• Title/Summary/Keyword: Medical Device Management

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Bio-signal Based Rehabilitation Program and Data Management (국내 연하장애 기능적 전기 자극치료기 사용 현황과 장비관리 실태 분석)

  • Heo, S.Y.;Park, J.H.;Rhee, K.M.
    • Journal of rehabilitation welfare engineering & assistive technology
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    • v.8 no.1
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    • pp.57-66
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    • 2014
  • This study has been conducted to identify the current status and practices of electrical stimulation for patients with dysphagia in Korea. Main goal of the study is to find evidences of developing and distributing a quality indicator and organized performance exam. This study analyzed 50 survey questionnaires given to clinical professionals in upper-scale general hospitals, university hospitals, nursing homes and professional rehabilitation hospitals. The survey sent out and collected by E-mails or interviews from August 21, 2013 to November 10, 2013. Most of the hospitals showed lack of using a quality indicator and organized performance exams in device maintenance, pre-operational tests and post-operational tests. It is strongly recommended to develop a standardized guideline of a higher quality indicator and organized performance exam in using neuromuscular electrical stimulator for patients who are suffering from dysphagia.

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Smart Manhole Device for Underground Facility Management (지중 시설물 관리를 위한 스마트 맨홀 디바이스)

  • Kim, Jong-Duk;Han, Seung-Heon;Kim, Yong-Kil
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.23 no.8
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    • pp.996-1003
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    • 2019
  • The undergrounding of diverse ground facilities has led to a decrease in issues, such as foul smell of water supply systems and wastewater, a fall of telephone poles, electromagnetic waves and breaking of wires caused by a railway work. On the other hand, there are new issues, including a fall accident, explosion affected by flammable gas, a choking accident by harmful gas and a lack of oxygen concentration, a fire coming from high-tension wire heating and flooding in the manhole. Besides, these issues damage the civil society and are an anxiety to public safety. Therefore, this paper is focused on a smart manhole device for stable communication environments inside and outside the manhole and wireless communication with various devices for managing facilities in the manhole, and aims to make a contribution to public safety by suggesting a direction of future underground facility management.

Developed an output device for high-frequency cosmetic medical equipment using micro multi-needle (마이크로 멀티니들을 이용한 고주파 피부미용 의료기기를 위한 출력 장치 개발)

  • Kim, Jun-tae;Joo, Kyu-tai;Cha, Eun Jong;Kim, Myung-mi;Jeong, Jin-hyoung
    • The Journal of Korea Institute of Information, Electronics, and Communication Technology
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    • v.14 no.5
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    • pp.394-402
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    • 2021
  • The entry of an aging society and the extension of human life expectancy, the increasing interest in women's social advancement and men's appearance, and the natural interest in K-culture through media media, while receiving worldwide attention, Focus on K-Bueaty. Recently, looking at the occupation of the medical tourism field, in the case of aesthetic medicine tourism such as molding and dermatology, it has gained popularity not only in Asia such as China and Japan, but also in North America and Europe. The first external confirmation of human aging is the wrinkles on the skin of the face. Clean, wrinkle-free, elastic and healthy skin is a desire of most people. Skin condition and condition such as focused ultrasonic stimulation (HIFU: High Intensity Focused Utrasound) and low frequency, high frequency (RF: Radio Frequency), galvanic therapy using microcurrent, cryotherapy using rapid cooling, etc. Depending on the method of management, the effect of the treatment differs depending on the output and the stimulation site, etc., even in the treatment of medical equipment and beauty equipment using the same mechanism. In this research, in order to develop invasive high-frequency dermatological devices using a large number of beauty medical devices and microneedles of beauty devices, the international standards IEC 60601-2 (standards for individual medical devices) and MFDS (Ministry of) We designed and developed a high-frequency output device in compliance with the high-frequency stimulation standard announced in the Food and Drug Safety (Ministry of Food and Drug Safety). The circuit design consists of an amplifier (AMP: Amplifier) using Class-A Topology and a power supply device using Half-Bridge Topology. As a result of measuring the developed high-frequency output device, an average efficiency of 63.86% was obtained, and the maximum output was measured at 116.7W and 50.67dBm.

