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Breathing Under Pressure

Respiratory care is a complex branch of the medical industry.  Not everyone that has a hand in it understands the science behind the practice, but there are a few basics that are useful for everyone.  There are many different pressure measurements used in respiratory care and the differences are not always clear.  These are some of the more prevalent measurements one might encounter when working with a respiratory therapist.    Proximal Pressure (P Prox ): Pressure...
Posted by wbaldwin@michinst.com at 9:33 AM | 0 comments

Simulations in Which a Breathing Patient is Useful

With the rise of the simulation industry respiratory labs have begun to push for manikins and machines that can breathe on their own.  The reasons for this are obvious to someone immersed in respiratory care, but to the lay observer the demand can be confusing.  The following are simulations in which a breathing patient is useful, along with an explanation of why.    Continuous Positive Airway Pressure (CPAP)—Designed as a tool to keep airways open, a slightly...
Posted by wbaldwin@michinst.com at 10:03 AM | 0 comments

Dubai vs. Dusseldorf

When talking about large medical shows it is difficult to talk any larger than Medica—the age old annual conference held in Dusseldorf, Germany.  Recent years, however, have seen the rise of a new giant in this industry—Arab Health.  This Dubai based show captured our attention as an opportunity to work our way into the Middle Eastern market which had previously been less accessible to us.  Vic Frigo has represented Michigan Instruments at both Medica and Arab...
Posted by wbaldwin@michinst.com at 10:45 AM | 0 comments

Simulation in Healthcare—An Exhibitor’s Perspective

The International Meeting on Simulation in Healthcare (IMSH) took place last week in San Francisco, CA.  This annual conference has become one of my favorite to attend because of how quickly the industry changes.  Back in 2012 the highlight of the show was military simulation.  A year later in 2013 sequestration and spending cuts had forced a shift in the market and prompted a new push toward mobile technology.  2014 showed us another turn, demanding further attention to...
Posted by wbaldwin@michinst.com at 4:28 PM | 0 comments

Optimizing Your Site for Mobile Users

Mobile traffic to the Michigan Instruments website has risen 341% in the last 24 months.  This represents a larger demographic than is provided by all of our online partnerships combined and a significant source of value to our company.  This growth in mobile traffic, however, is not limited to Michigan Instruments.com.  The carrier market for phone technology has become increasingly competitive, leading to greatly reduced prices for mobile devices; and the convenience factor of...
Posted by wbaldwin@michinst.com at 11:23 AM | 0 comments

Modern Marketing: Why the Trade Show

The arrival of web based marketing techniques has made the marketing industry considerably more competitive.  Many companies have begun to question the high costs of trade shows when the same money could be spent online to get the products in front of tens of thousands of fresh eyes, all without the added expense of travel.  I don’t think that anyone is going to deny the benefits of a web based inbound marketing technique, but let’s not forget that trade shows are also...
Posted by wbaldwin@michinst.com at 9:24 AM | 0 comments

High Frequency Oscillatory Ventilation Part 3 of 3

In HFOV tidal volume and LPM (flow) values can be exceptionally difficult to monitor.  Several third party devices have been developed to monitor this, but due to a lack of any solid standard of operation it is still considered to increase patient risk over conventional ventilation.  Currently, HFOV has found a niche in non-conventional settings, primarily in the treatments of neonatal patients and some adult cases where the patient is considered to be past the point at which...
Posted by wbaldwin@michinst.com at 9:30 AM | 0 comments

High Frequency Oscillatory Ventilation-Part Two

Due to difficulties in assessing the outputs (from the patient’s perspective) of HFOV ventilators many analysts have resorted to monitoring pressure outputs; the theory being that so long as an adequate FIO2 (fraction of inspired oxygen) reaches the patient and the pressures remain safe, the ventilation is a success.  Unfortunately this method does little to help us understand HFOV on a deeper level, and without this understanding it is difficult to know how the science and practice...
Posted by wbaldwin@michinst.com at 4:45 PM | 0 comments

High Frequency Oscillatory Ventilation-Part One

Acute Respiratory Distress Syndrome, or ARDS, is by no means a new condition in the respiratory care industry, but there are certainly some new treatments being tested to help treat it.  Herneations, H1N1, SARS and many other conditions are all forms of ARDS, and it can affect patient of almost any age.  High frequency oscillatory ventilation (or HFOV) is an innovative form of respiratory care that, in America, is not widely used or understood.  Fortunately, the concept is...
Posted by wbaldwin@michinst.com at 4:24 PM | 0 comments

The Confusing Process of International Regulation

For many, the process of gaining regulatory approval can be long and confusing, especially if that approval is sought overseas.  While this is not always an easy process there are a few things that you should remember whenever you are attempting to get your products approved in a new country.    ISO, or the International Organization of Standardization, is the primary supplier of international regulatory standards, but compliance with ISO standards does not guarantee...
Posted by wbaldwin@michinst.com at 4:27 PM | 0 comments

CAPA Part 1—Introduction

All problems in the professional world have a financial impact on the companies associated with them. For this reason many procedures have been developed to troubleshoot and identify potential problems within a business.  One tool that is often used to help ensure efficiency is a formal Corrective and Preventive Actions (CAPA) program. Formal CAPA programs allow the companies that implement them the ability to monitor and maintain their quality system.  It is for these reasons...
Posted by wbaldwin@michinst.com at 2:02 PM | 0 comments

International Search Engines and Optimization

Whenever search engines are mentioned Google is probably the first thing that comes to mind.  It is one of the largest, most widely used engines in North America and is a staple in many of our lives.  When building a website a company or individual should consider how their pages will appear to Google (as well as other search engines such as Yahoo and Bing) in order to get the largest possible visitor base.  The optimization of this appearance has been a growing industry over...
Posted by wbaldwin@michinst.com at 9:05 AM | 0 comments

Military vs. Medical: Five Things Private Simulation Labs Need

It is no secret that military spending has gone down since sequestration (and other spending cuts), and one of the areas to take a major hit from this was in simulation.  I remember attending the International Meeting on Simulation in Healthcare at the San Diego Convention Center about a year and a half ago.  The sounds of my automated ventilator were constantly drowned out by faux gunfire and helicopter blades.  Half of the people that walked by my booth were in uniform. ...
Posted by wbaldwin@michinst.com at 9:56 AM | 0 comments

6 Steps to a Quick, Painless FDA Audit

So you’re in the medical device business and going about your normal routine when the phone rings. On the other end is an FDA inspector announcing their intent to conduct a surveillance audit of your facility. As you hang up the phone you’re bound to be a little edgy—this can be a lengthy, frustrating process especially if your documents are not in order.  Fortunately there are plenty of steps that can be taken to make sure that these procedures go as quickly and as...
Posted by wbaldwin@michinst.com at 4:15 PM | 0 comments

Meet Julia

  Cardiac arrest is the leading cause of death in America, but it is an event that is survivable.  Last week I had the pleasure of going down to Greensboro North Carolina to talk with Julia Sims and her family about her true, complete recovery.    Julia Sims has experienced a perfect day.  On March 19, 2011 she suffered a massive cardiac arrest, months in the making. It came as a complete surprise even after an EKG/Stress test and a professional cardiologist...
Posted by wbaldwin@michinst.com at 10:19 AM | 0 comments

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