Operating room/intervention room

• US 20060010799A1
• Filed: 05/13/2005
• Published: 01/19/2006
• Est. Priority Date: 05/13/2004
• Status: Active Grant

• Current Assignee: Or21, LLC (American Shared Hospital Services)
• Original Assignee: Or21, LLC (American Shared Hospital Services)
• Inventors: Williams, Paul L., Dallam, Richard F., Bates, Ernest, Martin, Wilbur C., Messinger, Corrie E., Suen, Hay Mew, Brennan, James V., Cini, Ahmet Oktay, Bohm, Friedrich K.M.
• Granted Patent: US 8,112,942 B2
• Time in Patent Office: Days
• US Class Current: 52/236.900
• CPC Class Codes: A61G 10/00 Treatment rooms or enclosures for medical purposes baby incubators, couveuses A61G11/00; devices for gas baths with ozone, hydrogen or the like A61H33/14 ; for isolating individuals from external stimuli A61M21/0094 ; containers or portable cabins for affording breathing protection in general A62B31/00
• CPC Class Codes: E04H 3/08 Hospitals, infirmaries, or the like; Schools; Prisons

Abstract

A hospital layout comprising a plurality of adjacent OR/intervention rooms (46, 48) uniquely configured and equipped to perform surgical and other interventional procedures, with adjacent intubation rooms (52) configured and equipped to prepare patients for procedures to occur in the OR/intervention rooms and at least one extubation room (54) adjacent the OR/intervention rooms, configured and equipped to post-intervention awaken and extubate patients. A plurality of universal patient rooms (40) are located adjacent the OR/intervention rooms and universal patient rooms, and are configured and equipped to admit patients for surgery/intervention, prepare patients for surgery/intervention, allow patients to recover post-intervention, and discharge patients post-recovery.

Claims

1. A hospital layout comprising:

(a) a plurality of adjacent OR/intervention rooms configured and equipped to perform surgery and other procedures;

(b) a plurality of intubation rooms adjacent the OR/intervention rooms, said intubation rooms configured and equipped to prepare patients for procedures to occur in the OR/intervention room, said preparation occurring while the OR/intervention room is being prepared;

(c) at least one extubation room adjacent the OR/intervention rooms, said at least one extubation room configured and equipped to post-intervention awaken and extubate patients; and

(d) a plurality of universal patient rooms adjacent the OR/intervention rooms, said universal patient rooms configured and equipped to admit patients for surgery intervention, prepare patients for surgery intervention, allow patients to recover post-intervention, and discharge patients post-recovery.

2. The hospital layout of claim 1, further comprising at least one procedural room adjacent the OR/intervention rooms, the at least one procedural room configured and equipped to share imaging equipment with the OR/intervention rooms.

3. The hospital layout of claim 2, wherein said imaging equipment is transportable between the OR/intervention rooms and the procedural room.

4. The hospital layout according to claim 3, wherein the imaging equipment is supported by an overhead rail system to move among the OR/intervention rooms and the at least one imaging room.

5. The hospital layout according to claim 4, wherein the imaging equipment is selected from the group consisting of:

CT scanners, fluoroscopy C-arms, ultrasound units, and MRI devices.

6. The hospital layout according to claim 1, wherein the OR/intervention rooms comprise a lighting system comprising:

multiple light sources recessed into the ceiling of the OR/intervention room;

movable mounting systems for the light sources; and

actuating systems for moving the mounting systems to aim the lights as desired by OR/intervention room personnel.

7. The hospital layout according to claim 6, wherein the activating system for the light mounting system is activated by:

controls or radio frequency identification tags mountable on gloves, arm bands, wrist bands, and other substrates worn by the OR/intervention room personnel, or equipment used by personnel;

or

voice commands.

8. The hospital layout of claim 6, wherein the OR/intervention rooms comprise a ventilation system comprising a plurality of laminar flow air inlets in the ceiling of the OR/intervention room and a plurality of air exhaust systems adjacent the floor of the OR/intervention room.

9. The hospital layout of claim 8, wherein ventilation system comprising perforated ceiling panel diffusers through which the ventilation air enters the OR/intervention room and the light sources are disposed within the diffusers.

10. The hospital layout of claim 1, wherein the OR/intervention rooms comprise a ventilation system comprising a plurality of laminar flow air inlets in the ceiling of the OR/intervention room and a plurality of air exhaust systems adjacent the floor of the OR/intervention room.

11. The hospital layout of claim 1, wherein a surgery/intervention zone of a predetermined area is established in the OR/intervention room generally surrounding the location at which a patient is positioned, the intervention zone being substantially free of:

monitors;

displays;

mountings for monitors and displays;

overhead utility sources and outlets, equipment supports and mountings;

equipment and supply cabinet mountings; and

, equipment, instrument, and supply table mountings.

12. The hospital layout of claim 11, further comprising a plurality of high resolution audio/video monitors positioned outside of the intervention zone, said monitors configured to perform at least one of the following functions:

display patient physiological information;

display anesthesia data;

provide communications within and outside of the OR/intervention room; and

provide high resolution digital image guidance for surgical/intervention procedures.

