1.Analysis of Radio Frequency Identification Immunity Standard for Medical Equipment.
Chinese Journal of Medical Instrumentation 2023;47(1):106-109
Aiming at the increasing application of RFID technology in the medical environment, this study introduces the foreign requirements for RFID immunity test of medical devices, compares them with the current immunity test requirements of medical devices in China, and puts forward the necessity of establishing relevant test specifications in China.
Radio Frequency Identification Device
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Electromagnetic Fields
;
Radio Waves
;
Equipment Safety
;
Technology
2.Comparison Study on Differences between the Latest Edition of ASTM Standards and YY/T 0987-2016 Series Standards for Magnetic Resonance Compatibility of Surgical Implants.
Yong YIN ; Jin DENG ; Xiaomei WU
Chinese Journal of Medical Instrumentation 2022;46(4):441-448
The series of YY/T 0987 standards converted from the corresponding ASTM (American Society for Testing and Materials) standards regulate the marking medical devices and testing methods for passive implants in the magnetic resonance environment. Along with the advancement of scientific cognition and the development of technology, the ASTM continuously amends and updates standards. This article studies the new version of ASTM standards and analyzes the advancing parts newly added as compared to the current YY/T 0987-2016 standard and eventually pinpoints some problems that remained to be solved. Except for the standard for image artifacts, this study found out that other standards had also been constantly updated, such as the standard of ASTM F2503 for marking medical devices extends its referenced documents and adds some ISO standards in, meanwhile, the test method on magnetically induced displacement force, radio frequency induced heating and magnetically induced torque also had been significantly adjusted and improved accordingly. This article recommends that domestic standards need to keep pace with the latest edition of ASTM F standards and to supplement new research achievements timely, just in order to provide a better normalization, guidance and support to the development of Chinese passive implants industry.
Magnetic Resonance Imaging
;
Magnetic Resonance Spectroscopy
;
Prostheses and Implants
;
Radio Waves
;
Torque
;
United States
3.Design and Implementation of Quality and Safety Traceability System for Reusable Medical Devices Disinfection Based on RFID Technology.
Baoli GAO ; Ran GE ; Dongchen ZHANG ; Xifeng LIU ; Xudong MA
Chinese Journal of Medical Instrumentation 2021;45(2):167-171
Focusing on the requirements of visual traceability for reprocessing of reused medical devices under the background of deep integration of intelligent medical treatment, a quality and safety traceability system for disinfection of reused medical devices is developed. The multi-dimensional data of the reprocessing chain of reusable medical devices are acquired in real time by the RFID mobile terminal handset and stored temporarily. The data package is formatted based on LoRa protocol and uploaded to the management and control platform in multi-threaded transmission mode for in-depth analysis and traceability. The corresponding prototype system is developed. The first-line operation and maintenance test results show that the prototype system has strong cooperation, strong operation robustness, and obvious advantages in the identification rate and other layers of sterile equipment package.
Disinfection
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Radio Frequency Identification Device
;
Technology
4.Dose-dependent Cardiac Dysfunction and Structural Damage in Rats after Shortwave Radiation.
Jing ZHANG ; Chao YU ; Bin Wei YAO ; Hui WANG ; Li ZHAO ; Xin Ping XU ; Ji DONG ; Hao Yu WANG ; Yan Hui HAO ; Rui Yun PENG
Biomedical and Environmental Sciences 2020;33(8):603-613
Objective:
To detect the effects of shortwave radiation on dose-dependent cardiac structure and function in rats after radiation and to elucidate the mechanism of shortwave radiation induced cardiac injury to identify sensitive indicators and prophylactic treatment.
Methods:
One hundred Wistar rats were either exposed to 27 MHz continuous shortwave at a power density of 5, 10, and 30 mW/cm for 6 min or undergone sham exposure for the control (the rats had to be placed in the exposure system with the same schedules as the exposed animals, but with an inactive antenna). The Ca , glutamic oxaloacetic transaminase (AST), creatine kinase (CK) and lactate dehydrogenase (LDH) content in the peripheral serum of the rats were detected by an automatic blood biochemical analyser. The electrocardiogram (ECG) of standard lead II was recorded by a multi-channel physiological recording and analysis system. The cardiac structure of rats was observed by light and electron microscopy.
Results:
The results showed that the 5, 10, and 30 mW/cm shortwave radiation caused a significant increased in the levels of Ca , AST, CK, and LDH in the peripheral serum of rats. The cardiac structure was damaged by radiation and showed a disordered arrangement of myocardial fibres, the cavitation and swelling of myocardial mitochondria. These injuries were most significant 7 d after radiation and were not restored until 28 d after radiation.
Conclusion
Shortwave radiation of 5, 10, and 30 mW/cm can damage rat cardiac function, including damage to the tissue structure and ultrastructure, especially at the level of the myocardial fibres and mitochondria. Shortwave radiation at 5, 10, and 30 mW/cm induced damage to rat heart function and structure with a dose-effect relationship, i.e., the greater the radiation dose was, the more significant the damage was.
