Biomedical engineering ( BME ) or medical engineering is the application of engineering principles and design concepts to medicine and biology for healthcare applications (e.g., diagnostic or therapeutic purposes). BME is also traditionally logical sciences to advance health care treatment, including diagnosis , monitoring , and therapy . Also included under the scope of a biomedical engineer is the management of current medical equipment in hospitals while adhering to relevant industry standards. This involves procurement, routine testing, preventive maintenance, and making equipment recommendations, a role also known as a Biomedical Equipment Technician (BMET) or as a clinical engineer .
133-478: Biomedical engineering has recently emerged as its own field of study, as compared to many other engineering fields. Such an evolution is common as a new field transitions from being an interdisciplinary specialization among already-established fields to being considered a field in itself. Much of the work in biomedical engineering consists of research and development , spanning a broad array of subfields (see below). Prominent biomedical engineering applications include
266-447: A power station or mobile phone or other project requires the melding of several specialties. However, the term "interdisciplinary" is sometimes confined to academic settings. The term interdisciplinary is applied within education and training pedagogies to describe studies that use methods and insights of several established disciplines or traditional fields of study. Interdisciplinarity involves researchers, students, and teachers in
399-527: A runny nose . Fevers may develop and an affected child may develop difficulty breathing and sepsis . Swelling of the airway can cause narrowing of the airway, causing a hoarse breathing sound called stridor , or even cause complete blockage. Up to 80% of people affected by bacterial tracheitis require the use of mechanical ventilation , and treatment may include endoscopy for the purposes of acquiring microbiological specimens for culture and sensitivity , as well as removal of any dead tissue associated with
532-409: A tracheotomy is often performed to insert a tube for ventilation, usually when needed for particular types of surgery to be carried out so that the airway can be kept open. The provision of the opening via a tracheotomy is called a tracheostomy . Another method procedure can be carried, in an emergency situation, and this is a cricothyrotomy . Tracheal agenesis is a rare birth defect in which
665-465: A "sense of the whole pattern, of form and function as a unity", an "integral idea of structure and configuration". This has happened in painting (with cubism ), physics, poetry, communication and educational theory . According to Marshall McLuhan , this paradigm shift was due to the passage from an era shaped by mechanization , which brought sequentiality, to the era shaped by the instant speed of electricity, which brought simultaneity. An article in
798-559: A Ph.D. is notably more common than in others, it is hardly ever the majority (except in academia). In fact, the perceived need for some kind of graduate credential is so strong that some undergraduate BME programs will actively discourage students from majoring in BME without an expressed intention to also obtain a master's degree or apply to medical school afterwards. Graduate programs in BME, like in other scientific fields, are highly varied, and particular programs may emphasize certain aspects within
931-484: A Rehab' Engineer in the UK is possible via a University BSc Honours Degree course such as Health Design & Technology Institute, Coventry University. The rehabilitation process for people with disabilities often entails the design of assistive devices such as Walking aids intended to promote the inclusion of their users into the mainstream of society, commerce, and recreation. Regulatory issues have been constantly increased in
1064-402: A commitment to interdisciplinary research will increase the risk of being denied tenure. Interdisciplinary programs may also fail if they are not given sufficient autonomy. For example, interdisciplinary faculty are usually recruited to a joint appointment , with responsibilities in both an interdisciplinary program (such as women's studies ) and a traditional discipline (such as history ). If
1197-1045: A complementary technique to X-ray to monitor lower extremity trauma. The sensor monitor the dielectric properties and can thus notice change in tissue (bone, muscle, fat etc.) under the skin so when measuring at different times during the healing process the response from the sensor will change as the trauma heals. Clinical engineering is the branch of biomedical engineering dealing with the actual implementation of medical equipment and technologies in hospitals or other clinical settings. Major roles of clinical engineers include training and supervising biomedical equipment technicians (BMETs) , selecting technological products/services and logistically managing their implementation, working with governmental regulators on inspections/audits, and serving as technological consultants for other hospital staff (e.g. physicians, administrators, I.T., etc.). Clinical engineers also advise and collaborate with medical device producers regarding prospective design improvements based on clinical experiences, as well as monitor
1330-563: A cross-disciplinary hybrid specialization of other disciplines; and BME programs at all levels are becoming more widespread, including the Bachelor of Science in Biomedical Engineering which includes enough biological science content that many students use it as a " pre-med " major in preparation for medical school . The number of biomedical engineers is expected to rise as both a cause and effect of improvements in medical technology. In
1463-465: A crowd of cases, as seventeenth-century Leibniz's task to create a system of universal justice, which required linguistics, economics, management, ethics, law philosophy, politics, and even sinology. Interdisciplinary programs sometimes arise from a shared conviction that the traditional disciplines are unable or unwilling to address an important problem. For example, social science disciplines such as anthropology and sociology paid little attention to
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#17328478727781596-808: A discussion of the procedures used to design safe systems. The clinical engineering department is constructed with a manager, supervisor, engineer, and technician. One engineer per eighty beds in the hospital is the ratio. Clinical engineers are also authorized to audit pharmaceutical and associated stores to monitor FDA recalls of invasive items. Rehabilitation engineering is the systematic application of engineering sciences to design, develop, adapt, test, evaluate, apply, and distribute technological solutions to problems confronted by individuals with disabilities. Functional areas addressed through rehabilitation engineering may include mobility, communications, hearing, vision, and cognition, and activities associated with employment, independent living, education, and integration into
1729-450: A doctoral (Ph.D., or MD-PhD ) degree in BME (Biomedical Engineering) or another branch of engineering with considerable potential for BME overlap. As interest in BME increases, many engineering colleges now have a Biomedical Engineering Department or Program, with offerings ranging from the undergraduate (B.Sc., B.S., B.Eng. or B.S.E.) to doctoral levels. Biomedical engineering has only recently been emerging as its own discipline rather than
1862-483: A focus area in research, such as with hepatic assist devices that use liver cells within an artificial bioreactor construct. Genetic engineering, recombinant DNA technology, genetic modification/manipulation (GM) and gene splicing are terms that apply to the direct manipulation of an organism's genes. Unlike traditional breeding, an indirect method of genetic manipulation, genetic engineering utilizes modern tools such as molecular cloning and transformation to directly alter
