Oregon Biomedical Association
Swearing in Ceremony for New Officers
Former OBA President, Valdez Bravo, swears in the new president.
Then the new officers are also sworn in by the current officers.
Your OBA Officers!
David Gillaspie, Adam Byrd, Pete McNamara, Scott Stockton
OBA Symposium Saturday May 13
Shriners Hospital in Portland
4 CEUs toward AAMI/ACI recertification
9:00-9:25 Valdez Bravo -“How to Publish Your Ideas for HTM”
9:30-9:55 Michael O’Brien – Mission Trips- My Experience in Haiti
10:00-10:45 USOC – PM and Calibration of the Medfusion 3500.
11:00-11:45 NW Medical (Danny Stevens) – Troubleshooting Common OR Surgical Table issues.
11:45-1:15 Lunch (provided)
1:15-2:00 GE (Craig Eggleston) Anesthesia Basics and Troubleshooting.
November 10th & 11th- NW HTM Mixer in Bellevue, WA
Save the Date and make plans to attend the NW HTM Mixer in Bellevue, WA sponsored by the WSBA, OBA and Tech Nation. Refer to the OBA Expo page for more details.
Previously, in the OBA:
OBA Meeting April 12 at VA Medical Center
Here is a link to the Continuing Practice Journal –> AAMI Journal
OBA Meeting Summary- September 22 at Mercy Medical, Roseburg Oregon
Mr. Bob Donis, TUV Rheinland of North America provided a presentation on the requirements for electrical listings and Field Evaluations– the basics of the who’s and what’s and why’s and how’s including a few tips regarding what to be looking for on electrical equipment. The requirements for listed electrical equipment come from Federal OSHA rules regulating electrical safety in the workplace. Oregon and Washington, along with many other states, have adopted the Federal OSHA laws meaning that electrical equipment must be certified by a Nationally Recognized Testing Laboratory (NRTL). The installation of un-certified electrical products is prohibited per ORS 479 and OAR Chapter 19. Listing equipment is a safety certification, but it is expensive. Some specialized medical equipment, that is not produced in a large quantity, may not be listed and, if not, would be a good candidate for a field evaluation.
TUV Rheinland of North America is recognized and licensed by OSHA for listing and field evaluations. Note that CE is a “self-certification” and is not recognized as a valid NRTL. Also, UL and CSA listed equipment must include the initials US in order to be a valid certification in the United States. Equipment must have a label affixed to the equipment- it is not acceptable for a company to send a letter or just say it is a listed device. Here is a link to OSHA for the latest valid NRTLs-> NRTL OSHA.
Also discussed were grounding requirements, the importance of proper circuit protection, as well as Short Circuit Current Rating (SSCR) in relation to Available Fault Current (AFC). Mr. Donis had many examples of equipment he has inspected through the years and problems he has discovered while conducting field evaluations.
Next Bob demonstrated a device made by the Master Electric Company in the 1920’s- the Violet Ray. The word of caution- things are not always as they appear. You can read more about this device here -> Violet Ray.
OBA Meeting Summary- June 28th at Shriners Hospital
Below are two documents that provide more information about Orpheus Medical
Third place: I dream of waking up every morning and taking a ride around my part of town on an electric bicycle, towing test equipment behind me. I’ll be stopping in at the homes of the elderly, the infirm, and the working professionals at times convenient for them. I’ll build relationships with them as I run PM’s on their home medical devices, maintain network connections for the medical apps on their smart phones and tablets, and ensure that security patches are up to speed to provide them the maximum balance between patient safety and data utility. If there is a problem I can’t fix, I will be their first and greatest advocate. I will get their hospital to fix connectivity issues on their end. I will get OEM’s to send parts, manuals, and personnel necessary to have the equipment up and providing the life supporting service they were purchased to perform. I will get them the training necessary to use their new equipment, and to care for it on a day-to-day basis. I will be available to my neighbors; I will be their lifeline, their first line of defense and first strike for resolution. I will be a “Beat BMET.”
Name: J. Patrick Lashway
Employer: Oregon Health and Science University
OBA Meeting Summary:
The Oregon Biomedical Association held a meeting on May 10th at 6 PM at Providence St. Vincent Medical Center. Our presenter was Physio Control, based in Redmond, Washington. Physio Control is the only defibrillator vendor manufacturing defibrillators in the United States. In addition to defibrillators, Physio Control makes AEDs, LUCAS 2- a Chest Compression CPR device, True CPR- a CPR Coaching device, McGrath- a video laryngoscope, among other equipment and software.
Discussion centered around the differences among different manufacturers of defibs with Physio Control the only vendor that provides 360 Joules of energy. Many cardiologists and Cath Labs insist on the higher power being available. There was also discussion about maintenance, service and software updates. Physio Control works with the Biomedical community and will provide training at your facility. In addition, Physio Controls software was discussed including LifeNet and CodeStat. LifeNet provides software management of options and allows an overview of device status, including readiness and self test history.
