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Department of Clinical Engineering Director:FUJIWARA, Michitaka (Clinical Professor)

Clinical engineering technicians perform operation of the life support device, maintenance and management of medical equipments

Specific medical equipment including life support devices is performed by a clinical engineer. We perform regular inspections and daily inspections as maintenance of medical equipment. In addition, it is a department that educates staff on maintenance and inspection of medical equipment and the correct operation method. With any medical device, knowing the contents of treatment, understanding the device well and using it properly will enable safe treatment. Our mission is to perform reliable operations and reliable machine inspections. We aim for everyone to receive safe treatment.


Operation System

Forty-one clinical engineers operate life-support systems and perform maintenance and inspections of medical equipment. Clinical engineers are on duty on holidays and during the night to respond to ongoing treatment and equipment malfunctions. A system is also in place to have a person on call to assist with emergency surgeries, tests, and other medical procedures.

Scope of Medical Services

Blood purification services such as dialysis, continuous renal replacement therapy, plasma exchange, and hemoadsorption therapy. Artificial respirator services. Cardiopulmonary operations during cardiovascular surgery. Circulatory support operations such as artificial heart. Respiratory support with extracorporeal circulation (VV-ECMO) Assistance for cardiac catheterization and treatment. Surgical assistance and outpatient follow-up for implanted devices such as pacemakers and implantable cardioverter defibrillators. Catheterization for treatment of arrhythmia. Assistance during endoscopy and treatment, and maintenance of medical equipment.

Features

We are the only facility in the Tokai area certified for heart transplantation, and the number of cases of ventricular assist device (VAD) implantation is increasing every year, and we follow up many patients. In the midst of cutting-edge medical care, we cover all aspects of clinical engineering work other than hyperbaric oxygen therapy.

Medical Service Results

  • General blood purification [hemodialysis (HD), hemodiafiltration (HDF), peritoneal dialysis (PD), plasma exchange (PE), double filtration plasma pheresis (DFPP), hemoadsorption (DHP, LDL adsorption, endotoxin adsorption (PMX), granulocyte apheresis (GCAP), leukocyt apheresis (LCAP), continuous hemodiafiltration (CHDF), cell-free and concentrated ascites reinfusion therapy (CART) etc.) HD・HDF:3,438, PD: 1,320, CHDF: 961, PMX 19, GCAP: 72, PE/DFPP: 99, CART: 10, Total number of enforcement cases 5,919 cases last year.
  • Generalized cardiopulmonary bypass [Adults, children, great vessel disease, heart transplantation]. 188 cases / last year.
  • Operating room work [Robot surgery (daVinci), endoscopic surgery, ophthalmic surgery equipment, energy devices, etc.]
  • Support circulation and/or respitaton [VA-ECMO (PCPS), VV-ECMO, IABP, temporary left ventricular assist device (IMPELLA), etc.]. ECMO: 56 cases, IMPELLA: 13 cases / last year.
  • Implantable assisted artificial heart [LVAD (HeartMate3, HVAD) etc.]. 7 implantation and 50 patients is follow up.
  • Heart catheter test [coronary angiography, right heart catheter, ischemic function test, blood gas analysis, assisted circulation system analysis, etc.], 837 cases / year.
  • Structural heart disease (SHD) intervention [Transcatheter Aortic Valve Implantation (TAVI), PFO /ASD Septal Ocluder, Percutaneous left atrial appendage closure〈WATCHMAN〉, Percutaneous Transvenous Mitral Commissurotomy (PTMC)]. 98 cases / last year.
  • Implant device business [pacemaker, implantable defibrillator (ICD, S-ICD), wearable automatic defibrillator (LifeVest), Ventricular resynchronization therapy (CRT, CRT-D, etc.)] Implant: 157 cases / last year,, Implantable lead extraction: 25cases / last year, Outpatient Follow up: 2,368, Remote monitoring: 10,151 cases / last year.
  • Arrhythmic catheter ablation services. 412 cases / last year.
  • Assistant of Endoscopic treatment [biopsy, hemostasis, foreign substance removal, polypectomy, endoscopic mucosal resection (EMR), endoscopic mucosal detachment (ESD), endoscopic varicose veins ligation (EVL), EIS (treatment of varicose veins with sclerosant injection etc.), endoscopic fine-needle aspiration (FNA), endoscopic retrograde cholangiopancreatography (ERCP) etc.].Last year, clinical engineers supported 1,342 cases of endoscopic surgery to treat the above patients.

Other Undertakings

Most members have advanced qualifications. We actively participate in relevant conferences and research meetings, constantly collect cutting-edge medical information, and try to provide medical care support.