1995-448: A layer of interspersed layers of column-shaped cells with cilia . The epithelium contains goblet cells , which are glandular , column-shaped cells that produce mucins , the main component of mucus . Mucus helps to moisten and protect the airways. Mucus lines the ciliated cells of the trachea to trap inhaled foreign particles that the cilia then waft upward toward the larynx and then the pharynx where it can be either swallowed into
2128-447: A narrowing of the trachea ( tracheal stenosis ). Obstruction invariably causes a harsh breathing sound known as stridor . A camera inserted via the mouth down into the trachea, called bronchoscopy , may be performed to investigate the cause of an obstruction. Management of obstructions depends on the cause. Obstructions as a result of malignancy may be managed with surgery, chemotherapy or radiotherapy . A stent may be inserted over
2261-474: A part of pharmacy due to its focus on the use of technology on chemical agents in providing better medicinal treatment. This is an extremely broad category —essentially covering all health care products that do not achieve their intended results through predominantly chemical (e.g., pharmaceuticals) or biological (e.g., vaccines) means, and do not involve metabolism. A medical device is intended for use in: Some examples include pacemakers , infusion pumps ,
2394-485: A person who has had their larynx removed. Air travels upwards from the surgical connection to the upper oesophagus and the pharynx, creating vibrations that create sound that can be used for speech. The purpose of the puncture is to restore a person's ability to speak after the vocal cords have been removed. Sometimes as an anatomical variation one or more of the tracheal rings are formed as complete rings, rather than horseshoe shaped rings. These O rings are smaller than
2527-529: A research area deals with problems requiring analysis and synthesis across economic, social and environmental spheres; often an integration of multiple social and natural science disciplines. Interdisciplinary research is also key to the study of health sciences, for example in studying optimal solutions to diseases. Some institutions of higher education offer accredited degree programs in Interdisciplinary Studies. At another level, interdisciplinarity
2660-416: A resonator to amplify sound. In some birds, the tracheal rings are complete, and may even be ossified . In amphibians , the trachea is normally extremely short, and leads directly into the lungs, without clear primary bronchi. A longer trachea is, however, found in some long-necked salamanders , and in caecilians . While there are irregular cartilagenous nodules on the amphibian trachea, these do not form
2793-435: A single disciplinary perspective (for example, women's studies or medieval studies ). More rarely, and at a more advanced level, interdisciplinarity may itself become the focus of study, in a critique of institutionalized disciplines' ways of segmenting knowledge. In contrast, studies of interdisciplinarity raise to self-consciousness questions about how interdisciplinarity works, the nature and history of disciplinarity, and
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#17328478727782926-551: A single program of instruction. Interdisciplinary theory takes interdisciplinary knowledge, research, or education as its main objects of study. In turn, interdisciplinary richness of any two instances of knowledge, research, or education can be ranked by weighing four variables: number of disciplines involved, the "distance" between them, the novelty of any particular combination, and their extent of integration. Interdisciplinary knowledge and research are important because: "The modern mind divides, specializes, thinks in categories:
3059-444: A tendency to get recurrent respiratory tract infections. From 2008, operations have experimentally replaced tracheas, with those grown from stem cells , or with synthetic substitutes, however this is regarded as experimental and there is no standardised method. Difficulties with ensuring adequate blood supply to the replaced trachea is considered a major challenge to any replacement. Additionally, no evidence has been found to support
3192-501: Is a kind of medical device made to replace and act as a missing biological structure (as compared with a transplant, which indicates transplanted biomedical tissue). The surface of implants that contact the body might be made of a biomedical material such as titanium, silicone or apatite depending on what is the most functional. In some cases, implants contain electronics, e.g. artificial pacemakers and cochlear implants. Some implants are bioactive, such as subcutaneous drug delivery devices in
3325-442: Is a learned ignoramus, which is a very serious matter, as it implies that he is a person who is ignorant, not in the fashion of the ignorant man, but with all the petulance of one who is learned in his own special line." "It is the custom among those who are called 'practical' men to condemn any man capable of a wide survey as a visionary: no man is thought worthy of a voice in politics unless he ignores or does not know nine-tenths of
3458-596: Is a major segment of biotechnology – which overlaps significantly with BME. One of the goals of tissue engineering is to create artificial organs (via biological material) for patients that need organ transplants. Biomedical engineers are currently researching methods of creating such organs. Researchers have grown solid jawbones and tracheas from human stem cells towards this end. Several artificial urinary bladders have been grown in laboratories and transplanted successfully into human patients. Bioartificial organs, which use both synthetic and biological component, are also
3591-549: Is believed to be safe and effective when used as intended, and, therefore, it can be marketed within the European Union area. The different regulatory arrangements sometimes result in particular technologies being developed first for either the U.S. or in Europe depending on the more favorable form of regulation. While nations often strive for substantive harmony to facilitate cross-national distribution, philosophical differences about
3724-529: Is best seen as bringing together distinctive components of two or more disciplines. In academic discourse, interdisciplinarity typically applies to four realms: knowledge, research, education, and theory. Interdisciplinary knowledge involves familiarity with components of two or more disciplines. Interdisciplinary research combines components of two or more disciplines in the search or creation of new knowledge, operations, or artistic expressions. Interdisciplinary education merges components of two or more disciplines in
3857-423: Is considered both an umbrella term for the body of biological studies that use computer programming as part of their methodology, as well as a reference to specific analysis "pipelines" that are repeatedly used, particularly in the field of genomics. Common uses of bioinformatics include the identification of candidate genes and nucleotides (SNPs). Often, such identification is made with the aim of better understanding
3990-594: Is given back to the various disciplines involved. Therefore, both disciplinarians and interdisciplinarians may be seen in complementary relation to one another. Because most participants in interdisciplinary ventures were trained in traditional disciplines, they must learn to appreciate differences of perspectives and methods. For example, a discipline that places more emphasis on quantitative rigor may produce practitioners who are more scientific in their training than others; in turn, colleagues in "softer" disciplines who may associate quantitative approaches with difficulty grasp
4123-411: Is lined with column-shaped cells that have hair-like extensions called cilia , with scattered goblet cells that produce protective mucins . The trachea can be affected by inflammation or infection, usually as a result of a viral illness affecting other parts of the respiratory tract , such as the larynx and bronchi, called croup , that can result in a cough. Infection with bacteria usually affects
