Treatment Using the SpyGlass Digital System in a Patient with Hepatolithiasis after a Whipple Procedure

An 89-year-old man was referred to our hospital for treatment of hepatolithiasis causing recurrent cholangitis. He had undergone a prior Whipple procedure. Computed tomography demonstrated left-sided hepatolithiasis. First, we conducted peroral direct cholangioscopy (PDCS) using an ultraslim endoscope. Although PDCS was successfully conducted, it was unsuccessful in removing all the stones. The stones located in the B2 segment were difficult to remove because the endoscope could not be inserted deeply into this segment due to the small size of the intrahepatic bile duct. Next, we substituted the endoscope with an upper gastrointestinal endoscope. After positioning the endoscope, the SpyGlass digital system (SPY-DS) was successfully inserted deep into the B2 segment. Upon visualizing the residual stones, we conducted SPY-DS-guided electrohydraulic lithotripsy. The stones were disintegrated and completely removed. In cases of PDCS failure, a treatment strategy using the SPY-DS can be considered for patients with hepatolithiasis after a Whipple procedure.

Project of Digital ICU System / 医疗卫生装备

Objective To develop ICU digital system for over-all monitoring and remote monitoring.Methods The programming and design was performed according to the principles of"taking patients as center,clinic as basis,utility as goal,service as aim".Results ICU digital system was composed of digital medical instruments and their clinical Gateway,intensive care information system,bedside integrated clinical information terminals,nurse workstation integrated clinical information terminals,serious patients visit system,little smart local communication system,consultation demonstration teaching system and personal digital assistant clinical information terminal system.Conclusion As one of the important symbols of modern hospital,the ICU digital system integrates the vital signs information of every patient in ICU and implement seamless connection with CIS,LIS,PACS,HIS.The construction of ICU digital system will accelerate the digital hospital's development.

Image quality control of Philips C2000 Digital Subtract Angiography machine / 医疗卫生装备

Because of the bad definition of images in using DSA machine,the X-ray detector was used to check the DSA output dose so as to solve the image quality problems. Through checking the output dose,the problem were found in time and solved thoroughly,therefore it is very important to take image quality control at intervals.

Application of FPGA to medical equipment / 医疗卫生装备

FPGA is a kind of powerful programmable chip used in the development of digital system, and it has such advantages as large capacity, reliability and easy modification. The design of FPGA system is mainly through software method which is easy to grasp. Compared with legacy discrete circuit or ASIC, more and more FPGAs are adopted in digital systems for low cost and fast speed. On the other hand, digital system plays an important role in control system of medical equipments, so FPGA is expected to be widely used in almost all fields of medical equipment.