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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 surery. 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

  • Department of Hemodialysis ： 2,966 hemodialysis (inpatient) (including OHDF and IHDF), 95 hemodialysis (outpatient) (including OHDF and IHDF), 83 plasma exchange, 0 selective plasma exchange, 11 dual filtration plasma exchange, 7 plasma adsorption, 44 leukocyte removal therapy, 18 CART therapy, 11 adsorption type ulcer treatment
  • Peritoneal dialysis: the number of remote monitoring of cardiac implantable electronic devices (CIEDs) is 4,077 .Instructions for APD（automated peritoneal dialysis） patients is 22, routine inspections of APD is 191.
  • In the operating room： 190 adult extracorporeal circulations, 0 pediatric extracorporeal circulations, 5 new VAD implantations, 3 VAD replacements, 106 TAVI cases, 462 da Vinci cases, 1,852 endoscopic surgery preparations, 3 ophthalmologic procedures, 105 autologous blood collection devices (excluding artificial heart-lung cases), 27 lead removal procedures, 324 routine equipment checks
  • Services in optical medicine： 5,950 upper gastrointestinal tract cases, 3,334 lower gastrointestinal tract cases, 306 bronchoscopy cases, 802 ERCP cases, 953 other cases
  • Survices in cardiovascular catheterization： 411 CAG, 164 PCI, 35 FFR, 518 RHC, 88 BPA
  • CIEDs related services： 158 implantations, 1,200 outpatient examinations, 10,552 remote monitoring
  • Catheter ablation services： 5 EPS, 416 ablation cases
  • ICU-related services： 37 ECMO, 11 IMPELLA, 36 IABP, 47 apheresis, 6 DHP (including PMX), 664 CBP (including CHDF), 442 hemodialysis (in cluding HDF, IHDF), 62 NO, 211 artificial pancreas
  • Ventilator-related services in hospital wards： 1,397 rounds
  • NICU： 1 ECMO, 1,251 rounds
  • VAD-related services： 4 home environment guidance, 489 outpatient checks
  • Central management service： 53,534 daily checks, 6,556 periodic checks, 1,589 maintenance/repairs

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.