2014年7月29日 星期二

如何讓醫院評鑑之醫工角色受到重視


(http://bme.freebbs.tw 醫學工程論壇同步發表)


最近在醫院工作的夥伴應該都有收到

醫策會又在廣徵意見要大修104年的評鑑條文了

有關醫工的主要條文1.6.9中...還是一樣的老問題,要評醫工又不敢提醫工,真的會讓人吁嘆...

希望各位在醫院的醫工夥伴,主動跟貴院管理部門連絡,跟他們反映,

1.6.9 A.2 專責人員或部門具有相關工務專業或證照。
------>工務要改成醫工
就算只把"工務"拿掉,也不夠突顯醫工的角色,所以一定要加"醫工"二個字

大家一起來反應,讓醫工的角色在醫院中可以更明確,更受肯定。

2014年7月28日 星期一

一級召修 GE Healthcare, LLC, Single-Width Airway Modules (E-MiniC) and Accessories and Extension Modules (N-FC, N-FCREC: Class I Recall - CO2 Detector May Fail Leading to Injury


(http://bme.freebbs.tw 醫學工程論壇同步發表)

GE Healthcare, LLC, Single-Width Airway Modules (E-MiniC) and Accessories and Extension Modules (N-FC, N-FCREC) - CO2 Detector May Fail Leading to Injury

 E-MiniCN-FC, N-FCREC
Recall Class: Class I
Date Recall Initiated: June 11, 2014
Products: Single-Width Airway Modules (E-MiniC) and Accessories and Extension Modules (N-FC, N-FCREC)
這是搭配呼吸器或生理監視器模組,QSD無法查到獨立申請
字號,請有使用GE類似產品的人,若有使用用到該模組,
注意一下是否有影響的序號產品。
Manufacturing Dates: February 10, 2012 through October 2, 2012Distribution Dates: February 2012 to April 2014
Affected Product Details:
  • Single-Width Airway Modules (E-miniC) -Serial Numbers 6818561 through 6898777.
  • The Extension Modules N-FC and N-FCREC - Serial Numbers 6799191 through 6905206.
  • The serial number can be found on the device plate attached to the module.
Modules serviced with FRU (Field Replaceable Unit) catalog number M1013204 (miniC Unit, N-FCREC) between February 2012 and May 2014 may also be affected by this recall.
Use: These devices are used in hospitals and other health care facilities for monitoring CO2 and respiration rates in patients weighing over 11 pounds (5 kg).
Recalling Firm:GE Healthcare, LLC
3000 North Grandview Boulevard
Waukesha, Wisconsin 53188-1615
Manufacturer:GE Healthcare Finland Oy
Kuortaneenkatu 2
Helsinki, Finland 00510
Reason for Recall: The affected CO2 detectors may fail or provide incorrect CO2 values for mechanically and spontaneous ventilated patients. Physicians may make decisions based on incorrect values which could lead to permanent, irreversible impairment or life-threatening changes in patients.
Patients may experience an inadequate exchange of gases (hypoventilation), causing an increased concentration of CO2 (hypercapnia). Death may also occur as a result of low CO2 values.
There are no reports of injuries or deaths associated with the malfunctioned devices.
Public Contact: For questions about this recall, customers may contact GE Healthcare Technical Support at 1-800-558-7044, Monday - Friday, 8:00 a.m. - 5:00 p.m., Central Time or the local service representative.
FDA District: Minneapolis District Office
More Information about this Recall:On June 11, 2014, the firm sent an Urgent Medical Device Correction letterdisclaimer icon to their customers. The letter identified the affected products and problem and provided safety instructions. Customers should read the letter and follow the instructions provided.
About Class I Recalls:Class I recalls are the most serious type of recall and involve situations in which there is a reasonable probability that use of these products will cause serious adverse health consequences or death.
Health care professionals and consumers may report adverse reactions or quality problems they experienced using these products to MedWatch: The FDA Safety Information and Adverse Event Reporting Program either online, by regular mail or by FAX.

2014年7月17日 星期四

熱毯灼傷女嬰 業者:嬰兒禁用

(http://bme.freebbs.tw 醫學工程論壇 同步發表) 

熱毯灼傷女嬰 業者:嬰兒禁用 (原出處)

節錄..
婦產科主治醫師黃XX(07.15):「可能就是電毯它的溫度失控,可能比預期的高,所以(女嬰)才會有水泡,這個不是我們可以預期的,因為我們使用這個,也是個醫療器材,它「開」了之後,它就是(運作)15分鐘45度C,所以醫護人員,並沒有必要再去做改變。」
熱敷毯業者譚XX:「他第一個使用方法就錯誤了,所以他並不是OK的,它就是不能使用在嬰兒身上,第一個方式就是不OK了。」.........

-------------------------

這款是SUMO舒摩熱敷墊 衛署醫器製壹字第001391號  ----物理醫學科用裝置

公告動力式熱敷墊(Powered heating pad)應加註警語相關事宜【發布日期:2012-11-29】

出問題了,就是先推給設備,還好這東西在使用方法上有註明禁用於嬰兒...

問題又來了...

當初誰買的? (採購?)  

誰說可以用在嬰兒上的(業務?還是自己覺得可用?)

因為這是診所,一定不會有醫工,但如果在醫院裡,如果醫工有辦理驗收,要記得這是不能用於嬰兒的,說明書上第一條有註明哦。

但在醫院裡,我們還是要清查一下,是不是真有人把他拿去用在嬰兒身上?

除此之外,可能所有相關的設備,如保溫燈,加嬰兒保箱、加溫處理台....及保養檢測記錄,要注意。

今年的各地衛生局查核這項會列入查核重點。