RELIABILITY ASSESSMENTS OF INFANT INCUBATOR AND THE ANALYZER

Yıl 2014, Cilt: 27 Sayı: 4, 1169 - 1175, 25.06.2014

Emre Özdemirci Meral Özarslan Yatak Fecir Duran Mehmet Rahmi Canal

Öz

Approximately 80% of newborn in Turkey are put in neonatal incubators because of their problematic cases. Incubators used for treatment may adversely affect baby’s health seriously, if they adjusts or measures the parameters incorrectly. In this study, complications arisen because of inaccurate adjustment and measurement of incubator parameters were investigated. Current infant incubator analyzers were researched and the deficiencies were evaluated considering the standards and clinical metrology studies. As a result, findings were revealed as one of the current two incubator analyzers don’t ensure the standard and the other one doesn’t analyze some parameters which affect the baby’s health directly.

Anahtar Kelimeler

Neonatal, Infant Incubator, Infant Incubator Analyzer

Kaynakça

• Health Statistics Yearbook, Birth/Mortality rate of Neonatal in 2011-2012, Turkey Statistical Institute, (2012). web: http://www.saglik.gov.tr/TR/dosya/1- 87578/h/istaturk2012.pdf
• Alvarez Abril, A., Terrón, A., Boschi C. and Gómez, M., “Review of Noise in Neonatal Care Units – Regional Conference Series, 90:1–6, (2007). of Physics:
• Plangsangmas, V., Leeudomwong, S. and Kongthaworn, P., “Sound Pressure Level in an Infant Incubator”, MAPAN Journal of Metrology Society of India, 27(4):199–203, (2012).
• Olivera, J.M., Rocha, L.A., Rotger, V.I. and Herrera, M.C., Environments", Journal of Physics: Conference Series, 332:1–10, (2011). in Hospital
• Roske, K., Foitzik, B., Wauer, R. R. and Schmalisch, Measurements Newborns: A Comparative Study of Commercial Devices”, Journal of Clinical Monitoring and Computing, 14:413–420, (1998). of Volume Ventilated in
• Hanada, E., Itoga, S., Takano, K. and Kudou T., “Investigations of the quality of hospital electric power supply and the tolerance of medical electric devices to voltage dips”, Journal of Medical Systems, 31:219–223, (2007).
• Heimann, K., Schoberer, M. and Orlikowsky T., “Thermomanagement Paediatrics: Clinical Problems and Challenges”, Biomedical Engineering/Biomedizinische Tecnik, 58, (2013). Neonatology and
• Kaitano, D., “Interface of a digital temperature microcontroller Instrumentation (2013). analog incubator”,
• Science&Technology, 1–16,
• Lam, H.T., Kostov, Y., Tolosa, L., Falk, S. and Rao, G., “A high-resolution non-contact fluorescence- based temperature sensor for neonatal care”, Measurement Science and Technology, 231–7, (2012).
• Koch, J., “Thermomanagement for Neonates Methods of Keeping Neonates Warm” , Biomedical Engineering/Biomedizinische Tecnik, 58, (2013).
• Paley, M.N.J., Hart, A.R., Lait, M. and Griffiths, P.D., “An MR-compatible neonatal incubator”, The British Journal of Radiology, 85:952–958, (2012).
• Abdiche, M., Farges, G., Delanaud, S., Bach, V., Villon P. and Libert, J.P., “Humidity control tool for neonatal Engineering & Computing, 36:241–245, (1998). & Biological
• Medeiros, J., Pires, J.M., Moura, A.A., Almeida, O.M. Certification of Neonatal Incubator Sensors through an Inferential Neural Network”, Sensors, 13: 15613- 15632, (2013).
• F.M.,”Assessment and
• Medical Electrical Equipment—Part 2-19: Particular Requirements for Safety of Baby Incubator, British Standards BS EN 60601-2-19:2009, European Committee for Electrotechnical Standardization, United Kingdom, (2009).
• Biomedical equipment technology: incubator, Republic of Turkey Ministry of Education module, Turkey, (2012). web:http://www.megep.meb.gov.tr/ mte_program_modul/moduller_pdf/K%C3%BCvezl er.pdf
• Core Medical Equipment, WHO, Switzerland, (2013).web:http://whqlibdoc.who.int/hq/2011/WHO _HSS_EHT_DIM_11.03_eng.pdf
• Grubenhoff, J.A., Ford K. and Roosevelt, G.E., “Heat-related Emergency Medicine, 8(1):59-64, (2007). Clinical Pediatric
• Mäkinen, T.M., Juvonen, R., Jokelainen, J., Harju, T.H., Peitso, A., Bloigu, A., Silvennoinen-Kassinen, S., Leinonen, M. and Hassi, J., “Cold temperature and low humidity are associated with increased occurrence Respiratory Medicine, 103(3): 456-462, (2009). tract infections”,
• Askie, L.M., Henderson-Smart, D.J., Irwig, L. and Simpson, J.M., “Oxygen-saturation targets and outcomes in extremely preterm infants”, New England Journal of Medicine, 349:959-967, (2003).
• Karakükçü, Ç., Sarılıklı yenidoğanlarda bilirubin ve fototerapiden kaynaklanabilecek genotoksik etkilerin alkali comet tekniği ile değerlendirilmesi. Expertise Thesis in Medicine, Faculty of Medicine, University of Erciyes, Turkey, (2008).
• Metlay, L.A., Macpherson, T.A., Doshi, N. and Milley, J.R., “Necrotizing tracheobronchitis in intubated newborns a complication of assisted ventilation”, Pediatric Pathology, 7(5):575-584, (1987).
• Türkel, A., “Sağlık Sektöründe Kalibrasyonun Yeri ve Önemi”, VII. Ulusal Ölçüm Bilim Kongresi, İzmir, Turkey, 109-111, (2008).
• Fluke Biomedical, Incubator Analyzer Operators Manual, Fluke Biomedical Company, (2005). web: http://www.flukebiomedical.com/Biomedical/usen/S uppoSu/Manuals/default.htm?ProductId=56329
• Datrend System Inc., Infant Incubator & Radiant Warmer Testing System Operating Manual. Daternd System Inc, (2011). web: http://www.datrend.com/ uploads/dsiweb/manuals/IncutestbOp.pdf
• Medical Electrical Equipment—Part 2-50: Particular requirements for the basic safety and essential performance of infant phototherapy equipment, British European Standardization, United Kingdom, (2009). for
• Electrotechnical Committee