Define a medical device
An instrument, apparatus, appliance, material or other article, when used alone or in combination, together with any other software necessary for its proper application, intended by the manufacturer to be used for human beings for: diagnosis, prevention, monitoring, treatment or for the alleviation of disease
e.g., ECG machine, MRI, Echo
Describe intended purposes of use
This defines what the manufacturer states that the device should be used for, according to the manufacturer’s data, labelling & instructions
If a device is used outside of its intended purpose, then it breaches legal & safety regulations
Define a transducer
A device that converts one form of energy to another
Define a pressure transducer
A pressure transducer converts blood pressure (mechanical energy) into electrical energy, as the ECG electrode converts electrical energy in a tissue into electrical energy in a circuit
Describe the use of the Edwards TruWave Disposable Pressure Transducer
Used to measure arterial or venous pressure, Output voltage is proportional to the pressure.
It has; Ports for patient and atmosphere connection, Saline pressurised to 300 mmHg (flush system) & Electrical cable to send the signal to the monitor.
Define sensitivity
Defined as the ratio of the change of the output to the change of the input
sensitivity=change in output/change in input
Define linearity
It measures how closely a device output follows a straight line when the input is increased
Input Vs output should ideally be linear
Linearity= (max deviation from ideal)/ (full scale output) x100
Define hysteresis
Refers to how a sensor’s output differs as the input increases from the value when it decreases
Hysteresis: (max hysteresis error)/ (full scale output) x100=
Describe the range and the dynamic range
Dynamic range: the ratio of the largest to the smallest input values that a system can detect
e.g., ECG amplifier can detect from 0.5 microV to 10mV
Range: The largest input value a system can measure
e.g., a BP device might be able to be reliably used up to a maximum pressure of 265mmHg
Define resolution
The smallest input change that can be processed by a system, it produces a measurable change in output
Define calibration
The comparison of a test instrument with a more accurate standard (as close to the truth as possible)
Describe the importance of calibrating equipment
Describe the process of calibration
Example: A calibrated volume syringe tests a spirometer.
Define traceability
refers to the fact that every measurement is able to be traced back to a national standard
Define a single point calibration
Is where it is checked at only 1 value, this can be accurate up to a point
Define a multipoint calibration
Where the device is checked at several intervals across the normal range, this ensures accuracy across all conditions.
E.g., spirometry is calibrated at low, medium & high flow rates
The further you deviate from the standard the greater the chance of error
Define quality assurance
Part of the quality management, it provides assurance that the quality requirements of a device will be fulfilled
A systematic process that ensures that everything we do meets quality standards, a preventative technique
Define quality control
Detects whether the output meets standards
e.g., daily equipment checks
Define SI units
SI stands for Système International d’Unités — the International System of Units, used worldwide for scientific and medical measurement.
It ensures consistency, traceability,
All physical quantities are based of 7 fundamental units, other units are derived from these
State the name and management of relevant cardiac physiology department
QMS & CQC
which cover:
1. Leadership & management
2. Clinical
3. patient experience
4. Safety & risk management
5. Facilities & resources
Define the difference between a fundamental and a derived unit
Fundamental unit:
A fundamental (base) unit is an independent unit used to measure a basic physical quantity. It cannot be expressed in terms of other units.
e.g., metre (m) for length, kilogram (kg) for mass,
Derived unit:
A derived unit is a unit obtained by combining fundamental units according to a physical relationship. It depends on base units.
E.g., metre per second (m/s) for velocity, newton (kg·m/s²) for force,
Key difference:
Fundamental units are basic and independent, while derived units are formed from combinations of fundamental units.
Define prefix and list common ones
A prefix is a word part or symbol placed before a unit to indicate a multiple or sub-multiple of that unit, usually based on powers of ten.
e.g., Milli, Mega, Kilo