Cover image for Medical instrumentation : application and design
Title:
Medical instrumentation : application and design
Edition:
3rd ed
Publication Information:
New York : John Wiley & Sons, 1998
ISBN:
9780471153689

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30000003553991 R856 M42 1998 Open Access Book Book
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30000010062120 R856 M42 1998 Open Access Book Book
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30000004448423 R856 M42 1998 Open Access Book Book
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Summary

Summary

This well-established text describes the principles, applications and design of the medical instrumentation most commonly used in hospitals. Because equipment changes with time, the authors stress fundamental principles of operation and general types of equipment. They avoid detailed descriptions and photographs of specific models. Design principles are emphasized so that a scientist with only some background in electronics can gain enough information to design instruments that may not be commercially available. Since biomedical engineering is an interdisciplinary field, the authors have provided varied healthcare industry applications for each type of instrument.


Table of Contents

Walter H. OlsonRobert A. Peura and John G. WebsterJohn G. WebsterJohn W. Clark, Jr.Michael R. NeumanMichael R. NeumanRobert A. PeuraJohn G. WebsterFrank P. Primiano, Jr.Robert A. PeuraLawrence A. WheelerMelvin P. SiedbandMichael R. NeumanWalter H. Olson
Prefacep. v
List of Symbolsp. ix
1 Basic Concepts of Medical Instrumentationp. 1
1.1 Terminology of Medicine and Medical Devicesp. 4
1.2 Generalized Medical Instrumentation Systemp. 5
1.3 Alternative Operational Modesp. 7
1.4 Medical Measurement Constraintsp. 9
1.5 Classifications of Biomedical Instrumentsp. 12
1.6 Interfering and Modifying Inputsp. 12
1.7 Compensation Techniquesp. 13
1.8 Biostatisticsp. 16
1.9 Generalized Static Characteristicsp. 19
1.10 Generalized Dynamic Characteristicsp. 25
1.11 Design Criteriap. 35
1.12 Commercial Medical Instrumentation Development Processp. 35
1.13 Regulation of Medical Devicesp. 38
Problemsp. 39
Referencesp. 42
2 Basic Sensors And Principlesp. 44
2.1 Displacement Measurementsp. 44
2.2 Resistive Sensorsp. 45
2.3 Bridge Circuitsp. 51
2.4 Inductive Sensorsp. 53
2.5 Capacitive Sensorsp. 55
2.6 Piezoelectric Sensorsp. 57
2.7 Temperature Measurementsp. 61
2.8 Thermocouplesp. 62
2.9 Thermistorsp. 64
2.10 Radiation Thermometryp. 67
2.11 Fiber-Optic Temperature Sensorsp. 72
2.12 Optical Measurementsp. 72
2.13 Radiation Sourcesp. 73
2.14 Geometrical and Fiber Opticsp. 78
2.15 Optical Filtersp. 80
2.16 Radiation Sensorsp. 81
2.17 Optical Combinationsp. 84
Problemsp. 85
Referencesp. 87
3 Amplifiers and Signal Processingp. 89
3.1 Ideal Op Ampsp. 89
3.2 Inverting Amplifiersp. 91
3.3 Noninverting Amplifiersp. 94
3.4 Differential Amplifiersp. 95
3.5 Comparatorsp. 98
3.6 Rectifiersp. 100
3.7 Logarithmic Amplifiersp. 101
3.8 Integratorsp. 102
3.9 Differentiatorsp. 105
3.10 Active Filtersp. 106
3.11 Frequency Responsep. 108
3.12 Offset Voltagep. 110
3.13 Bias Currentp. 111
3.14 Input and Output Resistancep. 113
3.15 Phase-Sensitive Demodulatorsp. 115
3.16 Microcomputers in Medical Instrumentationp. 118
Problemsp. 118
Referencesp. 120
4 The Origin of Biopotentialsp. 121
4.1 Electrical Activity of Excitable Cellsp. 121
4.2 Volume Conductor Fieldsp. 129
4.3 Functional Organization of the Peripheral Nervous Systemp. 132
4.4 The Electroneurogram (ENG)p. 134
4.5 The Electromyogram (EMG)p. 138
4.6 The Electrocardiogram (ECG)p. 139
4.7 The Electroretinogram (ERG)p. 151
4.8 The Electroencephalogram (EEG)p. 156
4.9 The Magnetoencephalogram (MEG)p. 175
Problemsp. 176
Referencesp. 180
5 Biopotential Electrodesp. 183
5.1 The Electrode-Electrolyte Interfacep. 183
5.2 Polarizationp. 186
5.3 Polarizable and Nonpolarizable Electrodesp. 189
5.4 Electrode Behavior and Circuit Modelsp. 194
5.5 The Electrode-Skin Interface and Motion Artifactp. 196
5.6 Body-Surface Recording Electrodesp. 200
5.7 Internal Electrodesp. 206
5.8 Electrode Arraysp. 211
5.9 Microelectrodesp. 213
5.10 Electrodes for Electric Stimulation of Tissuep. 222
5.11 Practical Hints in Using Electrodesp. 225
Problemsp. 226
Referencesp. 230
