Devices
Category : 12th Class
Three types of medical devices used nowadays are implants, disposables and external prosthesis.
(1) Implants
Implants are devices used for replacng a diseased organ or tissue within the body.
Implants must be non-toxic and biocompatible and are used for replacing joint, arteries, heart valves, etc., and occasionally helpful in cosmetic surgery.
Artificial Heart Valve
(i) Artificial heart valves may be either mechanical or made of human or animal tissues.
(ii) Mechanical valves are made from special biocompatible plastics, metal alloys and ceramics.
(iii) Tissue valves are taken from cadavers of pigs or made from the pericardium of animals.
(iv) Mechanical valves develop tendency of clotting of blood, so the patient must have regular medication of anticoagulants.
(v) Tissue valves do not require anticoagulants, but they tend to calcify, particularly in young.
(2) Disposables
(i) Oxygenator
(a) The first open heart surgery was performed by Walton Lillehel (USA) in 1953 by meant of a procedure, called heart-lung bypass.
(b) Oxygenator is used in open-heart surgery to oxygenate the blood passing through the heart-lung machine.
(c) Oxygenator can be called as an artificial lung. Two common types of oxygenators currently used are bubble oxygenator and membrane oxygenator.
(d) Bubble oxygenators are used for shorter operation whereas membrane oxygenators are more suitable for longer operations and for operation of infants.
Landmarks in Medicine : Diagnosis and Surgery
Invention/ Development |
Year |
Inventor/Scientist |
Country |
Thermometer |
1593 |
Galileo Galilei |
Italy |
Medical thermometer |
1612 |
Sanctorius |
Italy |
Stethoscope |
1810 |
Rene Laennec |
France |
Ophthalmoscope |
1851 |
Hermann Von Helmhotz |
Germany |
Antiseptic surgery |
1870 |
Joseph Lister |
Britain |
X-rays |
1895 |
Wilhelm Roentgen |
Germany |
Electrocardiograph (ECG) |
1906 |
Willem Einthoven |
Netherland |
Electroencephalograph (EEG) |
1929 |
Hans Berger |
Germany |
Cardiac pacemaker |
1932 |
A.S. Hyman |
USA |
Kidney dialysis machine |
1945 |
Willem Kolff |
Netherland |
Coronary artery bypass graft |
1951 |
Arthur Vineberg |
Canada |
Open heart surgery |
1953 |
Walton Lillehel |
USA |
Kidney transplant |
1955 |
Joseph Murray |
USA |
Artificial heart |
1957 |
Willem Kolff |
Netherland |
Fibre-optic endoscopy |
1957 |
Basil Hirschowitz |
USA |
Laser |
1960 |
T.H. Maimah |
USA |
Heart transplant surgery |
1967 |
Christiaan Barnard |
South Africa |
NMR imaging |
1971 |
Raymond Damadian |
USA |
CAT scanner |
1972 |
Godfrey Hounsfield, Alan Cormack |
Britain USA |
Coronary angioplasty |
1976 |
Andrease Gruntzig |
Switzerland |
"Test-tube baby' |
1978 |
Patrick Steptoe Robert Edwards |
Britain Britain |
PET scanner |
1985 |
Louis Sokoloff |
USA |
Two-hand transplant |
2000 |
Jean-Michel Dubernard |
France |
(b) Blood Bag
(c) Blood Dialyser (Artificial Kidney)
· The working of blood dialyser is based on the physical laws of diffusion and osmosis.
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