Development of Age Classification Deep Learning Algorithm Using Korean Speech (한국어 음성을 이용한 연령 분류 딥러닝 알고리즘 기술 개발)

  • So, Soonwon;You, Sung Min;Kim, Joo Young;An, Hyun Jun;Cho, Baek Hwan;Yook, Sunhyun;Kim, In Young
    • Journal of Biomedical Engineering Research
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    • v.39 no.2
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    • pp.63-68
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    • 2018
  • In modern society, speech recognition technology is emerging as an important technology for identification in electronic commerce, forensics, law enforcement, and other systems. In this study, we aim to develop an age classification algorithm for extracting only MFCC(Mel Frequency Cepstral Coefficient) expressing the characteristics of speech in Korean and applying it to deep learning technology. The algorithm for extracting the 13th order MFCC from Korean data and constructing a data set, and using the artificial intelligence algorithm, deep artificial neural network, to classify males in their 20s, 30s, and 50s, and females in their 20s, 40s, and 50s. finally, our model confirmed the classification accuracy of 78.6% and 71.9% for males and females, respectively.

Quantum cryptography-used Key Distribution Model Design of U-healthcare environment (양자 암호를 이용한 유헬스케어 환경의 키 분배 모델 설계)

  • Jeong, Yoon-Su;Han, Kun-Hee
    • Journal of Digital Convergence
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    • v.11 no.11
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    • pp.389-395
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    • 2013
  • As fusing IT and medical technique, the number of patients who adhere medical equipment inside of them is increasing. However there is a problem of for the third person to tap or modulate the patient's biometric data viciously. This paper suggests quantum encryption-based key distribution model to share key for the third person not to tap or modulate the patient's biometric data between patient and hospital staff. The proposed model uses one-time pad key that shares key sending random bits not direct sending message of quantum data. Also, it guarantees patient's anonymity because the biometric data of injected-device in the body doesn't be exposed unnecessarily.

Blood pressure measurements and hypertension in infants, children, and adolescents: from the postmercury to mobile devices

  • Lim, Seon Hee;Kim, Seong Heon
    • Clinical and Experimental Pediatrics
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    • v.65 no.2
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    • pp.73-80
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    • 2022
  • A mercury sphygmomanometer (MS) has been the gold standard for pediatric blood pressure (BP) measurements, and diagnosing hypertension is critical. However, because of environmental issues, other alternatives are needed. Noninvasive BP measurement devices are largely divided into auscultatory and oscillometric types. The aneroid sphygmomanometer, the currently used auscultatory method, is inferior to MS in terms of limitations such as validation and regular calibration and difficult to apply to infants, in whom Korotkoff sounds are not audible. The oscillometric method uses an automatic device that eliminates errors caused by human observers and has the advantage of being easy to use; however, owing to its measurement accuracy issues, the development of an international validation protocol for children is important. The hybrid method, which combines the auscultatory and electronic methods, solves some of these problems by eliminating the observer bias of terminal digit preference while maintaining measurement accuracy; however, the auscultatory method remains limited. As the age-related characteristics of the pediatric group are heterogeneous, it is necessary to reconsider the appropriate BP measurement method suitable for this indication. In addition, the mobile application-based BP measurement market is growing rapidly with the development of smartphone applications. Although more research is still needed on their accuracy, many experts expect that mobile application-based BP measurement will effectively reduce medical costs due to increased ease of access and early BP management.

Conservative Treatment of Ulnar Nerve Compression at the Elbow: A Systematic Review and Meta-Analysis

  • Tinatin Natroshvili;Milly S. van de Warenburg;Erwin P. Heine;Nicholas J. Slater;Erik T. Walbeehm;Ronald H.M.A. Bartels
    • Archives of Plastic Surgery
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    • v.50 no.1
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    • pp.70-81
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    • 2023
  • Background The clinical results of conservative treatment options for ulnar compression at the elbow have not been clearly determined. The aim of this review was to evaluate available conservative treatment options and their effectiveness for ulnar nerve compression at the elbow. Methods In accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) recommendations, a systematic review and meta-analysis of studies was performed. Literature search was performed using Ovid MEDLINE, Embase, and Cochrane Central Register of Controlled Trials (CENTRAL). Results Of the 1,079 retrieved studies, 20 were eligible for analysis and included 687 cases of ulnar neuropathy at the elbow. Improvement of symptoms was reported in 54% of the cases receiving a steroid/lidocaine injection (95% confidence interval [CI], 41-67) and in 89% of the cases using a splint device (95% CI, 69-99). Conclusions Conservative management seems to be effective. Both lidocaine/steroid injections and splint devices gave a statistically significant improvement of symptoms and are suitable options for patients who refuse an operative procedure or need a bridge to their surgery. Splinting is preferred over injections, as it shows a higher rate of improvement.

