SMBE 2016

The 28th Annual Country Technicians’ Training Seminar

Celebrating the Biomedical Engineering Team’s Contribution to Advances

in Healthcare Over the Past 28 Years

BATHURST

21st to 23rd March 2016

Bathurst Panthers Club 132 Piper St, Bathurst NSW 2795

SPONSORED BY

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A message from the President on behalf of the Organising Committee

Welcome to SMBE 2016, the 28th Annual Country Technicians’ Training Seminar held this year in

Bathurst, NSW.

The venue is Panthers Club in Piper St Bathurst. The club’s function centre is well versed in

staging all types of functions and is arguably the only venue in town that is big enough for our

conference. It has excellent facilities for the technical sessions and the trade exhibition with ample

accommodation in the near vicinity. The trade exhibition is in its eighteenth year this year, and we

have a total of 31 trade exhibitors spread over 36 booths.

The Welcome BBQ on Sunday night is being held at Bathurst RSL, 114 Rankin Street Bathurst. Monday night’s Conference Dinner is being held at Rydges Hotel, Conrod Straight, Mt Panorama. We are promised great food and wine on both nights.

On Tuesday night we will be holding our AGM. This year is not an election year and I would

encourage all members at the conference to attend – you won’t be leaned on to nominate for a

Council position this year. After the AGM, is our networking night where delegates are

encouraged to get out with their colleagues and the trade guys and “network”. Bathurst has plenty

of venues to do this and I’m sure people will find their way to one or other of the venues.

The programme is designed to have something for everyone and we hope all delegates, visitors,

sponsors and trade exhibitors will find something in the programme to suit them. As before we

have tried to incorporate feedback from previous conferences and tried to include as much

technical content as possible. Of course we can only have as much technical content as you, the

participants offer, and augmented by presentations from people we co-opt to speak.

This year we have sessions on the digital hospital, integrating medical equipment into the eMR,

BME education, development aid, regulatory affairs and the usual array of clinical, technical and

management presentations.

Tuesday afternoon will feature hands-on training workshops presented by two of our trade

exhibitors including Mortara and GE Healthcare. The workshops will run concurrently in the last

session on Tuesday and participants are encouraged to book in early for the workshop they wish

to attend. A schedule and booking sheets will be available at the Registration Desk from Monday

morning.

Please enjoy the sessions on new equipment, medical equipment connectivity, education and

training, and working overseas as well as the technical presentations and the workshops. Soak up

the trade exhibition and have a good time at the social events, but most of all have fun and take

the time if you can to have a look around Bathurst and the surrounding areas.

Best wishes for a successful conference,

Bruce Morrison

President SMBE NSW Inc.

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VENUE INFORMATION

Panthers Club Bathurst 132 Piper Street Bathurst NSW 2795

Phone: (02) 6330 0600

Fax: (02) 6332 2728

Email: bathurst@panthers.com.au

Website: http://bathurst.panthers.com.au

All technical sessions, the Trade Exhibition, and the AGM will be held at Panthers Bathurst

Map courtesy of Google Maps

ROOMS IN USE DURING THE CONFERENCE

CONFERENCE ELEMENTS CONFERENCE VENUES LOCATION

Trade Exhibition Auditorium Level One, Panthers Bathurst

Lectures Panorama Room Level One, Panthers Bathurst

In-service Training No. 1 Panorama Room Level One, Panthers Bathurst

In-service Training No. 2 Panorama Room Level One, Panthers Bathurst

In-service Training No. 3 Panorama Room Level One, Panthers Bathurst

AGM Board Room Level One, Panthers Bathurst

FUNCTIONS DURING THE 28TH SMBE CONFERENCE IN 2016

Welcome BBQ Sun 20th March 2015 6.30pm Bathurst RSL, 114 Rankin Street Bathurst.

Conference Dinner

Mon 21st March 2015 6.30 for 7.00pm Rydges Hotel, Conrod Straight Mt Panorama

AGM Tues 22nd March 2015 5.30pm At the conference venue.

Welcome BBQ Venue

Conference Venue

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SPONSORS The organising committee and the SMBE (NSW) Inc. would like to thank the following sponsors for

their generosity in supporting this important conference. Sponsorship of conferences such as this

enables us to keep registration fees to a minimum. Our sponsors this year include:

PLATINUM SPONSOR

GOLD SPONSOR DINNER SPONSOR

SILVER SPONSOR

SATCHEL & LANYARD SPONSOR

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TRADE EXHIBITORS

The Trade Exhibition provides us with an opportunity to examine at first hand the latest products our

suppliers provide. Our sponsors benefit from having a mass of their customers in the one place

obviating the need to travel vast distances across the State and country.

