MEDICAL DEVICES
Augmented (AR) and Virtual Reality (VR) technologies are ‘becoming popular in many aspects of healthcare provision’.
‘Next generation’ service records Susan Ramonat, chief executive at Spiritus Partners, introduced ‘the next generation of service records for medical devices and equipment’, explaining that the software is designed to support NHS clinical, engineering, and governance staff — by significantly improving tracking, verifying, and auditing, of service actions taken, as well as device conformity where: n Service actions are recorded on a cryptographically secure, permissioned, distributed ledger.
n All parties involved in safety, security, and compliance, add to the record, creating a traceable history of an asset’s whole operating life.
n These up-to-date and verifiable service records are used to reduce risks and ‘ensure that everything is in good order’.
n Field notices and safety alerts can be linked to the asset to help ensure that the corrective actions are carried out in time, and properly recorded.
Susan Ramonat said Spiritus was currently undertaking NHS demonstration projects in collaboration with NHS National Services Scotland, Edinburgh Napier, and the University of Glasgow, funded in part by grants from Scottish Enterprise and The Data Lab.
‘AR’ and ‘VR’
Pawel de Sternberg Stojalowski of Aseptium explored the foundations of Augmented (AR) and Virtual Reality (VR) technologies, which are becoming popular in many aspects of healthcare provision – from AR-assisted surgery and remote servicing to VR training. He explained that while VR and AR are often
58 Health Estate Journal October 2018
discussed as though they are the same, they are ‘fundamentally different’. Augmented Reality is ‘real world with additional information superimposed’, while VR ‘transports us into an entirely virtual environment like we see in computer games’. Both technologies have applications within healthcare, especially from the perspective of medical equipment maintenance and servicing. Telepresence, remote assistance, and product support, were explored as potential applications for AR which empower operators and technicians with ad-hoc access to instructions, standards, and additional information. VR was explored as a future educational tool where full advantage of virtual visualisation helps with explaining complex problems. Both technologies are still in the early stages in terms of the available hardware, as well as available content, and the Aseptium speaker emphasised the importance of getting involved and shaping the tools that future medicine will have at its disposal.
Three investigative projects Chris Leonard, project manager at NHS National Services Scotland, provided an update on the Shared Services Clinical Engineering Programme, explaining that it had prioritised three investigative projects, which are: n Development of a National Medical Equipment System.
n Implementation of a new Healthcare Technology Informatics Framework.
n Implementation and management of Healthcare Technology and Medical Equipment, for example 3D printing.
Chris Leonard said the findings showed that NHS Scotland faces ‘significant challenges’ in undertaking regional and national management, planning, and delivery, of healthcare technology and medical equipment.
Health and social care integration Ralph Irvine, senior Health & Safety officer at Glasgow City Council, spoke on health and social care integration from a local authority health and safety perspective. He explained that the Council and the NHS have different systems and arrangements for incident reporting, fire management, and violence in the workplace. There were also different processes for consultation with Trade Union safety representatives. In addition, the involvement of Health and Safety Support Services for arrangements in joint workplaces is also different. Ralph Irvine explained how this can cause significant complications when dealing with matters relating to management of properties owned by the NHS or the Council that are workplaces for both staff groups, and come under either or both Health
and Safety Management Systems. He suggested a fully integrated Health and Safety Management System for all. Scott Johnstone provided an overview on the Scottish Lifesciences Association (SLA), which is contracted by the Scottish Government to deliver the Health Innovation Partnership with NHS Scotland – which aims to provide a mechanism for ‘life sciences’ companies to engage with clinicians on product development and procurement.
Following a ‘question and answer’ session, Dr Mike Winter closed the event, highlighting the significant progress that had been made in relation to innovations and device and equipment safety.
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Sulisti Holmes
Sulisti Holmes is the head of Decontamination, and of the Incident Reporting Investigation Centre, at Health Facilities Scotland, a part of National Services Scotland. In conjunction with /or on behalf of the Scottish Government Health and Social Care Directorate, she acts as the strategic lead for medical device safety and decontamination strategies in National Health Service (NHS) Scotland.
Representing NHS Scotland on various UK advisory groups and committees for medical device safety and decontamination, she is a member of IHEEM, and serves on the Institute’s Authorising Engineer (Decontamination) Registration Board and Decontamination and Medical Devices Technical Platforms. She also sits on International (ISO), European (CEN), and British (BSI) Standard Committees related to the decontamination of medical devices. Sulisti Holmes has a degree in Pharmacy, a Ph.D. in Applied Microbiology, and has completed post-doctoral research projects and an Advanced Course in Sterilisation Technology (previously a qualifying course for AE(D)). She is a qualified lead auditor for Quality Management System ISO 9001/ISO 13485.
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