INTEGRATED THEATRES
Previously, this would have caused a major delay, with revised building works and modifications to the products on site, but using the intelligent control panel’s advanced software, the company was able to re-program the panels remotely overnight, from its Leeds facility in the UK, to work on BACnet and in ‘landscape’ mode, without having to visit the site. An added advantage is the ability to undertake diagnostics for any healthcare site remotely. This means the company can be
alerted to a fault or alarm even before the customer realises there is an issue. A member of the team can therefore alert the healthcare facility, having already prepared the corrective actions.
Integrated digital theatre ‘in a box’ Off-the-shelf, packaged integrated operating theatre solutions are also gaining interest – one reason for this is the potential cost savings for hospitals. The term ‘integrated theatre’ typically describes a range of interconnected components, but it is usually quite a complicated system requiring expert installation and commissioning. Many current ‘integrated operating
theatres’ are basically a system for controlling the video feeds, with video switching for all of the data streams – so you can put any video/audio output on screen, inside or outside the operating environment, in the latter case, for instance, to facilitate training or telementoring. Such integrated theatres will also perform some switching of equipment and will connect to the theatre lighting and pendants. Entoli is essentially a system with 95% of the capabilities of a full, digital operating theatre in one standard box that can be simply plugged in – much like a Sky box or DVD player. This means a surgical team can spend £30,000-50,000, rather than £150,000, to implement a digital OR.
Entoli – ‘an off-the-shelf, packaged, integrated operating theatre’.
Intelligence The ability for the theatre equipment and building management systems to communicate and integrate, is crucial for ensuring safety and efficiency – from power systems and lighting, to environmental controls. This includes ensuring intelligent
battery emergency power for operating lights, for example. Surgical luminaries are one of the critical systems within the OR and require the highest level of power supply resilience to ensure patient safety at all times. To ensure this, each luminaire should
have its own primary (mains) and secondary (battery backup) supply. In accordance with HD60364-7-710, BS7671- 2018 (18th edition) and HTM06-01:2017, the surgical operating light must have a backup of three hours. Should the primary supply suffer a mains failure or a catastrophic component failure, then the Medipower iBEPU will switch over
to its own battery supply. Through its associated app, engineers can configure, maintain and provide reporting on the battery system.
The future Clinical tools, such as 4K video, will also become an integral part of the smart operating theatre. This means that projects must be designed with future demands in mind – video over IP over fibre will handle full HD today, but will also be fully 4K ready when required, while offering the potential to upgrade for future ‘8K capability’. In the future, we will see increasing
convergence of: l Operating theatre video integration. l Smart equipment with bus communication.
l Operating room control systems. l Smart control panels acting as data hubs.
l The capture and storing of data.
Intelligent controls within the theatre will allow the integration of future clinical innovations – from robotic equipment to new imaging technologies – enabling the technologies to communicate with each other, and with health estates engineers and clinicians. All of this needs to be made possible even before these clinical technologies have been invented. The aim of this increasing intelligence is
The Atlas pendants are designed ‘to accommodate the large range of equipment and accessories required within the modern critical care area, while having minimum impact on the patient environment’.
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to create a ‘black box’ for the operating theatre, which will allow hospitals to look back and evaluate a wide range of performance areas. Ultimately, this will enable the facility to ask: ‘Was there an oxygen alarm?’, ‘Was the theatre too hot or too cold?’, ‘Were all the swabs recovered?’ – and, most importantly, “Could the hospital have done better?’
IFHE IFHE DIGEST 2020
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