December 2011

Pioneering Operating Room Technology

By Sibu George

Hospitals are a place to get cured, but over 1.4 million people worldwide are reported to be suffering from Hospital Acquired Infections. In India over 25 percent of patients admitted in hospitals get infected.

The recent spread of NDM-1 (New Delhi metallo-beta-lactamase-1) has raised new concerns. The Centre for Disease Control and Prevention (CDC) defines an HAI as a localised or systemic condition resulting from an adverse reaction to the presence of infectious agent(s) or its toxin(s). HAIs include surgical site infection (SSI), catheter associated bloodstream infection (CABSI), catheter associated urinary tract infection (CAUTI) etc.

The operating theatre department is a complex area in the hospital, and significant challenges are encountered in the co-ordination of M&E services such as HVAC, Medical Gas Piping and selection of the right materials during constructions or renovations. At the same time, the planning of an operating theatre department of a hospital requires a detailed understanding of staff work flow and patients movement. Only then, the design can be certain of having the best possible floor-layout and an optimal working environment for the hospital staff. It is imperative to have highest levels of staff and patient safety, and there should also be savings on operating-costs over time.

The highly specialised medical engineering turnkey builder, Trivitron, which is working in collaboration with Johnson Medical, is thoroughly familiar with these challenges and knows about the possible solutions. We provide a highly efficient functional and ergonomic environment along with equipment of the highest quality and standards.

Trivitron Healthcare has come up with Ultra Clean solutions. Today, Johnson Trivitron Medical Technologies not only offers modular and mobile healthcare solutions, but also offers a range of products including Guided Air Flow OTs, Laminar Flow OTs, Pendants & many other turnkey concepts. The company has been active for more than 19 years, during which period it has helped in making positive differences in the lives of patients and caregivers.

As a thumb rule operation theatres in addition to maintaining a sterile airflow, also have to choose right material / concept for the design / construction. Thats why we call our OTs as Ultra Clean Operation Theatres. At its core there is the Guided Air flow system, which is a patented and energy efficient. Because of its low flow, 3 Dimensional Clean Air flow delivering capabilities, this system can efficiently control the Colony Forming Unit down to 10 cfu/m3 within the wound area.

Even though different solutions are available for walls and floors, the anti bacterial, impact proof, scratch proof High Pressure laminates (HPL) -for the walls- and anti static, conductive vinyl- for flooring- are considered to be the best. Johnson Pendants with a range of customised designs not only ease the workflow inside the OT, but also provides effective space management, equipment and services management. This includes electrical points, medical gases, data points etc.

Johnson Medicals Guided AirflowTM ventilation system is designed so that the airflow is guided throughout the operating theatre. This is to ensure that bacterial-transport particles are being controlled carefully during surgery. Hence the infection rate, which is of paramount importance in any surgical room, is significantly reduced.

Johnson Medical offers turnkey solution to serve the needs of various hospitals and healthcare facilities. The Johnson Medical Surgical Unit solution includes planning, design and construction of the entire operating theatre complex with integrated medical equipment and healthcare facilities. In this complex the unique needs of customers on M&E services such as HVAC, medical gas system, pendants, lights and so forth are taken care of. Our design and planning adheres to stringent requirements for operating theatres as governed by the international standards, including HTM 2022 and ASHRAE.

Author

Sibu George, National Manager, Trivitron Johnson OT Solutions

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