JP5022311B2 - How to build an operating room - Google Patents

Description

  The present invention relates to a method for constructing an operating room of a medical facility.

  Conventionally, the construction of the operating room is planned to be divided into each department's shared operating room that can be used by all departments and special operating rooms (such as neurosurgery and cardiovascular surgery) that are convenient for special operations. In general, the person in charge of designing a drawing that describes the size of the operating room and the types of equipment (equipment shelves, heat insulation, etc.) to be installed on the wall, assuming what kind of surgery will be performed in which department The plan is created as a strike table, and based on this, planning drawings are created while hearing multiple times with doctors, nurses, radiographers, etc. involved in surgery.

  In recent years, hospitals have introduced IT information systems (ordering systems, electronic medical records, image information, video information systems, etc.) in order to operate them efficiently. Because it is necessary to consider the operation of the hospital, it is greatly influenced by the scale and characteristics of the hospital, and it takes a lot of people and time to formulate the operation plan.

By the way, the planning plan of the previous operating room incorporates an IT information terminal (radiation image terminal, doctor recording terminal, nurse recording terminal, interphone, etc.) to be installed in the operating room unless the operation plan of the IT information system is decided. Can't be dropped into drawings. However, some hospitals have been closed due to time restrictions, etc., and when actually operated, the flow line of the IT information terminal and the mounting position of each equipment may be bad or the function may be insufficient or insufficient. Many.
Japanese Patent Laid-Open No. 2004-70021

  The problem to be solved by the present invention is to solve these conventional problems and to provide a method for constructing an operating room that can flexibly replace equipment even if the specifications are changed after the operating room is constructed. is there.

The configuration of the present invention that solves this problem is as follows.
1) Construction of an operating room in which an alcove recessed outside the room is formed on the four wall surfaces that form the operating room of the medical facility, and a plurality of equipment necessary for the operating room is embedded in the alcove. Each device has a constant width and height, the height of the alcove is approximately the same as the installation top height of the device, and the depth of the alcove is approximately the same as the maximum depth of each device. The width of the alcove is approximately an integral multiple of the width of a piece of equipment, and a horizontal wiring duct with the indoor side open is installed in the wall above the alcove. Form a lead-in port for drawing equipment wiring or piping in the lower surface of the duct, install the equipment in the lower part of the wiring duct, pull the wiring or piping of the equipment into the wiring duct through the lead-in port, and for wiring Duct An operating room construction method in which a duct cover is detachably attached to the open surface 2) An alcove is formed on the four walls that form the operating room of the medical facility. A method of constructing an operating room in which a plurality of necessary devices are embedded in the operating room, each device having a constant width and height, and the alcove height is approximately equal to the installation upper end height of the device. Alcove depth is the same as the maximum depth of each equipment, and the width of the alcove is approximately an integral multiple of the width of one piece of equipment, with the alcove side open. A horizontal wiring duct was installed in the upper wall of the alcove, equipment was installed at the bottom of the wiring duct, and the wiring or piping of the equipment was drawn into the wiring duct through the open surface. The basic frame is provided on the floor of the building method 3) alcove operating room, installing the equipment on the same basic frame, across a sheet of flooring from subfloor room underlying platform to lay seamlessly The operation method according to any one of 1) to 3) , wherein the operation room construction method according to any one of 1) or 2) is described above. 4) The equipment is installed and supported on at least one of the upper surface, the side surface, or the back surface in the alcove. It is in the construction method of the room.

  According to the present invention, all the equipment is modularized to a certain size, and an alcove having a dimension corresponding to the module is formed on the wall of the room so that the required number of equipment can be installed. Even if it is changed, after removing the installed equipment, it is possible to install another equipment without any gap at the place to be removed, and the equipment can be exchanged and rearranged flexibly. Therefore, even after the implementation design, which was the time limit for determining the arrangement of the equipment in the operating room, can be accommodated for the plan change, the review of the facility plan according to the environmental change can be easily realized even after the start of operation.

  In the present invention, as shown in claims 2 and 3, a wiring duct having an opening on the indoor side and having a lead-in port in the lower part or a wiring duct having an opening on the alcove side is provided in the lateral direction in the wall above the alcove. When installed, the duct cover can be installed in the wiring duct that is open on the indoor side, after the equipment is installed in the lower part of the wiring duct, the wiring of the equipment can be drawn into the wiring duct, making it easy to route the wiring. Will become part of the wall and not lose its aesthetics.