6 Biopotential Amplifiersp. 233
6.1 Basic Requirementsp. 233
6.2 The Electrocardiographp. 235
6.3 Problems Frequently Encounteredp. 245
6.4 Transient Protectionp. 253
6.5 Common-Mode and Other Interference-Reduction Circuitsp. 255
6.6 Amplifiers for Other Biopotential Signalsp. 258
6.7 Example of a Biopotential Preamplifierp. 262
6.8 Other Biopotential Signal Processorsp. 264
6.9 Cardiac Monitorsp. 273
6.10 Biotelemetryp. 277
Problemsp. 281
Referencesp. 285
7 Blood Pressure and Soundp. 287
7.1 Direct Measurementsp. 289
7.2 Harmonic Analysis of Blood-Pressure Waveformsp. 294
7.3 Dynamic Properties of Pressure-Measurement Systemsp. 295
7.4 Measurement of System Responsep. 302
7.5 Effects of System Parameters on Responsep. 303
7.6 Bandwidth Requirements for Measuring Blood Pressurep. 305
7.7 Typical Pressure-Waveform Distortionp. 305
7.8 Systems for Measuring Venous Pressurep. 307
7.9 Heart Soundsp. 308
7.10 Phonocardiographyp. 312
7.11 Cardiac Catheterizationp. 312
7.12 Effects of Potential and Kinetic Energy on Pressure Measurementsp. 316
7.13 Indirect Measurements of Blood Pressurep. 317
7.14 Tonometryp. 324
Problemsp. 328
Referencesp. 329
8 Measurement of Flow and Volume of Bloodp. 332
8.1 Indicator-Dilution Method That Uses Continuous Infusionp. 332
8.2 Indicator-Dilution Method That Uses Rapid Injectionp. 335
8.3 Electromagnetic Flowmetersp. 338
8.4 Ultrasonic Flowmetersp. 344
8.5 Thermal-Convection Velocity Sensorsp. 355
8.6 Chamber Plethysmographyp. 357
8.7 Electric-Impedance Plethysmographyp. 359
8.8 Photoplethysmographyp. 366
Problemsp. 368
Referencesp. 369
9 Measurements of the Respiratory Systemp. 372
9.1 Modeling the Respiratory Systemp. 373
9.2 Measurement of Pressurep. 380
9.3 Measurement of Gas-Flow Ratep. 382
9.4 Lung Volumep. 390
9.5 Respiratory Plethysmographyp. 399
9.6 Some Tests of Respiratory Mechanicsp. 406
9.7 Measurement of Gas Concentrationp. 417
9.8 Some Tests of Gas Transportp. 427
Problemsp. 434
Referencesp. 437
10 Chemical Biosensorsp. 440
10.1 Blood-Gas and Acid-Base Physiologyp. 442
10.2 Electrochemical Sensorsp. 444
10.3 Chemical Fibrosensorsp. 450
10.4 Ion-Selective Field-Effect Transistor (ISFET)p. 466
10.5 Immunologically Sensitive Field-Effect Transistor (IMFET)p. 468
10.6 Noninvasive Blood-Gas Monitoringp. 469
10.7 Blood-Glucose Sensorsp. 477
10.8 Summaryp. 482
Problemsp. 482
Referencesp. 483
11 Clinical Laboratory Instrumentationp. 486
11.1 Spectrophotometryp. 487
11.2 Automated Chemical Analyzersp. 495
11.3 Chromatologyp. 502
11.4 Electrophoresisp. 505
11.5 Hematologyp. 507
Problemsp. 515
Referencesp. 516
12 Medical Imaging Systemsp. 518
12.1 Information Content of an Imagep. 518
12.2 Modulation Transfer Functionp. 525
12.3 Noise-Equivalent Bandwidthp. 527
12.4 Photographyp. 527
12.5 Television Systemsp. 530
12.6 Radiographyp. 532
12.7 Computed Radiographyp. 540
12.8 Computed Tomographyp. 543
12.9 Magnetic Resonance Imagingp. 551
12.10 Nuclear Medicinep. 555
12.11 Single-Photon Emission Computed Tomographyp. 561
12.12 Positron Emission Tomographyp. 562
12.13 Ultrasonographyp. 565
Problemsp. 573
Referencesp. 576
13 Therapeutic and Prosthetic Devicesp. 577
13.1 Cardiac Pacemakers and Other Electric Stimulatorsp. 577
13.2 Defibrillators and Cardiovertersp. 591
13.3 Mechanical Cardiovascular Orthotic and Prosthetic Devicesp. 597
13.4 Hemodialysisp. 600
13.5 Lithotripsyp. 602
13.6 Ventilatorsp. 604
13.7 Infant Incubatorsp. 607
13.8 Drug Delivery Devicesp. 609
13.9 Surgical Instrumentsp. 613
13.10 Therapeutic Applications of the Laserp. 617
Problemsp. 618
Referencesp. 620
14 Electrical Safetyp. 623
14.1 Physiological Effects of Electricityp. 624
14.2 Important Susceptibility Parametersp. 626
14.3 Distribution of Electric Powerp. 630
14.4 Macroshock Hazardsp. 634
14.5 Microshock Hazardsp. 636
14.6 Electrical-Safety Codes and Standardsp. 640
14.7 Basic Approaches to Protection Against Shockp. 642
14.8 Protection: Power Distributionp. 643
14.9 Protection: Equipment Designp. 646
14.10 Electrical-Safety Analyzersp. 649
14.11 Testing the Electric Systemp. 650
14.12 Tests of Electric Appliancesp. 654
Problemsp. 656
Referencesp. 658
Appendixp. 659
A.1 Physical Constantsp. 659
A.2 SI Prefixesp. 659
A.3 SI Unitsp. 660
Referencep. 660
A.4 Abbreviationsp. 661
A.5 Chemical Elementsp. 664
Indexp. 667