|PROBLEMS OF MAINTENANCE OF HOSPITAL EQUIPMENT
|VA Menon-: J Inst of Engineers 1969, 49, 73-77.
In an investigation carried out at the instance
of Government of India, Mr Ernbourg, W.H.O. X-ray Technician, in
1960 61 found that between 40% and 50% X-ray equipment are idle
in Government and quasi government medical institutions all over
the country. This paper deals with reasons and suggests a remedy
for improving the situation because when society creates an institution
for delivering health care to the community, it expects the institution
to give fair returns on the investment of resources. When facilities
made available to such an institution are not put to use, when required,
then the community suffers. One of the main reasons for non-utilisation
of available facilities is the unserviceable condition of
equipments. The main cause for this state of affairs is poor distribution
and paucity of maintenance facilities available. These two
reasons made servicing of equipment very expensive. Administrative
constraints under which the institution delivering health care works,
makes the costly service inaccessible to them or creates considerable
delay in its availability. Comparing the loss to the community due
to idle equipment and cost of creating and running a cheap service
organisation for maintenance of equipment, the latter appears profitable.
On the basis of experience of X-ray equipment maintenance in NTI
during the preceding period, the average cost per maintenance or
repair services is worked out. By comparing it with cost of similar
service available to an average institution it is shown that to
effectively cover institutions over a wide area, a cheap service
organization which has units distributed very widely in the
country is required.
The estimated loss of Rs. 71 million can be brought
down to 11 million with annual expenditure of only 7 million. Thus,
a community can gain to the extent of 53 million every
year by way of better facilities. For this purpose an investment
of 3.5 million is required on capital account for creating a training
centre for maintenance personnel and 0.8 million for running it.
Such a centre can provide the man power required for running a country
wide service organization.
|KEY WORDS: HOSPITAL EQUIPMENT, MAINTENANCE.
|MASS MINIATURE RADIOGRAPHIC ROLL FILM CASSETTE MAINTENANCE
|P Krishna Reddy: NTI Bulletin 1993, 29, 13-16.
This paper discusses briefly the scope for handling
the roll film cassettes, its maintenance and repair, under the National
Tuberculosis Programme (NTP). The District Tuberculosis Centre (DTC)
use the roll film cassettes (RFC) which are hand operated. There
are three models: RFC-1, RFC-2 and RFC-3. The roll film cassette
is meant to accommodate 70mm and 3mts length of oneside coated film
which is meant to take 40 exposures. One can take 45-50 exposures
by using the leader and trailer portion of the film. Two types of
films are used:one is acetate base and the other polyester base.
RFC-1 is an old model and is not used now. RFC-3 is an improvised
version of RFC-2 where the film is pressed more firmly so that blurred
images do not form. It also has a microswitch to notify the operator
about the presence or absence of film in the cassette. RFC is
divided into three parts 1) film magazine 2) cassette frame and
3) housing. RFC is a costly equipment and should be maintained with
care: free from dust, dirt, chemicals etc,. After prolonged use,
(ie) 8-10 years, parts can wear out. At that time, it would be useful
to contact NTI regarding servicing, replacement of wornout parts
Since many moving parts are accommodated in a small
space, removal, replacement and servicing of the RFC is a highly
skilled work. It requires special talent, a mechanical eye and a
knack to use tools.
|KEY WORDS: ROLL FILM CASSETTE, MAINTENANCE.