Preface |
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xvii | |
Scope of This Book |
|
xix | |
Acknowledgments |
|
xxi | |
Author |
|
xxiii | |
1 Introduction |
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1 | (32) |
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Objectives for This Chapter |
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1 | (1) |
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History of Medical Devices |
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1 | (11) |
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5 | (2) |
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7 | (1) |
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8 | (2) |
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10 | (2) |
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Typical Course Outline for a BMET Program |
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12 | (5) |
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Characteristics of Human Anatomy and Physiology That Relate to Medical Devices |
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17 | (1) |
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Electrical Signals and Conductivity |
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17 | (1) |
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18 | (6) |
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24 | (1) |
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25 | (1) |
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26 | (2) |
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28 | (1) |
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28 | (1) |
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28 | (2) |
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29 | (1) |
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30 | (1) |
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30 | (1) |
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31 | (2) |
2 Diagnostic Devices: Part One |
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33 | (34) |
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Objectives for This Chapter |
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33 | (1) |
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Physiological Monitoring Systems |
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33 | (11) |
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33 | (4) |
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Integration and Connectivity |
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37 | (1) |
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38 | (3) |
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41 | (3) |
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44 | (14) |
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ECG Monitors and Machines |
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44 | (5) |
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49 | (1) |
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49 | (1) |
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Internally Generated Artifacts |
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49 | (1) |
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Externally Generated Artifacts |
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49 | (2) |
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51 | (1) |
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51 | (3) |
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54 | (1) |
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54 | (1) |
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Waveform Analysis and Measurements |
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54 | (2) |
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56 | (1) |
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56 | (1) |
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56 | (1) |
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57 | (1) |
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58 | (3) |
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60 | (1) |
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61 | (1) |
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61 | (2) |
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62 | (1) |
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Ambulatory ECG Recorders/Analysis Systems |
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63 | (1) |
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64 | (1) |
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65 | (1) |
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65 | (2) |
3 Diagnostic Devices: Part Two |
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67 | (32) |
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Objectives for This Chapter |
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67 | (1) |
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Circulatory System and Blood |
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67 | (2) |
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67 | (1) |
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68 | (1) |
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69 | (1) |
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Blood Pressure Measurement |
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69 | (1) |
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Invasive Blood Pressure Monitors |
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69 | (1) |
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70 | (2) |
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Noninvasive Blood Pressure Monitors |
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70 | (2) |
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Pressure Measurement Cycle |
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72 | (2) |
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73 | (1) |
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New Developments in NBP Measurements |
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74 | (1) |
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74 | (4) |
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Transcutaneous CO2 Analyzers |
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78 | (1) |
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Blood Chemistry Analyzers |
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79 | (1) |
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80 | (2) |
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Doppler Blood Flow Detectors |
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82 | (2) |
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84 | (3) |
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Pulmonary Function Analyzers |
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84 | (2) |
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86 | (1) |
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86 | (1) |
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Pulmonary Function Analyzer |
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87 | (1) |
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87 | (1) |
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88 | (1) |
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89 | (1) |
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90 | (2) |
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92 | (1) |
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EEG Monitors and Machines |
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93 | (3) |
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96 | (1) |
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96 | (1) |
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97 | (1) |
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|
97 | (2) |
4 Diagnostic Devices: Part Three |
|
99 | (28) |
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Objectives for This Chapter |
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99 | (1) |
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99 | (11) |
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99 | (11) |
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99 | (1) |
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99 | (2) |
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101 | (1) |
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102 | (2) |
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104 | (6) |
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110 | (4) |
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Oto/Laryngo/Ophthalmoscopes |
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110 | (1) |
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110 | (1) |
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111 | (1) |
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111 | (2) |
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113 | (1) |
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114 | (7) |
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114 | (1) |
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115 | (3) |
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118 | (1) |
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119 | (2) |
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Skin, Bone, Muscle, and Miscellaneous |
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121 | (4) |
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121 | (3) |
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Electronic Probe Thermometers |
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121 | (2) |
