EP0398079A1 - Modulares ambulantes chirurgisches Zentrum - Google Patents

Modulares ambulantes chirurgisches Zentrum Download PDF

Info

Publication number
EP0398079A1
EP0398079A1 EP90108368A EP90108368A EP0398079A1 EP 0398079 A1 EP0398079 A1 EP 0398079A1 EP 90108368 A EP90108368 A EP 90108368A EP 90108368 A EP90108368 A EP 90108368A EP 0398079 A1 EP0398079 A1 EP 0398079A1
Authority
EP
European Patent Office
Prior art keywords
floor
room
operating
center
center according
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Withdrawn
Application number
EP90108368A
Other languages
English (en)
French (fr)
Inventor
Philippe Bonello
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Sarcem Automation
Original Assignee
Sarcem Automation
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Sarcem Automation filed Critical Sarcem Automation
Publication of EP0398079A1 publication Critical patent/EP0398079A1/de
Withdrawn legal-status Critical Current

Links

Images

Classifications

    • E—FIXED CONSTRUCTIONS
    • E04—BUILDING
    • E04H—BUILDINGS OR LIKE STRUCTURES FOR PARTICULAR PURPOSES; SWIMMING OR SPLASH BATHS OR POOLS; MASTS; FENCING; TENTS OR CANOPIES, IN GENERAL
    • E04H3/00—Buildings or groups of buildings for public or similar purposes; Institutions, e.g. infirmaries or prisons
    • E04H3/08—Hospitals, infirmaries, or the like; Schools; Prisons

