Glossary

Glossary

Sutures which dissolve during the healing process thus ridding the necessity to be pulled out.

A piece of foreign material which is used to replace damaged or diseased tissue or organ parts for example hip, knee or elbow. The material is modeled and introduced into the body as necessary to restore the health of the patient.

A puncture (from Latin „punctum“) in medicine by use of a needle or other sharp instrument. The resulting sample is absorbed tissue fluid or aspirate.

Test e.g. compliance with the quality assurance.

An infusion cannula which resembles a butterfly in shape. It is inserted into the vein and is designed, after the removal of the steel mandrel to remain in the vessel. Most butterfly needles have a secondary access port which allows for the administration of medicines without having to puncture the skin anew.

A branch of internal medicine or pediatrics which deals with the diseases and changes oft he heart and their treatment.

Heart and blood vessels (cardiovascular system).

Vessels with a diameter of 5-10µm.

A catheter is a tubular (hose) rigid or flexible instrument for insertion into hollow organs e.g. bladder catheter.

Chronic obstructive pulmonary disease. COPD, less commonly chronic obstructive lung disease COLD, chronic obstructive airway disease COAD – collectively a group of diseases of the lungs coughing, sputum and shortness of breath are characteristic.

The extracorporeal circulation using the heart-lung machine (HLM) allows complex open heart surgery. The use of a heart-lung machine is now a standard procedure and is carried out on a vast number of heart operations. Basically the heart-lung machine consists of a hose system which transports the blood through the machine. The oxygen content of the blood is then corrected and transported back into the body

Computer tomography CT is an abbreviation, the computer based analysis of a large number of recorded X-rays from different directions to produce a three dimensional image. Also called CT-scan or CAT-scan (from computed axial tomography).

Contamination means soiling through viruses, toxins or other undesired substances.

A conversion means the change of an existing bond into another. The new bond has different interest rates or repayment terms.

Are those vessels which supply the heart muscle with blood and remove it afterwards e.g. arteries and veins.

An artificial support used to insure the continuity of tubular structures which are in danger of collapsing.

Patients suffering from Diabetes are not able to produce sufficient insulin in their blood or body.

A special filter which is used during dialysis to remove toxic substances and excess water from the blood. The dialyzer is often referred to as an “artificial kidney.”

“Artificial kidney”

Name for a method of expanding hollow organs for diagnostic or prophylactic puroposes by use of a Dilatator.

The DIN EN ISO 13485 in conjunction with Directive 93/42 EEC of the European Council lays out the requirements for a quality management system (QMS), for medical device manufacturers. In addition to the DIN EN ISO 9001:2000 critical processes must be implemented (example: Recall, Defense of contamination, risk management and more.). The standard specifies the focus of continuous improvement, in addition to the safety of the products. Medical device manufacturers never achieve certification solely based upon this standard. The certification is a complicated and time consuming process.

Water driving medicines.

The extracorporeal membrane oxygenation (ECMO) is an intensive medical technique in which a machine takes over (partly or completely) the respiratory function of patients. It is used on patients who’s lungs are severely damaged and no longer able to perform the exchange of gas correctly.

Water accumulation in tissue.

The illumination and inspection of body cavities and hollow organs by use of an endoscope. Is often used in combination with surgical procedures such as biopsy, appendectomy and cholecystectomy.

Introduction of nutrients in fluid form involving the gastrointestinal tract. A method of feeding patients who are unable to take food independently.

Enterprise Resource Planning, for the operational activities of the most efficient planning of existing enterprise resources such as capital, equipment or personnel.

A form of regional anesthesia which temporarily causes the reversible inhibition of selected nerve segments. The result of which is numbness, pain inhibition and active body movement in the affected area.

In the evidence-based medicine treatment decisions are made on the basis of proven measures.

Outside of the body.

Treatment of blood outside of the body for example in dialysis.

Infusion data management by use of medical infusion equipment.

Administration of fluids into the body via varying application forms, usually as an infusion therapy.

A word used for the group of organs involved in the intake, grinding, and the transport of food thus allowing the body to utilize the nutrients contained in the food.

A treatment for patients with serious kidney problems outside of the body.

Sterile substitution solution.

An abbreviation fort he hepatitis C virus.

A cholesterol value which is too high.

Blood pressure which is too high.

Hypoglycaemia is when the sugar content of the blood sinks.

Inflammation, e.g. in wounds.

Is the use of approaches, ideas or methods from different disciplines.

A temporary or intermittent therapy.

Invasive cardiology e.g. stenting, balloon dilatation. See also Cardiology.

During an operation.

The direct administration of medicine or fluid into a venous vessel.

Surgical incision (cut).

A compact lancing instrument used to puncture a vessel.

Operative endoscopy of the abdomen and its organs.

Removal of a large part of a body.

Movable material goods that are received in salable condition without any reworking or processing for the purpose of resale.

Midazolam is a sedative used in anaesthesia.

An operation technique in which endoscopic instruments are used together with video support allowing for very small cuts in the patients skin.

Number of diseases within a population.

MRSA = methicillin-resistant Staphylococcus bacteria which induces infections for which most antibiotics are ineffective.

Magnetic Resonance Imaging (MRI also MR) is an imagine procedure that is used primarily in medical diagnostics for the representation of the structure and function of tissues and organs of the body. It is based upon the physical principals of nuclear magnetic resonance.

Intravital and morphological changes in a cell or tissue (tissue death) that occurs after irreversible loss of cell function (so-called cell death).

Is a subdivision of paediatrics which deals with the diagnosis and treatment of diseases which affect new born babies.

Branch of medicine concerned with the morphology, function and disease of the kidney.

