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Presentation on Designing Operation Theatres by Mr.Padmanabhan
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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
[email protected]: 94440 78173
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