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4256-607: Is seen as a remedy to the harmful effects of excessive specialization and isolation in information silos . On some views, however, interdisciplinarity is entirely indebted to those who specialize in one field of study—that is, without specialists, interdisciplinarians would have no information and no leading experts to consult. Others place the focus of interdisciplinarity on the need to transcend disciplines, viewing excessive specialization as problematic both epistemologically and politically. When interdisciplinary collaboration or research results in new solutions to problems, much information
4389-544: Is sometimes called 'field philosophy'. Perhaps the most common complaint regarding interdisciplinary programs, by supporters and detractors alike, is the lack of synthesis—that is, students are provided with multiple disciplinary perspectives but are not given effective guidance in resolving the conflicts and achieving a coherent view of the subject. Others have argued that the very idea of synthesis or integration of disciplines presupposes questionable politico-epistemic commitments. Critics of interdisciplinary programs feel that
4522-692: Is the principal healthcare regulatory authority in the United States, having jurisdiction over medical devices, drugs, biologics, and combination products. The paramount objectives driving policy decisions by the FDA are safety and effectiveness of healthcare products that have to be assured through a quality system in place as specified under 21 CFR 829 regulation . In addition, because biomedical engineers often develop devices and technologies for "consumer" use, such as physical therapy devices (which are also "medical" devices), these may also be governed in some respects by
4655-476: Is used to define a very different organ in invertebrates than in vertebrates . Insects have an open respiratory system made up of spiracles , tracheae, and tracheoles to transport metabolic gases to and from tissues. An adult's trachea has an inner diameter of about 1.5 to 2 centimetres ( 1 ⁄ 2 to 3 ⁄ 4 in) and a length of about 10 to 11 cm (4 to 4 + 1 ⁄ 4 in), wider in males than females. The trachea begins at
4788-530: The retina in the eye or the coronary arteries in the heart. Fluorescence microscopy involves labeling specific molecules with fluorescent dyes and visualizing them using light, providing insights into biological processes and disease mechanisms. More recently, adaptive optics is helping imaging by correcting aberrations in biological tissue, enabling higher resolution imaging and improved accuracy in procedures such as laser surgery and retinal imaging. Tissue engineering, like genetic engineering (see below),
4921-543: The Consumer Product Safety Commission . The greatest hurdles tend to be 510K "clearance" (typically for Class 2 devices) or pre-market "approval" (typically for drugs and class 3 devices). In the European context, safety effectiveness and quality is ensured through the "Conformity Assessment" which is defined as "the method by which a manufacturer demonstrates that its device complies with the requirements of
5054-543: The Social Science Journal attempts to provide a simple, common-sense, definition of interdisciplinarity, bypassing the difficulties of defining that concept and obviating the need for such related concepts as transdisciplinarity , pluridisciplinarity, and multidisciplinary: To begin with, a discipline can be conveniently defined as any comparatively self-contained and isolated domain of human experience which possesses its own community of experts. Interdisciplinarity
5187-405: The carotid arteries and inferior thyroid arteries; and to its sides on its back surface run the recurrent laryngeal nerves in the upper trachea, and the vagus nerves in the lower trachea. The trachealis muscle contracts during coughing , reducing the size of the lumen of the trachea. The upper part of trachea receives and drains blood through the inferior thyroid arteries and veins;
5320-436: The heart-lung machine , dialysis machines, artificial organs , implants , artificial limbs , corrective lenses , cochlear implants , ocular prosthetics , facial prosthetics , somato prosthetics, and dental implants . Stereolithography is a practical example of medical modeling being used to create physical objects. Beyond modeling organs and the human body, emerging engineering techniques are also currently used in
5453-575: The optimal extent of regulation can be a hindrance; more restrictive regulations seem appealing on an intuitive level, but critics decry the tradeoff cost in terms of slowing access to life-saving developments. Directive 2011/65/EU, better known as RoHS 2 is a recast of legislation originally introduced in 2002. The original EU legislation "Restrictions of Certain Hazardous Substances in Electrical and Electronics Devices" (RoHS Directive 2002/95/EC)
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5586-414: The stomach or expelled as phlegm . This self-clearing mechanism is termed mucociliary clearance . Directly beneath this mucus layer lies the submucosa layer which is composed primarily of fibrous connective tissue and connects the mucosa to the rings of hyaline cartilage beneath. The trachea is surrounded by 16 to 20 rings of hyaline cartilage; these 'rings' are incomplete and C-shaped. Two or more of
5719-740: The Association for Interdisciplinary Studies (founded in 1979), two international organizations, the International Network of Inter- and Transdisciplinarity (founded in 2010) and the Philosophy of/as Interdisciplinarity Network (founded in 2009). The US's research institute devoted to the theory and practice of interdisciplinarity, the Center for the Study of Interdisciplinarity at the University of North Texas,
5852-791: The Boyer Commission to Carnegie's President Vartan Gregorian to Alan I. Leshner , CEO of the American Association for the Advancement of Science have advocated for interdisciplinary rather than disciplinary approaches to problem-solving in the 21st century. This has been echoed by federal funding agencies, particularly the National Institutes of Health under the direction of Elias Zerhouni , who has advocated that grant proposals be framed more as interdisciplinary collaborative projects than single-researcher, single-discipline ones. At
5985-452: The Department of Interdisciplinary Studies at Appalachian State University , and George Mason University 's New Century College , have been cut back. Stuart Henry has seen this trend as part of the hegemony of the disciplines in their attempt to recolonize the experimental knowledge production of otherwise marginalized fields of inquiry. This is due to threat perceptions seemingly based on
6118-504: The EU will take the more severe approach of requiring all applicable devices being placed on the market to consider the home healthcare standard. AS/ANS 3551:2012 is the Australian and New Zealand standards for the management of medical devices. The standard specifies the procedures required to maintain a wide range of medical assets in a clinical setting (e.g. Hospital). The standards are based on
6251-629: The European Medical Device Directive ". The directive specifies different procedures according to the class of the device ranging from the simple Declaration of Conformity (Annex VII) for Class I devices to EC verification (Annex IV), Production quality assurance (Annex V), Product quality assurance (Annex VI) and Full quality assurance (Annex II). The Medical Device Directive specifies detailed procedures for Certification. In general terms, these procedures include tests and verifications that are to be contained in specific deliveries such as
6384-541: The European Member States. The Notified Bodies must ensure the effectiveness of the certification process for all medical devices apart from the class I devices where a declaration of conformity produced by the manufacturer is sufficient for marketing. Once a product has passed all the steps required by the Medical Device Directive, the device is entitled to bear a CE marking , indicating that the device
