1. World Health Organization
14 January 2019
Medical equipment maintenance
Presented By
[Presenter Name]
[Presenter Title]
Date

2. Introduction Topic placement
Definition & importance of medical equipment maintenance
Purpose of maintenance document
Key Elements
Maintenance programme planning
Management
Implementation
Challenges, resources
Working group session

3. To ensure improved access of safe, quality medical devices
Research and development
Innovative
technologies
Regulations
Regulations of medical devices
Research and development based on needs
Approved high cost Medical devices
Post market surveillance and Adverse event reporting
Approved Medical devices lists
Needs Assessments/
Selection
Donations
Installation,
Inventories; CMMS, Maintenance
User training and clinical effectiveness
Health Technology Assessment
Procurement
Assessment
Management
Decommissioning, Replacement
Human resources
Policies
Glossary on Medical devices
Policies of medical devices
Human resources for Medical devices

4. Definition
Medical equipment maintenance is a set of activities conducted to keep a medical device in good working condition and consists of inspection, preventive maintenance, and corrective maintenance.

5. Importance
Medical equipment maintenance, when well planned, managed, and implemented, allows for all the equipment in a health care institution to be reliable, safe, and available for use when it is needed for diagnostic procedures, therapy, treatments and the monitoring of patients. It also has the ability to prolong the useful life of equipment and minimize the cost of ownership.

6. Purpose of document
To assist health-care organizations, especially those in developing countries, in planning, managing and implementing the maintenance of medical equipment.
It was designed to be concise and flexible in its application, and can be adapted to various settings and levels of technical resources.
It focuses on general principles rather than being a rigid model such that each country can design a programme to meet their own particular requirements.

7. Maintenance programme planning
Inventory
Methodology
Financial resources
Human resources
Physical resources
Workspace, tools, test equipment
Supplies, replacement parts
Operation and service manuals

8. Management Financial Personnel Operational
Service contracts and vendors
Training
Operational
IPM procedures, frequency, and scheduling
Work prioritization models
Record keeping, CMMS, tags & labels
Effective communication
Managing use and user error
Travel

9. Management (cont'd) Performance monitoring Performance improvement
IPM performance measures
CM performance measures
Performance improvement

10. Implementation Inspection and preventive maintenance
Corrective maintenance
Reporting
Safety

11. Challenges Lack of financial resources Lack of human resources
Build up expertise of in-house staff
Share resources (e.g. test equipment) and knowledge between facilities
Purchase spare parts or consumables in bulk keeping in mind expiration dates
Lack of human resources
Provide maintenance primarily from service contracts provided financial resources exist
Prioritize devices receiving maintenance
Share technical personnel keeping in mind workload and travel time

12. Challenges Lack of qualified personnel
Provide maintenance primarily from service contracts provided financial resources exist
Invest in training
When purchasing equipment negotiate with manufacturer for training on new device operation and maintenance. Attempt to include training for other devices within facility from the same manufacturer.
When receiving donations, require training from donor on all donated equipment
Encourage development of local biomedical technology programmes

13. Challenges Lack of physical resources Lack of awareness
Share resources (e.g. test equipment, tools) between facilities
Purchase spare parts or consumables in bulk keeping in mind expiration dates
Provide maintenance primarily from service contracts provided financial resources exist
Prioritize devices receiving maintenance
Lack of awareness
Recommend (to facility management) awareness building for all health personnel. This would include promotion of improved communication between users and technicians and emphasis on the critical role of user in extending the lifetime of equipment

14. Resources available
Association for the Advancement of Medical Instrumentation (
Biomedtalk (
ECRI Institute (
Engineering World Health (
Environment of Care Essentials (
International Electrotechnical Commission (
Infratech (infratechonline.net)
Joint Commission / Joint Commission International (
National Fire Protection Association (

15. Resources available American Hospital Association (www.aha.org)
American College of Clinical Engineering (
Biomedical Instrumentation & Technology (
Clinical Engineering Handbook by Joseph F. Dyro
El Hospital (
'How to Manage' series for health care technology ( int.co.uk/our_expertise/how_to_manage_series.html)
Journal of Clinical Engineering (journals.lww.com/jcejournal)
Practicum for Biomedical Engineering & Technology Management Issues by Leslie R Atlas
24× 7 (

16. Working group session Assessment of three scenarios
Groups identify best approach development of a maintenance programme given the particular circumstances
Presentation of proposed options to the other groups
Discussion on the pros and cons of each proposed option
Development of proposed solution to the challenges for implementing an effective maintenance management programme
Result could be presented to the participant's organization or MoH
End

17. WHO Medical Device technical Series
Training module of :
Medical equipment maintenance programme overview
Developed by Matthew Baretich and Frank Painter
April 2011
Global Initiative on Health Technologies, WHO
Supported by the Bill & Melinda Gates Foundation

18. Thanks! Contacts: http://www.who.int/medical_devices/en/
Phone:
Fax:
Skype: WHOHQGVA1 (then dial 11239)
Other: (presenters name and )
Objective: to ensure improved access, quality and use of medical devices.