Implementation of Industry 4.0 in Transformation of Medical Device Maintenance Systems

Implementation of Industry 4.0 in Transformation of Medical Device Maintenance Systems

Lejla Gurbeta Pokvic, Lemana Spahic, Almir Badnjevic
DOI: 10.4018/978-1-7998-2725-2.ch023
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Abstract

Due to the development of information communication technologies (ICT), the number of medical devices (MDs) with telemetric possibilities is rising, so the concept of homecare is gaining importance. Also, new generation medical devices are equipped with artificial intelligence that is able to perform real-time analysis of measurement result and provide diagnosis prediction. This is the Industry 4.0 happening now. However, there is still traditional approach in management of medical devices. As medical devices have been sophisticated, management systems should improve so they can encompass all the important aspects regarding safety of patients and quality of care. This chapter presents how the technology of Industry 4.0 can be used to improve medical device maintenance systems by application of artificial intelligence (AI). Clinical engineering and health technology management departments benefit from such systems in terms of increase of safety and quality of patient diagnosis and treatments, and cost optimization in medical device management.
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Introduction

The fact about any developments and changes, including technological, is that we quickly forget how the world was without them. The invention of the internet had made a great impact on our lives. Can you imagine that it was approximately only four decades ago that we used paper maps and simple communication with other people to find directions about where we needed to go, or that students actually used a pile of books and encyclopedias to do research for school, or that we needed a cassette to play music, because a CD and USB flash was a major discovery then. Can you remember the time when a day, week, month or so was needed for information to travel the world and reach its destination, or the time when people waited certain periods to see family, relatives? Today, such common things are just “one click away”, because for everything we need to do “there is an application” that will help us do that. We can see that Industry 4.0. (Gilchrist, 2016) has already made an impact on society. Nowadays, we use cellphones to navigate, listen to music, do research, book meetings, but more importantly to communicate and share information with other people in such quick manner, no matter where we are. Moreover, in everyday activities, we are woken up by an alarm, we heat food using microwaves, and use thermostats to regulate heat in homes, we pay bills for electricity, water, phone and internet and other services, and we can do all of these by using applications. These applications and modern devices help in “getting things done” so people rely on these applications and do not rarely actually think about how is something performed, based on which principles or why. Such reliability and confidence must be deserved so it is usually said that: “In God we trust, all others require measurement.”

Measurements are crucial part of every application, but there is so little or none attention drawn to it. Would it be possible do anything without accurate measurements of time, length, weight, electrical energy, etc.? What would happen if time wasn’t measured accurately on the stock market, where billions of dollars’ worth of trade is conducted? It would cause millions of dollars losses and affect world’s economy. Measurements, therefore, have great impact in all fields of application, from science, industry to trade, and can be considered accurate, only if they can be controlled, i.e. if they can be traceable to internationally adopted standards of measurement. So, to ensure a common reference point and understanding measurement have been standardized, and scientific filed of metrology has been developed. Under this scientific field, metrological concepts including base unit system, measurement uncertainty and traceability have been developed accompanied with international standards and accreditation to ensure accuracy of measurement. Measurement, as defined by metrology, is a series of steps that lead to numerical approximation of real value that quantity has, expressed in agreed units of measurement, SI system. Given that each measurement is just an approximation of real value, it must be given with measurement error and uncertainty, which is a level of confidence to measurement result. Uncertainty represents a level of confidence to measurement result. If measurement is important to a certain application, then uncertainty of measurement is also equally important. Measurement result and its uncertainty directly impacts quality and costs of application. If the level of confidence to measurement result is higher, the measurement is costlier. It is proved that measurement errors can have critical effect to different fields of industry, from electronic to food industry and financial sector, but how they affect people and their health?

Figure 1.

Healthcare environment in the past

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Figure 2.

Healthcare environment in the nowadays

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Key Terms in this Chapter

Artificial Neural Network: Computing system designed to simulate the way the human brain analyses and processes information.

Inspection: Process of ensuring performance accuracy and reliability.

Expert System: System based on artificial intelligence able to draw conclusions from presented data.

Measurement: A series of steps that lead to numerical approximation of real value that quantity has, expressed in agreed units of measurement, SI system.

Maintenance: Process of performing periodical inspections of medical devices.

Medical Device: Technology used for diagnosis, treatment, or prevention of disease/condition.

Industry 4.0: Combination of smart technologies with existing industrial applications.

Machine Learning: Application of artificial intelligence (AI) that provides systems the ability to automatically learn and improve from experience without being explicitly programmed.

Maintenance System: Information system that enables keeping track of medical devices, their inspection results and parts replacements.

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