Management Philosophy Clinical Engineering

Kobe City Medical Center General Hospital
Clinical Engineering Director
Hiroyuki Mima
  1. Provide high-quality and safe medical care through the operation and maintenance of medical equipment.
  2. Respond flexibly to the development and sophistication of medical care, and contribute to the improvement of hospital functions.
  3. Acquire techniques for medical safety and advanced techniques to improve safety.
  4. Contribute to team medical care by proposing effective use of medical resources and providing technology and knowledge.

As a core hospital 24 hours a day, 365 days a year, in order to protect the lives and health of citizens, and to serve the purpose of safely providing patient-centered, high-quality medical care, each floor is equipped with emergency and video equipment so that you can experience multiple tasks on a daily basis. Work is divided among four departments: medical department, central medical equipment management department, surgical department, and intensive care/blood purification department.

In addition, we not only participate in but also hold workshops and study sessions for the purpose of responding flexibly to the development and sophistication of medical care and improving safety.

Kobe City Medical Center General Hospital
Chief Clinical Engineering
Ichiro Sakaji

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Staff introduction

Position Full name
Director Hiroyuki Mima
chief engineer Ichiro Sakaji
Assistant chief engineer Kazuki Yoshida
Assistant chief engineer Hideharu Hata
  Number of people
Clinical engineer 31 people
surgery department 9 people
Department of Emergency and Imaging Medicine 6 people
Intensive Care and Blood Purification Division Five people
Department of Clinical Support Technology Five people
Central medical equipment management department 3 people
Outsourcing of maintenance and inspection of medical equipment Five people

Instructors, certified specialists, etc.

name Number of people
Certified Clinical Practice Instructor 2 people
Certified Intensive Care Clinical Engineer 3 people
Certified Physician Device Management Clinical Engineer 1 person
Certified Blood Purification Clinical Engineer 2 people
Certified Instructor of the Japanese Society for Acute Blood Purification 1 person
Clinical engineer specializing in respiratory therapy 1 person
Professional clinical engineer for blood purification 1 person
Certified clinical ME specialist 2 people
Certified extracorporeal circulation technology 7 people
Certified dialysis technician 6 people
3 Societies Joint Respiratory Therapy Certified 6 people
Certified Cell Therapy Administrator 1 person
gastrointestinal endoscopist 2 people
Cardiovascular Intervention Technician 1 person
Dialysis Skill Level 2 Test 2 people
CDR(IBHRE) 1 person
ICLS Instructor 1 person
DMAT 1 person

Business performance

Fiscal 2019-2022 business performance

Surgery department work

  2019 2021 2022
Cardiovascular Surgery surgery services Cardiopulmonary bypass (regular) 247 259 240
Cardiopulmonary bypass (emergency)     56
total 247 259 296
MICS cases 12 33 49
on pump     255
Cardiac catheter service TAVI 54 87 103
Mitra Clip 7 14 7
ASD closure 3 11 9
PFO closure 3 7 8
LAA closure   9 3
PTA     4
total 67 128 134
Stent graft business TEVAR 24 12 25
EVAR 26 16 23
total 50 30 48
Autologous blood collection service Cardiovascular Surgery (excluding open heart surgery) 43 52 54
Orthopedic Surgery 44 42 36
Obstetrics and Gynecology 5 11 5
total 92 105 95
For robot-assisted surgery Urology 188 155 290
surgery 73 61 85
Obstetrics and Gynecology 17 36 47
Respiratory Sugery   10 8
total 278 262 430
Operating room work Equipment inspection     307
Interoperative care     1156
Primary response     475
total 3939 2701 1938

Department of Emergency and Imaging Medicine

    2019 2021 2022
IVR center business Regular catheter work 1802 1345 1464
cardiac catheter ablation 605 483 560
CAG 730 388 384
PCI 274 208 232
PTA 57 76 95
TPM placement (CAS) 0 9 14
Implantable Device New/Replacement 136 181 179
Circulatory support introduction (PCPS) *including ECPR 17 21 88
Others (PTMC, BAV) 2 4 4
emergency catheter 336 324 340
intensive care services Hemodialysis (HD) 252 35 105
Plasmapheresis (PE) 30 2 15
Continuous diafiltration (CRRT) 470 104 191
RST round     1852
Primary response     590
ambulance service V-V ECMO 3 2 0
Implantable device check 205 197 225
Equipment inspection 1730 1593 1348

