Operating room/intervention room

• US 8,112,942 B2
• Filed: 05/13/2005
• Issued: 02/14/2012
• Est. Priority Date: 05/13/2004
• Status: Active Grant

• Current Assignee: Or21, LLC (American Shared Hospital Services)
• Original Assignee: NBBJ Design LLP
• Inventors: Bates, Ernest, Cini, Ahmet Oktay, Suen, Hay Mew, Bohm, Friedrich K. M., Dallam, Richard F, Brennan, James V, Martin, Wilbur C, Messinger, Corrie E, Williams, Paul L
• Primary Examiner(s): Chapman, Jeanette E.
• Application Number:
  US11/129,224
• Publication Number:
  US 20060010799A1
• Time in Patent Office: 2,468 Days
• Field of Search: 52/795, 52 64- 72, 52 791- 7914, 522201-2208, 522/381, 52/361, 52/364, 52/39, 522/34, 135/88.17, 135/88.18, 135/143, 135/149, 135/151, 135/152, 312/198, 312/334.27, 312/334.29, 312/334.31, 312/334.32, 312/209, 312/242, 312/249, 312/252, 312/266, 296/24.38
• US Class Current: 52/79.1
• 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 directly connected to adjacent OR/intervention rooms, said direct connection of the intubation rooms to the OR/intervention rooms enabling passage directly between in the intubation rooms and OR/intervention room without having to pass through another area of the hospital, 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 directly connected to adjacent OR/intervention rooms, said direct connection of the extubation rooms to the OR/intervention rooms, enabling passage between the extubation room and OR/intervention rooms without having to pass through another area of the hospital, said at least one extubation room configured and equipped to post-intervention awaken and extubate patients; and

(d) a plurality of universal patient rooms approximate the OR/intervention rooms and physically separate from the intubation rooms and the extubation rooms, said universal patient rooms specifically physically configured and specifically and permanently equipped with equipment used to perform all of the functions of admitting patients for surgery intervention, preparing patients for surgery intervention, allowing patients to recover post-intervention, and discharging 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.

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

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.

6. A hospital layout, comprising:

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

(b) at least one intubation room adjacent the OR/intervention rooms, said at least one intubation room 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;

(d) a plurality of universal patient rooms approximate the OR/intervention rooms and physically separate from the intubation rooms and the extubation 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; and

(e) wherein the OR/intervention rooms comprise a lighting system comprising;

an array of light sources recessed into the ceiling of the OR/intervention room during use of the lighting system to at most minimally project below the ceiling of the OR/intervention room;

movable mounting systems for the light sources positioned above the ceiling of the OR/intervention room to support the light sources in recessed, elevational position relative to the position of the ceiling; and

powered actuating systems for automatically moving the mounting systems to aim, focus, and vary the intensity of the lights as remotely controlled by OR/intervention room personnel.

7. 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;

(d) a plurality of universal patient rooms approximate the OR/intervention rooms and physically separate from the intubation rooms and the extubation 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; and

(e) wherein the OR/intervention rooms comprise a lighting system comprising;

multiple light sources recessed into the ceiling of the OR/intervention room during use of the lighting system;

movable mounting systems for the light sources positioned above the ceiling of the OR/intervention room; and

powered actuating systems for automatically moving the mounting systems to aim the lights as controlled by OR/intervention room personnel; and

(f) wherein the powered 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. 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;

(d) a plurality of universal patient rooms approximate the OR/intervention rooms and physically separate from the intubation rooms and the extubation 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;

(e) wherein the OR/intervention rooms comprise a lighting system comprising;

multiple light sources recessed into the ceiling of the OR/intervention room during use of the lighting system;

movable mounting systems for the light sources positioned above the ceiling of the OR/intervention room; and

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

(f) 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, and wherein ventilation air is free to travel in laminar flow condition from the air inlets to the air exhaust system without impinging on the light sources or the movable mounting systems.

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. 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;

(d) a plurality of universal patient rooms approximate the OR/intervention rooms and physically separate from the intubation rooms and the extubation 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;

(e) further comprising multiple light sources recessed into the ceiling of the OR/intervention room during use of the light sources;

(f) 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 for introducing ventilating air into the OR/intervention rooms and a plurality of air exhaust systems adjacent the floor of the OR/intervention room for removing ventilating air from the OR/intervention room; and

(g) wherein the ventilating air is free to flow from the air inlets in the ceiling of the OR/intervention room to the air exhaust systems adjacent the floor of the OR/intervention room without impinging on the light sources.

