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Rich, how is ur health

Program Manager

Oho, chat section is over

Program Manager

Until later, then, gentlemen. Ta ta for now.

Blogger

thanks AD, will do. When I figure out a topic for the next chat, I'll let everyone know.

Meantime, be sure to let your friends know about our design contest if they are not already MCC members.

Blogger

Keep up the progress Rich!

Have a good rest

 

Until next time.

Blogger

thanks. JK. Got to pace myself during recovery.

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Fine, take rest RQ. Sleep tight.

Blogger

Yes risk control measures could impose further risks too. But something like a proven watchdog was missing. AD, I was mentioning about your earlier comment on 8051s.

Blogger

Well, gentlemen, I am beginning to feel a bit tired, so probably should end this. (Besides, my wife/nurse/watchdog has limited me to an hour at a time on the computer)

Thanks all for joining in and chatting.

Blogger

jk 

No offence, AD.

I might have given the wrong impressioion my comment earlier. I am wildly in favour of watchdogs.

Blogger

but I agree, that sounds like an overly simple design and would worry me,too.

Blogger

sometimes simpler is more reliable. I think Murphy's law (one of them) says that the safety feature is the one that will fail first, creating a hazardous condition.

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I was meaning, they have used very simple 8K memory 8051s for such a critical product. No offence, AD. I was worried because it did not have even watchdogs.

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yes, cut and seal the blood vessels in one stroke. Sounds like what they might use. I wasn't watching, tho (lol)

Blogger

It is called cautery, which is used to cut tissues. They would have performed your surgery with something similar RQ

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Back to MCU, I saw in a chinese medical equipment, two 8051s one governing the user interface and other controlling a High Frequency output.

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sometimes the messages skip. tech support has yet to figure out why. Control-Z can recover if you notice before making a follow-on post

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Hey one of my messages missed

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This is called cautery, which is used to cut tissues,

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Back to MCU, I saw in a chinese medical equipment, two 8051s one governing the user interface and other controlling a High Frequency output.

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But I am surprised, this is happening even in U.S

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RQ, Issue here is, if you correct them, you face their wrath, else, you feel stupid

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AD, That is a good one

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oh, dear. Rough rule of thumb is that few people can say "yes" with final authority, but lots of people can say "no" with final authority, and so they will do so just to exercise what little power they have.

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Rich

They don;t know their physics. My feel that Bernrd Shaw's dictum applies in engieering as follows. Those who can, do. Those who cannot, work for regulatory bodies.

Blogger

For me it was kirchoff's law. They just argue to win over an argument.

Blogger

oh, dear, AD. Really? In what context? (did they do their math wrong or just plain not know their physics?)

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A concern I have with all specifications is the quality of the personnel that do the qualification Some of the guys I have seen in the regulatory bodies have actually challenged Ohm's Law.

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jk, my management tools say there are 9 people on the message boards at this moment. Most must be simply listening

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jk

I don;t know anyone, although I must admit that it would be an interesting read (as far as specifications can be intersting) just to see what concerns there are and how to approach them and apply them to other fields.

Blogger

other participants  are yet to come in, I guess

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Not familiar with that one.

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Not familiar with that one.

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It govern the way medical device software/firmware is written

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Has anyone worked on IEC62304 or any similar standards or know of anyone who did

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Ad, I sympathize regarding fear of consequences. yes, Without a healthy fear designs all too often turn out to have simple yet glaring problems.

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IEC60601-1-4 is the standard for programmable electrical medical systems - means the standard which oversees things particular to programmable ics such as mcus and fpgas.

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Rich

My overdeveloped sense of guilt prevents me from doing any designs where I fear the consequnces. I don;t that there can be overdesign when it comes to these sort of things. I am worried I will miss something and someone will suffer. As it is my stuff is probably overdesigned if you see the disagreements in approach between Didier and myself on watchdogs.

Blogger

After designing and test trials, when the first clinical evaluation happens, we feel like a husband of a woman in labour. So much filled with anxiety... After even so many years in the field, I am very nervous every time.

Blogger

AD, ever been in safety-critical design? what JK described sounds a lot like the same kinds of processes.

Blogger

hah, AD. wondered if we were getting into too much detail.

 

Blogger

jk

Dry? no, simply areas where I fear to tred, even as a patient.

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oh, if it was too dry, sorry!

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It got very technical and into ares I know nothing about- better to shut up than to show my ignorance!

Blogger

It was a four part blog

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I had blogged on Microcontrollers for medicine at -----http://www.designspark.com/blog/microcontrollers-for-medicine---part-i   ------ couple of years back.

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rest of the crew got quiet. Anyone else lurking out there with questions, comments?

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yes, anyone could suddenly become a patient, as I have discovered

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Anyone could suddenly become a patient. So no compromises.

Blogger

14971 is ony one of the standards one need to comply with

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reassuing to know that medical design takes such care

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Everywhere, infection and cross-contamination are carefully avoided

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Yes. All this keeping patient in mind. In automotive and other areas it is to avoid damage to men, property and environment,

Here, it is to prevent any danger to patient, user, animals, property and environment.