A Design of Secure Communication for Device Management Based on IoT (사물인터넷 기반 디바이스 관리를 위한 안전한 통신 프로토콜 설계)

  • Park, Jung-Oh;Choi, Do-Hyeon;Hong, Chan-Ki
    • Journal of Convergence for Information Technology
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    • v.10 no.11
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    • pp.55-63
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    • 2020
  • The IoT technology is a field that applies and converges the technologies in the existing industrial environment, instead of new technologies. The IoT technology is releasing various application services converged with other industries such as smart home, healthcare, construction, and automobile, and it is also possible to secure the work efficiency and convenience of users of IoT-based technologies. However, the security threats occurring in the IoT-based technology environment are succeeding to the vulnerability of the existing wireless network environment. And the occurrence of new and variant attacks in the combination with the ICT convergence environment, is causing damages. Thus, in the IoT technology-based environment, it would be necessary to have researches on the safe transmission of messages in the communication environment between user and device, and device and device. This thesis aims to design a safe communication protocol in the IoT-based technology environment. Regarding the suggested communication protocol, this thesis performed the safety analysis on the attack techniques occurring in the IoT technology-based environment. And through the performance evaluation of the existing PKI-based certificate issuance system and the suggested communication protocol, this thesis verified the high efficiency(about 23%) of communication procedure. Also, this thesis verified the reduced figure(about 65%) of the issued quantity of certificate compared to the existing issuance system and the certificate management technique.

Management of Acute Fulminant Myocarditis Using a Left Ventricular Assist Device - A case report - (좌심실 보조장치를 이용한 전격성 심근염의 치료 - 1례 보고 -)

  • Kang, Shin-Kwang;Park, Sang-Soon;Na, Myung-Hoon;Yu, Jae-Hyeon;Lim, Seung-Pyung;Lee, Young;Seong, In-Whan
    • Journal of Chest Surgery
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    • v.34 no.6
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    • pp.490-493
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    • 2001
  • A 17 year-old high school girl was admitted for anterior chest pain. Pulmonary edema and circulatory collapse progressed in spite of the medical treatment and intra-aortic balloon pump. Left ventricular assist device(LVAD, Bio-Pump, Medtronic Bio-Med, USA) was instituted under the impression of acute fulminant myocarditis. The inlet cannula was inserted in the left atrium(LA) via left submammary anterior thoracotomy. Biopsy was taken from left atrial appendage. The outlet cannula inserted to the left femoral artery using PTFE cuff. After 158 hours of extracorporeal circulation, LVAD was able to be weaned successfully with nearly normalized LV motion on echocardiogram, Coxsakievirus was identified with immunochemistry and serum neutralization test. She was discharged without any heart failure symptoms after 23 days of hopitalization.

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Clinical Feature of Iatrogenic Vascular Injury (의인성 혈관 손상의 임상적 고찰)

  • Kim, Su-jin;Lee, Tae-seung
    • Journal of Trauma and Injury
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    • v.21 no.2
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    • pp.128-135
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    • 2008
  • Purpose: As the care of surgical patients becomes increasingly complex and catheter-based techniques are more frequently applied, the pattern of iatrogenic vascular injuries may be increasing. Major vascular injuries can jeopardize a patient's life or limb survival. The purpose of this study was to examine the current etiology and prognosis for iatrogenic vascular injuries. Methods: We reviewed medical records of 29 cases of iatrogenic vascular injury that were treated Seoul National University Bundang Hospital between October 2003 and October 2008. We studied clinical variables including demographics, cause of injury, clinical presentations, management and prognosis. Results: The mean age was 60.8 years (range: 25-86), and the male to female ratio was 1.9 : 1. The causes of injuries were operation related complication in 18 cases (62.1%), endovascular intervention and diagnostic angiography in 11 cases (37.9%). The types of vascular injury were partial severance in 14 cases, pseudoaneurysm in 8, arteriovenous fistula (AVF) in 3, thrombosis in 2, complete severance in 2. Especially, device related complication including percutaneous closing device were occurred in 9 and the others came from inadvertent physician's procedure. Primary repair were done in 12 cases, end-to-end anastomosis in 5, interposition graft in 4, ligation in 2, patch angioplasty in 1, peudoaneurysm excision and arteriorrhaphy in 1, hematoma evacuation in 1, and endovascular repair in 3. There were 2 cases of mortality, one of them due to hemorrhagic shock and the other due to septic shock. Conclusion: Proper selection of treatment modalities should be important to have better outcome according to the type of injury as well as anatomical location. Each physician should be familiar to new device as well as patient's topographical feature. Immediate referral to vascular specialist is also essential to reduce morbidity.