磁共振安全20160120.ppt

8 美国磁共振事故报告及趋势数据 风险因素日益增加： 患者检查量目标的设定导致的时间  压力增大。 1.5T中场磁共振到3.0T高场磁共振的快速升级换代。 医疗器械复杂性、多样性增大。 医院物业维修安全培训 Slide 5 A Child dies as a result of a major “projectile incident” Ferroguard was developed in response to evidence emerging from the increasing use of MRI (Magnetic Resonance Imaging) as a highly effective clinical diagnostic tool, of a number of accidents involving patients and staff as a result of lapses in behaviour and procedural responses to the important safety controls necessary when dealing with high powered magnets. The most notorious incident occurred in 2001, when a child was struck on the head by an oxygen cylinder inadvertently brought into the MR room by a clinician rushing to replace the extinguished supply to the patient. The oxygen cylinder was not safe to be brought into the MR room and was pulled from the clinicians arms at high speed as the force of the magnet took hold. Unfortunately the child was struck on the head by the cylinder as it travelled towards the bore, and died some hours later from the injuries sustained. Such serious accidents are fortunately rare, however not uncommon. Most units follow guidelines for safety stipulated by national recommendations from bodies like the MHRA (in the UK) and the American College of Radiology (USA), but all human behaviour is prone to lapses and from such lapses accidents can and do happen. Prof. Vogel Slide 6 The MRI “Projectile Effect” A ferromagnetic object taken into the MRI magnet’s stray field can be pulled into the magnet’s core at high speed, causing serious injury, equipment damage and service provision downtime. This phenomenon is known as the “projectile effect”. Serious incidents involving the “projectile effect” have been reported by numerous medical institutions. Many incidents have been documented involving such objects as gas cylinders, chairs, respirators, IV poles and smaller objects like scissors or theatre instruments. In the example above, the hospital