The use of the LUCAS Compression device was also discussed and demonstrated. Physio Control mentioned that there are you tube videos about LUCAS as well as videos that show the durability of Physio Control defibrillators.
There was also a QA session between the attendees and the Physio Control representatives including both sales and service. Thanks to Janet Bentley and Melanie Cook, as well as the service engineers for hosting a great meeting.
Posted here 5/15/2016
OBA Meeting Summary– April 21, 2016 Legacy Meridian Park Hospital
Presented by Prescott, Inc.
Justin Loggins and Ben Kuchar provided a great deal of useful information about maintenance of surgical microscopes. The presentation included how to clean glass, binocular alignment, bulb information, and more. Here are some of my notes, as well as some follow up information and attachments provided by Justin.
Prescott, Inc. is based in Colorado and is focused (hmm) only on surgical microscopes. They service all major brands, including those that are no longer supported by the OEM. They also refurbish microscopes, so they could be a good source for your equipment needs.
Cleaning glass requires a cotton tip applicator, duster and any glass cleaner that is ammonia-free (ammonia can damage the lens coating). Alcohol is okay, but may leave residue, so it is not preferred. Acetone will work, but be careful around any painted surfaces.
– Use the air duster to remove any particles
– With the applicator coated with cleaner, use a circular motion, starting in the center of the lens and rotate outward
– Use a dry applicator to complete cleaning. Check at an angle for any remaining residue
Note that internal glass should not normally need cleaning.
Proper Binocular Alignment is critical to reduce eye strain- something that is very important for the surgeons who peer into these scopes for hours. It’s easier to demonstrate this, than to describe it. You should be able to look through the lenses at a straight line and close each eye (try one at a time) without significant movement. You can even try looking down the hall at a door frame, for example.
Light Sources are typically Xenon or LED. LED light sources have lamps that are good for 50K hours. Prescotts manufactures their own lights sources with built in adapters for different manufacturer cables. Xenon lamps are rated for 500 hours. It is important to change the lamps at the 500 hour mark on most microscopes. Although the lamp will continue to burn brightly for more than 500 hours, the lamp will require more current from the power supply and can cause issues with wiring and connectors due to overheating. Many Xenon lamps are 300 Watt, some are now 400 Watt. The brightness is controlled by a mechanical filter- the lamp is always on at full output. Be careful if sourcing Pentero lamps- they need to have the yellow coating for protection.
Cables are either fiber optic or liquid. The liquid cables are specified to have no loss and do not suffer from the degradation due to fiber breakage. One way to check a fiber cable is to shine to cable onto some paper and rotate the cable. You may be able to recognize damaged fibers/dead spots that were not evident until the image is rotated.
Pentero microscopes provide a message when a bulb has expired. Users may ignore that, however. Service is recommended at 1000 hours- good since 2 500 hour lamps will need replacement. This system is very sensitive to power interruptions and needs to be shut down properly. 80% of issues are software related, many due to corruption from improper shutdown. There is a built in UPS, so be sure to get the batteries on a replacement schedule every 2 years. There is an upgrade for older UPS (beige) with improved shutdown protection. Solid-state hard drives are also a good option to improve performance.
Service due at 1000 hours involves more than just lamp replacement- should include cleaning up software partitions, defrag and removing old patient files/images. Physical cleaning is also important including the drape vacuum, cooling fans and processor fan. Staff should be very careful removing lamp housing- gears can be easily damaged, and make sure system is off before removing housing. Check lamp wiring in the housing for heat damage- there could also be damage to connector and wiring internally.
Problems with the braking system can be very challenging to resolve- needs to be up on blocks. Experienced techs can still spend hours trying to align the over-engineered braking system of rods and linkage.
Here are some answers to questions that came up during our discussion:
Q: What is the liquid in the liquid light cable?
A: The liquid inside the cable is a silicone based liquid that is non-toxic and non-flammable.
Q: How durable is a liquid light cable compared to the fiber optic cable?
A: The manufacturer claims the liquid light cable is flexible and unbreakable. I mentioned that for as many of these that we have installed, I have not had to replace one of them.
Q: Are a 400W and 300W xenon bulb modules interchangeable?
A: No, if a light source uses a 400W xenon it can only use a 400W xenon. If a light source uses a 300W xenon, it can only use a 300W xenon bulb. I mentioned that there was a recall on Leica 400W xenon bulbs and I found out that the recall was for a earlier generation of 400W bulbs. Not all 400W xenon bulbs are on recall.
I hope this information clarifies things and helps. Please let me know if you have any additional questions. I also wanted to mention that I am available and more than willing to do an inventory report for any facility at no charge. This report is very detailed and includes pictures. The inventory report helps with being organized, but more importantly it helps when a part needs to be ordered for any of the microscopes.
I have also included a couple of attachments from Ben that has some great Pentero information. Let me know if I can assist you in any way.
Territory Manager WA/OR/AK
Here are a couple of files provided by Prescott, Inc.
