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Does
Your Chiropractic Electrotherapy Equipment Need Serviced??
We
Can Help!
Bryanne Enterprises, Inc. offers expert
Electrotherapy Calibrations.
Your Equipment must be tested once a year Especially UltraSound
& E-Stim Units;
Are your leadwires FDA
Compliant? Click Here for More
Information.
Annual
calibration of your ultrasound & e-stim devices is required.
According to the Health Care
Finance Administration regulations [ (42 CFR CH iV) 485.723
Condition of
participation subchapter (b) Standard of Maintenance:
Equipment]......
According to the FDA,
subchapter 5 of the FD&C Act Section 514 [360d] paragraph
(A)......
According to the State Board
of Chiropractic, in accordance with the Chiropractic Practice
Act.....
FDA, STATE
BOARD, HCFA & MALPRACTICE
The circle of regulation
regarding calibration and safety of your treatment devices.
We are often asked whether or not
and how often should medical devices such as adjusting tables,
ultrasounds, stim units, traction heads, hydrocollators etc. be
calibrated and safety checked. We did some research and discovered a
circle of regulation that is compelling.
The FDA was given authority by the Food, Drug and
Cosmetic Act in 1971 to administer the Radiation Control for Health
and Safety Act. This act gives the FDA authority to establish
performance standards which include inspection mechanisms to protect
the public from the dangers of electronic devices that emit
radiation which include ionizing electromagnetic, sonic, infrasonic,
and ultrasonic waves.
Subchapter 5 of the FD&C Act Section 514 [360d] paragraph (A)
requires anyone utilizing an emitting device to provide assurance to
the public of a device's safe and effective performance. Subsection
(iii) provides a requirement for the "measurement" of the
performance characteristics of a device and subsection (iv) requires
the test results be displayed that show the device to be in
conformity to the FDA Standard.
The Health Care Finance Administration
regulations [ (42 CFR CH iV) 485.723 Condition of participation
subchapter (b) Standard of Maintenance: Equipment] which are
imbedded in all private insurance contracts, Act 6 and 57 state: The
organization must establish a written preventive maintenance program
to ensure that the equipment is operative and properly calibrated.
Interestingly, the State Board of Chiropractic,
in accordance with the Chiropractic Practice Act requires that
modalities of these types be used within the scope of practice and
accordance with the manufacturers labeling regarding safety and
usage. Your malpractice carrier requires (due diligence) that you
practice within the confines of the Practice Act which is another
way of saying that you must comply with the regulations associated
with the devices you use within the scope of your practice.
Another interesting issue is a little known
reporting requirement that requires users of medical devices (where
injury occurs) report to the FDA any adverse device experience.
Under the Safe Medical Devices Act of 1992 a user of a medical
device which malfunctions must fill out form 3500A and return it to
the FDA. This information is held in confidence and according to
Federal Law "cannot be admissible into evidence or otherwise
used in any civil action". This is to encourage truthfulness
and compliance; the goal being to correct a problem not to punish.
What are the checks and tolerances? Any
electrical device like an adjusting table or hydrocollator is
supposed to have a safety check every year. These devices are
checked for stray voltage. 100 ma or less is acceptable. They are
also checked for safety and stability ie. hydraulics and condition
of bolts and welds. Electrical Stim units are checked for
calibration, wave-form output, leadwires, and stray voltage.
Ultrasound units are checked and calibrated. Ultrasounds must be +/-
10% of the FDA performance standard.
This service does not take much time, is inexpensive and has the
potential of preventing a disaster.
Why risk
hurting a patient?
For more information about
this required annual calibration of your ultrasound & e-stim
devices, please call Bryanne Enterprises, Inc. at (877)
279-2663.
For Service Call (877)
279-2663 and speak with our Service Department to schedule a
calibration.
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Fast, Dependable
Service
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Manufacturer Trained
Technicians
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State-of-the-Art
Testing Equipment
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Calibrations Meet
Manufacturer Specifications
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High Quality Service at
a Lower Cost
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