著者
久保田 博南
出版者
Japanese Society of Medical Instrumentation
雑誌
医療機器学 (ISSN:18824978)
巻号頁・発行日
vol.80, no.6, pp.615-621, 2010 (Released:2010-12-24)
参考文献数
12
被引用文献数
1 1
著者
白崎 修
出版者
Japanese Society of Medical Instrumentation
雑誌
医療機器学 (ISSN:18824978)
巻号頁・発行日
vol.80, no.6, pp.622-631, 2010 (Released:2010-12-24)
参考文献数
32
被引用文献数
1
著者
白崎 修
出版者
Japanese Society of Medical Instrumentation
雑誌
医療機器学 (ISSN:18824978)
巻号頁・発行日
vol.80, no.6, pp.632-638, 2010 (Released:2010-12-24)
参考文献数
15
著者
岩藤 晋 坂手 克彰 太田 吉夫
出版者
Japanese Society of Medical Instrumentation
雑誌
医療機器学 (ISSN:18824978)
巻号頁・発行日
vol.80, no.1, pp.2-10, 2010 (Released:2010-12-24)
参考文献数
2

Infusion pumps are one of the most frequently used medical instruments in hospitals. Newer devices are equipped with the History Function. This function keeps the logs of device movements such as alarms and key operations on the device. This study is to investigate the correct usage of the device by utilizing this function. The usages investigated are power-on procedure, and procedures at occlusion alarms and bubble detection alarms.As a result, wrong sequences of usage at the power-on procedure and the procedure at occlusion alarms became clear. In addition, more than half of the devices recorded the occlusion alarms and the bubble detection alarms, during usage for a single patient. We notified to nurses these findings and the right procedure of the device. After notification, we repeated the similar evaluation. The procedure at the occlusion alarms was improved remarkably. However, there was no change about the frequency of alarm appearance.The History Function is useful when we study the usage of the device in the clinical settings. This study indicates that the information about error occurrences and the right procedure to nurses can improve the usage of the infusion pumps effectively.
著者
中井 浩司 渡邊 晴美 高橋 幸子 宮本 浩三 土井 厚 花隈 淳 森下 雄亮 澤田 知広 尾辻 眞矢 平手 裕市 進藤 義明 小菅 浩司
出版者
Japanese Society of Medical Instrumentation
雑誌
医療機器学 (ISSN:18824978)
巻号頁・発行日
vol.79, no.8, pp.638-646, 2009 (Released:2010-01-07)
参考文献数
18

We studied the utility and drawbacks of the earlobe probe sensor on the percutaneous arterial oxygen saturation (SpO2) measurement. The SpO2 from the earlobe, forehead and finger sensor were measured simultaneously, and then changes of SpO2 readings induced by medical interferences and influence by the sensor attachment were compared among three types of sensor. The SpO2 from the earlobe sensor responded to the rapid change of patient clinical condition as well as from the forehead and finger sensor. The pulse wave signal from the earlobe sensor was more stable compared to those from forehead and finger sensor, but the time to display SpO2 readings after the earlobe sensor attachment was similar to the forehead sensor and it took longer than that in case of the finger sensor attachment. Some cases were difficult to measure SpO2 because of extremely thin earlobe and edema of earlobe. The long-term attachment of the earlobe sensor did not leave any surface imprint on the patient skin that is often found with the use of forehead and finger sensor. Also no patient had removed the earlobe sensor on a voluntary basis. While the SpO2 measurement with the earlobe sensor may be affected by several factors such as the earlobe shape and the peripheral circulation, it is the least painful for the patient. The active utilization of the earlobe sensor in clinical practice is promising as a new approach of the SpO2 measurement.