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Crowdsource Repair Information for Hospital Equipment

2020-03-30 by: Russell Campbell
From: Russell Campbell 
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Sharing with the tech community.

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=============================================================== From: Michael Harrison ------------------------------------------------------ As an ASHE/AAMI Certified BioMedical Engineer and BioMedical Electronics Technician (#2750), Former Director of BioMedical Engineering for HCA Chattanooga (and other non-local hospitals before that), and founder builder and seller of Higher Technology Services that split into Higher Technology BioMedical before HTS became "Chattanooga Online" I can assure you the last thing you want your hands near before you have proper training, certifications and several million dollars of liability insurance is patient care equipment or diagnostic equipment. Most of the equipment providers and OEM's will sue you, and the facility if you tighten a loose screw on a piece of patent care equipment and it ever hurts anyone. Most of the critical equipment is leased with caveat that no on-site repair is allowed. And I've testified, under oath, about the liability incurred by unauthorized modifications and repairs made by doctors and OR staff.. I'm currently involved in a "side-hustle" providing remote VPN and control of some diagnostic imaging equipment being used for vet and human uses, the disclaimer I use sets the facility IT, BioMedical and Admin hair on fire. But they sign it. Simple example: Do you know if the lubricant you just used was safe in a highly oxygenated environment? Clue: Most aren't. They spontaneously ignite. My advice: Don't touch any medical device unless you are willing to be responsible for the equipment and what it can do to a human.

=============================================================== From: Stephen Kraus ------------------------------------------------------ Given that they are calling for home built ventilators at this time, desperate times, desperate measures, etc. On Mon, Mar 30, 2020 at 6:45 PM Michael Harrison wrote:

=============================================================== From: Bret McHone ------------------------------------------------------ Just make sure you aren't the one at the stake when it's all over and a witch hunt begins for those that may have died because of faulty maker-made equipment. Without laws to protect you then you would be exposing yourself to an insane amount of liability. Working at a hospital I 2nd Mike's statement. -B On Mon, Mar 30, 2020 at 8:30 PM Stephen Kraus wrote:

=============================================================== From: David ------------------------------------------------------ I know this is a fine line and I'm not planning on crossing it mostly because I don't have any equipment that comes close enough in quality to even think about. However I do know that Tennessee has Good Samaritan laws in place to encourage people to help and assist during a medical emergency as long as two conditions are met even if said help results in things getting worse. 1) The person actions are in good faith and intentions. 2) The person is not charging for providing aid. A lot of states have these laws but not all. This wouldn't apply to a hospital because they are charging for services, so if they work on equipment or build something, the liability would shift to them away from any equipment certifier or manufacturer. However I don't think that this would be an issue for individuals making masks or even actual equipment such as those engineers in Italy that are printing the valves. Just my two cents. Thanks, Dave

=============================================================== From: David White ------------------------------------------------------ I have no experience or time to work on or look into any of this, but.... I just saw a link to this "Permissive License - Open Ventilator Files" document by Medtronic, and thought of this email thread. Looks interesting. https://www.medtronic.com/content/dam/medtronic-com/global/Corporate/covid19/documents/permissive-license-open-ventilator.pdf (Heard from https://twitter.com/RestartProject/status/1245651175388504068) -- David White