Definitions

  • This technique of ambulatory surgery is also highly desirable because it allows greater moral comfort, and therefore less stress for the patient who is only separated from his family and his usual environment for a short time. This technique also makes it possible to significantly reduce the cost of a surgical intervention, the duration of hospitalization, the immobilization of hospital premises and the use of hospital services being greatly reduced.
  • the present invention attempts to solve this problem by new design of a modular surgical center specially equipped for ambulatory surgery, possibly supplemented by a short-stay hotel and essential ancillary services.
  • the design of this ambulatory surgical center must also include an operating module or unit that meets the specific constraints of ambulatory surgery and can be supplemented by sterilization, consultation, short-stay, and administrative modules.
  • the design of the center is modular and must respond to the possible industrialization of the main elements of its structure.
  • the subject of the present invention is a modular ambulatory surgical center comprising at least one operating unit meeting the characteristics listed in claim 1.
  • the ambulatory surgical center according to the present invention is specially designed and produced to optimize the surgical procedures that can be performed on an ambulatory basis by the circulation of patients and hospital staff.
  • it is designed in the modular mode so as to present maximum flexibility of realization while using in the most rational way elements or blocks that can be industrialized in their structure and pre-equipped. It is thus possible to respond to specific requests depending on the size of the surgical center and the type of surgery or microsurgery performed there according to the wishes of the users.
  • the typical ambulatory surgical center consists of a building which may consist of different modules in the form of sectors of a circle and comprising a ground floor and if necessary a first floor.
  • the ground floor is intended for the circulation and reception of patients, their families and accompanying persons and may for example have a circular modular structure comprising: - reception rooms - distribution and patient circulation corridor - one or more consulting rooms with their adjacent technical unit, in one or more modules. - a short-stay hotel module.
  • the first floor which is accessed by elevators, is in principle reserved for patients and technical staff: carers, surgeons and nurses. It vertically extends the modular structure of the circular ground floor and may for example include: - one or more operating theater modules served by individual elevators - changing rooms - sterilization units registered in a typical modular space, - rest units for surgeons and post-operative for patients - conference and administrative premises.
  • the circular modular concept can be industrialized in its main structural elements as well as for the pre-equipment of the different blocks, units or premises, it results in obvious advantages such as significant savings on the cost of construction although of traditional quality , very short construction and therefore availability times, and this is very important to later allow the distribution to be modified and an additional floor to be installed, which allows the center to be enlarged quickly and at a lower cost.
  • the ambulatory surgical center can be uni- or multidisciplinary. Indeed, the modularity of the surgical center makes it possible to group surgical units from different disciplines such as ophthalmology, hand surgery, stomatology, paradontology, otorinolaringalogy, radiology, gynecology, medical analyzes, to name only the most important. In general, all surgical or diagnostic disciplines that can be carried out on an outpatient basis or with a short hotel stay, can be considered in such a center with optimal use.
  • a typical example of an ambulatory surgical center according to the invention may include a building which essentially comprises a metallic structure with a reinforced concrete slab 34 meters in diameter. This slab is seated on a set of foundations made up of continuous or insulated footings.
  • the foundations are planned to allow the subsequent construction of 2 or more additional floors.
  • the earthworks carried out allow the existence of a crawl space in which circulate all the supply or discharge networks.
  • the modular design of the surgical center is based on the use of a metal framework comprising 15 geometrically identical sectors of a circle.
  • the planned height of the structure is such that it allows a ceiling height of 2.70 meters while providing a sufficient vacuum between the ceiling and the upper slab for the passage of conditioning ducts and various specific supplies as well as the network extension on upper floors.
  • the roofing is carried out by a concrete slab resting on the metal structure. This slab is intended to receive the necessary thermal insulation and sealing materials. Lan's pose dull or illuminating can be considered.
  • the facade consists of a curtain wall and includes a grid of horizontal and vertical profiles in which are included the lighting flush and the light full panels.
  • the glazing is double, insulating and reflective (light shade or bronze).
  • the architecture of the facade is enhanced by bands and battlements made of anodized metal elements or pre-painted in the oven.
  • the floor coverings according to the destinations and the choice of the user, will be treated in tiling on screed, carpet and upholstery.
  • the internal separations are: - either in single or double light partitions, - either heavy elements: cement blocks or reinforced concrete sails.
  • the electrical installations are carried out in accordance with S.I.A.
  • the whole building is air conditioned (summer / winter).
  • the facilities are grouped together in a boiler room; distributions are carried out by pipes and ducts in crawl space and in the ceiling void.
  • the heating installation also includes a pit for the fuel tank.
  • the building will be equipped with all the essential equipment to comply with safety rules, in particular fire, emergency exits, necessary in this area.
  • the essential part of the modular ambulatory surgical center is obviously the operating module, its design and its circulation which makes it a standard unit of ambulatory surgical treatment adapted to the most modern techniques and requirements.
  • FIG. 1 schematically illustrates in plan the configuration of the ground floor of an ambulatory surgery center according to the invention.
  • this center comprises on the ground floor an entrance 1 giving access to a circular public corridor 2 serving a number of individual living rooms 3, as well as common premises such as cafeteria 4, toilets, changing rooms, examination rooms, administrative premises, etc.
  • This ground floor is therefore for the most part at least public and therefore not sterile.
  • this center comprises, still organized along this radial structure, occupying part of the central area one or more operating theaters 5 surrounded by airlocks for the patients and for the treating staff.
  • a clean corridor 6 surrounds the airlocks allowing surgeons and nursing staff to access the various premises on this first floor from a reserved entrance and also reserved cloakrooms.
  • Around this clean corridor 6 are various rooms, patient locker rooms, rest and recovery rooms as well as various administrative rooms.
  • This first floor is thus organized so that the high sterility zones are in the center, the degree of sterility of the premises decreasing from the center to the periphery of the building.
  • the modularity of the various hospital functions makes it possible to properly separate the public part on the ground floor from the technical part, operating room on the upper floor by the elevators.
  • the patient arrives at entrance 1 and the reception and entry formalities are carried out on the ground floor in non-sterile common rooms. He is then directed to the ambulatory waiting room 7 where he can still stay with family members or accompanying persons. When his turn arrives he goes up to the first floor with the ace censor 9 and will change in cloakroom 11 which is generally equipped with a room for undressing and individual cabinets. In this changing room the patient is equipped with sterile operating clothes. From the cloakroom, it crosses the clean corridor 6, which is also sterile, and enters the airlock 12 with an even greater degree of sterility.
  • the medical staff accesses the first floor by another elevator 17 from corridor 2 on the ground floor then crosses a cloakroom 18 to access the clean corridor 6 from where they can reach the operating theater 5 via the preparation room 15.
  • Figures 4 and 5 illustrate another variant of the ambulatory surgical unit which is more personalized for the patient.
  • Figure 4 illustrates part of the ground floor of a cen be hospitable, comprising not a common waiting room but individual waiting and preparation rooms.
  • the patient Once the patient is registered at the reception and all the administrative formalities are completed, he is introduced by an external corridor 19 into a personalized waiting room 20 where there are toilets and a cloakroom.
  • the patient can therefore, in the presence of his family or accompanying person, prepare, undress and put on the operating clothes.
  • the elevator 21 which includes an operating table with adjustable position on which the patient sits. He goes up to the first floor, the operating table is lengthened and introduced into the operating room 22 by crossing the clean corridor 23 through which the hospital staff accesses.
  • the patient is taken to the mobile operating table through the clean corridor 23 and the elevator 21 to a rest room 24 where the necessary time remains.
  • his condition allows it he takes the elevator back to the personalized waiting room 20 where he changes, can wash, and is again supported by his family.
  • an operating theater 22 can be common to two units.
  • FIG. 6 illustrates in plan the distribution of a consultation building which can be included in a hospital center for ambulatory surgery which comprises only one ground floor.
  • This building always built according to the same triangular modulation comprises an entrance 25 giving access to a reception and a distribution corridor 26.
  • this corridor 26 In the center of this corridor 26 are located changing rooms, toilets and other utility rooms while around this corridor are located rooms waiting 27 each giving access to a specialized consultation room, laboratories and possibly a small surgery or treatment room. Administrative premises are located on either side of the entrance.
  • FIG. 7 illustrates an ambulatory hospital and surgical center comprising a one-storey building on ground B, of the type described with reference to FIGS. 1 to 3, connected by corridors C1, C2 and an intermediate pavilion D to a building E of type of that described with reference to figure 6.
  • the three buildings B, D and E are all modular, divisible into sectors and are all constructed from the same prefabricated structural elements.
  • constructions can be made that exactly meet the needs and desires of users and which, as we have seen above, are particularly well designed for ambulatory surgery.
  • the ground floor comprises the entrance, the reception of patients, a service entrance for supplies, a cafeteria and changing rooms.
  • the whole area is not sterile and is public.
  • the sterile material, packaged accordingly, and coming from outside the surgical center is introduced through the service entrance, specific elevators, into a special room for sterile delivery. From there this material is transported through the clean corridor, therefore sterile or at least of a medium sterility degree to sterilization or reserve rooms or sterile arsenal located in the center of the clean corridor 6 between it and the operating theater.
  • the patients are transferred to the post-operative rest room then return to the cloakroom and the ground floor where it is taken care of by their family or their companion while the hospital staff can circulate on the first floor by the clean corridor between the different high sterility zones.
  • the circular, modular design in the sector of circles of this center allows great ease of adaptation, modification, enlargement, etc.
  • the modular operating unit would include the two sectors illustrated in Figures 3a and 3b arranged side by side on the same floor.
  • a sector of the same size as that illustrated in FIG. 3a could then be devoted to the entry and exit of hospital staff and equipment. So here too the paths are different for patients, hospital staff and equipment.
  • the degree of sterility of the premises also increases from the periphery of the building towards its center.