  In addition, as shown in claim 4, a base frame is provided on the floor in the alcove where the equipment is installed, the equipment is installed on the base frame, and the sheet-like floor material extends from the floor base of the room to the base frame. When laying down, there is no seam or gap between the equipment and the floor, dust does not collect easily, the corners of the floor of the operating room can be sanitized, and cleaning becomes easy. Embodiments of the present invention will be specifically described below with reference to the drawings.

  1 is a plan view of the operating room of the embodiment, FIG. 2 is a longitudinal sectional view of the alcove of the embodiment, FIG. 3 is a longitudinal sectional view of the wiring duct of the embodiment, and FIG. FIGS. 5 to 8 are wall views of the operating room of the embodiment, FIG. 9 is an explanatory view showing the construction state of the baseboard and flooring of the embodiment, and FIGS. FIG. 13 is a longitudinal sectional view of a wiring duct according to another example of the embodiment.

  In the figure, 10 is an operating room, 11 is a door, 12 is a wall, 13 is an alcove, 14 is a floor, 15 is an air conditioning inlet, 20 is equipment, 20a is a nurse terminal, 20b is an information panel, 20c is an image rack, 20d is an equipment shelf, 20e is a heat storage, 20f is a cold storage, 20g is a doctor's terminal, 20h is a radiation image display device, 20i is a medical gas unit, 20j is an ISO board, 21 is a kick-in storage, 22 is a cable, 30 is Duct for wiring, 31 is an electric wire rack, 32 is a joint sleeve, 33 is a medical gas connection port, 34 is a duct cover, 40 is a base frame, 41 is a baseboard, 42 is a bolt, 43 is a nut, 44 is a flooring, 50 Is a catch receiver, 51 is a support angle, 52 is a catch metal, 53 is a fixed angle, 54 is a connection metal, 55 is a cover receiver, 56 is a decorative cover, 57 is a hanging metal fitting, 58 is a hook metal fitting, 60 is It is a surgical table.

  In this embodiment, as shown in FIGS. 1 and 2, a plurality of alcoves 13 having a height of about 2130 mm, a width of about 1200 mm, and a depth of about 450 mm from the floor 14 are formed on the four walls 12 of the operating room 10. On the floor surface of the alcove 13, foundation mounts 40 having a height of about 350 mm for installing the equipment 20 are provided at intervals of about 1200 mm. The operating room 10 has a height to the ceiling of about 3000 mm, a longitudinal direction of about 7200 mm, and a short side direction of about 6000 mm.

  The equipment 20 includes a nurse terminal 20a, an information panel 20b, a video rack 20c, an equipment shelf 20d, a heat storage 20e, a cold storage 20f, a doctor terminal 20g, a radiation image display device 20h, a medical gas unit 20i, an ISO panel 20j, and the like. They are all modularized to a height of about 1260 mm, a width of about 1200 mm, and a depth of about 450 mm.

  The nurse terminal 20a includes a retractable table, and a computer for recording in ordering or electronic medical records is installed. The information panel 20b incorporates communication equipment such as an interphone and operation switches for air conditioning related equipment. The video rack 20c incorporates a controller such as an operative field camera, an endoscopic camera, and a surgical microscope, a distributor, and the like. The equipment shelf 20d stores chemicals and various equipment. The heat insulation cabinet 20e and the cold insulation cabinet 20f store chemicals that need to be kept warm at a constant temperature. The doctor terminal 20g stores a computer terminal such as a medical image management system or an electronic medical record. The radiation image display device 20h incorporates a medical image management system, a terminal such as an electronic medical record, and a large medical image monitor thereof. In the medical gas unit 20i, an outlet including an oxygen supply port, a laughing gas supply port, an air supply port, and a suction port is unitized. The ISO board 20j incorporates an isolation transformer, its leakage current monitor, a branch breaker, and the like.

  The wiring duct 30 has a structure in which the indoor side is open, has a height of about 330 mm and a depth of about 250 mm as shown in FIG. 3, and is attached to the upper position of the alcove 13 and over the four circumferences of the operating room 10. On the inner wall of the wiring duct 30, a six-stage electric wire rack 31 on which the cable 22 (or piping) of the equipment 20 is arranged is attached. A joint sleeve 32 for drawing the cable 22 of the equipment 20 is provided on the lower surface of the wiring duct 30 for each installation position of each equipment 20. A medical gas connection port 33 connected to a medical gas supply pipe is provided on the upper surface of the wiring duct 30 at the position where the medical gas unit 20i is installed. A duct cover 34 is detachably provided on the open surface of the wiring duct 30. The duct cover 34 is formed so as to be substantially flush with the wall 12 when attached, and becomes a part of the wall 12.

