Enhancement and Maintenance of Infant Incubators at Sukodono Health Centre in Sidoarjo: Efforts to Ensure Continuity of Healthcare Services

Abd. Kholiq; Syaifudin; Lamid

doi:10.35882/ficse.v3i4.81

Authors

Abd. Kholiq Departement of Medical Engenering, Poltekkes Kemenkes Surabaya, Indonesia
Syaifudin Departement of Medical Engenering, Poltekkes Kemenkes Surabaya, Indonesia
Lamid Departement of Medical Engenering, Poltekkes Kemenkes Surabaya, Indonesia

DOI:

https://doi.org/10.35882/ficse.v3i4.81

Keywords:

Infant Incubator Inspection Preventive Maintenance

Abstract

Health Development is a prominent program among 45 essential initiatives that must be implemented nationwide in relation to sectoral and regional development, ranking 12th among them. In Surabaya, health programs are conducted through community health centers (puskesmas). One of the services provided at the Sukodono Health Center (PKM) includes interchangeable rooms. The Sukodono Sidoarjo Health Center also features a delivery room and infant incubator equipment designed for premature infants. The use of infant incubators significantly increases the percentage of safely born babies and enhances their ability to survive hypothermia. However, the growing sophistication of medical devices raises concerns about their safety and the reliability of infant incubators, emphasizing the need for controlled parameter inspections in medical devices. Safety inspections and performance evaluations are carried out by clinical professionals. Unfortunately, maintenance activities at the community health center have not yet been addressed due to the absence of staff qualified to handle such tasks. As part of community service, maintenance activities for infant incubator equipment were conducted to ensure that the incubators are ready and suitable for use, enabling ongoing services. The results of these activities indicated that the infant incubators are in good condition and ready for use. The measurement results show that the biggest error occurred at the baby incubator temperature which was set at 35°C with an error of 0.05°C..

References

A. Nosherwan, P. Y. Cheung, and G. M. Schmölzer, “Management of Extremely Low Birth Weight Infants in Delivery Room,” Clin. Perinatol., vol. 44, no. 2, pp. 361–375, 2017, doi: 10.1016/j.clp.2017.01.004.

S. Delanaud et al., “Thermal management in closed incubators: New software for assessing the impact of humidity on the optimal incubator air temperature,” Med. Eng. Phys., vol. 46, pp. 89–95, 2017, doi: 10.1016/j.medengphy.2017.06.002.

O. Yeler and M. F. Koseoglu, “Performance prediction modeling of a premature baby incubator having modular thermoelectric heat pump system,” Appl. Therm. Eng., vol. 182, no. September 2020, p. 116036, 2021, doi: 10.1016/j.applthermaleng.2020.116036.

A. Hannouch, T. Lemenand, K. Khoury, and C. Habchi, “Heat and mass transfer of preterm neonates nursed inside incubators - A review,” Therm. Sci. Eng. Prog., vol. 18, no. September 2019, p. 100553, 2020, doi: 10.1016/j.tsep.2020.100553.

W. A. Hodson, Temperature Regulation, Tenth Edit. Elsevier Inc., 2018. doi: 10.1016/B978-0-323-40139-5.00029-2.

L. Kristoffersen et al., “Early skin-to-skin contact or incubator for very preterm infants: Study protocol for a randomized controlled trial,” Trials, vol. 17, no. 1, pp. 1–9, 2016, doi: 10.1186/s13063-016-1730-5.

K. Takahashi, K. Mizuno, and K. Itabashi, “The freeze-thaw process and long intervals after fortification denature human milk fat globules,” Am. J. Perinatol., vol. 29, no. 4, pp. 283–287, 2012, doi: 10.1055/s-0031-1295659.

H. Mittal, L. Mathew, and A. Gupta, “Design and Development of an Infant Incubator for Controlling Multiple Parameters,” Int. J. Emerg. Trends Electr. Electron., vol. 11, no. 5, pp. 2320–9569, 2015.

P. JMR, “Comparative Trial between Neonatal Intensive Care Incubator, Neonatal Laminar Flow Unit and Radiant Warmer,” Res. Pediatr. Neonatol., vol. 1, no. 1, 2017, doi: 10.31031/rpn.2017.01.000504.

J. M. R. Perez, S. G. Golombek, C. Fajardo, and A. Sola, “A laminar flow unit for the care of critically ill newborn infants,” Med. Devices Evid. Res., vol. 6, no. 1, pp. 163–167, 2013, doi: 10.2147/MDER.S51270.