6517-606: The Greek instinct was the opposite, to take the widest view, to see things as an organic whole [...]. The Olympic games were designed to test the arete of the whole man, not a merely specialized skill [...]. The great event was the pentathlon , if you won this, you were a man. Needless to say, the Marathon race was never heard of until modern times: the Greeks would have regarded it as a monstrosity." "Previously, men could be divided simply into
6650-478: The IEC 606101 standards. The standard covers a wide range of medical equipment management elements including, procurement, acceptance testing, maintenance (electrical safety and preventive maintenance testing) and decommissioning. Biomedical engineers require considerable knowledge of both engineering and biology, and typically have a Bachelor's (B.Sc., B.S., B.Eng. or B.S.E.) or Master's (M.S., M.Sc., M.S.E., or M.Eng.) or
6783-513: The U.S., an increasing number of undergraduate programs are also becoming recognized by ABET as accredited bioengineering/biomedical engineering programs. As of 2023, 155 programs are currently accredited by ABET. In Canada and Australia, accredited graduate programs in biomedical engineering are common. For example, McMaster University offers an M.A.Sc, an MD/PhD, and a PhD in Biomedical engineering. The first Canadian undergraduate BME program
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#17328478727786916-478: The adaptability needed in an increasingly interconnected world. For example, the subject of land use may appear differently when examined by different disciplines, for instance, biology , chemistry , economics , geography , and politics . Although "interdisciplinary" and "interdisciplinarity" are frequently viewed as twentieth century terms, the concept has historical antecedents, most notably Greek philosophy . Julie Thompson Klein attests that "the roots of
7049-432: The adult, incomplete and C-shaped. Ligaments connect the rings. The trachealis muscle connects the ends of the incomplete rings and runs along the back wall of the trachea. Also adventitia, which is the outermost layer of connective tissue that surrounds the hyaline cartilage, contributes to the trachea's ability to bend and stretch with movement. Although trachea is a midline structure, it can be displaced normally to
7182-500: The ambition is simply unrealistic, given the knowledge and intellectual maturity of all but the exceptional undergraduate; some defenders concede the difficulty, but insist that cultivating interdisciplinarity as a habit of mind, even at that level, is both possible and essential to the education of informed and engaged citizens and leaders capable of analyzing, evaluating, and synthesizing information from multiple sources in order to render reasoned decisions. While much has been written on
7315-408: The ascendancy of interdisciplinary studies against traditional academia. There are many examples of when a particular idea, almost in the same period, arises in different disciplines. One case is the shift from the approach of focusing on "specialized segments of attention" (adopting one particular perspective), to the idea of "instant sensory awareness of the whole", an attention to the "total field",
7448-402: The brain or feeding tube placement systems. For example, ENvizion Medical's ENvue, an electromagnetic navigation system for enteral feeding tube placement. The system uses an external field generator and several EM passive sensors enabling scaling of the display to the patient's body contour, and a real-time view of the feeding tube tip location and direction, which helps the medical staff ensure
7581-558: The broader dimensions of a problem and lower rigor in theoretical and qualitative argumentation. An interdisciplinary program may not succeed if its members remain stuck in their disciplines (and in disciplinary attitudes). Those who lack experience in interdisciplinary collaborations may also not fully appreciate the intellectual contribution of colleagues from those disciplines. From the disciplinary perspective, however, much interdisciplinary work may be seen as "soft", lacking in rigor, or ideologically motivated; these beliefs place barriers in
7714-479: The career paths of those who choose interdisciplinary work. For example, interdisciplinary grant applications are often refereed by peer reviewers drawn from established disciplines ; interdisciplinary researchers may experience difficulty getting funding for their research. In addition, untenured researchers know that, when they seek promotion and tenure , it is likely that some of the evaluators will lack commitment to interdisciplinarity. They may fear that making
7847-457: The cartilages often unite, partially or completely, and they are sometimes bifurcated at their extremities. The rings are generally highly elastic but they may calcify with age . The trachea's main function is to transport air to and from the lungs. It also helps to warm, humidify, and filter the air before it reaches the lungs. The trachea is made up of rings of cartilage, which help to keep it open and prevent it from collapsing. The inside of
7980-488: The combination of multiple academic disciplines into one activity (e.g., a research project). It draws knowledge from several fields like sociology, anthropology, psychology, economics, etc. It is related to an interdiscipline or an interdisciplinary field, which is an organizational unit that crosses traditional boundaries between academic disciplines or schools of thought , as new needs and professions emerge. Large engineering teams are usually interdisciplinary, as
8113-526: The community. While some rehabilitation engineers have master's degrees in rehabilitation engineering, usually a subspecialty of Biomedical engineering, most rehabilitation engineers have an undergraduate or graduate degrees in biomedical engineering, mechanical engineering, or electrical engineering. A Portuguese university provides an undergraduate degree and a master's degree in Rehabilitation Engineering and Accessibility. Qualification to become
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#17328478727788246-578: The concepts lie in a number of ideas that resonate through modern discourse—the ideas of a unified science, general knowledge, synthesis and the integration of knowledge", while Giles Gunn says that Greek historians and dramatists took elements from other realms of knowledge (such as medicine or philosophy ) to further understand their own material. The building of Roman roads required men who understood surveying , material science , logistics and several other disciplines. Any broadminded humanist project involves interdisciplinarity, and history shows
8379-496: The correct placement in the GI tract . Imaging technologies are often essential to medical diagnosis, and are typically the most complex equipment found in a hospital including: fluoroscopy , magnetic resonance imaging (MRI), nuclear medicine , positron emission tomography (PET), PET-CT scans , projection radiography such as X-rays and CT scans , tomography , ultrasound , optical microscopy , and electron microscopy . An implant
8512-445: The country-specific legislation, the main regulatory objectives coincide worldwide. For example, in the medical device regulations, a product must be: 1) safe and 2) effective and 3) for all the manufactured devices (why is this part deleted?) A product is safe if patients, users, and third parties do not run unacceptable risks of physical hazards (death, injuries, ...) in its intended use. Protective measures have to be introduced on
8645-562: The design and verification of a wide range of home use and point of care medical devices along with other applicable standards in the IEC 60601 3rd edition series. The mandatory date for implementation of the EN European version of the standard is June 1, 2013. The US FDA requires the use of the standard on June 30, 2013, while Health Canada recently extended the required date from June 2012 to April 2013. The North American agencies will only require these standards for new device submissions, while