13. The hospital layout of claim 12, further comprising a control system for the monitors for controlling the content displayed on the monitors, wherein the control system is voice activated.

14. The hospital layout of claim 12, further comprising a control system for the equipment and instruments corresponding to the information and data displayed on the monitors, wherein the control system for said equipment and instruments is voice activated.

15. The hospital layout of claim 12, further comprising an adjustable mounting system for the high resolution monitors, the mounting system allowing for movement of the monitors in at least one of the:

horizontal direction;

vertical direction;

rotation about an upright axis; and

, rotation about a generally horizontal axis.

16. The hospital layout of claim 15, wherein the operation of the adjustable mounting system for the high resolution monitors is voice activated.

17. The hospital layout according to claim 11, further comprising an overhead mounting system outside of the intervention zone for supporting at least one of the following:

utility supply source;

medical gas supply source;

data connection;

communications connection;

tables;

work surfaces;

intervention equipment;

supply cabinets;

lasers;

cauteries.

18. The hospital layout of claim 17, further comprising an interstitial corridor disposed above the elevation of the OR/intervention rooms to route utilities, gas, data lines and cables, communication lines and cables to and from the OR/intervention rooms, intubation rooms, extubation rooms, and patient rooms.

19. The hospital layout according to claim 1, further comprising an interstitial corridor located at an elevation above the OR/intervention rooms to route utilities, medical gas, data lines and cables, communication lines and cables to and from the OR/intervention rooms, intubation room, extubation rooms, and patient rooms.

20. The hospital layout according to claim 19, further comprising a plurality of robots configured to carry case packs, supplies, linens, and equipment to the OR/intervention room and carry used supplies, linens, instruments, and equipment from the OR/intervention room, the robots entering and leaving the OR/intervention room through the overhead interstitial corridor.

21. The hospital layout according to claim 20, further comprising a lift system for lowering the robots into the OR/intervention room from the interstitial corridor and raising the robots from the OR/intervention room up into the interstitial corridor.

22. The hospital layout according to claim 20, further comprising:

radio frequency tags applied to reusable equipment and instruments utilized in the OR/intervention room; and

a tracking system to monitor the location of the tagged reusable equipment and instruments.

23. The hospital layout according to claim 1, further comprising a plurality of cleaning robots housed in the OR/intervention room, said cleaning robots comprising cleaning heads, a vacuum system, a cleaning solution reservoir, a cleaning solution dispensing system, and a control system to activate and control the operation of the cleaning robots to dispense cleaning solution onto the OR/intervention room floor, operate the cleaning heads and operate the vacuum system to clean the OR/intervention room floor.

24. The hospital layout according to claim 1, further comprising a biocidal aerosol dispensing port in the ceiling of the OR/intervention room, a biocidal supply system for supplying biocide aerosol to the dispensing ports, biocidal aerosol exhaust ports adjacent the floor of the OR/intervention room, and a control system for controlling the dispensing of biocidal aerosol into the OR/intervention room and exhausting the biocide aerosol from the OR/intervention room.

25. The hospital layout according to claim 1, further comprising an automated hand and arm cleaning system for cleaning the hands and arms of OR/intervention room personnel comprising:

a powered brush subsystem configured to scrub the hands and arms of OR/intervention room personnel;

a system for supplying a bactericide, or similar solution, during operation of the powered brushes;

a system for supplying sterile water during the operation of the powered brushes, all for gross cleaning of the hands and arms; and

a biocidal solution supply system to apply a biocidal solution to the hands and arms of the OR/intervention room personnel after a first cleaning by the powered brushes.

26. The hospital layout according to claim 1, further comprising:

a surgical table comprising a platform for supporting a patient;

a pedestal extending downwardly from the platform and a floor engaging base supporting the lower end of the pedestal;

a connection system for connecting the base to utility outlets, gas outlets, and data lines and cable connectors in the floor of the OR/intervention room; and

arm members at the head and/or foot of the platform, said arm members supporting outlets for utilities, gas, and data lines and cables from the connections located in the floor of the OR/intervention room.

27. The hospital layout according to claim 26, wherein the surgical table platform arm members are movable to a position below the upper surface of the table platform.

28. The hospital layout according to claim 26, further comprising:

an anesthesia machine detachably dockable to the base of the surgical table, said anesthesia machine having a connection system to connect the anesthesia machine to utilities and communication lines and cables in the floor of the OR/intervention room; and

a control system operable from a remote location to control the application of anesthesia from the anesthesia machine to patients and to monitor such patients.

29. The hospital layout according to claim 1, wherein the intubation and extubation rooms are configured with wall monitors to display patient physiological data that are being monitored.

30. A plurality of adjacent OR/intervention rooms useable for performing medical procedures, comprising:

an intervention zone of a predetermined area established in the OR/intervention room, the intervention zone generally centered at the location at which a patient is positioned, the intervention zone being substantially free of;

monitors;

displays;

mountings for monitors and displays;

overhead utility sources and outlets, equipment supports and mountings;

equipment and supply cabinet mountings; and

, equipment, instrument, and supply table mountings;

an adjustable lighting system, incorporated into the ceiling of each OR/intervention room, to provide substantially unobstructed light to the surgical/intervention zone; and

a ventilation system to provide substantially laminar flow ventilating air from the ceiling to the surgical/intervention zone.

