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Введение в биомедицинскую инженерию. Учебное пособие

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Министерство образования и науки Российской Федерации
Федеральное государственное бюджетное
образовательное учреждение высшего образования
«Тамбовский государственный технический университет»
И. Е. Ильина, О. Н. Морозова
ИНЖЕНЕРИЮ
INSIGHT INTO BIOMEDICAL
ENGINEERINH
Утверждено Учёным советом университета
в качестве учебного пособия для студентов, бакалавров, магистров и аспирантов, обучающихся по направлениям
медико-технической подготовки
Учебное электронное издание
комплексного распространения
Тамбов
Издательство ФГБОУ ВО «ТГТУ»
2017
1
УДК 6:378=111(075.8) ББК Р.с5я73 И45
Рецензенты:
Кандидат филологических наук, доцент кафедры международной
профессиональной и научной коммуникации ФГБОУ ВО «ТГТУ»
Т. В. Мордовина
Доктор культурологии, профессор кафедры лингвистического
обеспечения бизнес-процессов ФГБОУ ВО «ТГУ им. Г. Р. Державина»
Т. Г. Бортникова
И45 Введение в биомедицинскую инженерию [Электронный ре-
Все права на размножение и распространение в любой форме остаются за разработчиком.
ISBN 978-5-8265-1701-7
2
Ильина, И. Е.
сурс] : учебное пособие / И. Е. Ильина, О. Н. Морозова. – Тамбов : Изд-во ФГБОУ ВО «ТГТУ», 2017. – 1 электрон. опт. диск (CD-ROM). – Системные требования : ПК не ниже класса Pentium II ;
8 Mb ; RAM ; Windows 95/98/XP ; мышь. –
CD-ROM-дисковод
с экрана.
Загл.
IS
BN 978-5-8265-1701-7
Рассматриваются современные проблемы и перспективы развития основных направлений биомедицинской инженерии (БМИ): роль и зна­чимость фундаментальных и прикладных медико-технических иссле­дований и разработок, являющихся важными элементами развития и повышения эффективности системы национального здравоохранения. Приведены примеры применения современных достижений БМИ в практической медицине, реабилитационной индустрии, медицине критических состояний, человеко-машинных системах. Большое вни­мание у наносистемы и бионанотехнологии, микро- и нанороботы, медицин­ские микросистемы, биологические волновые воздействия на организм человека, неинвазивные методы диагностики.
тов, обучающихся по направлениям медико-технической подготовки, а также специалистов, работающих в области биомедицинской техники.
д
елено таким инновационным направлениям БМИ, как био-
Предназначено для студентов, бакалавров, магистрантов и аспиран-
23,
УДК 6:378=111(075.8) ББК Р.с5я73
Нелегальное копирование и использование данного продукта запрещено.
© Федеральное государственное бюджетное образовательное учреждение высшего образования «Тамбовский государственный технический
университет»(ФГБОУ ВО «ТГТУ»), 2017
В связи с необходимостью создания учебника нового типа, органически и системно включающего в себя профессионально­направленные иллюстрированные тексты, а также специальные задания, дополняющие и развивающие основную тему урока, мы сочли возможным предложить свою концепцию построения обучающих заданий. Она заключается в чёткой согласованности предтекстовых, текстовых и послетекстовых заданий с основной

ВВЕДЕНИЕ (INTRODUCTION)

темой урока и постеп пересказу, диалогу и составлению письменных документов через систему логических, заданий.
Учебник состоит из восьми учебных блоков (Units) и рассчитан на 144 ч аудиторных и 144 ч самостоятельных занятий (1 – 4 семестры в неязыковых вузах).
Каждый блок посвящён определённой теме из области биомедицинской инженерии, которая раскрывается с помощью
профессионально-направленных текстов, а также са
работ, дополняющих и развивающих эту тему. Это специально разработанная система учебных заданий рецептивного (аккумуля­тивного), репродуктивного и продуктивного характера.
После каждого урока помещён англо-русский словарь (слова, словосочетания и специальные термины).
Тексты призваны сформировать у студентов понятия о биомедицинской инженерии и современных требованиях, предъявляемых к выпускникам, которые в будущем, став
иалистами, будут развивать российскую биомедицинскую
спец инженерию.
енном подведении студентов к переводу,
мостоятельных
3
U n i t 1
WHAT IS MEDICAL ENGINEERING?
Starting Point
1. Do you know what medical engineering is? What does
it encompass? What are the alternative names of this science?