  In this embodiment, as shown in FIGS. 5 to 8, each device 20 is installed so as to be embedded in the alcove 13. When installing the equipment 20 having a height across the top and bottom of the alcove 13, the equipment 20 is placed on the foundation frame 40 as shown in FIGS. It is arranged and attached to the bolt 42 projecting on the floor 14 with a nut 43 to close the lower space of the equipment 20, and the sheet-like floor material 44 is laid so as to be rolled up from the floor 14 to the skirting board 41 and fixed with an adhesive. To do.

  When the equipment 20 is installed at a predetermined height from the floor 14 of the alcove 13, one of the following methods is used. When the equipment 20 is supported by the back surface of the alcove 13, as shown in FIG. 10, a hook receiver 50 having a substantially V-shaped cross section is attached at a position about 40 to 50 mm below the upper end of the back surface of the alcove 13. A support angle 51 having a substantially L-shaped cross section is attached at a position where the lower end of the equipment 20 comes. A hook metal 52 that can be engaged with the hook receiver 50 is attached to the back side position of the upper surface of the equipment 20. And after putting the equipment 20 in the alcove 13, it lowers a little, hooks the hook 52 on the hook receiver 50 from above, and mounts the lower end of the equipment 20 on the support angle 51, and fixes it with a screw.

  The gap between the equipment 20 and the wall 12 is fixed to the top and bottom of the alcove 13 by attaching a fixed angle 53 having a substantially L-shaped cross section to the top of the equipment 20 so that the equipment 20 is disposed in the alcove 13. A connecting hardware 54 is attached and coupled between the angles 53, a cover receiver 55 is attached to the front surface of the connecting hardware 54, and a decorative cover 56 having a substantially T-shaped cross section is attached to the cover receiver 55. The decorative cover 56 is formed so as to be substantially flush with the front surface of the wall 12 and the equipment 20 after being attached.

  When the equipment 20 is supported on the side surface of the alcove 13, as shown in FIG. 11, a support angle 51 having a substantially L-shaped cross section is attached to a position where the upper end and the lower end of the equipment 20 on the side surface of the alcove come. The equipment 20 is placed in the alcove 13, the lower end of the equipment 20 is placed on the support angle 51, and the upper and lower ends of the equipment 20 are fixed to the upper and lower support angles 51 with screws. The processing of the gap between the equipment 20 and the wall 12 is the same as the structure shown in FIG.

  When the equipment 20 is supported on the top surface of the alcove 13, as shown in FIG. 12, a hanging bracket 57 having a substantially Z-shaped cross section is attached to the left and right sides of the top surface of the alcove, and the hanging bracket 57 can be engaged with the top surface of the equipment 20. Hooks 58 are attached to the left and right respectively. A support angle 51 having a substantially L-shaped cross section is attached to a position where the lower end of the equipment 20 on the back and side surfaces of the alcove comes. Then, the hooking metal fitting 58 is engaged with the hanging metal fitting 57 while the equipment 20 is put in the alcove 13, and the lower end of the equipment 20 is placed on the support angle 51 and fixed with screws. The processing of the gap between the equipment 20 and the wall 12 is the same as the structure shown in FIG. These installation structures are selected according to the installation position, type, and shape of each equipment 20.

  The remaining alcove 13 where the equipment 20 is not installed is utilized as a kick-in storage 21. Cables 22 (medical gas piping, power supply wiring, intercom wiring, video wiring, LAN wiring, etc.) of each equipment 20 are drawn into the wiring duct 30 through the joint sleeve 32 and arranged in the electric wire rack 31 for each equipment 20 or for each type.

  FIG. 13 shows another example of the embodiment in which the wiring duct 30 with the alcove 13 side opened is attached in the wall 12. In another example of the embodiment shown in FIG. 13, the alcove 13 side (lower surface) of the wiring duct 30 is opened, and the cable 22 of the equipment 20 is drawn into the wiring duct 30 through the open surface, and is inserted into the electric wire rack 31. It is arranged. In this example, since the open surface of the wiring duct 30 is not exposed to the operating room 10 side, the duct cover 34 can be omitted. Other reference numerals and configurations are the same as those in the embodiment.