Intensive Care and Blood Purification Division

    2019 2021 2022
Blood purification business Hemodialysis (blood purification center) 3964 3685 3984
Other blood purification 165 197 217
Cell therapy business Cell collection (peripheral blood stem cells, lymphocyte collection, bone marrow enrichment, etc.) 60 50 45
Kymriah 0 10 14
Brayange     1
intensive care services On-site hemodialysis (GICU, GHCU, ward) 341 375 375
Continuous blood purification (day) 315 442 406
PCPS/ECMO (Japan) 28 44 68
IABP (Japan) 36 78 112
pVAD (days) 22 28 30
RT round     764
others Primary response     500

Department of Clinical Support Technology

    2019 2021 2022
Implanted device business Supports remote monitoring 1945 6881 8025
Remote monitoring article description     6142
Compatible with implanted device check 1945 1741 1857
MRI compatible   102 106
pacemaker outpatient   1577 1588
Endoscopy service ERCP (Regular)   618 555
ERCP (emergency)     190
ESD   234 252
expansion balloon   83 108
total 937 935 1105
Respiratory related business RST round 6193 8920 7651
Home ventilator/HOT introduction   123 125
Respiratory data analysis     315
Medical equipment maintenance and inspection work   858 747 1036

Central medical equipment management department

    2019 2021 2022
Medical equipment inspection work ventilator check 648 1113 2792
incubator inspection 210 273 342
others   96 115
Medical device check total 858 1482 3249
Hospital ward medical equipment support Related to ventilators   545 383
Biological information monitor related   299 215
System related     88
Other medical equipment   642 577
Ward medical equipment inspection total   1486 1263
total 4927 2968 4512
Compatible with manufacturers       501
RT round       754

Clinical Engineering Achievement List

  1. Kazuki Yoshida: Anticoagulant management of extracorporeal circulation in our hospital and its problems. Kinki Cardiovascular Therapy Joint Live, Kyoto, 2017.4.22
  2. Masashi Hanaoka, Tetsuya Yoshida, Kyoji Yamada, Teru Nitta, Yuka Ikeda, Jun Sato, Kazuhisa Inoue, Yuki Tanaka, Kazuki Ta, Ichiro Sakaji: Feasibility study using EAP sensor through medical-engineering collaboration. 27th Japan Society for Clinical Engineering, Aomori, 2017.5.21
  3. Hata, H., Yoshida, K., Ohata, T., Nakane, R., Nakamura, M., Hamamoto, Y., Sakaji, I.: Current status and issues of the surgical department for duty work in our hospital. , Hiroshima, May 28, 2018
  4. Tetsuya Yoshida: Development case by a clinical engineer Development of anticancer drug exposure countermeasure infusion set "Antelique". 13th Hyogo Prefecture Association of Clinical Engineers, Nishinomiya, 2017.6.11
  5. Hanaoka M, Yoshida T, Nitta T, Ikeda Y, Sato J, Sakaji K, Ito S, Kado J, Higuchi H, Nagata K, Tomii K: Introduction and utilization of Respiratory Therapy DATABASE. The 39th Japanese Society of Respiratory Care Medicine Annual Scientific Meeting, Tokyo, 2017.7.15
  6. Yuuki Yamashiro, Atsushi Kobori, Yasushi Sasaki, Yumi Tanaka, Tomoya Sugisawa, Yosuke Nakano, Satoshi Nakamura, Masashi Aihara, Junpei Morimoto, Ichiro Sakaji, Yutaka Furukawa: A Study of Pulmonary Vein Morphological Changes after Balloon Ablation: Hotballoon VS Cryoballoon. Catheter Ablation Related Convention 2017, Sapporo, July 7, 2017
  7. Nakamura G, Kobori A, Sasaki K, Tanaka Y, Sugisawa T, Yamashiro Y, Nakano Y, Aihara M, Morimoto J, Sakaji K, Furukawa H: Electrical noise control in hot balloon ablation. The 64th Japanese Heart Rhythm Society Annual Meeting, Yokohama, 2017.9.16
  8. Masashi Hanaoka, Tetsuya Yoshida, Kyoji Yamada, Teru Nitta, Junya Watanabe, Ruka Kishihara, Ichiro Sakaji, Kenta Iwata, Masayo Ishii, Yoshiko Inaoka, Kazuma Nagata, Keisuke Tomii: Attraction of Clinical Engineers by Promoting Team Medical Care About the training.
  9. Masashi Hanaoka, Tetsuya Yoshida, Kyoji Yamada, Junya Watanabe, Ruka Kishihara, Ichiro Sakaji, Kenta Iwata, Masayo Ishii, Yoshiko Inaoka, Kazuma Nagata, Keisuke Tomii: Aspiration training for co-medicals by the team medical care promotion program. 12th Annual Meeting of the Japan Society for Quality and Safety of Medical Care, Chiba, 2018.11.25
  10. Kyoji Yamada, Tetsuya Yoshida, Teru Nitta, Masashi Hanaoka, Junya Watabe, Ruka Kishihara, Ichiro Sakaji, Kiyasu Kim: Management and current status of atrial arrhythmia using a remote monitoring system in our hospital. Convention, Yokohama, 2018.2.12
  11. Satoshi Nakamura, Y. Tanaka, Y. Nakano, Y. Yamashiro, T. Sugisawa, I. Sakaji, J. Takaoka, M. Kohara, A. Kobori, Y. Sasaki, H. Furukawa: Monitoring of exhaled carbon dioxide partial pressure during atrial fibrillation ablation The 82nd Annual Meeting of the The Japanese Circulation Society, Osaka, March 23, 2018.
  12. Tomoya Sugisawa, Yuuki Yamashiro, Yuki Tanaka, Yosuke Nakano, Satoshi Nakamura, Junko Takaoka, Mikiya Ohara: Comparison of left atrial roofline properties by cryoballoon and high-frequency ablation. The 82nd Annual Meeting of the The Japanese Circulation Society, Osaka, March 23, 2018