Medical Teams International (MTI) is seeking a volunteer biomed technician (generalist) to join a small training team of doctors and nurses traveling to Zambia on a project in partnership with World Vision at the Kanchomba Zonal Health Centre, Pemba Main Clinic, and Moyo Level I Hospital. The first team will depart in late March 2016, followed by a second team in July and a third team in September to follow up on earlier progress. Volunteers on MTI teams pay most of their own costs out-of-pocket.
MTI will co-plan and co-deliver training with local technicians in assembling and operation of donated medical equipment such as radiology equipment, baby resuscitators, diagnostic sets, suction equipment, oxygen concentrators, defibrillators, fetal heart detectors, etc. to ensure safety and proper functioning of medical equipment on which patients and healthcare professionals rely in order to achieve safe, accurate diagnosis and successful treatment.
Other equipment may include wheelchairs and specialized items which, though not essential, are necessary. Priority will be given to equipment related to the provision of maternal and newborn services. The training for existing health care providers will help increase their competency for service delivery and ability to impart knowledge to other health care workers at Kanchomba Zonal Health Centre and Pemba Main Regional Health Center. The training will specifically focus on the guidelines given by the manufacturers of the equipment. These technicians will train medical professionals to use equipment safely and effectively.
For more information, please visit www.medicalteams.org and view our volunteer opportunities listings. You may also contact Mary Ellen Laird at Medical Teams International for team logistics and details. Phone 503-624-1096 or email her at firstname.lastname@example.org
Posted Here 2/11/2016
Thursday February 25,
Topic: Ophthalmology Equipment
Presented By Larry Wheelon of Wheelon Optical
Larry Wheelon presented information about Basic Ophthalmology Maintenance to 40 OBA members. He discussed the types of lanes as well as the equipment commonly used in these lanes- Phoroptor, Slit Lamp, Tonometer, Eye Chart, Chair and Stand.
Posted here 2/29/2016
Tech Nation- Webinar Wednesdays
Tech Nation offers frequent technical webinars- Over 300 attended a session on September 1 related to Electrosurgical Testing. Make plans to attend the November 18 session on troubleshooting the Philips Epiq 5/7 US systems.
For more information, click here ->Tech Nation then select the Webinar tab and choose the Upcoming Calendar, or the Archives.
AAMI Podcasts– Consider subscribing to the AAMI podcasts and give them a listen at your convenience. The October 12 podcast is a discussion about the education of HTM professionals and the difference between Clinical Engineers and Biomedical Technicians. For more information, Click here -> AAMI Podcasts
OBA Annual Exposition- October 9, 2015
Congratulations to the 2015 Oregon Biomed of the Year-> Bart Onoday!
Keynote Speaker– Patrick Lynch
Adam Byrd– The Modern Biomed
Interesting Reading- Nader’s Most Shocking Expose’
Here’s a look back at the roots of the Biomedical field. Anyone remember hearing how this field took off after an article in The Ladies Home Journal by Ralph Nader? Well, here’s a link to that article ->Most Shocking Expose’
2015 Meeting Summaries
September 14, 2015– ESU Testing and Preventive Maintenance
Sponsored by QRS Calibrations
The September meeting was held at Kaiser Sunnybrook in Clackamas and included a presentation on Electrosurgical Preventive Maintenance including the 60601-2-2 standard for High Frequency Leakage. Questions discussed include: Do you know how to test this per manufacturer and IEC standard? Know your limits. Does your current equipment have the appropriate range to test your ESU’s? Why are we testing the REM or CQM (Contact Quality Management) functionality?
* * * * * * * *
Our May meeting was held at Salem Hospital on May 11th. Mr. Bob Donis, TUV Rheinland of North America provided a presentation on Field Evaluations– the basics of the who’s and what’s and why’s and how’s including a few tips regarding what to be looking for on electrical equipment. Here are some random facts from the presentation:
– TUV Rheinland of North America is recognized and licensed by OSHA
– 26 states have adopted the federal OSHA laws as state law including the western states
– CE is a “self-certification” and is not recognized as a valid NRTL- Nationally Recognized Testing Laboratory
– Here is a link to OSHA for the latest valid NRTLs-> NRTL OSHA”
– Equipment must have a label affixed to the equipment- it is not acceptable to send a letter or just say it is a listed device
– The installation of un-certified electrical products is prohibited per ORS 479 and OAR Chapter 19
– Unlisted equipment requires a field evaluation
– Listing takes into account the need for maintenance and repairs, but devices cannot be modified
– The focus of a field evaluation is on prevention of electrical shock and fire safety and does not include whether or not the product works as intended
Next Bob demonstrated a device made by the Master Electric Company- the Violet Ray. The word of caution- things are not always as they appear. You can read more about this device here -> Violet Ray
Thanks to Mr. Bob Donis for his presentation, and to Salem Health for hosting the meeting!
Here is the attendance form for anyone needing proof of attendance -> Confirmed Salem May 2015