need of a biomedical engineer at a hospital

1. Presented by
Lekshmi .G. Nadh
BME trainee
GMCT
On:20/07/2015

2.  Prevention is better than cure.
We have two aspects
Prevention
Cure.
 Necessity is the mother of
inventions.
 Doctors play the key role in a
hospital, but …
We are all behind the
curtain to regulate the
entire activities of a
hospital.

3.  Solution Provider
 Administrator
 Technical person
 Manager
 Supervisor

4. The Biomedical Engineering
Department staffed with the following
job classifications:
 Head of Department
 Senior Biomedical Engineering
Technician (SBMET)
 Junior Biomedical Engineering
Technicians (BMET)
 Electronic Technician

5. Biomedical Engineering, also
known as Bioengineering, is the
application of engineering
principles to the study of medical
and biological problems.

6. A Biomedical Engineer is a person
who applies electrical, electronic,
chemical, mechanical and other
engineering principles to conduct
studies and develop tools that can aid
in the biomedical problems.

7.  Design and develop medical devices
such as artificial hearts and kidneys,
pacemakers, artificial hips etc
 Design and develop engineered
therapies (ex. prosthesis)
 Conduct research to test and modify
known theories and develop new
theories.

8.  At hospitals, the BME has to get
involved from planning of hospitals to
the maintenance of equipments.
 Check medical equipment failures
and provide advice about the
purchase and installation of new
equipment.
 Adapt computer hardware or software
for medical science or health care
applications.
 Evaluate the safety, efficiency, and
effectiveness of biomedical

9. Fields
Bio-
informatic
s
Bio-
mechanics
Bio-
photonic
s
Bio signal
processin
g
Bio-
instrument
ation
Bio-
materials

10.  Preparation of Indent
An official request for goods.
Classify according to trade groups.
Same/Similar items are joined for
bulk advantage.
Annual indent-Request for goods for
1 yr.
• Based on consumption for 3-5 yrs
• Should be within the budget
available.
• Insist National and International
standards.
• Careful and correctly made
specification.

11.  Preparation of specification
Exact statement of the particular
needs to be satisfied.
Crystal clear idea about each
equipment and accessories.
Requirement should be clear and
precise.
Use technical terms
Follow units and measurement.
If imported equipment ,such details
has to be considered..

12.  Preparation of estimate
Estimation is the process of finding
an estimate.
Or approximation.
For every requirement we have to
prepare an estimate, based on that
fund is allotted.
Should not be less than the
approximated value.
For equipments ,projects etc

13.  Procurement procedures
Acquisition of goods ,services or
works from an external source.
Purchase should be appropriate,
procured at best possible cost and
meet the needs of the acquirer.
Latest technology
Reputed manufacturer
Low operating cost

14. Steps
Identify needs
Available budget
Prepare technical specification
Appoint purchase team
Enquire potential suppliers
Summon bid.
Technical evaluation
Issue a supply order

15. Points to Ponder
 Proper specification
 Invite quotations/Tenders from reputed
firms
 Comparison of offers based on basic
price, insurance, taxes, offers etc.. In
the evaluation sheet.
 Payment discounts
 Quotation : From 15,000 to 1,00,000
 Tender : Above 1,00,000

16.  Limited Tender :
1,00,000 to 10,00,000.
Purchase officer should give reason to account
officer why limited people are called.
Limited manufactures are participated.
Lead time reduce
 Open tender/Advertised tender
10,00,000 more.
Publishes in newspapers.
 Single Tender / Private purchase
5000 and below.
Can buy from single party.
Have to give reason.

17. Negotiated procurement
Buyer approaches selected potential
Suppliers & bargain directly
Used in long time supply contracts
Direct procurement
Purchased from single supplier, at his
quoted price
Prices may be high
Reserved for low priced, small quantity
& emergency purchases

18. Rate contract
Firms are asked to supply stores at
specified Rates during the period
covered by the Contract
Spot purchase
It is done by a committee, which
includes an officer from stores, accounts
& purchasing departments
Risk purchase
If supplier fails, the item is purchased
from other agencies & the difference in cost
is recovered from the first supplier.

19. Selection of equipment
Equipment which meets all the
requirements of the user
Which is having the low cost
Now a days the cost of the
equipment including the
maintenance cost is considered
and selected.
The equipment should meet the
national and international
standards.

20. Installation and Commissioning
Installation means a machinery or
apparatus is placed in position or
connected for use.
During installation of sophisticated
equipments a biomedical engineer
has assess the needs of an
equipment.
Check if the equipment meets the
requirement of the acquirer.