Branch of surgery that deals with the diagnosis and surgical treatment of diseases of the peripheral and central nervous system.

Nervous disorders.

Nitrosamines are carcinogenic substances produced from nitrites and amines. The formation takes place only under certain conditions, especially in an acidic environment as found in the human stomach.

Noroviruses are highly contagious and survive on food and goods. They cause vomiting and diarrhoea.

The operating costs include things like costs of sales, research and development costs, distribution costs and administrative expenses.

Branch of medicine that deals with the development and treatment of tumours and tumour-related diseases.

Painkillers. The name of the group of substances is derived from the natural mixture of opium.

Field of medicine that deals with the origin, prevention and treatment of congenital or acquired disorders and abnormalities in shape or function of the muscoskeletal system.

A branch of medicine which caters for the special needs of children.

Palliative care is the treatment of patients with incurable, progressive and far advanced disease who have a limited life expectancy. The main goal being monitoring and maintenance of the quality of life.

National and international spreading of an infectious disease or virus.

Sustaining life through the introduction of suitable nutrients (mostly in liquid form) directly into the bloodstream.

A marketing concept for which the customer only pays for the actual use of a product but does not acquire ownership of the product. It is increasingly in use for large expensive equipment such as an MRI.

Electrical infusion device that allows a precise administration of calculated doses of substances over a fixed period of time.

Treatment method in dialysis in which the peritoneum of the patient is used as a filter for blood purification.

The Abdomen.

Naturopathy in the broadest sense where the natural healing potential of the body is addressed.

Plasma exchange, extraction of blood plasma with reintroduction of the red and white blood cells to the donor.

Water content of the plasma with all dissolved substances without proteins.

Anaesthetics blocking of the peripheral nerve plexus.

A compound formed by addition or condensation of the same molecules. A coating process which allows the production of a surface coating with excellent anti-adhesion properties and or very good sliding properties.

Dialyzer in which hollow polysulfone fibres formed to a membrane for blood purification.

In medicine a subcutaneously (under the skin) implanted small housing with a membrane and vascular connection for the implementation of chemotherapy infusions, frequent blood collection.

In the sense of flow, after the kidney.

Before the kidney.

Propagation of tissue by proliferation or budding, usually in the context of inflammation or wound healing.

The Percutaneous Transluminal Coronary Angioplasty (PTCA) commonly known as coronary angioplasty or simply angioplasty and is a therapeutic procedure used to treat the stenotic (narrowed) coronary arteries of the heart found in heart disease. The balloon catheter is a thin flexible plastic tube with an elongated inflatable balloon at the end. The balloon is inserted into the region to be treated by means of a catheter. The position of the balloon is controlled visually by means of an X-ray screen. When in the correct position the balloon is inflated for a period of 10 to 30 seconds (sometimes longer) to stretch the narrowed vessel. In most cases the process must be repeated several times until the vessel has been successfully stretched.

Quality Deficiency Report (QDR) sometimes referred to as Product Quality Deficiency Report (PQDR) is in general customer feedback referring normally to a failure of a product or the quality of such. Companies and Institutions which are certified in accordance with DIN 13485 or ISO 9001 are required to officially register complaints. A company may also issue a QDR towards one of its suppliers who must in turn also react according to the appropriate standards.

Radiopharmaceuticals are used in nuclear medicine. They may consist of a sole radioactive substance or coupled together with a carrier substance.

Is a slow, over months or years progressive loss of renal (kidney) function.

Device used for artificial respiration.

Restinosis is the repeated constriction of a previously treated blood vessel or other hollow organ.

Behind the abdomen.

Flow theory, the science of the flow properties of liquid substances and plastic deformation of malleable materials.

Systematic approach to identify potential risks, evaluate and select appropriate measures for risk reduction. Before a product can be introduced to the market the manufacturer must evaluate potential risks which may arise from the use of the product.

The Robert Koch Institute (RKI) list is a register of common infectious diseases.

Caused by Salmonella infections with an obligation to report suspected cases particularly in food poisoning.

SAPV Patients are patients who are dying with severe pain symptoms, severe neurological / psychiatric, respiratory or gastrointestinal symptoms.

Severe Acute Respiratory Syndrome, an infectious disease that was first observed in November 2002.

Tranquilizers, can be used for example to sedate over anxious patients or reduce restlessness.

The term sedation (sedation, less commonly, from Latin Sedar, “calm down”) is mainly used in medicine such as anaesthesiology or in psychotropic drugs. Tranquilisers also belong to this group of medicines.

Semi-transparent.

Blood poisoning caused by bacteria, fungi or viruses. A severely infectious disease.

Disposable surgical instruments.

Artificial vascular support for the dilatation and for securing the continuity of tubular structures.

An artificial surgically produced orifice such as artificial bowel or bladder outlet.

Kidney failure, end-stage chronic renal failure.

Poisonous substances.

Branch of surgery specialised in the treatment of trauma patients.

Technical Regulations for Biological Agents 250. A directive which deals with the disposal of biological substances e.g. used needles etc into special containers.

Disorder in which insulin is available within the body but cannot function correctly.

Controlled removal of fluids from the blood of a patient.

Toxic substances which are transported out of the body together with urin.

Avian polymaviruses lead to the French Mouser. The BK virus (BKV, BK-polymaviruses or (BKPyV) can during immosuppressive treatment e.g. after a kidney transplantation, lead to repelling of the new organ.

Vessels belonging to the body, vessels containing.

Arterial-venous shunt in the forearm or a central venous catheter.

Anaesthesia procedure in which general anaesthesia is induced by inhalation of gaseous substances e.g. Laughing gas (N2o).

Solution to offset a deficit in body fluid with the aim to improve the tissue and to remove the oxygen deficiency.