This is our eighteenth trade exhibition at the SMBE Conference and it is particularly pleasing for the

organising committee to see the enthusiasm with which our suppliers continue to take up the booths.

LIST OF EXHIBITORS & BOOTHS

Platinum Sponsor’s Booth Medtronic (formerly Covidien)

Booth Company Booth Company Booth Company

1 Philips Healthcare 13 Parker Healthcare 25 Smiths Medical

2 Philips Healthcare 14 Oneview Healthcare 26 GE Healthcare

3 Masimo Australia 15 Oneview Healthcare 27 REM Systems

4 WES 16 Signostics 28 Master Instruments

5 Medeleq 17 Fresenius Kabi 29 U-Tech Medical

6 Welch Allyn 18 Fresenius Kabi 30 Olympus Australia

7 Ecomed Trading 19 MEGA 31 Chivaune Consultants

8 Ecomed Trading 20 Continental Water 32 Karl Storz

9 Ecomed Technical 21 Dräger Medical 33 National Weighing

10 The Medical Room 22 Mortara Instrument 34 Hospira

11 Emona Instruments 23 PD Medical 35 Scopemed

12 Physio-Control 24 Smiths Medical 36 Domo-Technica

PRIZES ON OFFER AT THE 28TH SMBE CONFERENCE IN 2016

NAME OF PRIZE WHEN DRAWN PRIZE

Members’ Prize To be drawn at the conference dinner DeLonghi coffee maker

Passport Competition All entries to be collected by Tuesday afternoon tea, to be drawn on Wednesday morning

Panasonic Lumix camera

Day 1 Draw To be drawn at afternoon tea on Monday afternoon Weber Q BBQ

Day 2 Draw To be drawn at afternoon tea on Tuesday afternoon Bose noise cancelling headphones

Day 3 Draw To be drawn at the closing ceremony Bose speaker system

Lucky Seat Prize To be awarded at the conference dinner Picnic set

Australiana Quiz To be contested & awarded at the conference dinner Hamper

Best Presentation To be awarded following collation of evaluation forms JB Hi-Fi voucher to value of $400

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ABSTRACTS RECEIVED

MONDAY SESSION 1 – OPENING

S1.1 The wireless enabled health campus, Luke Brindley, Health Infrastructure

In this presentation Luke will examine:

What is a wireless enabled campus;

What clinical systems need wireless as a pre-requisite; and

How do we leverage the wireless enabled campus to bring other significant benefits to many

stakeholders in a health facility.

MONDAY SESSION 2 – INTEGRATING MEDICAL EQUIPMENT WITH IT SYSTEMS

S2.1 Health Informatics 101, Jae Won Choi, CTS, NSLHD

What is health informatics? In this presentation Jae Won will set the scene for the session by defining of

such things as eHealth, telehealth, telemedicine, electronic medical records, and amongst others.

Some sample Health Informatics projects in NSW and across Australia including the PCEHR, eRIC and

consultation over an AV link.

Health Informatics requires not just a technical, but also a social consideration, and so …

What are BMEs doing about HI?

Do we want to be part of HI proliferation? If so, what role?

S2.2 Case study: connecting clinical equipment with the eMR, Mohammed Mubashiruddin & Donald

Hazra, RPAH/SLHD

Integration of medical device physiological data into eMR’s has been the new trend moving forward for

Healthcare Institutions in Australia and around the world. Currently at RPA we have integrated various

medical devices from multiple vendors for integration into modalities within eMR and CIS.

Transcribing physiological data automatically into eMR and CIS does have both advantages and

disadvantages. So it leads me to ask myself – is it beneficial to integrate all these devices where only a

few variables will be interfaced? Is it worth the time and effort?

All vendors say that their medical devices can output data in a message format that can be integrated to

an eMR or CIS. What they fail to understand are the intricacies of translating one data format to another

format that will be accepted by the receiving system. The data formats can include text, XML or HL7.

There are no standards for the integration process. Middleware is often required to perform translations

of one data type to another. We as Biomedical Engineers need to understand the processes, translations,

scripts and integration interfaces in order to achieve device integration with eMR and CIS.