11. 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 directly connected to adjacent OR/intervention rooms, said direct connection of the intubation rooms to the OR/intervention rooms enabling passage directly between in the intubation rooms and OR/intervention room without having to pass through another area of the hospital, 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 directly connected to approximate the OR/intervention rooms, said direct connection of the extubation rooms to the OR/intervention rooms enabling passage between the extubation rooms and an OR/intervention room without having to pass through another area of the hospital, said at least one extubation room configured and equipped to post-intervention awaken and extubate patients;

(d) a plurality of universal patient rooms approximate the OR/intervention rooms, said universal patient rooms specifically physically configured and specifically equipped with equipment used to admit patients for surgery intervention, prepare patients for surgery intervention, allow patients to recover post-intervention, and discharge patients post-recovery; and

(e) wherein a surgery/intervention zone of a predetermined area is established within the OR/intervention room surrounding the location at which a patient is positioned during surgery/intervention procedure, 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. 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 approximate the OR/intervention rooms, said at least one extubation room configured and equipped to post-intervention awaken and extubate patients;

(d) a plurality of universal patient rooms approximate 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;

(e) 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; and

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

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

(e) 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; and

(f) 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. 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;

(d) a plurality of universal patient rooms approximate 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; and

(e) 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 carts for transport of 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. 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;

(d) a plurality of universal patient rooms approximate 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; and

(e) 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.

26. 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;

(d) a plurality of universal patient rooms approximate the OR/intervention rooms and physically separate from the intubation rooms and the extubation 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;

(e) a surgical table comprising a platform for supporting a patient;

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

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

(h) 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; and

(i) wherein the mobile floor engaging base permitting the surgical table to be moved throughout the OR/intervention room as well as moved into and freely about the intubation and extubation rooms.

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 mobile 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 mobile base of the surgical table; 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.

30. A hospital layout comprising:

(a) a plurality of adjacent OR/intervention rooms configured and equipped to perform surgery and other procedures, said OR/intervention rooms each having a ceiling and a floor, said OR/intervention rooms adapted to house equipment and lighting and other fixtures used to perform surgery and other procedures;

(b) at least one intubation room positioned adjacent the OR/intervention rooms, said at least one intubation room 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 positioned adjacent the OR/intervention rooms, said at least one extubation room specifically physically configured and specifically and permanently equipped to post-intervention awaken and extubate patients, said positioning of the at least one extubation room enabling passage directly between the OR/intervention room and the at least one extubation room;

(d) a plurality of universal patient rooms approximate 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; and

(e) wherein the OR/intervention rooms comprise a ventilation system comprising a plurality of laminar flow air inlets in the ceiling of the OR/intervention rooms and a plurality of air exhaust systems adjacent the floor of the OR/intervention rooms, and wherein ventilation air is free to travel downwardly through the OR/intervention room in laminar flow condition from the air inlets to the air exhaust system without impinging on the equipment and lighting and other fixtures.

31. A hospital layout comprising:

(a) a plurality of adjacent OR/intervention rooms configured and equipped to perform surgery and other procedures, said OR/intervention rooms each having a ceiling and a floor, and adapted to house equipment and fixtures;

(b) at least one intubation room located adjacent the OR/intervention rooms, said at least one intubation room 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 positioned adjacent the OR/intervention rooms, said at least one extubation room specifically physically configured and equipped to post-intervention awaken and extubate patients, said location of the at least one extubation room enabling passage directly between the OR/intervention room and the at least one intubation room;

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

(e) wherein a surgery/intervention zone of a predetermined area is established in the OR/intervention rooms generally surrounding the location at which a patient is positioned, the intervention zone from the ceiling to the floor of the intervention zone being substantially free of light fixtures;

light fixture mountings;

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; and

(f) wherein the OR/intervention rooms comprise a ventilation system comprising a plurality of laminar flow air inlets in the ceiling of the OR/intervention rooms within the surgery intervention zone and a plurality of air exhaust systems adjacent the floor of the OR/intervention rooms, and wherein ventilation air is free to travel downwardly through the OR/intervention room in laminar flow condition from the air inlets to the air exhaust system without impinging on the equipment and lighting fixtures and other fixtures in the surgery/intervention zone of the OR/intervention rooms.