8778-621: The development of biocompatible prostheses , various diagnostic and therapeutic medical devices ranging from clinical equipment to micro-implants, imaging technologies such as MRI and EKG / ECG , regenerative tissue growth, and the development of pharmaceutical drugs including biopharmaceuticals . Bioinformatics is an interdisciplinary field that develops methods and software tools for understanding biological data. As an interdisciplinary field of science, bioinformatics combines computer science, statistics, mathematics, and engineering to analyze and interpret biological data. Bioinformatics
8911-430: The devices to reduce residual risks at an acceptable level if compared with the benefit derived from the use of it. A product is effective if it performs as specified by the manufacturer in the intended use. Effectiveness is achieved through clinical evaluation, compliance to performance standards or demonstrations of substantial equivalence with an already marketed device. The previous features have to be ensured for all
9044-404: The disciplines, it becomes difficult to account for a given scholar or teacher's salary and time. During periods of budgetary contraction, the natural tendency to serve the primary constituency (i.e., students majoring in the traditional discipline) makes resources scarce for teaching and research comparatively far from the center of the discipline as traditionally understood. For these same reasons,
9177-523: The documentation data and records supporting medical device certification. FDA technical file has similar content although organized in a different structure. The Quality System deliverables usually include procedures that ensure quality throughout all product life cycles. The same standard (ISO EN 13485) is usually applied for quality management systems in the US and worldwide. In the European Union, there are certifying entities named " Notified Bodies ", accredited by
9310-497: The field. They may also feature extensive collaborative efforts with programs in other fields (such as the university's Medical School or other engineering divisions), owing again to the interdisciplinary nature of BME. M.S. and Ph.D. programs will typically require applicants to have an undergraduate degree in BME, or another engineering discipline (plus certain life science coursework), or life science (plus certain engineering coursework). Education in BME also varies greatly around
9443-472: The first time, not only manufacturers but also importers and distributors share a responsibility to ensure Electrical and Electronic Equipment within the scope of RoHS complies with the hazardous substances limits and have a CE mark on their products. The new International Standard IEC 60601 for home healthcare electro-medical devices defining the requirements for devices used in the home healthcare environment. IEC 60601-1-11 (2010) must now be incorporated into
9576-742: The form of implantable pills or drug-eluting stents . Artificial body part replacements are one of the many applications of bionics. Concerned with the intricate and thorough study of the properties and function of human body systems, bionics may be applied to solve some engineering problems. Careful study of the different functions and processes of the eyes, ears, and other organs paved the way for improved cameras, television, radio transmitters and receivers, and many other tools. In recent years biomedical sensors based in microwave technology have gained more attention. Different sensors can be manufactured for specific uses in both diagnosing and monitoring disease conditions, for example microwave sensors can be used as
9709-413: The front left lie the large blood vessels the aortic arch and its branches the left common carotid artery and the brachiocephalic trunk ; and the left brachiocephalic vein . The deep cardiac plexus and lymph nodes are also positioned in front of the lower trachea. Behind the trachea, along its length, sits the oesophagus , followed by connective tissue and the vertebral column . To its sides run
9842-488: The future development of prosthetics. For example, cognitive neural prosthetics (CNP) are being heavily researched and would allow for a chip implant to assist people who have prosthetics by providing signals to operate assistive devices. Pharmaceutical engineering is an interdisciplinary science that includes drug engineering, novel drug delivery and targeting, pharmaceutical technology, unit operations of Chemical Engineering , and Pharmaceutical Analysis. It may be deemed as
9975-423: The future of knowledge in post-industrial society . Researchers at the Center for the Study of Interdisciplinarity have made the distinction between philosophy 'of' and 'as' interdisciplinarity, the former identifying a new, discrete area within philosophy that raises epistemological and metaphysical questions about the status of interdisciplinary thinking, with the latter pointing toward a philosophical practice that
10108-466: The genetic basis of disease, unique adaptations, desirable properties (esp. in agricultural species), or differences between populations. In a less formal way, bioinformatics also tries to understand the organizational principles within nucleic acid and protein sequences. Biomechanics is the study of the structure and function of the mechanical aspects of biological systems, at any level from whole organisms to organs , cells and cell organelles , using
10241-413: The goals of connecting and integrating several academic schools of thought, professions, or technologies—along with their specific perspectives—in the pursuit of a common task. The epidemiology of HIV/AIDS or global warming requires understanding of diverse disciplines to solve complex problems. Interdisciplinary may be applied where the subject is felt to have been neglected or even misrepresented in
10374-433: The human embryo as the respiratory bud grows, the trachea separates from the foregut through the formation of ridges which eventually separate the trachea from the oesophagus, the tracheoesophageal septum . This separates the future trachea from the oesophagus and divides the foregut tube into the laryngotracheal tube. By the start of the fifth week, the left and right main bronchi have begun to form, initially as buds at
10507-462: The infection. Treatment in such situations usually includes antibiotics . A trachea may be narrowed or compressed , usually a result of enlarged nearby lymph nodes; cancers of the trachea or nearby structures; large thyroid goitres ; or rarely as a result of other processes such as unusually swollen blood vessels . Scarring from tracheobronchial injury or intubation; or inflammation associated with granulomatosis with polyangiitis may also cause
10640-417: The insertion of a tube down the trachea. This procedure is commonly performed during surgery , in order to ensure a person receives enough oxygen when sedated. The catheter is connected to a machine that monitors the airflow, oxygenation and several other metrics. This is often one of the responsibilities of an anaesthetist during surgery. In an emergency, or when tracheal intubation is deemed impossible,
10773-553: The institution's graduate or research programs, which have some tangible factors for rating, such as research funding and volume, publications and citations. With BME specifically, the ranking of a university's hospital and medical school can also be a significant factor in the perceived prestige of its BME department/program. Graduate education is a particularly important aspect in BME. While many engineering fields (such as mechanical or electrical engineering) do not need graduate-level training to obtain an entry-level job in their field,
10906-404: The introduction of new interdisciplinary programs is often resisted because it is perceived as a competition for diminishing funds. Due to these and other barriers, interdisciplinary research areas are strongly motivated to become disciplines themselves. If they succeed, they can establish their own research funding programs and make their own tenure and promotion decisions. In so doing, they lower