Animals
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Dose-Response Relationship, Radiation
;
Heart
;
radiation effects
;
Heart Diseases
;
ethnology
;
pathology
;
physiopathology
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Male
;
Myocardium
;
pathology
;
Radio Waves
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adverse effects
;
Random Allocation
;
Rats
;
Rats, Wistar
5.Behavioral Abnormality along with NMDAR-related CREB Suppression in Rat Hippocampus after Shortwave Exposure.
Chao YU ; Yan Xin BAI ; Xin Ping XU ; Ya Bing GAO ; Yan Hui HAO ; Hui WANG ; Sheng Zhi TAN ; Wen Chao LI ; Jing ZHANG ; Bin Wei YAO ; Ji DONG ; Li ZHAO ; Rui Yun PENG
Biomedical and Environmental Sciences 2019;32(3):189-198
OBJECTIVE:
To estimate the detrimental effects of shortwave exposure on rat hippocampal structure and function and explore the underlying mechanisms.
METHODS:
One hundred Wistar rats were randomly divided into four groups (25 rats per group) and exposed to 27 MHz continuous shortwave at a power density of 5, 10, or 30 mW/cm2 for 6 min once only or underwent sham exposure for the control. The spatial learning and memory, electroencephalogram (EEG), hippocampal structure and Nissl bodies were analysed. Furthermore, the expressions of N-methyl-D-aspartate receptor (NMDAR) subunits (NR1, NR2A, and NR2B), cAMP responsive element-binding protein (CREB) and phosphorylated CREB (p-CREB) in hippocampal tissue were analysed on 1, 7, and 14 days after exposure.
RESULTS:
The rats in the 10 and 30 mW/cm2 groups had poor learning and memory, disrupted EEG oscillations, and injured hippocampal structures, including hippocampal neurons degeneration, mitochondria cavitation and blood capillaries swelling. The Nissl body content was also reduced in the exposure groups. Moreover, the hippocampal tissue in the 30 mW/cm2 group had increased expressions of NR2A and NR2B and decreased levels of CREB and p-CREB.
CONCLUSION
Shortwave exposure (27 MHz, with an average power density of 10 and 30 mW/cm2) impaired rats' spatial learning and memory and caused a series of dose-dependent pathophysiological changes. Moreover, NMDAR-related CREB pathway suppression might be involved in shortwave-induced structural and functional impairments in the rat hippocampus.
Animals
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Cyclic AMP Response Element-Binding Protein
;
genetics
;
metabolism
;
Dose-Response Relationship, Radiation
;
Electroencephalography
;
radiation effects
;
Hippocampus
;
radiation effects
;
Male
;
Memory
;
radiation effects
;
Nissl Bodies
;
physiology
;
radiation effects
;
Radio Waves
;
adverse effects
;
Random Allocation
;
Rats
;
Rats, Wistar
;
Receptors, N-Methyl-D-Aspartate
;
genetics
;
metabolism
;
Spatial Learning
;
radiation effects
6.An study of ultrasonic monitoring imaging of microwave ablation based on Nakagami statistic parameter.
Shan WU ; Shaoqiang SHANG ; Xuewei WANG ; Mingxi WAN ; Siyuan ZHANG
Journal of Biomedical Engineering 2019;36(3):371-378
This paper explored the feasibility of using ultrasonic Nakagami statistic parameter imaging to evaluate the thermal lesion induced by microwave ablation (MWA) in porcine models. In this paper, thermal lesions were induced in livers and kidneys in 5 swines using a clinical MWA system. During this treatment progress, ultrasonic radiofrequency (RF) data were collected. The dynamic changes of Nakagami parameter in the thermal lesion were calculated, and the ultrasonic B-mode images and Nakagami images were reconstructed simultaneously. The contrast-to-noise ratio (CNR) between the thermal lesion and the surrounding normal tissue was calculated over the MWA procedure. After MWA, a bright hyperechoic region appeared in the ultrasonic Nakagami image as an indicator of the thermal lesion and this bright spot enlarged with lesion development during MWA exposure. The mean value of Nakagami parameter in the liver and kidney increased from 0.78 and 0.79 before treatment to 0.91 and 0.92 after treatment, respectively. During MWA exposure, the mean values of CNR calculated from the Nakagami parameter increased from 0.49 to 1.13 in the porcine liver and increased from 0.51 to 0.85 in the kidney, which were both higher than those calculated from the B-mode images. This study on porcine models suggested that the ultrasonic Nakagami imaging may provide an alternative modality for monitoring MWA treatment.
Animals
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Kidney
;
diagnostic imaging
;
Liver
;
diagnostic imaging
;
Microwaves
;
Radio Waves
;
Radiofrequency Ablation
;
Swine
;
Ultrasonography
7.Expert Consensus for Image-guided Radiofrequency Ablation of Pulmonary Tumors (2018 Version).
