Medical Instrumentation cover

Medical Instrumentation

Application and Design

by John G. Webster, Amit J. Nimunkar

5th Edition

Publisher: Wiley-Blackwell

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Book Details

Print ISBN9781119457336
eText ISBN9781119457312
PublisherWiley-Blackwell
Publishing Year2020
Edition5th Edition
LanguageEnglish
Pages928

Medical Instrumentation: Application and Design, 5th Edition, explores the principles, applications, and design of equipment commonly used in hospitals. The textbook emphasizes core engineering principles to help researchers and scientists with limited electronics experience develop instruments that may not be available commercially.

Coverage spans essential sensor mechanisms, biopotential origins and electrodes, analog signal conditioning, and microcontroller-based digital processing. The text relates these hardware fundamentals to physiological monitoring of the cardiovascular and respiratory systems, as well as chemical biosensors, clinical laboratory apparatus, and imaging systems.

To aid learning and practical problem-solving, the text includes worked-out examples and end-of-chapter problems supported by a companion webpage and a complete solutions manual.

Table of Contents

  1. Chapter 1: Basic Concepts of Medical Instrumentation

    • • 1.1 Terminology of Medicine and Medical Devices
    • • 1.2 Generalized Medical Instrumentation System
    • • 1.3 Alternative Operational Modes
    • • 1.4 Medical Measurement Constraints
    • • 1.5 Classifications of Biomedical Instruments
    • • 1.6 Interfering and Modifying Inputs
    • • 1.7 Compensation Techniques
    • • 1.8 Biostatistics
    • • 1.9 Generalized Static Characteristics
    • • 1.10 Generalized Dynamic Characteristics
    • • 1.11 Amplifiers and Signal Processing
    • • 1.12 Inverting Amplifiers
    • • 1.13 Noninverting Amplifiers
    • • 1.14 Differential Amplifiers
    • • 1.15 Comparators
    • • 1.16 Rectifiers
    • • 1.17 Logarithmic Amplifiers
    • • 1.18 Integrators
    • • 1.19 Differentiators
    • • 1.20 Active Filters
    • • 1.21 Frequency Response
    • • 1.22 Offset Voltage
    • • 1.23 Bias Current
    • • 1.24 Input and Output Resistance
    • • 1.25 Design Criteria
    • • 1.26 Commercial Medical Instrumentation Development Process
    • • 1.27 Regulation of Medical Devices
    • • Problems
    • • References
  2. Chapter 2: Basic Sensors and Principles

    • • 2.1 Displacement Measurements
    • • 2.2 Resistive Sensors
    • • 2.3 Bridge Circuits
    • • 2.4 Inductive Sensors
    • • 2.5 Phase-Sensitive Demodulators
    • • 2.6 Capacitive Sensors
    • • 2.7 Piezoelectric Sensors
    • • 2.8 Accelerometer
    • • 2.9 Temperature Measurements
    • • 2.10 Thermocouples
    • • 2.11 Thermistors
    • • 2.12 Radiation Thermometry
    • • 2.13 Fiber-Optic Temperature Sensors
    • • 2.14 Optical Measurements
    • • 2.15 Radiation Sources
    • • 2.16 Geometrical and Fiber Optics
    • • 2.17 Optical Filters
    • • 2.18 Radiation Sensors
    • • 2.19 Optical Combinations
    • • Problems
    • • References
  3. Chapter 3: Microcontrollers in Medical Instrumentation

    • • 3.1 Basics of Microcontroller
    • • 3.2 Embedded Medical System
    • • 3.3 ECG-Based Embedded Medical System Example
    • • 3.4 Selection of a Microcontroller
    • • 3.5 IoT-Based Medical Devices
    • • Problems
    • • References
  4. Chapter 4: The Origin of Biopotentials

    • • 4.1 Electrical Activity of Excitable Cells
    • • 4.2 Volume Conductor Fields
    • • 4.3 Functional Organization of the Peripheral Nervous System
    • • 4.4 The Electroneurogram
    • • 4.5 The Electromyogram
    • • 4.6 The Electrocardiogram
    • • 4.7 The Electroretinogram
    • • 4.8 The Electroencephalogram
    • • 4.9 The Magnetoencephalogram
    • • Problems
    • • References
  5. Chapter 5: Biopotential Electrodes

    • • 5.1 The Electrode–Electrolyte Interface
    • • 5.2 Polarization
    • • 5.3 Polarizable and Nonpolarizable Electrodes
    • • 5.4 Electrode Behavior and Circuit Models
    • • 5.5 The Electrode–Skin Interface and Motion Artifact
    • • 5.6 Body-Surface Recording Electrodes
    • • 5.7 Internal Electrodes
    • • 5.8 Electrode Arrays
    • • 5.9 Microelectrodes
    • • 5.10 Electrodes for Electric Stimulation of Tissue
    • • 5.11 Practical Hints in Using Electrodes
    • • Problems
    • • References
  6. Chapter 6: Biopotential Amplifiers

    • • 6.1 Basic Requirements
    • • 6.2 The Electrocardiograph
    • • 6.3 Problems Frequently Encountered
    • • 6.4 Transient Protection
    • • 6.5 Common-Mode and Other Interference-Reduction Circuits
    • • 6.6 Amplifiers for Other Biopotential Signals
    • • 6.7 Example of a Biopotential Preamplifier
    • • 6.8 Other Biopotential Signal Processors
    • • 6.9 Cardiac Monitors
    • • 6.10 Biotelemetry
    • • Problems
    • • References
  7. Chapter 7: Blood Pressure and Sound