11039-426: The isthmus of the thyroid, which sits atop the trachea. These arteries join ( anastamoses ) with ascending branches of the bronchial arteries , which are direct branches from the aorta , to supply blood to the trachea. The lymphatic vessels of the trachea drain into the pretracheal nodes that lie in front of the trachea, and paratracheal lymph nodes that lie beside it. In the fourth week of development of
11172-448: The last decades to respond to the many incidents caused by devices to patients. For example, from 2008 to 2011, in US, there were 119 FDA recalls of medical devices classified as class I. According to U.S. Food and Drug Administration (FDA), Class I recall is associated to "a situation in which there is a reasonable probability that the use of, or exposure to, a product will cause serious adverse health consequences or death" Regardless of
11305-410: The learned and the ignorant, those more or less the one, and those more or less the other. But your specialist cannot be brought in under either of these two categories. He is not learned, for he is formally ignorant of all that does not enter into his specialty; but neither is he ignorant, because he is 'a scientist,' and 'knows' very well his own tiny portion of the universe. We shall have to say that he
11438-412: The lower edge of the cricoid cartilage of the larynx at the level of sixth cervical vertebra (C6) and ends at the carina, the point where the trachea branches into left and right main bronchi., at the level of the fourth thoracic vertebra (T4), although its position may change with breathing . The trachea is surrounded by 16–20 rings of hyaline cartilage ; these 'rings' are 4 millimetres high in
11571-458: The lower trachea receives blood from bronchial arteries. Arteries that supply the trachea do so via small branches that supply the trachea from the sides. As the branches approach the wall of the trachea, they split into inferior and superior branches, which join with the branches of the arteries above and below; these then split into branches that supply the anterior and posterior parts of the trachea. The inferior thyroid arteries arise just below
11704-411: The majority of BME positions do prefer or even require them. Since most BME-related professions involve scientific research, such as in pharmaceutical and medical device development, graduate education is almost a requirement (as undergraduate degrees typically do not involve sufficient research training and experience). This can be either a Masters or Doctoral level degree; while in certain specialties
11837-483: The manufactured items of the medical device. This requires that a quality system shall be in place for all the relevant entities and processes that may impact safety and effectiveness over the whole medical device lifecycle. The medical device engineering area is among the most heavily regulated fields of engineering, and practicing biomedical engineers must routinely consult and cooperate with regulatory law attorneys and other experts. The Food and Drug Administration (FDA)
11970-429: The many orders of insects , but in general each segment of the body can have only one pair of spiracles, each of which connects to an atrium and has a relatively large tracheal tube behind it. The tracheae are invaginations of the cuticular exoskeleton that branch ( anastomose ) throughout the body with diameters from only a few micrometres up to 0.8 mm. Diffusion of oxygen and carbon dioxide takes place across
12103-560: The methods of mechanics . A biomaterial is any matter, surface, or construct that interacts with living systems. As a science, biomaterials is about fifty years old. The study of biomaterials is called biomaterials science or biomaterials engineering . It has experienced steady and strong growth over its history, with many companies investing large amounts of money into the development of new products. Biomaterials science encompasses elements of medicine, biology, chemistry, tissue engineering and materials science. Biomedical optics combines
12236-565: The most common abnormalities is a separation of the upper and lower ends of the oesophagus, with the upper end finishing in a closed pouch. Other abnormalities may be associated with this, including cardiac abnormalities, or VACTERL syndrome . Such fistulas may be detected before a baby is born because of excess amniotic fluid ; after birth, they are often associated with pneumonitis and pneumonia because of aspiration of food contents. Congenital fistulas are often treated by surgical repair. In adults, fistulas may occur because of erosion into
12369-409: The most important relevant facts." Vertebrate trachea The trachea ( pl. : tracheae or tracheas ), also known as the windpipe , is a cartilaginous tube that connects the larynx to the bronchi of the lungs , allowing the passage of air , and so is present in almost all animals lungs. The trachea extends from the larynx and branches into the two primary bronchi. At the top of
12502-540: The national jurisdictional barriers that still exist. Recently, initiatives such as BIOMEDEA have sprung up to develop BME-related education and professional standards. Other countries, such as Australia, are recognizing and moving to correct deficiencies in their BME education. Also, as high technology endeavors are usually marks of developed nations, some areas of the world are prone to slower development in education, including in BME. Interdisciplinarity Interdisciplinarity or interdisciplinary studies involves
12635-497: The normal C-shaped rings and can cause narrowing ( stenosis ) of the trachea, resulting in breathing difficulties. An operation called a slide tracheoplasty can open up the rings and rejoin them as wider rings, shortening the length of the trachea. Slide tracheoplasty is said to be the best option in treating tracheal stenosis. Mounier-Kuhn syndrome is a rare congenital disorder of an abnormally enlarged trachea, characterised by absent elastic fibres, smooth muscle thinning, and
12768-658: The obstruction. Benign lesions, such as narrowing resulting from scarring, are likely to be surgically excised. One cause of narrowing is tracheomalacia , which is the tendency for the trachea to collapse when there is increased external pressure, such as when airflow is increased during breathing in or out, due to decreased compliance . It can be due to congenital causes, or due to things that develop after birth, such as compression from nearby masses or swelling, or trauma. Congenital tracheomalacia can occur by itself or in association with other abnormalities such as bronchomalacia or laryngomalacia , and abnormal connections between
12901-410: The organ. Allowing for variations in the length of the neck, the trachea in other mammals is, in general, similar to that in humans. Generally, it is also similar to the reptilian trachea. In birds , the trachea runs from the pharynx to the syrinx , from which the primary bronchi diverge. Swans have an unusually elongated trachea, part of which is coiled beneath the sternum; this may act as
13034-443: The past two decades can be divided into "professional", "organizational", and "cultural" obstacles. An initial distinction should be made between interdisciplinary studies, which can be found spread across the academy today, and the study of interdisciplinarity, which involves a much smaller group of researchers. The former is instantiated in thousands of research centers across the US and the world. The latter has one US organization,
13167-486: The philosophy and promise of interdisciplinarity in academic programs and professional practice, social scientists are increasingly interrogating academic discourses on interdisciplinarity, as well as how interdisciplinarity actually works—and does not—in practice. Some have shown, for example, that some interdisciplinary enterprises that aim to serve society can produce deleterious outcomes for which no one can be held to account. Since 1998, there has been an ascendancy in