Do you agree that medical engineering:
a) Is the study of how to use machines for treating diseased people.
b) Is a subject integrating professional engineering activities with a basic medical knowledge.
c) Studies the influence of technological progress on the medical science.
2. Try to explain your reasons for studying medical
engineering.
Think of at least three main aspects in favor of choosing medical engineering as a future profession.
3. Make a list of as many medical engineering specialties
as you know.
4
Reading
1. Read the first part of the text and put the appropriate
sentence in the beginning of each paragraph.
a) Medical Engineers are needed for the healthcare industry.
b) As a Medical Engineer you will have the opportunity to get involved in a wide range of exciting projects.
c) Medical Engineering encompasses a broad range of activities, and is alternatively called Bioengineering and Biomedical Engineering.
d) The efforts of Medical Engineers benefit millions of people every year.
e) Job prospects for Medical Engineers are excellent and varied.
f) And in the future, applications which today might seem unrealistic are already being developed in research labs around the world.
Part 1
What is Medical Engineering?
1. ___ It is a multi-disciplinary subject integrating professional engineering activities with a basic medical knowledge of the human body and an understanding of how it functions when healthy, diseased or injured. Many of the advances in this field now seem commonplace – hip replacements, pacemakers, medical imaging, life support systems and medical lasers are just a few examples of the results of the work of Medical Engineers.
2. ___ It is the world's biggest industrial sector, which has a turnover approaching £100 billion per annum and is currently expanding at a rate of 7% per annum. The opportunities for Medical Engineering graduates are enormous and it is one of the few areas of engineering that is expected to continue to grow for many years.
3. ___ They can be employed in companies working on the design, development and manufacture of medical devices; in hospitals working with clinical colleagues in providing non-clinical services; in academic or governmental research facilities; and in government regulatory agencies. They can also work as technical advisers for marketing departments.
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4. ___ Hip replacement surgery is now a very common operation, which has brought renewed mobility and reduced pain to millions of people worldwide. Despite its success, there is still a great deal of work being undertaken to improve the performance of artificial hip joints still further, and in particular to extend their lives so they can be used in younger and more active patients. Indeed, replacement joints are now available for most of the articulating joints of the human body. Artificial limbs are also becoming increasingly sophisticated, and a bionic arm has recently been supplied to a patient that has powered finger, wrist, elbow and shoulder movement. Soon these limbs will be controlled directly by muscle and tendon contacts.
5. ___ For example, an artificial retina chip has been developed which can be implanted in the eye to replace a damage retina and partly restore lost vision. You will know that it is already possible to restore lost hearing, but electronic circuits are also under development to restore the senses of smell and taste. Similarly, artificial tendons have already been developed and approved for use in patients, and now materials are being developed that respond to electrical currents and behave in a similar way to human muscles.
6. ___ They allow healthcare providers to supply better care and treatment to patients through the use of technology. So if you want to follow a career that is dynamic, interesting, exciting and challenging, can directly affect the quality of all our lives, has great employment potential now and in the future, then consider a degree in Medical Engineering.
Author: Dr M J Fagan, School of Engineering, University of Hull
http://www.science-engineering.net/medical_engineering.htm
6
2. Read the second part of the text about the subdisciplines within Biomedical Engineering:
Part 2
BME Specialty Areas
1. In this field there is continual change and creation of new areas
due to rapid advancement in technology; however, some of the well established specialty areas within the field of biomedical engineering are: bioinstrumentation; biomaterials; biomechanics; cellular, tissue
and genetic engineering; clinical engineering; medical imaging; orthopaedic surgery; rehabilitation engineering; and systems physiology.
2. Bioinstrumentation is the application of electronics and measurement techniques to develop devices used in diagnosis and treatment of disease. Computers are an essential part of bioinstrumentation, from the microprocessor in a single-purpose instrument used to do a variety of small tasks to the microcomputer needed to process the large amount of information in a mediсal imaging system.
3. Biomaterials include both living tissue and artificial materials used for implantation. Understanding the properties and behavior of living material is vital in the design of implant materials. The selection of an appropriate material to place in the human body may be one of the most difficult tasks faced by the biomedical engineer. Certain metal alloys, ceramics, polymers, and composites have been used as implantable materials. Biomaterials must be nontoxic, non-carcinogenic, chemically inert, stable, and mechanically strong enough to withstand the repeated forces of a lifetime. Newer biomaterials even incorporate living cells in order to provide a true biological and mechanical match for the living tissue.
