1. Hospital Training
at
Columbia Asia Hospital
– A Short Review
By
Pratik Das
Department of Biomedical Engineering
Netaji Subhash Engineering College

2. Topics Covered
• Introduction
• Columbia Asia Hospital
• Hospital Infrastructure
• Radiological Instruments
• Cardiology Equipments
• ICU/CCU Equipments
• NICU Equipments
• OT Equipments
• Cathlab Equipments
• Dialysis Equipment
• Gastro Equipment
• Major and Minor Brekdown
• Conclusion

3. INTRODUCTION
As per the curriculum of our course we are suppose to do a summer
training during our semester break.
All the students were given equal opportunities and I was not a exception.
I did my Summer training at Columbia Asia Hospital ,Kolkata . One of
the most renowned international level hospital .
This project report gives an overview of the different medical equipments
that are being used in various departments like the Critical and Intensive
Care Units, Imaging and Radiology Unit, Neonatal Unit, Ophthalmology
Unit, etc. of Columbia Asia Hospital . The features of the equipments
have also been listed in this report. Minor problems were faced with some
equipments and so, possible solutions have also been recommended at the
end of the report.

4. Columbia Asia Hospital, Kolkata
 Columbia Asia Hospital – Salt Lake, a multi-specialty facility is located in the up
market Salt Lake locality of Kolkata. It commenced operations from July 2008 and in a
short period has become the preferred healthcare provider for people from Eastern India
and is considered as one of the best hospitals in Kolkata.
 The 100-bedded hospital is well equipped with Operating Theatres, Dialysis Center,
Advanced Digital Catheterization lab, Chemotherapy units, Telemedicine and
Teleradiology facilities. The people of Kolkata receive the best possible medical care by
qualified consultants trained in India and abroad.
 The hospital has international standard infrastructure and follows globally
benchmarked standards of medical, nursing and operating protocols. The facility is
rapidly becoming the preferred healthcare destination for International Patients.

5. Hospital Infrastructure
The Hospital consist of a total of 100 beds .
The Hospital is designed in a great manner and the respective Departments of
each floor is given below in details .
• BASEMENT : CSSD ,Department of Biomedical Engineering, Facility and
Maintenance
• GROUND FLOOR: Emergency, Reception.
• FIRST FLOOR: Radiology, Cardiology, OPD1,Laboratory , Microbiology.
• SECOND FLOOR: Operation Theater 1,Cath Lab, HDU,NICU, OPD2
• THIRD FLOOR: Operation Theater 2,3,4 & ICU/CCU
• FOURTH FLOOR: Physiotherapy ,ROOM 401-409, Opthalmology Dept.
• FIFTH FLOOR: Gastroenterology, Room 501-509 , Otolaryngology Dept.
• SIXTH FLOOR: Dialysis ,Room 601-609
• SEVENTH FLOOR :Room 701-709
• EIGHTH FLOOR:Room801-809
• NINTH FLOOR: Administrative Office, Training Room ,EMRD ,Server Room
• TENTH FLOOR: Columbia Cafe

6. Classification of the Instruments
The Medical instruments that we dealt with in the hospital are
classified as follows:
• Radiological Instruments
• Cardiology Equipments
• ICU/CCU Equipments
• NICU Equipments
• HDU Equuipments
• OT Equipments
• Cathlab Equipments
• Dialysis Equipment
• Gastro Equipment
• CSSD Equipment

7. Radiological Equipments
Some of the major Radiological Instrument I witnessed in the Hospital are :
• X-Ray(SIEMENS 500mA Heliophos’D)
• Computed Tomography( SIEMENS Somatom Spirit )
• Ultra Sound(Siemens Soniline G 60 S Ultrasound)
• X-Ray Mammography System(Siemens Mammomat Balance)
Into further study ………….
X-Ray(SIEMENS 500mA Heliophos’D)
Some Basic Features
 Digital display of kV, mA and mAs
 Shortest exposure time: 20ms
 Fully conforms to AERB safety standards
 Overload protection
 Tube filament current stabilization through
frequency insensitive voltage stabilizer