S2.3 Integrating physiological monitoring with the eMR, Benn Blessing, Dräger

EMR integration is becoming a key topic for monitoring tenders and installations. What are the benefits of integrating Patient monitors into the hospital EMR system. In this presentation, Benn will discuss:

Structural Overview and common data flows

Typical interfaces between bedside monitors and Hospital EMR systems

Accessing eMR at the bedside

Troubleshooting and responsibilities

Modern integrated systems patient monitoring systems which require collaboration between

Biomed, vendors and hospital IT

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MONDAY SESSION 3 – TECHNICAL AND MANAGEMENT TOPICS

S3.1 CEP tracking system at Waikato Hospital in NZ, Joshua Farrington, Cabrini Technology

Chemtronics has been engaged in a 12 year long partnership with Waikato Hospital, New Zealand. Under

this arrangement, Chemtronics provides a contracted management service to Waikato DHB and is

responsible for the management of all facets of the biomedical department. The department, consisting

of 18 technical staff, manage the repair and maintenance of 17,000 medical assets, the Clinical Equipment

Pool (CEP) and numerous other technical activities and workshops throughout the hospital.

In 2012, an opportunity to better manage the CEP fleet was identified. This led to the creation of the CEP

Tracking System through the implementation of a low cost custom built software solution. Over the years

the system has received numerous enhancements including further automation, improved device

connectivity and reporting capabilities. In addition to this, several additional proposed enhancements are

currently being trialled and developed.

This presentation explores the evolution of the CEP Tracking System, the pros and cons, technologies

utilised, the system constraints, proposed future enhancements and the alternatives to the current model.

S3.2 The place of BME within the healthcare space & how to promote it as a vital part of the model of care, Larry Yates, WNSW LHD BME Service

With the new models-of-care now being introduced in to healthcare that has a large component of technology attached to them what part does BME play? Are we simply “repair men” or are we an equal partner with the other allied health practitioners caring for patients.

These fundamental questions will be asked and examined during the presentation

What is the BME role?

What do we see our position and role as?

What do others see our position and role as?

S3.3 Managing in the Clouds, Andy Lyons, PMBH/MNCLHD

AS3551:2012 mandates a maintenance management program - normally, this requirement is met by

service organisations by using either a spreadsheet for simple small sites, a SQL database or programs

such as Microsoft Access that can be either stand alone computer based, or server based when more

than one user is required.

With the rapid development of the mobile telephone network and associated data services, there is now

a further alternative in cloud hosted maintenance management programs.

This presentation discusses the differences between entity based maintenance programs and a

cloud based maintenance system demonstrating the features of one such cloud based system that the

author has used across several sites in several countries over the last five years and highlights some of

the advantages of this type of maintenance management system.

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MONDAY SESSION 4 – THE DIGITAL HOSPITAL

S4.1 Sharing the network - Luke Brindley, NSW Health Infrastructure

In this presentations Luke will examine:

The growing demand for network connectivity;

The convergence of networks; and

How can seemly competing users of a health campus network coexist in harmony?

S4.2 Enhancing the patient experience – Graeme Still, Oneview Healthcare

Healthcare providers are faced with creating Patient Centered Care Environments while meeting the

demands of a digitally diligent patient population. This presentation describes how Epworth Healthcare,

Queensland Health, NSW Health and many others are taking on this challenge head on by placing

its Point of Care solution (POC) as the focus of the equation. Utilising a POC solution helps meet rising

consumer demands of being more involved in decision making, more educated in their condition and

treatment and be able to interact and access their medical professionals in a timely manner.

A patient centered approach focused on engaging the patient but also driving necessary clinical

workflow process changes that brought the clinician and the patient together by providing system

access at the bedside and by automating business processes where the patient and the clinicians work

together to help drive efficiency.

Oneview Healthcare clients are solving the complexity of providing exceptional quality and safe patient

care, while providing an exceptional patient experience.

S4.3 What frequency plan? - Paul Groot Obbink, Philips Healthcare

Having a frequency plan is important as vendors introduce wireless devices into hospitals with little or no information about what exists there already. The presentation will explore:

What is a frequency plan;

What information should the vendors supply;

What does a vendor need to do to introduce new devices into a hospital;

What information should a vendor expect from the Biomedical Engineers on site; and

What are the implications from too little information.

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TUESDAY SESSION 5 – TECHNICAL AND MANAGEMENT TOPICS

S5.1 BME aspects of redevelopment projects, Larry Yates, Dubbo Base Hospital, WNSWLHD.

The project development scene in Healthcare in NSW has never been brighter or more exciting.

