Ot concept padmanabhan-medicall

Apr 11, 2023PADMANABHAN L 2

3. Anwendung

Robert-Koch Klinik Leipzig

AllgemeinpflegeIntensivpflege

Apr 11, 2023PADMANABHAN L 3

Apr 11, 2023PADMANABHAN L 4

Seamless / Hygiene

Noise protection

X-ray protection

Fire protection

Wall system / Glazing

Ceiling system

Flooring

Door Systems

Ventilation

3. Anwendung

Robert-Koch Klinik Leipzig

AllgemeinpflegeIntensivpflege

PATIENT CORRIDOR

Apr 11, 2023PADMANABHAN L 6

3. Anwendung

Robert-Koch Klinik Leipzig

AllgemeinpflegeIntensivpflege

CLEAN CORRIDOR

Apr 11, 2023PADMANABHAN L 7

3. Anwendung

Robert-Koch Klinik Leipzig

AllgemeinpflegeIntensivpflege

STERILE GOODS-PREPARATION

Apr 11, 2023PADMANABHAN L 8

3. Anwendung

Robert-Koch Klinik Leipzig

AllgemeinpflegeIntensivpflege

OPERATING THEATRES

Apr 11, 2023PADMANABHAN L 9

3. Anwendung

Robert-Koch Klinik Leipzig

AllgemeinpflegeIntensivpflege

PREPARATION

Apr 11, 2023PADMANABHAN L 10

3. Anwendung

Robert-Koch Klinik Leipzig

AllgemeinpflegeIntensivpflege

SCRUB WASHING UNITS

Apr 11, 2023PADMANABHAN L 11

3. Anwendung

Robert-Koch Klinik Leipzig

AllgemeinpflegeIntensivpflege

RECOVERY

Apr 11, 2023PADMANABHAN L 12

3. Anwendung

Robert-Koch Klinik Leipzig

AllgemeinpflegeIntensivpflege

DOCTOR´S ROOMS

Apr 11, 2023PADMANABHAN L 13

3. Anwendung

Robert-Koch Klinik Leipzig

AllgemeinpflegeIntensivpflege

CHANGING ROOMS+LOCKERS

Apr 11, 2023PADMANABHAN L 14

3. Anwendung

Robert-Koch Klinik Leipzig

AllgemeinpflegeIntensivpflege

COUNTER

Apr 11, 2023PADMANABHAN L 15

Company Business fields Competence

Productrange References Conclusion

„Wall cladding“ room system

Apr 11, 2023PADMANABHAN L 17

Apr 11, 2023PADMANABHAN L 18

Page 19

AIR AND POI ( POST-OP INFECTIONS)

Air as a source of post-operative infections has been overvalued. > Studies of I.Kappstein 2001

Main infection sources are the body of the patient and the disposal of germs and particles from the surgery team.

The Lidwell study confirmed a significant reduction of POI-rates with a Laminar Air Flow Ceiling system in the OT. > Examinations of more than 8.000 hip- and knee implantant surgeries.

Evidence of aerogene contamination (droplet infection) nearby the OT-table.

Apr 11, 2023PADMANABHAN L 19

VENTILATION REQUIREMENTS

Page 20

SOURCES OF PARTICLES AND GERMS

Apr 11, 2023PADMANABHAN L 20

Page 21

VENTILATION STANDARDS

Apr 11, 2023PADMANABHAN L 21

1.HTM ( BRITISH) 2.ASHRAE (AMERICAN)3.DIN / EN ( EUROPEAN)4.NABH RECOMMENDATION

Supply air system 100% fresh air

Recirculation air system xx % fresh airxx % recirculation air

Apr 11, 2023 22PADMANABHAN L

Page 23

ROOM CLASSES ACC. TO DIN 1946-4: 2008-12

RC I a – very low number of particles and germs OT > orthopaedic > prosthesis > implants > visceral surgery > cardiac surgery LAF- ceiling system

RC I b – low number of particles and germs OT > surgical dressing > minimal interventions > endoscopy Turbulent displacement ventilation or LAF- ceiling system

RC II – normal number of germs all anterooms in the OT-department Normal comfort climatisation, 2 stage filter system

Same concept for septic and antiseptic OT´s Intervention in OT has to be documented by the surgical team

Apr 11, 2023PADMANABHAN L 23

Page 24Air supply outlet with HEPA filter system

TURBULENT DISPLACEMENT VENTILATION

Apr 11, 2023PADMANABHAN L 24

Page 25

TURBULENT D. V. ACC. TO DIN 1946-4: 2008-12

No defined protection area External air share min. 1200 m³/h Last filter stage HEPA class H13 acc. to DIN EN 1822 Access through personnel sluice Exhaust air openings with fluff strainers False ceiling with negative pressure Noise level max. 48 dB(A) Reduced air supply volume during non-working time

Apr 11, 2023PADMANABHAN L 25

Page 26

Air supply system with LAF- ceiling and HEPA filter system

LAMINAR AIR FLOW CEILING SYSTEM

Apr 11, 2023PADMANABHAN L 26

Page 27

LAF-CEILING SYSTEM ACC. TO DIN 1946-4: 2008-12

LAF-ceilings cover the entire protection area Air supply velocity min. 0,21 m/s; max. 0,30 m/s External air share min. 1200 m³/h 3-stage filter system: F 7 – F 9 – H13 or 14 3rd filter stage HEPA class H13 or 14 acc. to DIN EN

1822 Overflow to anterooms by means of overflow ports Exhaust air duct with 2 openings and removable fluff

strainers False ceiling with negative pressure Noise level max. 48 dB(A) Reduced air supply volume during non-working time

Apr 11, 2023PADMANABHAN L 27

Page 28

DETAILS OF LAF-CEILING SYSTEM

Particle (HEPA) filter Laminarisator Tripot duct

Pressure casingInside smooth and desifection agent resistant

Distributor made of - Fabric / textile or - Perforated sheet metal

Apr 11, 2023PADMANABHAN L 28

Page 29

WORKING PRINCIPLE OF LAF-CEILING SYSTEM

The homogenous air distribution achieved by the HEPA filter surface allows the use of single-layer textile or finest perforated sheet metal distributors.

Apr 11, 2023PADMANABHAN L 29

Page 30

▀ LAF-CEILING AREA 2400 x 1200 ▀ PROTECTED AREA 2000 x 800

▀ LAF-CEILING AREA 3000 x 3000 ▀ PROTECTED AREA 2600 x 2600

PROTECTION AREA

Apr 11, 2023PADMANABHAN L 30

Apr 11, 2023PADMANABHAN L 31

OPERATING LIGHT

OPERATING TABLE

CEILING SERVICE UNITS

ANESTHESIA MACHINE

SURGEONS PANEL

DIGITAL IMAGE VIEW

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