V. Plangsangmas, S. Leeudomwong, and P. Kongthaworn, “Sound Pressure Level in an Infant Incubator,” Mapan - J. Metrol. Soc. India, vol. 27, no. 4, pp. 199–203, 2012, doi: 10.1007/s12647-012-0030-0.

E. Susana and R. M. Novelita, “Analysis of application in intermediate check and maximum maintenance expenditure limit methods as performance monitoring tools of baby incubator Jurusan Teknik Elektromedik , Politeknik Kesehatan Kementerian Kesehatan Jakarta II , Kebayoran Baru , Jakart,” vol. 11, no. 1, pp. 15–30, 2020.

S. M. S. Cardoso, L. de C. Kozlowski, A. B. M. de Lacerda, J. M. Marques, and A. Ribas, “Newborn physiological responses to noise in the neonatal unit,” Braz. J. Otorhinolaryngol., vol. 81, no. 6, pp. 583–588, 2015, doi: 10.1016/j.bjorl.2014.11.008.

F. Fernández Zacarías, J. L. Beira Jiménez, P. J. Bustillo Velázquez-Gaztelu, R. Hernández Molina, and S. Lubián López, “Noise level in neonatal incubators: A comparative study of three models,” Int. J. Pediatr. Otorhinolaryngol., vol. 107, pp. 150–154, 2018, doi: 10.1016/j.ijporl.2018.02.013.

J. Neille, K. George, and K. Khoza-Shangase, “A study investigating sound sources and noise levels in neonatal intensive care units,” SAJCH South African J. Child Heal., vol. 8, no. 1, pp. 6–10, 2014, doi: 10.7196/SAJCH.676.

J. C. Fortes-Garrido, A. M. Velez-Pereira, M. Gázquez, M. Hidalgo-Hidalgo, and J. P. Bolívar, “The characterization of noise levels in a neonatal intensive care unit and the implications for noise management,” J. Environ. Heal. Sci. Eng., vol. 12, no. 1, pp. 1–8, 2014, doi: 10.1186/2052-336X-12-104.

A. Shimizu and H. Matsuo, “Sound Environments Surrounding Preterm Infants Within an Occupied Closed Incubator,” J. Pediatr. Nurs., vol. 31, no. 2, pp. e149–e154, 2016, doi: 10.1016/j.pedn.2015.10.011.

IEC 60601-2-19, Medical electrical equipment - Part 2-19: Particular requirements for the basic safety and essential performance of infant incubators. 2014.

L. Gurbeta, S. Izetbegović, and A. Badnjević-Čengić, “Inspection and Testing of Pediatric and Neonate Incubators,” pp. 221–249, 2018, doi: 10.1007/978-981-10-6650-4_11.

Presiden RI, “Undang-Undang RI Nomor 36 Tahun 2014 tentang Tenaga Kesehatan,” Presiden Republik Indonesia. pp. 1–78, 2014. [Online]. Available: http://www.pdpersi.co.id/diknakes/data/regulasi/undang_undang/uu362014.pdf

Ozdemİrcİ Emre, Ö. Y. Meral, D. Fecir, and C. M. Rahmi, “Reliability assessments of infant incubator and the analyzer,” Gazi Univ. J. Sci., vol. 27, no. 4, pp. 1169–1175, 2014.

I. K. N. Paramartha, T. Hamzah, B. Utomo, S. Luthfiyah, and E. ÖZDEMĐRCĐ, “Lost Data and Transmition Speed Analysis on Incubator Analyzer Based IoT Technology,” Int. J. Adv. Heal. Sci. Technol., vol. 2, no. 1, pp. 39–46, 2022, doi: 10.35882/ijahst.v2i1.7.

V. N. Azkiyak, S. Syaifudin, and D. Titisari, “Incubator Analyzer Using Bluetooth Android Display (Humidity & Air Flow),” Indones. J. Electron. Electromed. Eng. Med. informatics, vol. 1, no. 2, pp. 71–77, 2020, doi: 10.35882/ijeeemi.v1i2.5.

A. Alimuddin, A. Ria, S. Irma, A. Rocky, P. Hasudungan, and T. Taufik, “Development and Performance Study of Temperature and Hybrid Controller,” Mdpi, vol. 14, no. 20, p. 6505, 2021.

WHO, “Medical equipment maintenance programme overview WHO,” Med. Clin. North Am., vol. 74, no. 5, pp. 1113–1120, 2011.

P. Termokopel, K. T, P. Stabilitas, I. Bayi, and B. Iec, “comparison of k-type and t-type thermocouples for stability and uniformity of infant incubator temperature testing based on iec 60601-2-19,” pp. 211–218, 2019.