13300-498: The placement of stem cells taken from bone marrow on the trachea as a way of stimulating tissue regeneration, and such a method remains hypothetical. In January 2021, surgeons at Mount Sinai Hospital in New York performed the first complete trachea transplantation. The 18-hour procedure included harvesting a trachea from a donor and implanting it in the patient, connecting numerous veins and arteries to provide sufficient blood flow to
13433-603: The principles of physics, engineering, and biology to study the interaction of biological tissue and light, and how this can be exploited for sensing, imaging, and treatment. It has a wide range of applications, including optical imaging, microscopy, ophthalmoscopy, spectroscopy, and therapy. Examples of biomedical optics techniques and technologies include optical coherence tomography (OCT), fluorescence microscopy , confocal microscopy , and photodynamic therapy (PDT). OCT, for example, uses light to create high-resolution, three-dimensional images of internal structures, such as
13566-448: The problem at hand, including the case of the team-taught course where students are required to understand a given subject in terms of multiple traditional disciplines. Interdisciplinary education fosters cognitive flexibility and prepares students to tackle complex, real-world problems by integrating knowledge from multiple fields. This approach emphasizes active learning, critical thinking, and problem-solving skills, equipping students with
13699-458: The production of new types of experimental mice such as the oncomouse (cancer mouse) for research. Neural engineering (also known as neuroengineering) is a discipline that uses engineering techniques to understand, repair, replace, or enhance neural systems. Neural engineers are uniquely qualified to solve design problems at the interface of living neural tissue and non-living constructs. Neural engineering can assist with numerous things, including
13832-476: The progression of the state of the art so as to redirect procurement patterns accordingly. Their inherent focus on practical implementation of technology has tended to keep them oriented more towards incremental -level redesigns and reconfigurations, as opposed to revolutionary research & development or ideas that would be many years from clinical adoption; however, there is a growing effort to expand this time-horizon over which clinical engineers can influence
13965-695: The research and development of new devices for innovative therapies, treatments, patient monitoring, of complex diseases. Medical devices are regulated and classified (in the US) as follows (see also Regulation ): Medical/biomedical imaging is a major segment of medical devices . This area deals with enabling clinicians to directly or indirectly "view" things not visible in plain sight (such as due to their size, and/or location). This can involve utilizing ultrasound, magnetism, UV, radiology, and other means. Alternatively, navigation-guided equipment utilizes electromagnetic tracking technology, such as catheter placement into
14098-566: The respiratory tract, such as the larynx and bronchi, known as croup , however bacterial infections may also affect the trachea alone, although they are often associated with a recent viral infection. Viruses that cause croup are generally the parainfluenza viruses 1–3, with influenza viruses A and B also causing croup, but usually causing more serious infections; bacteria may also cause croup and include Staphylococcus aureus , Haemophilus influenzae , Streptococcus pneumoniae and Moraxella catarrhalis . Causes of bacterial infection of
14231-473: The right by the aortic arch. The trachea passes by many structures of the neck and chest ( thorax ) along its course. In front of the upper trachea lies connective tissue and skin. Several other structures pass over or sit on the trachea; the jugular arch , which joins the two anterior jugular veins , sits in front of the upper part of the trachea. The sternohyoid and sternothyroid muscles stretch along its length. The thyroid gland also stretches across
14364-533: The rings found in amniotes . The only vertebrates to have lungs, but no trachea, are the lungfish and the Polypterus , in which the lungs arise directly from the pharynx. The word trachea is used to define a very different organ in invertebrates than in vertebrates. Insects have an open respiratory system made up of spiracles, tracheae, and tracheoles to transport metabolic gases to and from tissues. The distribution of spiracles can vary greatly among
14497-415: The risk management file, the technical file, and the quality system deliveries. The risk management file is the first deliverable that conditions the following design and manufacturing steps. The risk management stage shall drive the product so that product risks are reduced at an acceptable level with respect to the benefits expected for the patients for the use of the device. The technical file contains all
14630-678: The risk of entry. Examples of former interdisciplinary research areas that have become disciplines, many of them named for their parent disciplines, include neuroscience , cybernetics , biochemistry and biomedical engineering . These new fields are occasionally referred to as "interdisciplines". On the other hand, even though interdisciplinary activities are now a focus of attention for institutions promoting learning and teaching, as well as organizational and social entities concerned with education, they are practically facing complex barriers, serious challenges and criticism. The most important obstacles and challenges faced by interdisciplinary activities in
14763-523: The same time, many thriving longstanding bachelor's in interdisciplinary studies programs in existence for 30 or more years, have been closed down, in spite of healthy enrollment. Examples include Arizona International (formerly part of the University of Arizona ), the School of Interdisciplinary Studies at Miami University , and the Department of Interdisciplinary Studies at Wayne State University ; others such as
14896-652: The social analysis of technology throughout most of the twentieth century. As a result, many social scientists with interests in technology have joined science, technology and society programs, which are typically staffed by scholars drawn from numerous disciplines. They may also arise from new research developments, such as nanotechnology , which cannot be addressed without combining the approaches of two or more disciplines. Examples include quantum information processing , an amalgamation of quantum physics and computer science , and bioinformatics , combining molecular biology with computer science. Sustainable development as
15029-399: The structure and characteristics of target genes. Genetic engineering techniques have found success in numerous applications. Some examples include the improvement of crop technology ( not a medical application , but see biological systems engineering ), the manufacture of synthetic human insulin through the use of modified bacteria, the manufacture of erythropoietin in hamster ovary cells, and
15162-406: The terminal end of the trachea. The trachea is no more than 4 mm in diameter during the first year of life, expanding to its adult diameter of approximately 2 cm by late childhood. The trachea is more circular and more vertical in children compared to adults, varies more in size, and also varies more in its position in relation to its surrounding structures. The trachea is lined with
15295-404: The trachea and the oesophagus , amongst others. Congenital tracheomalacia often improves without specific intervention; when required, interventions may include beta agonists and muscarinic agonists , which enhance the tone of the smooth muscle surrounding the trachea; positive pressure ventilation , or surgery, which may include the placement of a stent , or the removal of the affected part of