4. Biomechanics applies classical mechanics (statics, dynamics, fluids, solids, thermodynamics, and continuum mechanics) to biological or medical problems. It includes the study of motion, material deformation, flow within the body and in devices, and transport of
7
chemical constituents across biological and synthetic media and membranes. Progress in biomechanics has led to the development of the artificial heart and heart valves, artificial joint replacements, as well as a better understanding of the function of the heart and lung, blood vessels and capillaries, and bone, cartilage, intervertebral discs, ligaments and tendons of the musculoskeletal systems.
5. Cellular, Tissue and Genetic Engineering involve more recent attempts to attack biomedical problems at the microscopic level. These areas utilize the anatomy, biochemistry and mechanics of cellular and sub-cellular structures in order to understand disease processes and to be able to intervene at very specific sites. With these capabilities, miniature devices deliver compounds that can stimulate or inhibit cellular processes at precise target locations to promote healing or inhibit disease formation and progression.
6. Clinical Engineering is the application of technology to health care in hospitals. The clinical engineer is a member of the health care team along with physicians, nurses and other hospital staff. Clinical engineers are responsible for developing and maintaining computer databases of medical instrumentation and equipment records and for the purchase and use of sophisticated medical instruments. They may also work with physicians to adapt instrumentation to the specific needs of the physician and the hospital. This often involves the interface of instruments with computer systems and customized software for instrument control and data acquisition and analysis. Clinical engineers are involved with the application of the latest technology to health care.
7. Medical Imaging combines knowledge of a unique physical phenomenon (sound, radiation, magnetism, etc.) with high speed electronic data processing, analysis and display to generate an image. Often, these images can be obtained with minimal or completely noninvasive procedures, making them less painful and more readily repeatable than invasive techniques.
8. Orthopaedic Bioengineering is the specialty where methods of engineering and computational mechanics have been applied for the understanding of the function of bones, joints and muscles, and for the design of artificial joint replacements. Orthopaedic bioengineers analyze the friction, lubrication and wear characteristics of natural and artificial
8
joints; they perform stress analysis of the musculoskeletal system; and they develop artificial biomaterials (biologic and synthetic) for replacement of bones, cartilages, ligaments, tendons, meniscus and intervertebral discs. They often perform gait and motion analyses for sports performance and patient outcome following surgical procedures. Orthopaedic bioengineers also pursue fundamental studies on cellular function, and mechano-signal transduction.
9. Rehabilitation Engineering is a growing specialty area of biomedical engineering. Rehabilitation engineers enhance the capabilities and improve the quality of life for individuals with physical and cognitive impairments. They are involved in prosthetics, the development of home, workplace and transportation modifications and the design of assistive technology that enhance seating and positioning, mobility, and communication. Rehabilitation engineers are also developing hardware and software computer adaptations and cognitive aids to assist people with cognitive difficulties.
10. Systems Physiology is the term used to describe that aspect of biomedical engineering in which engineering strategies, techniques and tools are used to gain a comprehensive and integrated understanding of the function of living organisms ranging from bacteria to humans. Computer modeling is used in the analysis of experimental data and in formulating mathematical descriptions of physiological events. In research, predictor models are used in designing new experiments to refine our knowledge. Living systems have highly regulated feedback control systems that can be examined with state-of-the-art techniques. Examples are the biochemistry of metabolism and the control of limb movements.
3. Scan the text and write the number of the paragraph where you can find the information including:
a) the properties and behavior of living material b) miniature devices c) minimal or completely noninvasive procedures d) the application of electronics and measurement techniques e) feedback control systems f) progress in biomechanics g) physical and cognitive impairments
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h) well established specialty areas i) stress analysis of the musculoskeletal system j) the interface of instruments with computer systems
Comprehension check
1. Match the following words with their translations:
1) healthcare industry a) невероятные способы применения
2) Biomedical
b) исследовательские лаборатории
Engineering
3) unrealistic
c) чип искусственной сетчатки глаза
applications
4) exciting projects d) стимуляторы сердечной мышцы
5) research labs e) оборудование для поддержания жизнедеятельности
6) a multi-disciplinary
f) биомедицинская инженерия
subject
7) an artificial retina chip g) медицинские службы
8) diseased or injured
h) департаменты управления
body
9) artificial hip joints i) операции по замене бедра
10) pacemakers j) медицинская промышленность
11) medical imaging k) контакты, управляющие мускулами и сухожилиями
12) life support systems l) электронные схемы
13) healthcare providers m) организм, подвергшийся заболеванию или травме
14) enormous
opportunities
15) government
regulatory agencies
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n) механическая рука
o) диагностическая визуализация (мед. интроскопия)
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