New bricks and mortar across the State are now coming online as is their attendant technology. New treatments modalities are being delivered to more facilities in Regional NSW and local patient access is now more available that ever before.

But what of the ability of the clinicians and facilities to understand this new technology and integrate it into their clinical scope!

What is the level of the technology and is it right for the clinical setting?

Who has the skills and technical as well as clinical knowledge to bring all these stakeholders together?

This coordination, oversight and troubleshooting will be the focus of this piece for technical people in Regional NSW.

S5.2 Cardiac monitoring: Installation & commissioning, Ben Smithson, Dräger Healthcare.

The challenges of installing and commissioning cardiac monitoring in large and small facilities are not

trivial. How can we all deliver good outcomes for installations through the multiple levels of minutiae

clouding our pathway? Some points to consider include:

What are the major Challenges for installations and how are the different for key stakeholders

in the process?

How does the size, age, location, timing of the installation create different challenges?

What are the major pain points for some vendors during the process?

How can BMEs and vendors partner to deliver the best possible outcome, with the least

amount of hassle to any project?

S5.3 BTS in house calibration program: cheaper, faster, better, Steven Cox, BTS, Queensland.

Steven Cox presents:

An overview of BTS test equipment;

How it started, how it works; and

The ups and downs of in house calibration.

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TUESDAY SESSION 6 – CLINICAL AND TECHNICAL TOPICS

S6.1 Development of a blood pressure tester, the journey from concept to final product, Ian Davies,

Latrobe Regional Hospital.

This presentation will highlight:

Product concept

Prototyping and proof of concept

Design changes and ongoing development

Pitfalls and challenges

Early production unit feedback

S6.2 Manufacturing medical devices in Australia, Peter Deliopoulos, PD Medical

PDMedical is a three year old spin-off of the plastics injection moulding business (GS Group).

PDMedical is short for Plastic Devices Medical and is based in Dandenong South, Victoria.

In the three years since we’ve engaged with the medical sector and through their insight and support

we’ve expanded our horizons and now manufacture products beyond just plastic. In the process, the

interest, encouragement and support has given us confidence in what we do, how we do it and where

we’re heading.

This presentation uses some of the products PD Medical makes to explain the process and the model

adopted to overcome the hurdles and make the most of the opportunities we see in successfully

manufacturing medical devices in Melbourne.

S6.3 Measuring the resistance index of cerebral arteries using NIRS – Part III, Dani Forster, The

Medical Room and Melbourne University

Main points will be:

First control group of determining the baseline Resistance Index (RI) has suggested a post-feeding

phenomenon of reduced resistance of the cerebral arteries.

Second control group will validate findings of first control group whilst correlating the RI to cerebral

perfusion using NIRS

First research subjects with Hypoxic Ischemic Encephalopathy (HIE) monitored by both Ultrasound and

NIRS confirm changes in perfusion expected with HIE

Continuing research will determine whether NIRS indicators of HIE will correlate with RI and provide

indicators by which to base treatment decisions.

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TUESDAY SESSION 7 – DEVELOPMENT AID

S7.1 Healthcare Asset Management (using data visualisation) – Sanjeev Hiremath, Ideamed

Healthcare asset management is notoriously difficult in developing countries. This paper presents a

novel method of maintenance planning in which sophisticated data visualisation tools based on Six

Sigma based S5 methodology are used to do predictive modelling of failure modes in a CT scanner in

Palau in the Federated States of Micronesia.

S7.2 User Care of Medical Equipment– Sunema Talapusi, Biomedical Engineering Services, Samoa & Nehal Kapadia, SSCSiP

Continuous failure of medical equipment in a clinical setting not only disrupts the clinical workflow, but

also contributes towards avoidable high maintenance or replacement costs for the heath facility. While

technical breakdowns are inevitable, it has been widely noted that failures due to user-error are also

common. This presentation deals with a programme of end-user training in the Pacific using the User

Care of Medical Equipment manual developed by the SSCSiP project team.

S7.3 MESCH Raga sewing project in Vanuatu: An unlikely BME project - Steven Threlfo, HNE Health

Overseas Aid can make a difference by altering peoples’ trajectory in life, affecting outcomes in a

positive way. For BME Technicians making taking their first steps offshore, overseas aid does not

always have to involve medical equipment repair or maintenance.