blood purification center

We perform dialysis for patients who are hospitalized for examinations and treatments, and who are about to start maintenance dialysis. In order to safely and appropriately control dialysis during hospitalization, we perform a wide range of tasks, from treatment to schedule management and equipment maintenance. In addition, as a blood purification therapy, blood is once circulated outside the body to directly remove the disease-causing substances in plasma for diseases and conditions that are difficult to control with conventional oral drugs and injection drugs alone. We restore the body and perform treatments aimed at improving disease and medical conditions.
blood purification center

Operating room

In the operating room, we mainly operate extracorporeal circulation equipment and peripheral equipment during open-heart surgery in aortic disease, ischemic heart disease, and valvular disease. We also maintain and inspect surgery-related equipment to improve medical safety.
Work in the operating room

Cardiology business

In the cardiovascular field, various arrhythmias and ischemic heart disease are treated using the latest technology. Clinical engineers operate and maintain the treatment equipment and examination equipment used in these treatments, and strive to ensure that they can always be used safely. In the treatment of arrhythmia, we operate various devices such as pacemakers, implantable cardioverter defibrillators, and intracardiac electrocardiogram recording devices in cardiac catheter ablation. In the treatment of ischemic heart disease, we operate intravascular imaging diagnostic equipment (IVUS, OFDI) during percutaneous coronary intervention (PCI). In addition, in an emergency, we assist in the prompt introduction of percutaneous cardiopulmonary support (PCPS) and intra-aortic balloon pumping (IABP) to ensure circulatory dynamics. I'm here.

intensive care services

Medical devices have become indispensable in the fields of intensive care and acute care.

Surrogate renal function

"Hemodialysis" "Continuous diafiltration therapy"

Substitution of liver function

"plasma exchange"

Aid in heart function

"PCPS" "IABP"

Aid in respiratory function

"Respirator" "ECMO"

Clinical engineers are responsible for the operation and maintenance of these medical devices, as well as proposing settings to bring out therapeutic effects.

Central medical equipment management department

Medical device management

We will maintain the entire hospital so that the medical equipment can be used safely at all times, and improve the medical functions through repair support, operation adjustment, information provision and in-hospital training for life support management equipment and other medical equipment.

Inquiries to the Clinical Engineering

For inquiries to the Clinical Engineering, please e-mail: kcho_ce@kcho.jp

clinical research

Research subject name Explanatory text
(PDF)
Retrospective observational study of the relationship between changes in biological information before the occurrence of CPA and the occurrence of CPA PDF