Hospital Training

at

Columbia Asia Hospital

– A Short Review

By

Pratik Das

Department of Biomedical Engineering

Netaji Subhash Engineering College

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

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.

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.

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

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

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

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

Radiological Equipments Contd…

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:

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)

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

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

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

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

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

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

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

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)

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

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

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

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

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

Thank You !!!!!!!!

Any Question ??