Involvement, late in 2015, with the Raga Sewing Project based on North Pentecost Island, Vanuatu was

a way of using experience gained in overseas medical equipment repair and support training, in a

completely new context. Key features of the short term visit were learning about something completely

new, selecting and designing appropriate tools and equipment to make equipment repair sustainable,

but more importantly, breaking down experience into manageable a teachable skills.

The visit also provided an opportunity to develop technical documentation presented in pictures not

words, specifically aimed at users who do not use English as a first language. The success of the

approach will be gauged in future visits, however, initial progress indicates the approach may have long

term success.

TUESDAY – SESSION 8 – HANDS-ON WORSHOPS

S8.1 Servicing the Mortara ELI series ECG carts – Aaron Whybrow, Mortara Instrument

S8.2 Fundamentals of Clinical Anaesthesia for Biomedical Engineers - Donna Stibbard, GE Healthcare

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WEDNESDAY – SESSION 9 REGULATORY AFFAIRS, STANDARDS AND CONTRACTS

S9.1 Touch current demystified, Mike Flood, Locus Consulting.

AS NZS 3551 - Management programs for medical equipment was released in late 2012 by Standards Australia. The standard was result of over three years of development by a sub-committee of SA Committee HE-003, including public consultation and consideration of feedback prior to finalization and publication. While the focus on electrical safety testing has been reduced, those tests included in the standard were reviewed and aligned with the most recent edition of IEC 60601.1, which has recently also been adopted as an AS NZS standard. Three years after publication, SA is soon to release Amendment 2 to the document, which includes some minor corrections and clarifications. This presentation will give a brief overview of the standards development process in Australia and New Zealand with respect to international standards, discuss the most recent amendments, including the much discussed Touch Current Test, and provide an opportunity for an open forum discussion on equipment management programs in your hospitals.

S9.2 Service Contracts through Standing Offer Agreements, Ghulam Rubbani, EEU NSW HealthShare.

The presentation will include:

Introduction to SOAs;

Types of maintenance available through SOAs;

Service agreements ;

Biomed – vendor shared service maintenance;

Biomedical screening advantages to hospitals; and

Site specific / vendor defined maintenance

S9.3 A Project Management Approach to Large Installations in a Clinical Setting, Skye Davidson,

Project Manager, GE Healthcare

Skye presents an in-depth look at how hospital clinical equipment installations can be executed using a

project management approach. With a focus on communications and process, Skye Davidson will be

sharing her observations and ideas that may help simplify your next installation project. Skye joined GE

Healthcare’s Project Management team from GE Digital Energy where she managed power transformer

installations. Across industries, Project Management principles remain the same, but the clinical

environment presents unique challenges.

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WEDNESDAY – SESSION 10 BIOMEDICAL ENGINEERING EDUCATION

S10.1 Unlocking the power of PowerPoint, Steven Threlfo, HNE Health

PowerPoint presentation for many of us will become a work skill as BME work transitions from traditional

hardware based equipment support to systems management, device configuration and user training.

The ability to present factual information or tell a story using a PowerPoint can be only understood from

the receiver’s perspective. The ability to keep the audience interested, switch attention from the screen

to the presenter when needed and maintain the flow of a presentation can be the difference between

success or the dreaded, “Death by PowerPoint” experience we are all familiar with.

The session will demonstrate techniques in PowerPoint presentation development and ways to avoid

problems with display on different systems. In addition, simple approaches to keeping the audience

interested in the content will be covered.

S10.2 Update on The Medical Room Recruitment & Training, Danni Forster, The Medical Room.

The Medical Room’s Biomedical Technical Training – Achieving Accreditation in 2016!

The Medical Room is currently training in all Australian capital cities, the Pacific Islands and New

Zealand. The Australian Accreditation is underway and the application has been made for government

funding for courses submitted ready for mid-year. Current attendees receive the relevant UK

qualification, the Certificate of Medical Equipment Technologies.

S10.3 Where is your Biomedical Engineering Career going to in 2016? Dr Steven Mackay, EIT

An update on the latest trends and technologies that are impacting on you and how you can take

advantage of them in the biomedical engineering and industrial world. We are on the cusp of significant

changes in the way we work in industry such as the arrival of the internet of things and a hyper

connected world, virtual reality, artificial intelligence and automation. We hope to convey some of the

incredible opportunities to you in a thought provoking way as well as to alert you to the growing threats

from cybercrime and the degradation of many jobs with artificial intelligence and robots.

Engineering and Technology – Significant trends

Engineering Employment Trends – jobs in demand and those disappearing

Your Engineering Education and Training