4. Driver Drowsiness Detection Applications
  • 25. An EOG interface has many advantages because of its simple configuration. ● Detection and measurement of eye movement. ● Recording techniques are simple and cheap and can be done with minimal discomfort. ● Recording eye movement patterns. ● EOG readings can be measured even when eye is closed. ● EOG can be utilized as an aid to detect the neurological disorders. ● EOG can be employed in modelling ophthalmic instruments which are capable of accompanying in disease diagnosis as well as for therapeutic purposes. ● Aid to assist fully or partially differently abled persons through human-machine interfacing. Advantages
  • 26. ● The signal seldom is deterministic,even for same person in different environment. ● The EOG signal is a result of a number of factors, including eyeball rotation and movement ,eyelid movement, different sources of artifact such as EEG, electrode placement, head movements, influence of the luminance. ● The detected signals are easily contaminated with a group in long-term measurements. ● The EOG suffers from a lack of accuracy at the extremes, due to noise compounded from the effects of an EEG, EMG, and the recording equipment equivalent to approximately 100 of a movement. Thus movements of less than 100 are difficult to record. Disadvantages
  • 28. ● Retinography is a diagnostic test used by ophthalmologists to obtain a detailed picture of the fundus and the retina. ● It is a biometric technique that uses unique patterns on a person's retina blood vessels. ● This kind of photography of the eyeball allows examining important areas of the eye for vision, such as taint and the optical disk. Introduction
  • 29. ● Retinography is a medical test that involves dilating the pupil of the patient in order to obtain a detailed picture of the deepest parts of the eye. ● This test aims to study the blood circulation of the retina and the optic nerve, and allows to obtain a color photograph of the inside of the eye to be able to observe the retina in detail. ● The results of the retinography allow the doctor to obtain valuable information about the patient's eye. ● It enables the doctor to pick up signs of many diseases. ● Retinography makes it possible to quickly and effectively prevent and diagnose damage to the retina and the optic nerve in order to treat any lesion early. Concept
  • 30. ● The retinography is carried out with a retinograph, which is the medical team responsible for performing the color photograph of the fundus of the eye. The retinographer has a tool called opthalmoscope, which has a camera to make the photographic shot and records the images on the doctor's computer. ● A retinal scan is performed by casting an unperceived beam of low-energy infrared light into a person’s eye as they look through the scanner's eyepiece. This beam of light traces a standardized path on the retina. Working
  • 31.
  • 32. ● Low occurrence of false positives. ● Extremely low (almost 0%) false negative rates. ● Highly reliable because no two people have the same retinal pattern. ● Speedy results: Identity of the subject is verified very quickly. ● A number of diseases can be identified by retinal scanning. Advantages
  • 33. ● Measurement accuracy can be affected by a disease such as cataracts or by severe astigmatism ● Scanning procedure is perceived by some as invasive ● Not very user friendly. ● Subject being scanned must be very close to the camera optics. ● High equipment cost ● Leads to eye problems that can be identified by CT Scan. ● Cheap equipment used can damage your eyes on regular usage. Disadvantages
  • 34. ● Retinal scanning has medical application. By looking at and evaluating the blood vessels and nerves doctors are able to pick up signs of diseases like diabetes, high blood pressure, strokes, cardiovascular diseases, high cholesterol, multiple sclerosis, and thyroid diseases. Also Communicable illnesses as well as hereditary diseases. ● Retinal scanners are typically used for authentication and identification purposes. It has been utilized by several government agencies. ● Retinal scanning is also being used in prisons, and for ATM identity verification and the prevention of welfare fraud. Applications
  • 35. ● https://en.wikipedia.org/wiki/Retinal_scan#Introduction ● https://www.encyclopedia.com/medicine/medical-journals/retinography ● https://www.youtube.com/watch?v=FN99FQNnFmM ● https://areaoftalmologica.com/en/terminos-de-oftalmologia/retinografia/ ● https://www.nature.com/articles/s41598-018-27865-5 ● https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6797659/ ● https://www.realexposer.com/2010/01/advantages-and-disadvantages-of-electro.html? Reference