8. Radiological Equipments Contd…
Computed Tomography( SIEMENS Somatom Spirit )
Some Basic Features
 Increased volume coverage with gantry rotation speed
of up to 0.8 seconds.
 Small diagnostic details with collimated slice width down
to 1 mm.
 Easy user interface provides simplicity and a short learning
curve, even for less experienced users.
 Fast image reconstruction of up to 5 images/s.
Ultra Sound ( Siemens Soniline G 60 S Ultrasound)
Some Basic Features
 Multi Beam Image Formation allows high frame rate
imaging, for optional color flow and motion visualization
 Precision Motion Capture
 Internal 40 GB Hard Drive for patient database management
 Removable, standard 3.5-inch 640 MB magneto-optical disk

9. Cardiology Equipments
Some Cardiological equipments present in the hospital are :
• Echo Machine (Siemens Accuson X-300)
• Ecg Machine (Schiller CARDIOVIT AT-2 612-Channel Resting EKG
Machine)
• TMT Machine (Schiller Spandan )
• Holter Machine (Schiller MT-101/200 Holter System)
Into further study ………….
Echo Machine (Siemens Accuson X-300)
Some Basic Features
 MultiBeam formation technology
 Hanafy lens transducer technology
 Tissue harmonic imaging
 Cardiac imaging package
 Stress Echo package
 Cardiac and OB structured reporting:

10. Cardiology Equipments Contd….
Ecg Machine (Schiller CARDIOVIT AT-2 612-Channel Resting EKG Machine)
Some Basic Features
 6/12-channel representation of all 12 simultaneously acquired leads.
 Automatic and manual mode.
 Full size 8" x 11" reports (A4).
 Single button operation.
 Built-in thermal printer.
 Optional Computerized ECG interpretation program.
Holter Machine (Schiller MT-101/200 Holter System)
Some Basic Features
 Galvanically isolated and defibrillation protected ECG
 USB interface
 Rechargeable, environmentally-friendly battery of 2000 mAh capacity
 Before starting a Holter recording you can check the quality of the
ECG signals can be checked
 Recording capacity: Up to max. 72 hours (with 64 MB)

11. ICU Equipments
The major ICU Equipments were:
• Patient Monitor (PHILIPS IntelliVue MP20)
• Ventilator (Puritan Bennett PB 840)
• Defibrillator(Schiller Defigard 5000)
• Infusion Pump(B.Braun Infusomat® P)
Into further study ………….
Patient Monitor (PHILIPS IntelliVue MP20)
Some Basic Features
 26cm (10.4˝) color SVGA display with 3, 4 or 6 waveforms is bright and easy to read.
 Lightweight, at only 5.8 kg (13 lbs.) including Multi-Measurement
Module and one battery.
 Touch screen operation makes many functions accessible
through simple, one-touch commands.
 Multi-parameter measurement ( ECG ,RESP , TEMP,NIBP ,SPO2,HR )
 Wired and wireless connectivity

12. ICU Equipments Contd….
Ventilator (Puritan Bennett PB 840)
Some Basic Features
 Modes: Assist/Control (A/C), synchronized intermittent mandatory
ventilation (SIMV), or spontaneous (SPONT), Bi-Level.
 Vent type: Invasive or Noninvasive
 Apnea ventilation: Apnea mandatory type-volume
control (VC) or pressure control (PC).
 Patient circuit type: Pediatric, adult or neonate with NeoMode option.
Defibrillator(Schiller Defigard 5000)
Some Basic Features
 Automated External Defibrillation (AED) and manual mode
using either adhesive pads, external paddles or internal spoons.
 Uses Multipulse Biowave®- effective and myocardium saving,
biphasic energy waveform
 Defib process is guided by audible and visual instructions
 External pacemaker and monitoring parameters (ECG, SpO2, NiBP)
 Large screen size (10.4") allows the simultaneous display of up to 12 ECG leads