15428-433: The trachea are most commonly Staphylococcus aureus and Streptococcus pneumoniae . In patients who are in hospital, additional bacteria that may cause tracheitis include Escherichia coli , Klebsiella pneumoniae , and Pseudomonas aeruginosa . A person affected with tracheitis may start with symptoms that suggest an upper respiratory tract infection such as a cough, sore throat , or coryzal symptoms such as
15561-410: The trachea fails to develop. The defect is usually fatal though sometimes surgical intervention has been successful. A tracheoesophageal fistula is a congenital defect in which the trachea and esophagus are abnormally connected (a fistula ). This is because of abnormalities in the separation between the trachea and oesophagus during development. This occurs in approximately 1 in 3,000 births, and
15694-400: The trachea from nearby malignant tumours, which erode into both the trachea and the oesophagus. Initially, these often result in coughing from swallowed contents of the oesophagus that are aspirated through the trachea, often progressing to fatal pneumonia; there is rarely a curative treatment. A tracheo-oesophageal puncture is a surgically created hole between the trachea and the esophagus in
15827-504: The trachea is lined with a mucous membrane, which produces mucus to help trap dirt and dust particles. The cilia, which are tiny hairs that line the mucous membrane, help to move the mucus and trapped particles up and out of the trachea. Inflammation of the trachea is known as tracheitis , usually due to an infection. It is usually caused by viral infections , with bacterial infections occurring almost entirely in children. Most commonly, infections occur with inflammation of other parts of
15960-413: The trachea only and can cause narrowing or even obstruction. As a major part of the respiratory tract, when obstructed the trachea prevents air entering the lungs and so a tracheostomy may be required if the trachea is obstructed. Additionally, during surgery if mechanical ventilation is required when a person is sedated, a tube is inserted into the trachea, called intubation . The word trachea
16093-438: The trachea, the cricoid cartilage attaches it to the larynx. The trachea is formed by a number of horseshoe-shaped rings, joined together vertically by overlying ligaments , and by the trachealis muscle at their ends. The epiglottis closes the opening to the larynx during swallowing. The trachea begins to form in the second month of embryo development, becoming longer and more fixed in its position over time. Its epithelium
16226-407: The trachea. In dogs, particularly miniature dogs and toy dogs , tracheomalacia, as well as bronchomalacia , can lead to tracheal collapse , which often presents with a honking goose-like cough. The trachea may be injured by trauma such as in a vehicle accident, or intentionally by another wilfully inflicting damage for example as practiced in some martial arts . Tracheal intubation refers to
16359-442: The trachea. In the head, thorax, or abdomen , tracheae may also be connected to air sacs. Many insects, such as grasshoppers and bees , which actively pump the air sacs in their abdomen, are able to control the flow of air through their body. In some aquatic insects, the tracheae exchange gas through the body wall directly, in the form of a gill , or function essentially as normal, via a plastron . Note that despite being internal,
16492-463: The traditional disciplinary structure of research institutions, for example, women's studies or ethnic area studies. Interdisciplinarity can likewise be applied to complex subjects that can only be understood by combining the perspectives of two or more fields. The adjective interdisciplinary is most often used in educational circles when researchers from two or more disciplines pool their approaches and modify them so that they are better suited to
16625-439: The traditional discipline makes the tenure decisions, new interdisciplinary faculty will be hesitant to commit themselves fully to interdisciplinary work. Other barriers include the generally disciplinary orientation of most scholarly journals, leading to the perception, if not the fact, that interdisciplinary research is hard to publish. In addition, since traditional budgetary practices at most universities channel resources through
16758-502: The trajectory of biomedical innovation. In their various roles, they form a "bridge" between the primary designers and the end-users, by combining the perspectives of being both close to the point-of-use, while also trained in product and process engineering. Clinical engineering departments will sometimes hire not just biomedical engineers, but also industrial/systems engineers to help address operations research/optimization, human factors, cost analysis, etc. Also, see safety engineering for
16891-423: The upper trachea, with the isthmus overlying the second to fourth rings, and the lobes stretching to the level of the fifth or sixth cartilage. The blood vessels of the thyroid rest on the trachea next to the isthmus; superior thyroid arteries join just above it, and the inferior thyroid veins below it. In front of the lower trachea lies the manubrium of the sternum , the remnants of the thymus in adults. To
17024-471: The value of interdisciplinary research and teaching and a growth in the number of bachelor's degrees awarded at U.S. universities classified as multi- or interdisciplinary studies. The number of interdisciplinary bachelor's degrees awarded annually rose from 7,000 in 1973 to 30,000 a year by 2005 according to data from the National Center of Educational Statistics (NECS). In addition, educational leaders from
17157-526: The walls of the smallest tubes, called tracheoles, which penetrate tissues and even indent individual cells. Gas may be conducted through the respiratory system by means of active ventilation or passive diffusion. Unlike vertebrates, insects do not generally carry oxygen in their hemolymph . This is one of the factors that may limit their size. A tracheal tube may contain ridge-like circumferential rings of taenidia in various geometries such as loops or helices . Taenidia provide strength and flexibility to
17290-428: The world. By virtue of its extensive biotechnology sector, its numerous major universities, and relatively few internal barriers, the U.S. has progressed a great deal in its development of BME education and training opportunities. Europe, which also has a large biotechnology sector and an impressive education system, has encountered trouble in creating uniform standards as the European community attempts to supplant some of
17423-484: Was founded in 2008 but is closed as of 1 September 2014, the result of administrative decisions at the University of North Texas. An interdisciplinary study is an academic program or process seeking to synthesize broad perspectives , knowledge, skills, interconnections, and epistemology in an educational setting. Interdisciplinary programs may be founded in order to facilitate the study of subjects which have some coherence, but which cannot be adequately understood from
17556-464: Was offered at University of Guelph as a four-year B.Eng. program. The Polytechnique in Montreal is also offering a bachelors's degree in biomedical engineering as is Flinders University. As with many degrees, the reputation and ranking of a program may factor into the desirability of a degree holder for either employment or graduate admission. The reputation of many undergraduate degrees is also linked to
17689-614: Was replaced and superseded by 2011/65/EU published in July 2011 and commonly known as RoHS 2. RoHS seeks to limit the dangerous substances in circulation in electronics products, in particular toxins and heavy metals, which are subsequently released into the environment when such devices are recycled. The scope of RoHS 2 is widened to include products previously excluded, such as medical devices and industrial equipment. In addition, manufacturers are now obliged to provide conformity risk assessments and test reports – or explain why they are lacking. For
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