MEDICAL TELEMETRY SYSTEMS
TETSUO ENDO – ARCHITECTURAL INSTITUTE OF JAPAN STEERING COMMITTEE ON ELECTROMAGNETIC ENVIRONMENT; TAKASHI KANO – GRADUATE SCHOOL OF MEDICAL SAFETY MANAGEMENT, JIKEI UNIVERSITY OF HEALTH CARE SCIENCES; EISUKE HANADA – FACULTY OF SCIENCE AND ENGINEERING, SAGA UNIVERSITY, JAPAN
Guidelines for medical telemetry systems
Electronic engineers Tetsuo Endo,Takashi Kano and EisukeHanada present an overview of new guidelines for the use of medical telemetry systems in Japanese hospitals.
The introduction of ICT into hospitals is progressing explosively, however, this has led to numerous challenges for the engineers and administrators involved in facility construction. According to a survey by Japan’s Ministry of Internal Affairs and Communications (MIC), about 50 per cent of Japanese hospitals (those with inpatient facilities of 20 beds or more) have medical telemetry systems and more than 88 per cent have wireless LANs.1
hospitals that have implemented these systems have experienced problems related to wireless communication. The most common reason for this is
problems related to radio wave propagation, including such problems as the necessary signals not being able to
reach the intended area. Over 56 per cent of the hospitals surveyed by MIC responded to a question about the management and operation of equipment that uses radio waves by saying that they had no staff with sufficient knowledge for the management and operation of their wireless communication system. For the stable and safe operation of
However, more than 40 per cent of
ICT-based systems, it is essential that wiring and equipment installation be done properly. Especially in wireless communication, signals of the required intensity must be able to be successfully received. Among the considerations necessary to achieve this, it is necessary to secure sufficient space for appropriate antennae and wiring and to ensure that radio waves reach the terminals and
antennae at the appropriate intensity. Architecture plays an extremely important role in the efficient operation of ICT. The rapid growth of hospital systems poses significant challenges, both when designing a new building or when reconstructing older ones. It is important to know as much as possible about emerging technologies and to design the building in a way that accommodates them to the greatest extent possible. Engineers cannot foresee the future, but it is important to build sufficient flexibility into the design and construction of new buildings to allow for the introduction of new technologies. The procedure for building a hospital
is often as follows: after the design phase, the skeleton is constructed, the air conditioning system is installed, and the interior is put in place. The telecommunication equipment is then installed, followed by the installation of equipment and fixtures. In the construction of a large hospital, it can be problematic that contracts for each of these steps is often done separately. In ICT systems that use wireless
communication, such as medical telemetry systems and wireless LAN access points, cables are often treated as
Tetsuo Endo Takashi Kano Eisuke Hanada
•Tetsuo Endo is a manager at the Taisei Advanced Centre of Technology of Taisei Corporation in Japan. He chairs the Electromagnetic Environment Steering Committee of the Architectural Institute of Japan and the subcommittee on investigation of guidelines and descriptions for medical institutions with building plans considering the use of radio wave equipment. He is a researcher of the architecture of the electromagnetic environment. •Takashi Kano is project professor at Jikei University of Health Care Sciences and professor emeritus of Saitama Medical University in Japan. He chairs the Committee for Radio Use Promotion in Medical Institutions of the Electromagnetic Compatibility Conference (EMCC) supported by Japan’s Ministry of Internal Affairs and Communications (MIC). Guidelines for medical telemetry system use in Japanese hospitals are based on the results of this committee’s activity. •Eisuke Hanada is a professor in the Saga University Faculty of Science and Engineering in Japan. He previously worked at the Nagasaki University Information Science Center (1992-1996), at the Division of Medical Informatics, Kyushu University Hospital (1996-2002), and at the Division of Medical Informatics, Shimane University Hospital as vice director (2002-2014). He chairs the specialized research group on electromagnetic environments in clinical/welfare settings of the Japanese Society for Medical and Biological Engineering and the technical committee on Healthcare and Medical Information Communication Technology of the Institute of Electronics, Information and Communication Engineers. He is a board member of the Healthcare Engineering Association of Japan.
Portable transmitter IFHE DIGEST 2022 31
©Manabu Kawabe, Saitama Medical University
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