31. The OR/intervention rooms according to claim 30, wherein said lighting system comprising:

multiple light sources recessed into the ceiling of each OR/intervention room;

movable mounting systems for the light sources; and

a control system for moving the mounting systems to aim the lights as desired by OR/intervention room personnel.

32. The OR/intervention rooms according to claim 31, wherein the control system for the light mounting system is activated by control switches mountable on gloves, wrist bands, and other articles worn by the OR/intervention room personnel or activated by audio commands.

33. The OR/intervention rooms of claim 30, further comprising a plurality of high resolution audio/video monitors positioned outside of the surgical/intervention zone, said monitors configured to perform at least one of the following functions:

provide patient physiological information;

provide communications within and outside of the OR/intervention room; and

provide high resolution image guidance for surgical/intervention procedures.

34. The OR/intervention rooms of claim 33, further comprising a control system for the monitors for controlling the content displayed on the monitors, wherein the control system is voice activated.

35. The OR/intervention rooms of claim 33, further comprising a control system for operating the equipment and instruments providing the information and data displayed on the monitors, wherein the control system for said equipment and instruments is voice activated.

36. The OR/intervention rooms according to claim 30, further comprising an overhead mounting system outside of the surgical/intervention zone for supporting at least one of the following:

utility supply source;

medical gas supply source;

data connection;

communications connection;

work surfaces;

intervention equipment;

supply cabinets;

lasers;

cauteries.

37. The OR/intervention rooms of claim 36, further comprising an interstitial corridor disposed above the elevation of the OR/intervention rooms to route utilities, medical gas, data lines and cables, communication lines and cables to and from the OR/intervention rooms, intubation rooms, extubation rooms, and patient rooms.

38. The OR/intervention rooms of claim 30, further comprising a plurality of robots configured to transport case packs, supplies, linens, instruments, and equipment to the OR/intervention room and to transport used supplies, linens, instruments, and equipment from the OR/intervention room, the robots entering and leaving the OR/intervention room through an overhead interstitial corridor located above the OR/intervention rooms.

39. The OR/intervention rooms according to claim 38, further comprising a lift system for lowering the robots into the OR/intervention room from the interstitial corridor and raising the robots from the OR/intervention room up into the interstitial corridor.

40. The OR/intervention rooms according to claim 30, further comprising a plurality of cleaning robots housed in the OR/intervention rooms, said cleaning robots comprising cleaning heads, a vacuum system, a cleaning solution reservoir, a cleaning solution dispensing system, and a control system to activate and control the operation of the cleaning robots to dispense cleaning solution onto the OR/intervention room floor, operate the cleaning heads and operate the vacuum system, to clean the OR/intervention room floor.

41. The OR/intervention rooms according to claim 30, further comprising a biocidal aerosol dispensing port in the ceiling of the OR/intervention rooms, a biocidal supply system for supplying biocide aerosol to the dispensing ports, biocidal aerosol exhaust ports adjacent the floor of the OR/intervention rooms, and a control system for controlling the dispensing of biocidal aerosol into the OR/intervention rooms and exhausting the biocide aerosol from the OR/intervention rooms.

42. The OR/intervention rooms according to claim 30, further comprising:

mobile imaging equipment for sharing among the OR/intervention rooms; and

a transportation system on which the mobile imaging equipment may be transported among the OR/intervention rooms.

43. The OR/intervention rooms according to claim 42:

wherein the mobile imaging equipment is selected from the group consisting of CT scanners and MRI devices; and

wherein the transportation system comprises an overhead rail system incorporated into the ceiling of the OR/intervention rooms.

44. The OR/intervention rooms according to claim 30, wherein the OR/intervention rooms comprise high volume intervention suites characterized by:

being located adjacent at least one intubation room configured and equipped to prepare patients for procedures to occur in the OR/intervention room, said preparation of patients occurring while the OR/intervention room is being prepared; and

being located adjacent at least one extubation room configured and equipped to post-intervention awaken and extubate patients.

45. A method for carrying out a surgical or medical intervention on a patient in a medical/clinical setting, comprising:

(a) receiving the patient at a medical/clinical facility by personnel having information about the patient, the surgery/intervention to take place, and the schedule of the intervention;

(b) situating the patient in a universal patient room and performing pre-preparation tasks on the patient in the patient room;

(c) transporting the patient into an induction room and performing induction tasks on the patient in the induction room, including;

attachment of, monitoring and fluid lines to the patient;

performing anesthesiology on the patient;

carrying out final pre-intervention preparation of the patient;

(d) transporting the patient to the OR/intervention room and carrying out the surgical or medical intervention therein;

(e) transporting the patient to an adjacent extubation room for extubation of the patient, awakening of the patient, and removing monitoring and fluid lines from the patient; and

(f) transporting the patient back to the original patient room, allowing the patient to recover therein, and subsequently performing patient discharge procedures in the patient room.