13. NICU Equipments
The major instruments in the Neonatal Intensive Care Unit are :
• Intensive Care System (Phoenix CIC-100)
• Neonatal Open Care System(Phoenix NOC-100)
• Photo Therapy (CFL){Phoenix CFL}
• Phototherapy Billi Blanket (Datex Ohmeda Billi Blanket)
Into further study ……
Intensive Care System (Phoenix CIC-100)
Some Basic Features
 Exceptional control module with a graphic display
 Resuscitation/CPAP unit
 Integrated pulse oximeter with Masimo technology
 Integrated weighing scale
 Heater module with safety device
 Height-adjustable motorized base

14. NICU Equipments contd….
Neonatal Open Care System(Phoenix NOC-100)
Some Basic Features
 Control panel with soft touch switches shows the temperature of the infant.
 Oval shaped baby bed with side panel and x-ray cassette compartment
 Probe with thermistor sensor and PTFE coated wires
 Alarm system for safety of the patient
 Optional Suction unit and Halogen Based Phototherapy module
Photo Therapy (CFL){Phoenix CFL}
Some Basic Features
 CFLs last five times longer than ordinary fluorescent lamps
 Specially designed heat vents divert excess heat
 Zero maintenance, noise-free operation
 Integrated chronometer for effective treatment management
 Either 6 Blue CFLs (Standard)Or 4 Blue CFLs & 2 White CFLs (Optional)
 Low energy consumption

15. OT Equipments
The major instruments in the Operation Theater are :
• Electro surgery Unit(Martin MEMB 2)
• Anesthesia Machine( Datex Ohmeda Aestiva 5)
• C-Arm(Siemens Multimobile 5C)
• Laser(Lumenis VPPS Laser 100W)
Into further study ……
Laser(Lumenis VPPS Laser 100W)
Some Basic Features
 The Versa Pulse Power Suite 100W is the most powerful holmium laser available
 Best known for treating urologic conditions such as BPH, stones, tumors or strictures .
 Reduced lithotripsy procedure time
• Some Specifications :
 Wavelengths :2.1 microns Dimensions :
 Repetition Rate :5-50 Hz 18” x 36” x 39”
 Energy per Pulse :2J/50 Hz
 Electrical :230V, 50/60 Hz 30A Single Phase

16. OT Equipments Contd….
Anesthesia Machine( Datex Ohmeda Aestiva 5)
Some Basic Features
 Volume mode, pressure mode, electronic PEEP
 Tidal volume compensation
 Cardiac bypass case mode
 Fresh gas flow compensation—automatically
 Minimum O2 flow of 50 mL
C-Arm(Siemens Multimobile 5C)
Some Basic Features
 Orbital movement : 125° (-35° to +90°)
 automatic selection of focal spot for fluoroscopy and radiography
 Auto cut-off of fluoroscopy and radiography in case of tube
head temperature exceeding 60 °C
 2 x 15” black and white TFT displays for live image and
Last Image Hold (LIH)
 Motorized iris collimator for concentric collimation

17. Cathlab Equipments
The Most Important Instruments in Cathlab are :
• Cathlab machine (Siemens Artis Zee)
• Patient Injector (MEDRAD Avidia )
Into further study
Cathlab machine (Siemens Artis Zee)
Basic Features
 The Artis zee high-end imaging systems enable image-guided therapy
 Artis zee offers high-end applications for surgery through real time
3D imaging, high frame rates, and excellent image quality at low dose
 Imaging Excellence
- Flat detector in two sizes (30 x 40 cm and 20 x 20 cm)
Specifications
 CONFIGURATION :Floor mount
 Focal spot size, mm:0.3, 0.6, 1.0
 X-RAY GENERATOR FREQUENCY:High-frequency 100 kW
 Monitor sizes :19“ DVI

