1. Information Technology for the Health Professions, 2/e By Lillian Burke and Barbara Weill ©2005 Pearson Education, Inc. Pearson Prentice Hall Upper Saddle River, NJ 07458 Chapter 9 Computerized Medical Devices, Assistive Technology, and Prosthetic Devices

2. Information Technology for the Health Professions, 2/e By Lillian Burke and Barbara Weill ©2005 Pearson Education, Inc. Pearson Prentice Hall Upper Saddle River, NJ 07458 Computerized Medical Instruments Medical instruments containing microprocessors. Computerized drug delivery systems automate drug delivery. Insulin pump with a chip allows user to control the amount of insulin administered. Device for glucose testing worn like a watch and takes fluid through the skin using electric currents; electrodes measure the glucose.

3. Information Technology for the Health Professions, 2/e By Lillian Burke and Barbara Weill ©2005 Pearson Education, Inc. Pearson Prentice Hall Upper Saddle River, NJ 07458 Computerized Monitoring Systems Physiological monitoring systems analyze blood. Arrhythmia monitors monitor heart rates. Pulmonary monitors measure blood flow through the heart and respiratory rate. Fetal monitors that measure heart rate of the fetus. Neonatal monitors monitor infant heart and breathing rates.

4. Information Technology for the Health Professions, 2/e By Lillian Burke and Barbara Weill ©2005 Pearson Education, Inc. Pearson Prentice Hall Upper Saddle River, NJ 07458 Networked Devices Computerized devices are most likely to be found in Emergency rooms Operating rooms Critical care units Intensive care units

5. Information Technology for the Health Professions, 2/e By Lillian Burke and Barbara Weill ©2005 Pearson Education, Inc. Pearson Prentice Hall Upper Saddle River, NJ 07458 Computerized Devices in Optometry/Ophthalmology Optomap Panoramic200 examines retina. Biomicroscopes help diagnose cataracts. Tonometers help measure eye pressure. Corneal topography maps cornea. Heidelberg Retinal Tomograph scans retina. GDx Access measures retinal nerve fiber. Tracey Visual Functional Analyzer measures how eye focuses light.

6. Information Technology for the Health Professions, 2/e By Lillian Burke and Barbara Weill ©2005 Pearson Education, Inc. Pearson Prentice Hall Upper Saddle River, NJ 07458 Assistive Devices Americans with Disabilities Act of 1990 requires reasonable accommodation to allow physically challenged people to work Speech recognition Speech synthesizers Alternative mice (head mouse, puff straw) Line-of-sight input

7. Information Technology for the Health Professions, 2/e By Lillian Burke and Barbara Weill ©2005 Pearson Education, Inc. Pearson Prentice Hall Upper Saddle River, NJ 07458 Augmentative Communications Devices Help people communicate Covered by Medicare Using a computer to speak for you Experimental work on neural implants to allow people to use brain waves to communicate via computer

8. Information Technology for the Health Professions, 2/e By Lillian Burke and Barbara Weill ©2005 Pearson Education, Inc. Pearson Prentice Hall Upper Saddle River, NJ 07458 Environmental Control Systems Use of speech recognition or a single switch to control appliances in a home environment Helps physically challenged people live independently

9. Information Technology for the Health Professions, 2/e By Lillian Burke and Barbara Weill ©2005 Pearson Education, Inc. Pearson Prentice Hall Upper Saddle River, NJ 07458 Prosthetic Devices Myoelectric prosthetic limbs with microprocessors that respond to electrical signals from residual limb C-leg computerized lower leg that adjusts to change in pace Retinal implants to help people see Digital hearing aid to help people hear Cochlear implant to help people hear

10. Information Technology for the Health Professions, 2/e By Lillian Burke and Barbara Weill ©2005 Pearson Education, Inc. Pearson Prentice Hall Upper Saddle River, NJ 07458 FES Technology CFES or FES delivers low-level electrical stimulation Pacemakers—low level electrical stimulation for the heart Implantable cardioverter defibrillator—monitors heart rate and gives a jolt of electricity when needed Breathing pacemakers—control breathing by sending electrical impulses to the phrenic nerve

11. Information Technology for the Health Professions, 2/e By Lillian Burke and Barbara Weill ©2005 Pearson Education, Inc. Pearson Prentice Hall Upper Saddle River, NJ 07458 FES Technology (continued) Pacemakers for the brain—reduce seizures in people with epilepsy, helps control tremors in Parkinson’s To strengthen paralyzed muscles Restore movement to some paralyzed limbs Parastep covered by Medicare.

12. Information Technology for the Health Professions, 2/e By Lillian Burke and Barbara Weill ©2005 Pearson Education, Inc. Pearson Prentice Hall Upper Saddle River, NJ 07458 Bluetooth Technology Bluetooth is a wireless technology embedded in computerized devices. It allows computerized devices to communicate with each other. A person wearing a pacemaker and carrying a cell phone could have a heart attack and the pacemaker would tell the cell phone to call 911.

13. Information Technology for the Health Professions, 2/e By Lillian Burke and Barbara Weill ©2005 Pearson Education, Inc. Pearson Prentice Hall Upper Saddle River, NJ 07458 Risks Posed by Implants Risk of rejection Risk of infection Risk of blood clots