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Interne tjenester, Medisinsk-teknisk avdeling New technology in hospitals Expensive fun or life critical help?

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Presentasjon om: "Interne tjenester, Medisinsk-teknisk avdeling New technology in hospitals Expensive fun or life critical help?"— Utskrift av presentasjonen:

1 Interne tjenester, Medisinsk-teknisk avdeling New technology in hospitals Expensive fun or life critical help?

2 Interne tjenester, Medisinsk-teknisk avdeling Challenge Source:

3 Interne tjenester, Medisinsk-teknisk avdeling Industrialization of the health care system Industry: New technology -> More efficient methods -> Personell reductions -> Reduced cost Health care: New technology ->More complex methods -> Increased competence and more personell -> Increased cost

4 Interne tjenester, Medisinsk-teknisk avdeling Trends ”The need to increase the number and rate at which new products are added to the product portfolio, necessitating significant increases in R&D spending ” ”As one of the fastest growing industries, the market figure for medical devices is expected to exceed the $260 billion mark by the year 2007 ” ”Increased customer cost consciousness is driving efficiency efforts in the industry” ”The industry is in superb health and showing no symptoms of slowing down…. In fact, the industry is growing at an estimated compound annual rate of about 8%”

5 Interne tjenester, Medisinsk-teknisk avdeling Trends Health services are low on Maslow’s hierarchy of needs -> Willingness to pay is HIGH Producers of medical technology can be sure that a new product will be profitable, even with only minor changes from excisting methods.

6 Interne tjenester, Medisinsk-teknisk avdeling Local challenge ”Rikshospitalets pasienter skal alltid tilbys de mest avanserte og aller beste metoder innen diagnostikk, behandling og forebygging av sykdommer. Høyspesialisert medisin er et annet stikkord for mye av Rikshospitalets virksomhet” Fra festskrift til Rikshospitalets 175-års jubileum i 2001

7 Interne tjenester, Medisinsk-teknisk avdeling Local challenge A hospital that wants to be leading, needs the newest and best medical equipment available on the market. The medical equipment is the motor of modern specialized health care.

8 Interne tjenester, Medisinsk-teknisk avdeling Lokal utfordring Årlig reinvesteringsbehov (basert på SHD-levetid og bedriftsøkonomiske prinsipper for avskrivninger) på 130 MNOK for å opprettholde utstyrsparken på 2001-nivå

9 Interne tjenester, Medisinsk-teknisk avdeling Cost saving technology

10 Interne tjenester, Medisinsk-teknisk avdeling Method: CO 2 -measurements from the exhaustgas port on an oxygenator in order to estimate the arterial CO 2 FoU-prosjekt kapnografi

11 Interne tjenester, Medisinsk-teknisk avdeling Electrical impedance: Z=R+iX or Z=|Z|·exp(jφ) Different types of tissue can be discriminated by looking at the electrical properties Needle positioning

12 Interne tjenester, Medisinsk-teknisk avdeling Expensive technology

13 Interne tjenester, Medisinsk-teknisk avdeling Protontherapy Kilde: NIRS, Chiba, Japan

14 Interne tjenester, Medisinsk-teknisk avdeling Protontherapy Kilde: NIRS, Chiba, Japan

15 Interne tjenester, Medisinsk-teknisk avdeling Protontherapy An offer to inoparable paitents Kilde: Magne Guttormsen, Fysisk Institutt, UIO

16 Interne tjenester, Medisinsk-teknisk avdeling Protontherapy Better dose distribution in the tumor Kilde: Magne Guttormsen, Fysisk Institutt, UIO

17 Interne tjenester, Medisinsk-teknisk avdeling Protontherapy Kilde: NIRS, Chiba, Japan

18 Interne tjenester, Medisinsk-teknisk avdeling Protontherapy Kilde: NIRS, Chiba, Japan Minimalized heavy ion therapy centers - Decreased size and complexity - Decreased investment, about 800 mill NOK

19 Interne tjenester, Medisinsk-teknisk avdeling Isolated limb perfusion ILP (Isolated Limb Perfusion). Pump Oxygenator Heater cooler Medicati ons Scintiprobe MR-100 Monitoring computer

20 Interne tjenester, Medisinsk-teknisk avdeling Isolated limb perfusion 8. Mai 22. Mai21. Juni Patient with malignant melanoma metastasis in right leg. This image shows extensive necrosis in tumor tissue untill complete respons in day 44 shown to the right.

21 Interne tjenester, Medisinsk-teknisk avdeling Isolated Limb perfusion

22 Interne tjenester, Medisinsk-teknisk avdeling PRISMA CRRT: Continuous Renal Replacement Therapies PRISMA Bildene er lånt ut av overlege Fridtjov Riddervold

23 Interne tjenester, Medisinsk-teknisk avdeling PRISMA PRISMA coupled to an ECMO-circuit. A two months old child with pertussis (whopping cough) with heart failure.

24 Interne tjenester, Medisinsk-teknisk avdeling PRISMA Right hand, 08/05

25 Interne tjenester, Medisinsk-teknisk avdeling PRISMA Right hand 15/05

26 Interne tjenester, Medisinsk-teknisk avdeling PRISMA Right hand 13/06

27 Interne tjenester, Medisinsk-teknisk avdeling PRISMA Starting point: - New procedure, new advanced medical equipment Resultat: - The child was totally rehabilitatet, no signs of late side effects Cost: - ECMO + PRISMA treatment, costa about ,- kr. Each day

28 Interne tjenester, Medisinsk-teknisk avdeling MARS

29 Interne tjenester, Medisinsk-teknisk avdeling MARS

30 Interne tjenester, Medisinsk-teknisk avdeling Artificial heart -Titanmotor able to replace heart function for patients suffering from heart failure - New design, impeller is floating freely in the blood flow - Cost: ,- kr for the device, with personell and other costs it will be around ,- kr.

31 Interne tjenester, Medisinsk-teknisk avdeling Artificial heart

32 Interne tjenester, Medisinsk-teknisk avdeling Future Nanotechnology and molecular engineering - Nanotechnologic robots may rehabilitate lesions on molecular and cell levels. - Small sizes (10 -9 ) m, - Can be programmed to perform surgical interventions

33 Interne tjenester, Medisinsk-teknisk avdeling Thank you for your attention More information can be found on our home page:


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