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123 | (1) |
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Temporal Artery Thermometers |
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124 | (1) |
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124 | (1) |
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124 | (1) |
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125 | (1) |
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|
125 | (2) |
5 Diagnostic Imaging |
|
127 | (18) |
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Objectives for This Chapter |
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127 | (1) |
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127 | (1) |
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127 | (2) |
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127 | (1) |
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128 | (1) |
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129 | (1) |
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129 | (1) |
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Effects and Dosage Limits |
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129 | (1) |
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130 | (1) |
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130 | (1) |
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130 | (1) |
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General Purpose X-Ray Rooms |
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131 | (3) |
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134 | (1) |
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Computerized (Axial) Tomography Scanners |
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134 | (2) |
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Magnetic Resonance Imaging Scanners |
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136 | (2) |
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Positron Emission Tomography |
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138 | (2) |
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140 | (1) |
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Picture Archiving and Communication System |
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|
140 | (2) |
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142 | (1) |
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|
142 | (3) |
6 Treatment Devices: Part One |
|
145 | (42) |
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Objectives for This Chapter |
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|
145 | (1) |
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|
145 | (7) |
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145 | (4) |
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146 | (1) |
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146 | (1) |
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147 | (1) |
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148 | (1) |
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148 | (1) |
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148 | (1) |
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148 | (1) |
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149 | (3) |
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149 | (1) |
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|
149 | (3) |
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|
152 | (5) |
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Internal (Implantable) Defibrillators |
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|
152 | (1) |
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External Manual Defibrillators |
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|
153 | (3) |
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ECG Measurement and Analysis |
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|
154 | (1) |
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154 | (1) |
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155 | (1) |
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155 | (1) |
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156 | (1) |
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156 | (1) |
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156 | (1) |
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Automatic External Defibrillators |
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157 | (1) |
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158 | (3) |
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158 | (1) |
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159 | (2) |
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161 | (1) |
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161 | (1) |
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|
161 | (1) |
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Circulatory System and Blood |
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|
161 | (1) |
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|
161 | (1) |
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Ventricular Assist Devices |
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|
162 | (1) |
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Intra-Aortic Balloon Pumps |
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|
162 | (1) |
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|
163 | (1) |
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Sequential Compression Devices |
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|
164 | (1) |
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|
165 | (1) |
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|
166 | (1) |
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Intravenous Fluid Administration Pumps |
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167 | (5) |
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167 | (1) |
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168 | (1) |
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168 | (1) |
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169 | (1) |
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|
169 | (3) |
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Patient Controller Analgesia Pumps |
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|
172 | (4) |
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Safety Features of IV Pumps |
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|
176 | (1) |
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176 | (8) |
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|
176 | (8) |
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184 | (1) |
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184 | (1) |
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185 | (1) |
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186 | (1) |
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|
186 | (1) |
7 Treatment Devices: Part Two |
|
187 | (28) |
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Objectives for This Chapter |
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|
187 | (1) |
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|
187 | (1) |
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|
187 | (1) |
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|
188 | (1) |
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|
189 | (6) |
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|
193 | (2) |
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|
195 | (1) |
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Electroconvulsive Therapy Machines |
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|
196 | (1) |
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197 | (1) |
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|
198 | (1) |
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|
199 | (4) |
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|
199 | (1) |
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Water Purification System |
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|
200 | (1) |
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|
200 | (2) |
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202 | (1) |
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202 | (1) |
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203 | (2) |
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205 | (4) |
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209 | (4) |
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|
209 | (3) |
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212 | (1) |
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213 | (1) |
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|
214 | (1) |
8 Treatment Devices: Part Three |
|
215 | (36) |
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Objectives for This Chapter |
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|
215 | (1) |
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|
215 | (2) |
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Bilirubin Therapy Systems |
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|
215 | (2) |
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|
217 | (4) |
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|
221 | (2) |
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|
223 | (1) |
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Skin, Bone, Muscle, and Miscellaneous |
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|
224 | (7) |
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|
224 | (3) |
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227 | (4) |
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|
231 | (2) |
