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MODELING MEDICAL ELECTRICAL EQUIPMENT FOR ESTIMATION OF LEAKAGE CURRENTS DURING A SURGICAL PROCEDURE

机译:建模医疗电气设备以评估手术过程中的泄漏电流

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摘要

During a surgical procedure leakage currents can flow through the heart of the patient. The values of such currents can be estimated by an electrical circuit model. More specifically, three medical electrical equipment in an operating theatre, in contact with the patient and fed by an isolated power supply, are considered and are simulated. Two of them are always involved in a surgical procedure: an operating table and a patient monitor, the third one is a defibrillator which can be put into operation during emergencies. The comparison between the leakage currents simulated by the circuit and the ones measured are presented. The agreement is quite satisfactory. An estimation of the model sensitivity due to the uncertainty in the knowledge of the model parameters has been performed too, by using the Monte Carlo method. The proposed model is applied to study critical scenarios in which leakage currents flowing into the patient's chest in normal, single and double fault conditions could be dangerous and could introduce a risk of microshock not tolerable.
机译:在外科手术过程中,泄漏电流会流过患者的心脏。可以通过电路模型来估计这样的电流的值。更具体地说,考虑并模拟了手术室中与患者接触并由隔离电源供电的三个医疗电气设备。他们中的两个始终参与外科手术:一个手术台和一个病人监护仪,第三个是除颤器,可在紧急情况下投入使用。给出了电路模拟泄漏电流与实测泄漏电流之间的比较。该协议是令人满意的。由于使用了模型参数知识的不确定性,还对模型灵敏度进行了估算,方法是使用蒙特卡洛方法。所提出的模型用于研究紧急情况,在这种情况下,正常,单故障和双故障情况下流入患者胸部的泄漏电流可能很危险,并且可能会带来微震的风险。

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