450-4013/04 – Therapeutical Medical Technology (LTP)

Gurantor departmentDepartment of Cybernetics and Biomedical EngineeringCredits4
Subject guarantorprof. Ing. Marek Penhaker, Ph.D.Subject version guarantorprof. Ing. Marek Penhaker, Ph.D.
Study levelundergraduate or graduateRequirementCompulsory
Year1Semestersummer
Study languageCzech
Year of introduction2019/2020Year of cancellation
Intended for the facultiesFEIIntended for study typesFollow-up Master
Instruction secured by
LoginNameTuitorTeacher giving lectures
BAR0420 Ing. Daniel Barvík, Ph.D.
PEN72 prof. Ing. Marek Penhaker, Ph.D.
PET497 Ing. Lukáš Peter, Ph.D.
PRO0240 Ing. Michal Procházka
Extent of instruction for forms of study
Form of studyWay of compl.Extent
Full-time Credit and Examination 2+2
Part-time Credit and Examination 0+16

Subject aims expressed by acquired skills and competences

The aim of the course is to provide detailed information about medical therapeutical instruments, their activities, construction, and the relationship of legislation governing their use. Students acquire knowledge about medical therapeutical devices and devices, including inclusion in individual therapeutic methods. The acquired knowledge and skills in this subject form the basic prerequisite of knowledge of biomedical engineer.

Teaching methods

Lectures
Individual consultations
Tutorials
Experimental work in labs

Summary

In the course students are familiarized and practically verify principles by acting of various types of physical energies on living organisms using medical therapeutical instrumentation. The use of these effects for therapy purposes is discussed in more detail, the critical doses that are acceptable under different treatment conditions are listed. The individual therapeutic methods are discussed and the nature of the device, the description and its construction, including the relation to the valid legislation regulating their use, are explained. Safety risks are explained using medical instrumentation and individual therapeutic methods.

Compulsory literature:

• ROZMAN, Jiří. Medical Instrumentation III. Brno: University of Technology, 2000. ISBN 80-214-1667-X. • BRONZINO, Joseph D. The biomedical engineering handbook. 3rd ed. Boca Raton: CRC/Taylor & Francis, 2006. ISBN 0849321239. • WEBSTER, John G., ed. Medical instrumentation: application and design. 3rd ed. S.l.: John Wiley, c1998. ISBN 0-471-15368-0.

Recommended literature:

• DAVID, Yadin. Clinical engineering. Boca Raton: CRC Press, c2003. Principles and applications in engineering. ISBN 0849318130. • PEREZ, Reinaldo. Design of medical electronic devices. San Diego: Academic Press, c2002. ISBN 0125507119. • CARR, Joseph J. a John M. BROWN. Introduction to biomedical equipment technology. 4th ed. Upper Saddle River, N.J.: Prentice Hall, c2001. ISBN 0130104922. • MACKAY, R. Stuart. Bio-medical telemetry; sensing and transmitting biological information from animals and man. New York: Wiley, 1968. • FRADEN, Jacob. AIP handbook of modern sensors: physics, designs and applications. 3rd print. New York: American Institute of Physics, 1995. AIP series in modern instrumentation and measurements in physics & engineering. ISBN 1-56396-108-3. • OLANSEN, Jon B. a Eric. ROSOW. Virtual bio-instrumentation: biomedical, clinical, and healthcare applications in LabVIEW. Upper Saddle River, NJ: Prentice Hall, 2002. ISBN 0130652164. • DAVIM, J. Paulo, ed. The design and manufacture of medical devices. Cambridge: Woodhead Publishing, 2012. Woodhead Pu blishing reviews: mechanical engineering. ISBN 978-1-907568-72-5

Way of continuous check of knowledge in the course of semester

Continuous examination of the study: Two tests of continuous examination and paper, combined examination, recognition of the exam only after successful completion of all its parts. Assesment methods and criteria linked to learning outcomes: Course-unit credit requirements: Two tests of continuous control max. Of 10 points and elaboration of expert paper - maximum 20 points. Total max. 40 points, min. 21 points. Assesment methods and criteria linked to learning outcomes: Attendance at seminars requires at least 80% of the taught lessons.

E-learning

Other requirements

Students are awarded credit according to the degree of proven knowledge of medical instrumentation. Assesment methods and criteria linked to learning outcomes: Course-unit credit requirements: Two tests of continuous examination max. Of 10 points and elaboration of expert paper - maximum 20 points. Total max. 40 points, min. 21 points. Assesment methods and criteria linked to learning outcomes: Attendance at seminars requires at least 80% of the taught lessons. The test is combined.

Prerequisities

Subject codeAbbreviationTitleRequirement
450-4008 LDP Diagnostic Instruments in Medicine Compulsory

Co-requisities

Subject has no co-requisities.