Baodong LIU ; Xin YE ; Weijun FAN ; Xiaoguang LI ; Weijian FENG ; Qiang LU ; Yu MAO ; Zhengyu LIN ; Lu LI ; Yiping ZHUANG ; Xudong NI ; Jialin SHEN ; Yili FU ; Jianjun HAN ; Chenrui LI ; Chen LIU ; Wuwei YANG ; Zhiyong SU ; Zhiyuan WU ; Lei LIU
Chinese Journal of Lung Cancer 2018;21(2):76-88
8.Design of Wireless Blood Pressure Monitor and Its Data Encryption Method.
Chinese Journal of Medical Instrumentation 2018;42(3):180-181
A wireless blood pressure measurement system was designed to facilitate the measurement of the patient's blood pressure and to transmit the measured data safely and reliably. Through PDA, radio frequency identification technology (RFID) and bluetooth technology, the function of reading patients' information and statistics and analysis of blood pressure, heart rate data was realized. The IDEA and RSA joint algorithms were used to encrypt the patients' data and the key of the IDEA algorithm to ensure the security of the patient' data. The test results showed that the system had high accuracy of measurement data, safe and reliable transmission, and improved the nurses' work efficiency.
Algorithms
;
Blood Pressure Determination
;
Blood Pressure Monitors
;
Computer Security
;
Humans
;
Radio Frequency Identification Device
;
Wireless Technology
9.How to Sustain Smart Connected Hospital Services: An Experience from a Pilot Project on IoT-Based Healthcare Services.
Arum PARK ; Hyejung CHANG ; Kyoung Jun LEE
Healthcare Informatics Research 2018;24(4):387-393
OBJECTIVES: This paper describes an experience of implementing seamless service trials online and offline by adopting Internet of Things (IoT) technology based on near-field communication (NFC) tags and Bluetooth low-energy (BLE) beacons. The services were provided for both patients and health professionals. METHODS: The pilot services were implemented to enhance healthcare service quality, improve patient safety, and provide an effective business process to health professionals in a tertiary hospital in Seoul, Korea. The services to enhance healthcare service quality include healing tours, cancer information/education, psychological assessments, indoor navigation, and exercise volume checking. The services to improve patient safety are monitoring of high-risk inpatients and delivery of real-time health information in emergency situations. In addition, the services to provide an effective business process to health professionals include surveys and web services for patient management. RESULTS: Considering the sustainability of the pilot services, we decided to pause navigation and patient monitoring services until the interference problem could be completely resolved because beacon signal interference significantly influences the quality of services. On the other hand, we had to continue to provide new wearable beacons to high-risk patients because of hygiene issues, so the cost increased over time and was much higher than expected. CONCLUSIONS: To make the smart connected hospital services sustainable, technical feasibility (e.g., beacon signal interference), economic feasibility (e.g., continuous provision of new necklace beacons), and organizational commitment and support (e.g., renewal of new alternative medical devices and infrastructure) are required.
Commerce
;
Delivery of Health Care*
;
Emergencies
;
Hand
;
Health Occupations
;
Humans
;
Hygiene
;
Inpatients
;
Internet
;
Korea
;
Mobile Applications
;
Monitoring, Physiologic
;
Patient Safety
;
Pilot Projects*
;
Radio Frequency Identification Device
;
Seoul
;
Smartphone
;
Tertiary Care Centers
10.3D printing navigation template-guided percutaneous radiofrequency thermocoagulation for V2 trigeminal neuralgia treatment.
Ling-Ge ZHANG ; Mo-Hong DENG ; Xing LONG ; Zhang-Zheng WANG
West China Journal of Stomatology 2018;36(6):662-666
OBJECTIVE:
This paper aimed to evaluate the effectiveness of the 3D printing puncture navigation template-guided percutaneous radiofrequency thermocoagulation for V2 trigeminal neuralgia treatment.
METHODS:
A total of 52 patients with V2 trigeminal neuralgia were treated with radiofrequency thermocoagulation. A total of 32 patients were treated under the guidance of the 3D printing puncture navigation template (guide plate group), while 20 patients underwent puncture via pterygopalatine fossa routinely (routine treatment group). The puncture time, operation time, puncture success rate, and immediate postoperative pain were recorded. The degree of immediate postoperative pain was indicated by visual analogue scale (VAS). Barrow Neurological Institute (BNI) classification criteria were used to evaluate the efficacy, and the postoperative complications were observed. All patients were followed up for 1 year.
RESULTS:
The two groups showed significant decrease in VAS after the operation (P<0.05). The puncture and operation times of the guide plate group were significantly lower than those of the routine treatment group (P<0.05). The difference in terms of the clinical effects and recurrence rate between the two groups was insignificant (P>0.05).
CONCLUSIONS
3D printing puncture navigation template-guided radiofrequency thermocoagulation may increase the operation success rate and reduce complication incidence. Therefore, this technique possesses clinical promotional value.
Electrocoagulation
;
Humans
;
Postoperative Complications
;
Printing, Three-Dimensional
;
Radio Waves
;
Treatment Outcome
;
Trigeminal Neuralgia

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