Clinical Immersion For Engineers

Clinical Immersion For EngineersMid Term PresentationInstructorDr. Brady KingByHarshini Gangapuram

DepartmentsInterventional RadiologyPediatric SurgeryPediatric ICUPediatric Cardiac Surgery

Interventional radiology

introductionUses minimally invasive procedures for the diagnosis of a disease of a particular organAnalyze and treat patients using minimally invasive methods that are accessibleImage guide procedure

Problem descriptionArea of the Operating Room has no enough spaceSurgeons has to jump around the wires that are connected to the patientSevere neck pains as they have to constantly see the monitorsDeclot: To improve blood flow in fistula. They face problem while inserting catheter

Fistula is usually a result of injury or surgeryIt is an abnormal connection between an organ, vessel, or intestine5

solutionDecreasing the level of Operating Table at the shoulder sideProviding a slot to the bed to keep all the tools that are used for the surgery in front of the doctor

Pediatric surgery

introduction

Problem descriptionMarks made on the body before surgery are guessWe found that there is no proper pathway to introduce the rodTrial and error method

SolutionIncluding a pressure sensorIntroducing camera to the rodRobot assisted surgery

Pediatric icu

introductionChildren will be under intensive careSickle cell anemia: Absence of hemoglobin in RBCDiagnosis of sickle cell patient

Problem descriptionContinuous exposure to x-rays to diagnose sickle cell formation (twice or thrice a day)Have to carry tables that contains systems for roundsMost of the devices are made for adults (Alarms)

SolutionFusion of x-rays with other image guided techniquesTaking MRI could be a remedy but it is not compatible for twice or thrice a dayReplacing tables with a TabletSoftware should be developed for alarms in devices for children

Pediatric cardiac surgery

introductionAbnormal functioning of heart or vesselsConnect heart-lung machine to the blood vesselsStop the heartPerform open-heart surgery

Problem descriptionToo much wiring of hear-lung machineData sheet should be maintainedBattery life is limitedAssistant is required

solutionReplacing heart-lung machine with the image guided surgeriesIncreasing the battery lifeDecreasing the chambers of heart-lung machine by introducing filters and oxygenator into one chamberAutomation of data sheet within the heart lung machine Decreases number of practitioners

Other problemsLighting above operating tableLot of wiring attached to the patientMovement of patient along with bedSpace of OR

solutionsCamera should be attached to the lights that tracks the movement of surgical toolsAttach EKG and other sensors to back of body and obtain data with a wireless moduleAttach a slot to the bed to put the stand while moving the patient

conclusionPediatric Surgery: NUSS procedureIntroducing a magnet to move the rod instead of applying force to pushStudies should be done further

referenceshttp://www.nlm.nih.gov/medlineplus/ency/article/007363.htmhttps://en.wikipedia.org/wiki/Nuss_procedurehttps://en.wikipedia.org/wiki/Interventional_radiologyhttps://en.wikipedia.org/wiki/Sickle-cell_disease

Thank you