18. Dialysis Equipments
The Dailysis Machine is the primary Instrument inside the Dialysis Chamber .
The Hospital have 8 Dialysis Machine .
Hemodialysis machine (FRESENIUS 4008S)
The computer-controlled dialysis machine is one of the most
important products in the treatment of chronic renal patients
Some Basic Features
 Monitoring of dialysis dose by OCM®
(Online clearance monitoring and plasma sodium measurement)
 Treatment with ultrapure dialysis fluid (DIASAFE®plus filter)
 Use of hygienic, dry bicarbonate concentrate (Bibag®)
 Single-needle method
 Connection for central concentrate supply
In addition, the following therapeutic tools are available:
 Blood pressure monitor (BPM)
 Easy data management with patient card (offline) or network integration (online)

19. Gastro Equipments
The Major Gastroentology Equipment is :
Endoscopy System(Fujinan The EPX-2200)
Some Basic Features
 The 2200 System has been designed specifically to meet the needs of the outpatient .
 Detail highlighting - Light control - Electric zoom.
 Automatic white balancing - Illuminated controls - ALC mode.
Specification
 TV system : NTSC/PAL
 Image zoom : Electronic Zoom X1.00 to X2.00 (0.05steps)
 Light source: 150watt Xenon lamp (Emergency lamp 75W Halogen lamp)
 Dimensions : 13 X 16.9 X 6.3 inches
 Image output : Video(BNC) 1 channel
S-Video 2 channels
RGB-VIDEO 2 channels

20. Major Breakdowns during that
Period
SL No. Problem Completed By : Solution Down Time
1. The Dialysis machine
was leaking and
malfunctioning
Vendor The Hemodyalysis
Pump and the spring sets
were replaced.
1day
2. The defibrillator in the
ICU was not turing on .
Vendor The Power supply was
replaced by a new one .
3hrs
3. Steris Steam Sterilizer
was malfunctioning ,
Vendor The heater element was
replaced and the inter
temperature Calibration
was reset.
2days
4 The X-ray machine was
not giving exposure
Vendor There was an internal
tear of wire which was
rectified by the vendor .
3hrs
5 Schiller Ecg Machine
was not working
properly .
Vendor The battery of the
machine was replaced by
a new one .
3 days
6 The Echo Machine was
giving motion Artifacts .
Vendor The Probe was replaced
by a new one .
2days
7 The CIC diplay was not
coming .
Vendor The Machine was
serviced and the display
problem was fixed .
6hrs

21. Minor Problems
SL No. Problem Completed By : Solution Down Time
1. The PM9000 monitor
was not giving SPO2
Reading in HDU dept.
Biomedical The Spo2 Extension
cable was replaced .
30 mins
2. The defibrillator in the
ICU was showing charge
failure .
Biomedical The holding plates were
serviced .
25mins
3. OT light was
malfunctioning .
Biomedical The halogen lamp was
replaced by a new one .
30mins
4 The NOC of NICU was
not showing Temp.
Biomedical The temperature probe
was replaced.
15 mins
5 The Weight machine
giving error .
Biomedical The machine was
serviced and the problem
was rectified. .
2hrs

22. Acknowledgement
Eknath Sonawane Dr.Sukumar Roy
Biomedical Enigeneer Head of the Department
Columbia Asia Hospital ,Saltlake Dept. Of Biomedical
NSEC
Preetam Paul
Co-Intern
Columbia Asia ,Salt Lake
Ripa Bhattacharya Anupam Maity
Biomedical Supervisor Assistant Professor
Columbia Asia Hospital ,Saltlake Dept. Of Biomedical
NSEC

23. Conclusion
The 8 weeks training was a very fruitful experience for
me. It helped me to enhance my knowledge regarding the
various equipments that are being used in the medical
field in modern times. The detailed study of the
instruments helped me to understand the principles which
I have studied during my Biomedical Engineering course

24. Thank You !!!!!!!!
Any Question ??