Subject syllabus:

Lectures 1. Concepts of therapeutic systems, therapeutic dose, influence of physical fields on living tissues, electromagnetic radiation, ultrasonic waves, effects of laser radiation, diathermic heating, patient safety. 2. Technical solutions of therapeutic systems, principal block diagrams and parameters of individual blocks of therapeutic systems. Physical therapies, technical aspects and therapeutic aspects. 3. Electrotherapy of the heart - pacemakers, distribution, types, stimulation electrodes and their terminals, programming of pacemakers. Types and modes of stimulation, technical application of pacemakers in implants. Power sources of implantable pacemakers. Coding of implantable pacemakers. 4. Electrotherapy of the heart - defibrillators. Distribution, types, defibrillation electrodes, sources. Types and modes of pacing. Technical application of defibrillators. 5. Anesthesia and resuscitation systems. Artificial pulmonary ventilation and ventilation modes. Inhalative anesthesia. Principle and function of anesthetic devices. Fan classification, basic, control and control elements, optional equipment. 6. Laser technology, properties of laser radiation, basic types of lasers, exposure of laser beams to biological tissue. Advantages of coherent laser radiation. Clinical applications. 7. Electromagnetic Field Technique, Physical Principles, Energy and Electromagnetic Field Effects, Microwave Technology. Medical applications, microwave hyperthermia, microwave diathermy, microwave scalpel. 8. Ultrasound technique, biological effects, cavitation, acoustic flow, thermal effects, physical therapy. Security aspects. 9. Wavewave Technique, Wavewave Principles and Behavior, ESWT, ESWL, and PSWT - Focused Shockwave, PEK, Mechanical, Electro-Hydraulic, and Laser Blast Destruction. Effects of treatment of the locomotive apparatus by shock wave. 10. Ionizing Radiation Technique, Radiotherapy, Technology and Radiation Sources. Fundamentals of Nuclear Medicine. Radioisotope therapy. Leksell\'s gamma knife, hadron radiotherapy, meson radiotherapy, brachyradiotherapy, proton therapy. 11. Instruments for rehabilitation and physical therapy, iontophoresis, function generators, magnetotherapy. 12. Low temperature technique, cryosurgery, physiological effects of low temperatures, cryotherapy. Technical and constructional design of cryocoter, safety of work and clinical application of cryosurgery. 13. Complementary devices for surgical fields. Endoscopy, endoscopic diagnostic and therapeutic methods, laparoscopy of arthroscopy, balloon pulse contrast. Principles of electrocoagulation, homeostasis, radiofrequency, microwave ablation. Harmonic scalpel. Nanoknife, principles and design of an UZV aspirator. Veinviewer. 14. Extra-circulatory circulation, artificial heart system for extracorporeal circulation, artificial kidney, infusion technique. Laboratory Exercises: Within the framework of the exercises the students make diagrams of the connection of the partial electrotechnical parts of medical instrumentation and carry out measurements and comparison with commercially certified devices. This is mainly about hardware design and measurement of simulators, stimulators and cardiotachometers. Other circuits are supportive and aid to the whole. 1. Introduction to schematics and their complex integration - familiarization with elements and power for construction 2.Water pump 3.Alarm system with memory 4. EEG simulator - white noise generator 5. Cardiotachometer 6.AC stability - two-way controller for compression control 7.DC transformer - modulator and voltage demodulator 8.Binar counter with emitter tracker for segment indicator 9. Impedance reograph 10.Logarithmic siemensmeter - Measurement of skin resistance 11. Signal distortion rate 12. Pulse wave detector 13. Matching Component 14.Control and connection functionality. Verification of the result by comparison to certified medical devices.Lectures 1. Concepts of therapeutic systems, therapeutic dose, influence of physical fields on living tissues, electromagnetic radiation, ultrasonic waves, effects of laser radiation, diathermic heating, patient safety. 2. Technical solutions of therapeutic systems, principal block diagrams and parameters of individual blocks of therapeutic systems. Physical therapies, technical aspects and therapeutic aspects. 3. Electrotherapy of the heart - pacemakers, distribution, types, stimulation electrodes and their terminals, programming of pacemakers. Types and modes of stimulation, technical application of pacemakers in implants. Power sources of implantable pacemakers. Coding of implantable pacemakers. 4. Electrotherapy of the heart - defibrillators. Distribution, types, defibrillation electrodes, sources. Types and modes of pacing. Technical application of defibrillators. 5. Anesthesia and resuscitation systems. Artificial pulmonary ventilation and ventilation modes. Inhalative anesthesia. Principle and function of anesthetic devices. Fan classification, basic, control and control elements, optional equipment. 6. Laser technology, properties of laser radiation, basic types of lasers, exposure of laser beams to biological tissue. Advantages of coherent laser radiation. Clinical applications. 7. Electromagnetic Field Technique, Physical Principles, Energy and Electromagnetic Field Effects, Microwave Technology. Medical applications, microwave hyperthermia, microwave diathermy, microwave scalpel. 8. Ultrasound technique, biological effects, cavitation, acoustic flow, thermal effects, physical therapy. Security aspects. 9. Wavewave Technique, Wavewave Principles and Behavior, ESWT, ESWL, and PSWT - Focused Shockwave, PEK, Mechanical, Electro-Hydraulic, and Laser Blast Destruction. Effects of treatment of the locomotive apparatus by shock wave. 10. Ionizing Radiation Technique, Radiotherapy, Technology and Radiation Sources. Fundamentals of Nuclear Medicine. Radioisotope therapy. Leksell\'s gamma knife, hadron radiotherapy, meson radiotherapy, brachyradiotherapy, proton therapy. 11. Instruments for rehabilitation and physical therapy, iontophoresis, function generators, magnetotherapy. 12. Low temperature technique, cryosurgery, physiological effects of low temperatures, cryotherapy. Technical and constructional design of cryocoter, safety of work and clinical application of cryosurgery. 13. Complementary devices for surgical fields. Endoscopy, endoscopic diagnostic and therapeutic methods, laparoscopy of arthroscopy, balloon pulse contrast. Principles of electrocoagulation, homeostasis, radiofrequency, microwave ablation. Harmonic scalpel. Nanoknife, principles and design of an UZV aspirator. Veinviewer. 14. Extra-circulatory circulation, artificial heart system for extracorporeal circulation, artificial kidney, infusion technique. Laboratory Exercises: Within the framework of the laboratory exercises the students make diagrams of the connection of the partial electrotechnical parts of medical instrumentation and carry out measurements and comparison with commercially certified devices. This is mainly about hardware design and measurement of simulators, stimulators and cardiotachometers. Other circuits are supportive and aid to the whole. 1. Introduction to schematics and their complex integration - familiarization with elements and power for construction 2.Water pump 3.Alarm system with memory 4. EEG simulator - white noise generator 5. Cardiotachometer 6.AC stability - two-way controller for compression control 7.DC transformer - modulator and voltage demodulator 8.Binar counter with emitter tracker for segment indicator 9. Impedance reograph 10.Logarithmic siemensmeter - Measurement of skin resistance 11. Signal distortion rate 12. Pulse wave detector 13. Matching Component 14.Control and connection functionality. Verification of the result by comparison to certified medical devices.

