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Hero
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Hero
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When assessing equipment prior to purchase do you take in to account the life time costs? Tis obviously includes spare parts etc. What is cheap to buy may be expesive to maintain...the companies will always make their money some how.
Get the companies to provide you with the list price of all routinely replaced parts and add that in to you spead sheet then use your knowledge to add in some breakdown parts and get the suppliers to provide those prices. THEN look at the bottom line.
THEN convince the money men it is the "cheapest/best" option.
Good luck
Robert


My spelling is not bad. I am typing this on a Medigenic keyboard and I blame that for all my typos.
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Philosopher
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Unfortunately companies either don't know or won't tell you what expensive parts will regularly fail, they would rather tell you that this new product is not only the best thing since sliced bread but that it can also replace it.

What reassures me is that when I look around at companies and the products that have annoyed me with excessive costs in the past many of them have folded or lost the market leader position they once had. I just hope that the modern manufacturers start to take this in to account.

Lee


Don't forget "we've never had it so good".
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Lee's right the info you really need is not usually available at the time of purchase. A database of medical equipment evaluations would be useful. We used to get evaluations through the predecessor to the MHRA/ MDD. Does anyone know if those evaluations are done anymore? In addition to the standard evaluation, the database could be updated to include long term tests, reporting good and bad findings, a sort of wiki-medkit-pedia. Anybody got the time or inclination to make a start?

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Master
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Its not just medical stuff either. Want a diode or brushes for your alternator? Well that will be a new alternator sir. No I'm sorry they are sealed units these days!

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Super Hero
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Interesting comments. Robert's immediately took me back to Jeddah in 1983. The O&M contractor had wanted to spend 2 million Riyals of the client's money on stocked spare parts. Needless to say, I was able to whittle this down*. How? By visiting an example of each piece of kit, opening it up, taking a look inside, then crossing about 90% of the parts off the contractor's lists, based upon my own - practical - assessment of the requirement. Unlike me, they had not bothered (in their haste to gouge the client) to come up with any sort of rationale for stocked spares planning.

The people brought in by the contractor had simply drawn up their lists sitting down in the comfort of their Portakabin, and turning pages of the service manual parts lists. That and getting the OEM's to fax their "recommendations" (another licence to gouge)!

Yes, "Life-Cycle Costings" should be carried out ... but by people like us (that is, practical folk), and not Bean Counters.

What I'm saying is that you have to come up with your own assessment of maintenance requirements. There's no other valid approach, in my opinion. Yes, it all takes time. But thoroughness is a large part of what being a biomed is all about! If other people (eg, the "suits") are into quick fixes, and sloppy work, that's up to them. They'll be out the door, next thing you know ... but the kit will still be there (waiting to be fixed, most likely).

Of course, convincing the suits is an entirely different matter. Personally, I gave up trying many years ago. I would just present my findings, then file them away. And (if it was politic so to do), throw it all back at them later on ... in the nicest possible way, of course. smile

* Needless to say, I was never really "flavour of the month" with that contractor, and they tried all sorts of things to discredit me. But I have had a lot of that over the years, to the point where it became the proverbial water off a duck's back long, long ago. Honesty, integrity, are two words that come to mind.


If you don't inspect ... don't expect.
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Slightly off subject but you did ask...

Originally Posted By: biomedbill
A database of medical equipment evaluations would be useful. We used to get evaluations through the predecessor to the MHRA/ MDD. Does anyone know if those evaluations are done anymore?

Something like this Bill???
http://www.pasa.nhs.uk/PASAWeb/NHSprocurement/CEP/CEPproducts/CEP+catalogue.htm


There are things that are known and there are things that are unknown. In-between there are doors.
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Super Hero
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Yes, John, those CEP publications - presumably the successors to HEI's and "Evaluations", and (no doubt) expensively produced with the taxpayer picking up the tab - are great.

But, is there any compulsion within the NHS that the advice contained within them has to be followed (or even acknowledged)?

Granted that some may make mention of life-cycle costing, how (if at all) do they address the issue of gouging by the OEM's when it comes to selling spare parts (assemblies, whatever)? frown


If you don't inspect ... don't expect.
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Thanks for that John,

I've tried using that website before and found it very difficult to find what I want. For example, The site states that it contains evaluations dating back to 2002 but I can't find a link to other pages. If you know how to navigate the site to find older evaluations say for a GE Dash 4000 monitor can you let me know.

Cheers.

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This link...

http://www.pasa.nhs.uk/PASAWeb/NHSprocurement/CEP/CEPproducts/

...takes you to the first page of the reports section and from here you can access all the reports they have dating back to 2002. If you read this first page it gives you an outline of the information that can be gained from some of the reports, including...


All of CEP’s reports contain a blend of the elements listed below and generally reflect the state of the technology in the market and the need for specific types of information:

evidence review
technology evaluation
economic analysis
cost / benefit analysis (including whole life costing)
operational considerations
purchasing advice
sustainability issues
business case templates
value-add of innovation.

The information outlined above is delivered in a number of report formats depending on the technology/market status and the information needs of the readers. All of CEP’s reports will provide information around three key areas, value, innovation and sustainable procurement.

Reports published when CEP was part of MHRA are available from the Device Evaluation Service catalogue.

NOTE: Reports are categorised according to medical technology sector (general medical, diagnostic imaging and laboratory medicine).


Hope this helps smile


There are things that are known and there are things that are unknown. In-between there are doors.
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Super Hero
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Just in case anyone missed this link from the Wall of Shame. smile


If you don't inspect ... don't expect.
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