21. Before installation,
Verify physical requirements that
should be met like,
Safety checks, Electrical, Space,
Ventilation, Water supply, Gas
supply , Statutory requirements etc.
On installing
Verify package contents
Do not attempt to use prior to proper
installation
 Ensure the equipment is installed by
authorized person.

22. On commissioning,
After installation
Establish inventory record ( instrument
log book)
Define conditions
Develop and implement protocols for
calibration, performance verification, and
operating procedures
Establish maintenance program
Provide training for all operators
Initial calibration can be done along with
commissioning

23. Operational maintenance
 Drafting a maintenance plan for all
biomedical equipments is an important
duty of a BME.
 Operational maintenance is the care or
minor maintenance that do not require
detailed technical knowledge about
function and design.
 A form of preventive maintenance.
 Mainly done by operator
 Cleaning, Preserving, Lubricating,
Servicing etc

24.  Preventive Maintenance
Care and servicing for the equipment
problems before they occur or before
they develop in to serious defects.
Ideal preventive maintenance prevent
all equipment failure.
To preserve and restore equipment
reliability by replacement of parts.
Includes tests, measurements
adjustments and part replacement.

25. Corrective maintenance
Actions taken because of a failure to
restore an item or equipment .
Task performed to identify, isolate and
rectify a fault to restore the equipment
to an operational condition.

26.  Predictive maintenance
Technique to help determine the
condition of equipment in order to
predict when the maintenance has to
be performed.
Allow convenient scheduling of
corrective maintenance.
Evaluate the equipment condition .
By knowing which equipment need
maintenance, maintenance can be
well planned
Thus cost effective.

27. AMC
 Annual Maintenance Contract
 It includes annual servicing of equipment.
 Spare parts are not included.
 Technician will be inspecting the whole
equipment.

28. CAMC
 Comprehensive annual maintenance
contract
 In breakdowns or faults hardware is
taken care of service provider
 Includes spare parts replacement
 Will be for a period of time.
 A percentage of equipment cost is taken
as the cost of CAMC

30.  Safety
 Fewer interruptions of work
 Lower repair costs
 Reduction of variation in test results
 Greater confidence accuracy of
results.

31. A written document of all the details
of the equipments purchased.
For each section.
Each equipment of the section will
be included.
Status of the equipment can be
known.
Helps in charting the maintenance
of equipments

35. Guarantee AND Warranty
 A guarantee is
usually free and is
a promise about an
item by the
manufacturer or
company
 Sort out any
problems with a
product or service
within a specific,
fixed period of
time.
 A warranty acts
like an insurance
policy for which
you must pay a
premium
 Sometimes a
warranty is called
an 'extended
guarantee’.
 May last longer
than a guarantee
and cover a wider
range of problems.

36.  Function check
 Working and maintenance
 Process and principles

37. Methods Of Training Are:
 Lectures
 Demonstrations
 Discussions
 Computer Based Training
 Programmed Instruction
For both management and operational level
training

38. When we do condemnation
The equipment is non repairable
The equipment is obsolete
Why we do condemnation
To prevent errors
Prevent hazards
By considering all the safety rules the
condemnation is done

39. 1. Non-functional & beyond
economical repair
2. Non-functional & obsolete
3. Functional, but obsolete
4. Functional, but hazardous
5. Functional, but no longer
required

40.  For condemnation
Records are verified
Details of the equipments in the stock
register is noted
Log book maintenance and repairs are
noted
Performance record of equipment is
evaluated
Generate a form and is put up to proper
authority

42. On clinical side
 From planning of a hospital to the
condemnation of equipments
 While planning rooms.
 Furniture's has to be specified
 Position of hospital.
 Installation of equipments.
 Repair and Maintenance.

43.  A strong interest in engineering and
medicine.
 The ability to think analytically and
solve problems.
 An aptitude for science and
mathematics .
 The ability to visualize complex
processes
and equipment .

44.  Good oral and written communication
skills
 Creativity and persistence
 A willingness to improve the
knowledge and on an ongoing basis

45. So we actually are
 Clinical Engineer in Hospital
 Research Engineer for Company
 Management Position for Company
 Field Service Engineer for Medical
Device Company
 Self-Employed Biomedical Engineer
for Consulting Firm
 Hospital Administrator with MBA for
Hospital
AND MANY MORE….

46. Take home message…