Modular Operation Theatre

Why is there a need for Modular Operating Rooms?

Sterility- “To have complete infection free cases”.

Bacteria count less than 10 carrying particles per m3 through state of the art laminar airflow system with air purity of 99.99%

Non-porous,Seamless,easily cleanable surfaces to prevent the build-up of contaminants

Reduction in the need or repetitive fumigation of MOT’s.

Increase in Turnaround time i.e. revenue generation for the hospital.

Workflow Management -“Surgery under controlled conditions”

Concealed Wiring and Medical pipeline system.

All equipment mounted on ceiling suspended pendant units

Complete clean- floor area leading to enhanced equipment and personal movement.

Aesthetics- “Pleasing work environment”

Effective lighting by maintaining LUX levels though OT Light, Plannair and peripheral lights in the OT

Clean air quality and effective ventilation in the OT

Pleasing work environment through the use of different wall and floor colors.

Strong attraction value for top Doctors/ Surgeons.

 

This modular operating room adapts to fit whatever space might be available; it is equally suited for new construction and for rebuilding and expansion projects. The system is cost effective in the long run, and that has a significant economic impact for hospitals over the long run. Examples of this sustainability include flexibility, time saving and confidence for investments.

 

Free Standing Steel frame work

Alternatively: Brick Walls may be used in place of Vertical Steel Frame

PU Injected Sandwich panel with .8mm GI/SS on both sides.

WALL AND CEILING SYSTEM

  • Puff injected panels 50mm thick with 0.8mm GI/SS sheet both sides with antibacterial paint coating of 400 microns.
  • High Pressure Laminate.
  • Thermoplastic Corian.
PROPERTIES / WALL PANEL TYPE HPL STEEL CORIAL
Impact Resistance Average Excellent Good
Joint less / Seamless Finish Of Wall No Yes Yes
Anti-Bacterial / Micro organisms Growth Average Excellent Good
Resistance To Solvents & Chemicals Good Excellent Excellent
Corrosion Protection/ Porosity Excellent Excellent Excellent
Delaminating Of Panels/ Cracking YES NO Yes
Time Saving Good Excellent Poor
Thermal Insulation Average Excellent Average
Tested Performance under Indian conditions NEW YES New
Cost Good Average Expensive

AIR VENTILATION SYSTEM

  • The supply of air to an operating should have four main functions.
  • To control the temperature and humidity of the airspace.
  • To assist in the removal and dilution of waste anaesthetic gases.
  • To dilute airborne bacterial contamination.
  • To control the movement of air within the department such that the transfer of airborne bacteria from clean to sterile areas are minimized.

Ceiling mounted diffuser are
turbulent in nature and have
a tenedency to entertain the
surrounding contaminated
air.

 

Diagonal flow system are the
Most turbulent of all available system
And have a tendency to entertain the
Surrounding contaminated air and
Pickup contaminants from subject
Within their path.

The exponential air flow system is

Exponential air flow system provide the highest level of proven performance without the cost of additional air flow.

 

The only unit to pass the DIN 4799-
Herman Rietschel Institute tests

Description Plain Plates Survival
Time		 Premier Coating
Killing Time
Staphylococcus Aureus
Type 80/8		 24Hrs 1Hr
Eschericia Coli NCTC
10418		 24Hrs 1-2Hrs
Pseudomonas
Aeruginosa		 24Hrs 4-5Hrs
Beta Haemolytic
Streptococcus		 5-24Hrs 3Hrs
Salmonella
Typhimurium		 24Hrs 4-5Hrs
Candida Albicans
(Fungus)		 24Hrs 2-3Hrs

 Anti Bacterial Coating – Fungicidal action
The premier coating system actively kills
bacteria and fungus.
Advantages of Anti-Bacterial Coating:

  • Seamless and easy to clean
  • Can be steam cleaned
  • Chemical resistant
  • Hard wearing – will withstand aggressive cleaning regimes.
  • Durable – life expectancy in excess of 10 years
  • Long-term savings – need not be replaced at the end of design
  • Cost-effectiveness – last 3 to 4 times longer than fungicidal Paint.
  • Track record – coatings available backed by an international spanning 30 years.

ESD FLOORING

ESD VINYL

  • Vinyl is the oldest effective ESD flooring material. Solid vinyl tile (SVT) can give a facility that hospital look of cleanliness and shine.
  • Facilities managers often favour vinyl floor because vinyl has a reputation for being inexpensive, simple to repair and easy to clean
  • The joints between individual tiles are welded by heat fusion process to get a seamless floor

Vinyl Flooring

Features
Electrostatic conductive vinyl covering provides high resistance against chemical & mechanical strains.

Homogeneous installation at wall connections.
Benefits

  • Easy to install
  • Easy to repair
  • Easy to clean
  • Wide colour selection

Epoxy

  • Epoxies are effective in meeting ESD standards. In facilities where constant heavy loads and high traffic are the norm, epoxies are the recommended flooring.
  • However, one should also note that colour of an epoxy floor is not 100% stable
  • Repairs are always conspicuous because the newly coated areas never match the adjacent aged surface
  • Because of the rigidity and shiny sleekness of its surface, it can present noise & slipperiness issues.

COMPARISON CHART OF DIFFERENT TYPES OF ESD FLOORING

CATEGORY PRODUCT TYPE ESD VINYL TILE (Conductive) ESD EPOXY (Conductive)
Cost Lowest Moderate
Cost of Maintenance10418 Low - Moderate Low
Durability Excellent Excellent
Ease Of Repair Easy Most Difficult
Long Term Appearance Excellent - resurfaced by buffing Difficult to hide micro-scratches
Colour throughout Thickness Yes No
Sound Absorption 4 dB Not Sound resistive
Handle / Withstand Rolling Loads Excellent Excellent
Maintenance Sweep, Damp Mop & Buff Sweep and Damp Mop
Installation Average Difficult
Slip Resistance 0.5 - 0.6 0.4 - 0.6 (depends on texture)
Chemical Resistance Excellent Excellent

Hermitically SEALED DOORS

Sliding

Vs

Hinged

HINGED DOOR

  • Escaping Air & Turbulence
  • Loss in Pressure
  • Contamination by Direct Contact

SLIDING DOOR

  • Hermetically Sealing Sliding Doors,
  • Increase usable floor space.
  • Provide positive air seals.
  • Prevent cross contamination

Why A Hermetic Sealing Sliding Door ?

  • Contamination risks in the room are under control
  • Disinfecting is quicker & safer
  • Control the positive pressure in the room
  • The number of air changes and amount of clean air required is reduced, saving money
  • Less clean air is necessary with hermetic doors
  • Controlled theatre atmosphere: constant temperature of 18ºC – 24ºC and a humidity of 40 – 60% can be easily controlled
  • In case of fire, prevents smoke from spreading
  • Creating a quite environment in & outside the theatre

Medical Gas Systems

  • Medicalgas supplies and equipment should be incorporated into one easily accessible unit.
  • Trailing leads or hoses which restrict movement within the department, should be avoided.
  • All equipment should attached via short connecting hoses or cables to integral hook up points.
  • Single or two piece arm ceiling mounted pendants, motorised or static, which allow equipment to be located at point of use, are encouraged.

Electrical Services

  • All mechanical & electrical services should be located at one delivery point.
  • This tact negates the confusion in finding particular services that may otherwise be scattered around the theatre walls.
  • Thus theatre staff may move between theatres and continue to locate the pertinent services at a glance
  • This “Modular’ principal allows individual components to be replaced at any time with minimal disruption to the theatre staff.