NEPHROLOGY FACILITIES AND DEVICES
63
DERMATOLOGY FACILITIES AND DEVICES
Edited by :
Pn Sri Datin Dr. Suraiya H Hussein
1
, Dr. Rohna Ridzwan
2
With contributions from :
Dr. Choon Siew Eng
3
, Dr. Asmah Johar
1
1 Kuala Lumpur Hospital MOH, 2 Selayang Hospital MOH, 3 Hospital Tengku Ampuan Aminah MOH
HIGH TECHNOLOGY DEVICES IN DERMATOLOGY SERVICES INTRODUCTION
The introduction of medical technology in clinical practice has expanded the Dermatology services from mere ofice consultation to that of investigative and therapeutic Dermatology services. The
medical devices range from simple cryosurgical units to the sophisticated and bulky Phototherapy cabins and Laser surgical machines. Table 1 shows the devices in decreasing order of cost.
Table 1 Dermatology Devices - Indication and Credentialed Operators
Medical Device Indication of usage
Mode of Management
Credentialed operator
1 Cryosurgical unit
Benign skin tumours Therapeutic
Trained doctors nurses Nodular dermatitis
Basal cell carcinoma Therapeutic
Trained dermatologist 2
Electrosurgical unit Benign skin tumours
Therapeutic Trained doctors
3 Iontophoresis
Palmar plantar Hyperhidrosis Interim therapy
Doctors and trained physiotherapist
4 Phototherapy unit
Full body phototherapy cabin broad band UVB UVA
Psoriasis Vitiligo extensive
Mycosis Fungoides Others
Therapeutic Dermatologists
and trained Physiotherapists
and nurses under supervision by
Dermatologists. Full body phototherapy cabin
narrow band UVB Psoriasis
Scleredema Vitiligo
Mycosis Fungoides Therapeutic
Full body phototherapy cabin UVA1
Mycosis Fungoides Scleredema
Morphoea Adjuvant
therapy Hand feet phototherapy unit
Hand foot psoriasis Hand feet vitiligo
Therapeutic Hand held phototherapy
Scalp psoriasis Localized vitiligo
Therapeutic PUVA ten UV lamps
Localized vitiligo Therapeutic
Multi tester Unit UVA UVB Investigative
5 Laser surgical unit
Carbon dioxide laser system Benign skin tumours
Therapeutic Cosmesis
Trained Dermatologist
Resurfacing of scars Intense pulse light laser
system Hair removal, resurfacing of scars,
photo rejuvenation Pigment laser system
Hyperpigmented disorders, tattoos, hair removal
Vascular laser system Port wine stains, haemangioma,
telangiectasia varices
64
Table 2: Available Therapeutic and Diagnostic Facilities in Dermatology
No Data to Date
Table 3: Available Medical Devices in Dermatology
Population CO
2
Laser system
Other Laser systems
Phototherapy UVb
Phototherapy PUVA
No in million No
pmp No
pmp No
pmp No
pmp
Malaysia 26.64
7 100
7 100
12 100
27 100
1
Sector
Public -
NC -
NC -
NC -
NC -
Private -
NC -
NC -
NC -
NC -
State
Johor 3.17
1 14
2 17
1 2
7 1
Kedah Perlis 2.11
1 14
1 8
2 7
1 Kelantan
1.53 1
4 1
Melaka 0.73
1 14
1 1
17 1
1 2
7 3
Negeri Sembilan 0.96
1 14
1 2
33 2
1 8
1 1
4 1
Pahang 1.45
1 1
1 8
1 1
4 1
Perak 2.28
1 8
2 7
1 Terengganu
1.04 Pulau Pinang
1.49 1
14 1
1 4
1 Sabah
3 1
8 1
4 Sarawak
2.36 1
17 2
17 1
2 7
1 Selangor W.P
Kuala Lumpur 6.43
1 14
2 33
3 25
12 44
2
Population Cryosurgical Unit
Electrosurgical Unit Iontophoresis Unit
No in million No
pmp No
pmp No
pmp
Malaysia 26.64
38 100
1 26
100 1
14 100
Sector
Public -
NC -
NC -
NC -
Private -
NC -
NC -
NC -
State
Johor 3.17
5 13
2 3
12 1
3 21
1 Kedah Perlis
2.11 4
11 2
4 15
2 3
21 1
Kelantan 1.53
1 3
1 1
4 1
Melaka 0.73
2 5
3 3
12 4
Negeri Sembilan 0.96
2 5
2 2
8 2
1 7
1 Pahang
1.45 2
5 1
1 4
1 Perak
2.28 4
11 2
2 8
1 1
7 Terengganu
1.04 2
5 2
1 4
1 Pulau Pinang
1.49 4
11 3
2 8
1 1
7 1
Sabah 3
2 5
1 2
8 1
1 7
Sarawak 2.36
5 13
2 2
8 1
1 7
Selangor W.P Kuala Lumpur
6.43 5
13 1
3 12
3 21
65
The National Medical Device Survey was conducted by the Clinical Research Center in year 2007. Two hundred and ifty three hospitals were surveyed. The response to the survey is shown in Fig. 1
Fig. 1 National Medical Device Survey 2007 Respondents
Hospital surveyed n=253
Hospital with Dermatology services
n=78 Hospital with no
Dermatology services n=175
Hospital with Dermatology services that responded
n=47 Hospital with Dermatology
services that did not respond n=31
MOH Army Hospitals with Dermatology services
n=31 Private Hospitals with
Dermatology services n=13
University Hospitals with Dermatology services
n=3 Johor
n=3 Pahang
n=1 Malacca
n=2 UMMC
UKM
USM Selangor
n=5
Wilayah Persekutuan
n=1 Perak
n=1
Penang n=1
Sabah n=1
Sarawak n=1
Malacca n=1
Terengganu n=1
N. Sembilan n=2
Kelantan n=3
Selangor n=5
Perlis n=1
Wilayah Persekutuan
n=1 Sabah
n=3
Perak n=3
Sarawak n=2
Kedah n=4
Penang n=1
66
The National survey investigation enabled a more comprehensive understanding of the availability and use of dermatological devices both in the public and private sectors. Nevertheless the response
rate of only 60.2 could be improved in the future surveys.
Fig. 2 Malaysian Population Accessibility to Dermatology Medical Devices in Year 2007
CO
2
Laser System Other Laser System
Phototherapy UVB Phototherapy PUVA
Cryosurgical Unit Electrosurgical Unit
Iontophoresis Unit
PERLIS
PENANG