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jk, sounds very similar to what goes on in automotive and other safety-critical designs. Any unique wrinkles to medical?

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This risk management is done both bottom - up and top - down. From user work flow,we work on Fault Tree Analysis. Then work on something related to each component called single fault condition, which is otherwise called Failure Modes and Effects Analysis (FMEA)

Blogger

Risk management starts with risk analysis. We identify potential hazards at the time of designing. Also the resultant harmful effects. Then a mitigation plan worked out.

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jk, sounds like the free market works properly, then. Competition breeds improvement (as opposed to simple cost reductions)

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As many foreign brands are available in the market, the local mfrs need to keep their products at par in terms of quality and safety

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risk management, is that like proving that no single equipment failure can harm the patient or provide false readings to mislead medical treatment?

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14971 is for risk management in medical devices and 60601 is for patient electrical safety

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From last year a governmental regulatory body has been formed which does things similar to FDA. However, most manufacturers work on getting CE marking and comply to standard IEC standards and ISO13485

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jk, what do those standards entail? Is there anything like the US FDA with final approval authority?

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Risk management is something we are very particular

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Our devices and processe comply to IEC60601, ISO14971

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JK, what kinds of regulations are there on the design and test of medical devices in your market?

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So, it's often reported simply as "natual causes" and not identified as SCA

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Most of our devices have been sold in India and neighbouring countries.

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BB, trouble with SCA is its hard to diagnose. If your computer has a blue screen then you turn it off, it's hard to figure out why there was a blue screen. SCA is an electrical fault, and it could have been very temporary, even a timing race condition. Once the heart is in fib, no telling how it got there. Once it stops, there's no clue why

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Rich-

I didn't know SCA was such a danger. I have not seen much about it in the press. Getting AEDs more available in schools seems a no brainer- but I guess even no brainers take lots of work to move thru the school system...

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"service engineers" lol

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jkj, are your devices for the US market or other or both? Are there differences in regulation in the different markets?

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We normally call surgeons as service engineers.

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BB, I've been using all of  those

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AD, all too true I fear. Some are not very good artists, only mechanics

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Yes. I have been with medical device companies for quite some time.

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Other devices I did app notes on are Blood Oximeters (using LEDs and photo sensors instead of drawing blood) and regular blood drawing devices (like blood glucose meters). The chemistry of measuring blood characteristics is facinating...

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Rich

medicine is an art, not a science. Don't ever be fooled into thinking the latter

The trouble is that some doctors are not very good artists and run batteries of tests without coming to any real conclusion or plan of action.

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jjk, sounds like you have medical design experience

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BB turns out SCA is a #1 killer of student athletes. We've seen cases as young as 4 at the Parent Heart Watch, a collection of parents who've lost children due to SCA and are advocating screening tests and AEDs in schools.

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BP readings must be taken at least 3 minutes intervals. Otherwise practically, the artery takes some time to straighten up due to previous measurement

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AD, my father was an MD and his advice to me was "medicine is an art, not a science. Don't ever be fooled into thinking the latter."

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*write, not white...

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I guess the placement of AEDs does depend alot on the local community. I see them more in larger cities and where the popuation is 'older'.

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I worked with the MCU vendor to white the app note. They had some code fragments but needed an app note to explain the functionality, the peripheral devices, do some estimates for code size and performance- that kind of stuff. Learned alot doing it!

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I don't have much to say on the topic other than I was speaking to my cardiologist and he didn't like engineers as patients since they demanded way too much precision than medicine could measure. For instance I am now monitoring my blood pressure twice a day. The machine takes 3 readings over a ~2 minute period and provides an average. I have looked at the 3 readings that make up the average and they can vary by about 20mmHg- all the way from good to unacceptable- how do you really know which reading to take when you go to the doctor and he only takes one.

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I had been designing and servicing medical devices since 1990

 

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I should say federal buildings. State and local not so much

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BB, they're in airports and public buildings, but we had a fight getting them into schools after the event. Health clubs and gyms, but not schools.

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BB what was your role in the AED thing?

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AEDs are now placed in most public locations now...

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Good to have you back Rich

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BB AEDs are of particular interest to me. At age 15 my son suffered SCA and there was no defib unit, so he suffered severe anoxia

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Thanks BB. Modern med pushes you to get up and moving pretty quick. Was walking second day after surgery

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I have done a few app notes on medical electronics previously. My favorite was an Automated External Defibrillator. Amzing technology!

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Rich

Back in the saddle so soon? Good to hear from you.

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Rich-

Great to see you have bounced back so fast! 

Blogger

So, I'm here and (still surprisingly) alive. Anyone else on the chat line today? I'm a bit early....

 

Blogger

Join me here on Friday at 11am Eastern US Time, 1600 GMT, for a live chat about medical electronics based on MCUs. What are the requirements? What are the opportunities?

Looking forward to your input and participation.

 

Blogger


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