    • • 7.1 Direct Measurements
    • • 7.2 Harmonic Analysis of Blood Pressure Waveforms
    • • 7.3 Dynamic Properties of Pressure-Measurement Systems
    • • 7.4 Measurement of System Response
    • • 7.5 Effects of System Parameters on Response
    • • 7.6 Bandwidth Requirements for Measuring Blood Pressure
    • • 7.7 Typical Pressure-Waveform Distortion
    • • 7.8 Systems for Measuring Venous Pressure
    • • 7.9 Heart Sounds
    • • 7.10 Phonocardiography
    • • 7.11 Cardiac Catheterization
    • • 7.12 Effects of Potential and Kinetic Energy on Pressure Measurements
    • • 7.13 Indirect Measurements of Blood Pressure
    • • 7.14 Tonometry
    • • Problems
    • • References
  8. Chapter 8: Measurement of Flow and Volume of Blood

    • • 8.1 Indicator-Dilution Method that Uses Continuous Infusion
    • • 8.2 Indicator-Dilution Method that Uses Rapid Injection
    • • 8.3 Electromagnetic Flowmeters
    • • 8.4 Ultrasonic Flowmeters
    • • 8.5 Thermal-Convection Velocity Sensors
    • • 8.6 Chamber Plethysmography
    • • 8.7 Electrical-Impedance Plethysmography
    • • 8.8 Photoplethysmography
    • • Problems
    • • References
  9. Chapter 9: Measurements of the Respiratory System

    • • 9.1 Modeling the Respiratory System
    • • 9.2 Measurement of Pressure
    • • 9.3 Measurement of Gas Flow
    • • 9.4 Lung Volume
    • • 9.5 Respiratory Plethysmography
    • • 9.6 Some Tests of Respiratory Mechanics
    • • 9.7 Measurement of Gas Concentration
    • • 9.8 Some Tests of Gas Transport
    • • Problems
    • • References
  10. Chapter 10: Chemical Biosensors

    • • 10.1 Blood-Gas and Acid–Base Physiology
    • • 10.2 Electrochemical Sensors
    • • 10.3 Chemical Fibrosensors
    • • 10.4 Ion-Sensitive Field-Effect Transistor (ISFET)
    • • 10.5 Immunologically Sensitive Field-Effect Transistor (IMFET)
    • • 10.6 Noninvasive Blood-Gas Monitoring
    • • 10.7 Blood-Glucose Sensors
    • • 10.8 Electronic Noses
    • • 10.9 Lab-on-a-chip
    • • 10.10 Summary
    • • Problems
    • • References
  11. Chapter 11: Clinical Laboratory Instrumentation

    • • 11.1 Spectrophotometry
    • • 11.2 Automated Chemical Analyzers
    • • 11.3 Chromatology
    • • 11.4 Electrophoresis
    • • 11.5 Hematology
    • • Problems
    • • References
  12. Chapter 12: Medical Imaging Systems

    • • 12.1 Information Content of an Image
    • • 12.2 Modulation Transfer Function
    • • 12.3 Noise-Equivalent Bandwidth
    • • 12.4 Image Processing
    • • 12.5 Radiography
    • • 12.6 Computed Radiography
    • • 12.7 Computed Tomography
    • • 12.8 Magnetic Resonance Imaging
    • • 12.9 Nuclear Medicine
    • • 12.10 Single-Photon Emission Computed Tomography
    • • 12.11 Positron Emission Tomography
    • • 12.12 Ultrasonography
    • • 12.13 Contrast Agents
    • • Problems
    • • References
  13. Chapter 13: Therapeutic and Prosthetic Devices

    • • 13.1 Cardiac Pacemakers and Other Electric Stimulators
    • • 13.2 Defibrillators and Cardioverters
    • • 13.3 Mechanical Cardiovascular Orthotic and Prosthetic Devices
    • • 13.4 Hemodialysis
    • • 13.5 Lithotripsy
    • • 13.6 Ventilators
    • • 13.7 Infant Incubators
    • • 13.8 Drug Delivery Devices
    • • 13.9 Surgical Instruments
    • • 13.10 Therapeutic Applications of the Laser
    • • Problems
    • • References
  14. Chapter 14: Electrical Safety

    • • 14.1 Physiological Effects of Electricity
    • • 14.2 Important Susceptibility Parameters
    • • 14.3 Distribution of Electric Power
    • • 14.4 Macroshock Hazards
    • • 14.5 Microshock Hazards
    • • 14.6 Electrical-Safety Codes and Standards
    • • 14.7 Basic Approaches to Protection Against Shock
    • • 14.8 Protection: Power Distribution
    • • 14.9 Protection: Equipment Design
    • • 14.10 Electrical-Safety Analyzers
    • • 14.11 Testing the Electric System
    • • 14.12 Tests of Electric Appliances
    • • 14.13 Conclusion
    • • Problems
    • • References
  15. Chapter Appendix: Appendix

    • • A.1 Physical Constants
    • • A.2 International System of Units (SI) Prefixes
    • • A.3 International System of Units
    • • A.4 Abbreviations
    • • A.5 Chemical Elements

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