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233 | (2) |
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233 | (1) |
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Neodymium-Doped Yttrium Aluminum Garnet Lasers |
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|
234 | (1) |
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234 | (1) |
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234 | (1) |
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234 | (1) |
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235 | (1) |
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235 | (1) |
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236 | (3) |
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239 | (2) |
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|
240 | (1) |
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240 | (1) |
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|
240 | (1) |
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|
241 | (1) |
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Continuous Passive Motion |
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|
241 | (1) |
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|
242 | (4) |
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242 | (1) |
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|
242 | (1) |
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|
242 | (2) |
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|
244 | (1) |
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Transcutaneous Electrical Nerve Stimulators |
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|
245 | (1) |
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|
246 | (3) |
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Ultraviolet Light Therapy |
|
|
246 | (1) |
|
Sequential Compression Devices |
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|
247 | (11) |
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|
248 | (1) |
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|
249 | (1) |
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|
249 | (2) |
9 BMET Work |
|
251 | (24) |
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Objectives for This Chapter |
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|
251 | (1) |
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|
251 | (1) |
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|
251 | (1) |
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|
252 | (1) |
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|
253 | (5) |
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Other Safety Considerations |
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|
258 | (5) |
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|
258 | (1) |
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|
258 | (1) |
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|
259 | (1) |
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|
260 | (2) |
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|
262 | (1) |
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|
263 | (3) |
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Troubleshooting Techniques |
|
|
266 | (7) |
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|
273 | (1) |
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|
273 | (1) |
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|
274 | (1) |
10 Testers and Tools |
|
275 | (34) |
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Objectives for This Chapter |
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|
275 | (1) |
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|
275 | (1) |
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|
275 | (2) |
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|
275 | (2) |
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|
277 | (5) |
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|
280 | (2) |
|
Specialized Biomedical Test Equipment |
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|
282 | (17) |
|
|
282 | (2) |
|
Infusion Device Analyzers |
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|
284 | (2) |
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|
286 | (3) |
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|
289 | (1) |
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|
290 | (2) |
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|
292 | (1) |
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|
293 | (3) |
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|
296 | (1) |
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Specialized Calibration and Testing Devices |
|
|
297 | (2) |
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|
299 | (4) |
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|
299 | (3) |
|
Specialized Tools and Components |
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|
302 | (1) |
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|
302 | (1) |
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303 | (2) |
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305 | (2) |
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|
307 | (1) |
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|
307 | (2) |
11 Batteries, Radiation, and Computers |
|
309 | (14) |
|
Objectives for This Chapter |
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|
309 | (1) |
|
|
309 | (6) |
|
Nonrechargeable Batteries |
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|
310 | (1) |
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|
310 | (1) |
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|
310 | (1) |
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311 | (1) |
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|
311 | (4) |
|
|
311 | (1) |
|
Nickel-Metal Hydride or NiMH |
|
|
312 | (1) |
|
Nickel-Cadmium or NiCad, NiCd |
|
|
312 | (1) |
|
|
313 | (2) |
|
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315 | (1) |
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|
315 | (1) |
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Electromagnetic Radiation |
|
|
316 | (1) |
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|
317 | (1) |
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|
317 | (1) |
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|
317 | (1) |
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|
317 | (1) |
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Analog-to-Digital Conversion |
|
|
318 | (3) |
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|
318 | (1) |
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|
319 | (2) |
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|
321 | (1) |
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|
321 | (2) |
12 Health Technology Management |
|
323 | (4) |
|
Objectives for This Chapter |
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|
323 | (1) |
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|
323 | (1) |
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|
323 | (1) |
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|
323 | (1) |
|
Technology Management Software |
|
|
324 | (2) |
|
Equipment Management Systems |
|
|
325 | (1) |
|
|
326 | (1) |
|
|
326 | (1) |
13 Regulations and Standards |
|
327 | (10) |
|
Objectives for This Chapter |
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|
327 | (1) |
|
|
327 | (1) |
|
Standards and Regulations Organizations |
|
|
328 | (7) |
|
International Electrotechnical Commission |
|
|
328 | (1) |
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|
328 | (1) |
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|
328 | (1) |
|
National Fire Protection Association |
|
|
328 | (1) |
|
International Organization for Standardization |
|
|
329 | (1) |
|
|
329 | (1) |
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|
329 | (1) |
|
ISO 9000Quality Management |
|
|
330 | (1) |
|
ISO 31000Risk Management |
|
|
330 | (1) |
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|
330 | (1) |
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|
330 | (1) |
|
Electro-Medical Equipment |
|
|
331 | (1) |
|
Testing and Certification |
|
|
331 | (1) |
|
|
331 | (1) |
|
|
332 | (1) |
|
|
332 | (1) |
|
About Underwriters Laboratories of Canada |
|
|
332 | (1) |
|
Standards Council of Canada |
|
|
333 | (1) |
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|
333 | (1) |
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|
333 | (1) |
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Food and Drug Administration |
|
|
333 | (1) |
|
Products and Medical Procedures |
|
|
333 | (1) |
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|
333 | (1) |
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|
333 | (1) |
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|
333 | (1) |
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|
334 | (1) |
|
Association for the Advancement of Medical Instrumentation |
|
|
334 | (1) |
|
American National Standards Institute |
|
|
334 | (1) |
|
Institute of Electrical and Electronics Engineers |
|
|
334 | (1) |
|
|
334 | (1) |
|
Therapeutic Goods Administration |
|
|
335 | (1) |
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|
335 | (1) |
|
|
335 | (2) |
14 A Gallery of Real-Life Problems |
|
337 | (12) |
15 Anatomy Color Insert |
|
349 | (12) |
Appendix A: Normal Values |
|
361 | (4) |
Appendix B: Biomedical Engineering Technology Programs in the United States and Canada |
|
365 | (10) |
Appendix C: Biomed Associations |
|
375 | (6) |
Appendix D: Devices and Manufacturers |
|
381 | (2) |
Appendix E: Test Equipment Manufacturers |
|
383 | (2) |
Appendix F: Bibliography and Internet Resources |
|
385 | (2) |
Appendix G: Image Credits |
|
387 | (6) |
Index |
|
393 | |