1. S T U S T Blood leakage detection device for Venous needle dislodgement monitoring in Hemodialysis 1 Chairman: Dr. Hung-Chi Yang Presenter: Bee-Yen Lim Adviser: Dr. Yi-Chun Du

2. 2 Outline  Introduction  Literature review  Purposes  Material and Methods  Results  Future Works  References

3. 3 About 2 million people worldwide receive dialysis treatment to maintain his or her health  More than 5 hundred million of people in the world are affected by kidney disease. (↑ 8%)  By year 2020, the number of people receiving dialysis treatment will exceed 4 million.  In Taiwan, the ratio of patients undergoing hemodialysis to peritoneal dialysis is 9:1 Introduction

4. 4  In 76% of the countries, more than 80% of patients prefer hemodialysis as their choice of treatment.  In year 2011, Taiwan’s end stage renal disease rate ranked the third highest in the world ranking.  In year 2012, the expenditure for dialysis reached 3.5 billion Taiwan dollar. ISN USRDS

5. 5 References 1.TechNavio 市場分析， http://www.technavio.com/medical-devices-and-diagnostics http://www.technavio.com/medical-devices-and-diagnostics 2.Sandroni S. Venous needle dislodgement during hemodialysis: an unresolved risk of catastrophic hemorrhage. Hemodialysis International 2005; 9:102 3.Lindley E.J. Venous needle dislodgement during haemodialysis. Summary of the EDTNA/ERCA Journal Club discussion. EDTNA/ERCA Journal 2005; 31 (4): 220-227. 4.Axley, Billie, Joan Speranza-Reid, and Helen Williams. "Venous Needle Dislodgement In Patients on Hemodialysis." Nephrol Nurs J 39.6 (2012): 435-445. 5. 老婦洗腎意外死亡女兒追討真相，蘋果日報 2014/02/19 ， http://www.appledaily.com.tw/realtimenews/article/new/20140219/347636/ 6. 臺灣屏東地方法院民事判決 99 年度醫字第 7 號 ， http://jirs.judicial.gov.tw/Index.htm 7.2012 年台灣病人安全通報系統年度報表， http://www.tpr.org.tw/ 8.ANSI/AAMI RD5, Hemodialysis systems, 2003 ， http://medicaldevicestandards.com/pub/sdomeddevices/contents.htm 9.UL International Report No 13870A 16 July 2008: Anzacare Body Fluid Detection Alarm with Reusable Plastic Sensor Model: HEMOdialert. 10.ISO 226:2003 Acoustics -- Normal equal-loudness-level contours

6. 6 References 11.TechNavio 市場分析， http://www.technavio.com/medical-devices-and-diagnostics http://www.technavio.com/medical-devices-and-diagnostics 12.Sandroni S. Venous needle dislodgement during hemodialysis: an unresolved risk of catastrophic hemorrhage. Hemodialysis International 2005; 9:102 13.Lindley E.J. Venous needle dislodgement during haemodialysis. Summary of the EDTNA/ERCA Journal Club discussion. EDTNA/ERCA Journal 2005; 31 (4): 220-227. 14.Axley, Billie, Joan Speranza-Reid, and Helen Williams. "Venous Needle Dislodgement In Patients on Hemodialysis." Nephrol Nurs J 39.6 (2012): 435-445. 15. 老婦洗腎意外死亡女兒追討真相，蘋果日報 2014/02/19 ， http://www.appledaily.com.tw/realtimenews/article/new/20140219/347636/ 16. 臺灣屏東地方法院民事判決 99 年度醫字第 7 號 ， http://jirs.judicial.gov.tw/Index.htm 17.2012 年台灣病人安全通報系統年度報表， http://www.tpr.org.tw/ 18.ANSI/AAMI RD5, Hemodialysis systems, 2003 ， http://medicaldevicestandards.com/pub/sdomeddevices/contents.htm 19.UL International Report No 13870A 16 July 2008: Anzacare Body Fluid Detection Alarm with Reusable Plastic Sensor Model: HEMOdialert. 20.ISO 226:2003 Acoustics -- Normal equal-loudness-level contours

7. Thanks for Your Attention! Q & A 7 特別感謝 : 高雄榮民總醫院台南分院