Mårtensson Mattias, Olsson Mats, Segall Björn, Fraser Alan G, Winter Reidar, Brodin Lars-Ake
School for Technique and Health, KTH, Campus Flemingsberg, Huddinge, Sweden. mmar@kth
Eur J Echocardiogr. 2009 May;10(3):389-94. doi: 10.1093/ejechocard/jen295. Epub 2008 Oct 22.
The objective was to evaluate the function of ultrasound transducers in use in routine clinical practice and thereby estimating the incidence of defective transducers.
The study comprised a one-time test of 676 transducers from 7 manufacturers which were in daily use in clinical departments at 32 hospitals. They were tested with the Sonora FirstCall Test System; 39.8% exhibited a transducer error. Delamination was detected in 26.5% and break in the cable was detected in 8.4% of the tested transducers. Errors originating from the piezoelectrical elements were unusual. Delamination and short circuit occurred without significant differences between transducers from all tested manufacturers, but the errors break in the cable, weak and dead element showed a statistically significant higher frequency in transducers from certain manufacturers.
The high error frequency and the risk for incorrect medical decisions when using a defective transducer indicate an urgent need for increased testing of the transducers in clinical departments.
本研究旨在评估常规临床实践中使用的超声换能器的功能,从而估计有缺陷换能器的发生率。
本研究对来自7家制造商的676个换能器进行了一次性测试,这些换能器在32家医院的临床科室中每日使用。使用索诺拉FirstCall测试系统对它们进行测试;39.8%的换能器存在误差。在26.5%的测试换能器中检测到分层,在8.4%的测试换能器中检测到电缆断裂。源自压电元件的误差并不常见。所有测试制造商的换能器在分层和短路方面没有显著差异,但电缆断裂、元件微弱和元件失效等误差在某些制造商的换能器中出现的频率在统计学上显著更高。
使用有缺陷的换能器时误差频率高且存在做出错误医疗决策的风险,这表明临床科室迫切需要增加对换能器的检测。