According to the present embodiment, the following effects can be obtained.
1) Since it is necessary to align the IT information unit and the like with the operation plan of the entire hospital, it takes a very long time to determine and integrate the detailed specifications of the equipment, and the start of ordering and construction is delayed. On the other hand, since all the equipment is modularized in this embodiment, the construction of only the operating room is started before the operation plan of the entire hospital is decided, and in parallel with the construction after the operation plan is decided or Equipment can be installed after construction.
2) The installation position of each device is determined by meeting with hospital staff (doctors, nurses, radiographers, etc.), but when the operation is actually started, the flow line is bad or the function is excessive or insufficient. There is. On the other hand, in the present embodiment, the equipment is modularized and can be detached, so that such a situation can be easily dealt with by removing the installed equipment and reattaching it to another equipment.

  The technology of the present invention is used in an operating room of a medical facility.

It is a top view of the operating room of an Example. It is a longitudinal cross-sectional view of the alcove of an Example. It is a longitudinal cross-sectional view of the duct for wiring of an Example. It is a perspective view which shows the state which installed the equipment of the Example in the foundation stand. It is a wall surface figure of the operating room of an Example. It is a wall surface figure of the operating room of an Example. It is a wall surface figure of the operating room of an Example. It is a wall surface figure of the operating room of an Example. It is explanatory drawing which shows the construction state of a baseboard and a flooring of an Example. It is explanatory drawing which shows the installation structure of the equipment of an Example. It is explanatory drawing which shows the installation structure of the equipment of an Example. It is explanatory drawing which shows the installation structure of the equipment of an Example. It is a longitudinal cross-sectional view of the duct for wiring of the other example of an Example.

Explanation of symbols

DESCRIPTION OF SYMBOLS 10 Operating room 11 Door 12 Wall 13 Alcove 14 Floor 15 Air-conditioning suction inlet 20 Equipment 20a Nurse terminal 20b Information panel 20c Image | video rack 20d Equipment shelf 20e Thermal insulation 20f Cold storage 20g Doctor's terminal 20h Radiation image display apparatus 20i Medical gas unit 20j Panel 21 Kicking storage 22 Cable 30 Wiring duct 31 Electric wire rack 32 Joint sleeve 33 Medical gas connection port 34 Duct cover 40 Foundation base 41 Skirting board 42 Bolt 43 Nut 44 Floor material 50 Hook receiving 51 Support angle 52 Hook metal 53 Fixed angle 54 Metal fitting 55 Cover receiver 56 Cosmetic cover 57 Hanging bracket 58 Hook bracket 60 Operating table

Claims (4)

In the construction method of the operating room, an alcove that is recessed outside the room is formed on the four wall surfaces that form the operating room of the medical facility, and a plurality of equipment necessary for the operating room is embedded in the alcove. Each equipment has a certain width and height, the height of the alcove is approximately the same as the installation upper end height, and the depth of the alcove is approximately the same as the maximum depth of each equipment. The width of the alcove is approximately an integral multiple of the width of one piece of equipment, and a horizontal wiring duct with the indoor side open is attached to the wall above the alcove, and the wiring duct An inlet for drawing equipment wiring or piping is formed on the lower surface of the equipment, equipment is installed in the lower part of the wiring duct, and the wiring or piping of the equipment is drawn into the wiring duct through the inlet. Open The duct cover and to attach detachably to, how to build the operating room. In the construction method of the operating room, an alcove that is recessed outside the room is formed on the four wall surfaces that form the operating room of the medical facility, and a plurality of equipment necessary for the operating room is embedded in the alcove. Each equipment has a certain width and height, the height of the alcove is approximately the same as the installation upper end height, and the depth of the alcove is approximately the same as the maximum depth of each equipment. The width of the alcove is approximately an integral multiple of the width of one piece of equipment, and a horizontal wiring duct with the alcove side open is attached to the wall above the alcove, and the wiring duct A method for constructing an operating room in which equipment is installed in the lower part and the wiring or piping of the equipment is drawn into the wiring duct through the open surface . A base frame is provided on the floor in the alcove, equipment is installed on the base frame, and a sheet-like floor material is laid seamlessly from the floor floor of the room to the base frame. A method for constructing any of the operating rooms. The operating room construction method according to any one of claims 1 to 3 , wherein the equipment is installed and supported on at least one of an upper surface, a side surface, or a back surface in the alcove .

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