Conditions for subject completion

Part-time form (validity from: 2019/2020 Winter semester)
Task nameType of taskMax. number of points
(act. for subtasks)
Min. number of pointsMax. počet pokusů
Credit and Examination Credit and Examination 100 (100) 51
        Credit Credit 40  21
        Examination Examination 60  31 3
Mandatory attendence participation: Students are awarded credit according to the degree of proven knowledge of medical instrumentation. Assesment methods and criteria linked to learning outcomes: Course-unit credit requirements: Two tests of continuous examination max. Of 10 points and elaboration of expert paper - maximum 20 points. Total max. 40 points, min. 21 points. Assesment methods and criteria linked to learning outcomes: Attendance at seminars requires at least 80% of the taught lessons. The test is combined.

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Conditions for subject completion and attendance at the exercises within ISP: Completion of all mandatory tasks within individually agreed deadlines.

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Occurrence in study plans

Academic yearProgrammeBranch/spec.Spec.ZaměřeníFormStudy language Tut. centreYearWSType of duty
2024/2025 (N0988A060001) Biomedical Engineering LPT P Czech Ostrava 1 Compulsory study plan
2024/2025 (N0988A060001) Biomedical Engineering LPT K Czech Ostrava 1 Compulsory study plan
2023/2024 (N0988A060001) Biomedical Engineering LPT P Czech Ostrava 1 Compulsory study plan
2023/2024 (N0988A060001) Biomedical Engineering LPT K Czech Ostrava 1 Compulsory study plan
2022/2023 (N0988A060001) Biomedical Engineering LPT P Czech Ostrava 1 Compulsory study plan
2022/2023 (N0988A060001) Biomedical Engineering LPT K Czech Ostrava 1 Compulsory study plan
2021/2022 (N0988A060001) Biomedical Engineering LPT P Czech Ostrava 1 Compulsory study plan
2021/2022 (N0988A060001) Biomedical Engineering LPT K Czech Ostrava 1 Compulsory study plan
2020/2021 (N0988A060001) Biomedical Engineering LPT K Czech Ostrava 1 Compulsory study plan
2020/2021 (N0988A060001) Biomedical Engineering LPT P Czech Ostrava 1 Compulsory study plan
2019/2020 (N0988A060001) Biomedical Engineering LPT P Czech Ostrava 1 Compulsory study plan
2019/2020 (N0988A060001) Biomedical Engineering LPT K Czech Ostrava 1 Compulsory study plan

Occurrence in special blocks

Block nameAcademic yearForm of studyStudy language YearWSType of blockBlock owner

Assessment of instruction



2022/2023 Summer
2021/2022 Summer
2020/2021 Summer
2019/2020 Summer