Landscapes

  • Engineering & Computer Science (AREA)
  • Architecture (AREA)
  • Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Civil Engineering (AREA)
  • Structural Engineering (AREA)
  • Accommodation For Nursing Or Treatment Tables (AREA)
EP90108368A 1989-05-16 1990-05-03 Modulares ambulantes chirurgisches Zentrum Withdrawn EP0398079A1 (de)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
CH1815/89 1989-05-16
CH181589 1989-05-16

Publications (1)

Publication Number Publication Date
EP0398079A1 true EP0398079A1 (de) 1990-11-22

Family

ID=4219248

Family Applications (1)

Application Number Title Priority Date Filing Date
EP90108368A Withdrawn EP0398079A1 (de) 1989-05-16 1990-05-03 Modulares ambulantes chirurgisches Zentrum

Country Status (4)

Country Link
EP (1) EP0398079A1 (de)
DE (1) DE398079T1 (de)
ES (1) ES2019053A4 (de)
GR (1) GR900300200T1 (de)

Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2003064792A1 (fr) * 2002-02-01 2003-08-07 Acentino S.A. Nouvelle structure d'unite chirurgical
WO2005118982A2 (en) * 2004-05-13 2005-12-15 Nbbj Design Llp Operating room/intervention room
US20130067721A1 (en) * 2008-12-23 2013-03-21 Xoma Technology Ltd. Flexible manufacturing system
US8905585B2 (en) 2004-05-13 2014-12-09 Or21, Llc Operating room/intervention room
CN104533109A (zh) * 2014-11-27 2015-04-22 浙江盛源医用工程有限公司 一种砂加气混凝土砌块手术室及其砌筑搭建方法

Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
FR1593398A (de) * 1968-11-26 1970-05-25
US3638641A (en) * 1969-11-19 1972-02-01 Arcoa Inc Multiphasic medical examinations screening laboratory construction
US3862525A (en) * 1970-07-24 1975-01-28 Donald J Greenspan Medical office facility with two or more examining rooms having a common equipment core area

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
FR1593398A (de) * 1968-11-26 1970-05-25
US3638641A (en) * 1969-11-19 1972-02-01 Arcoa Inc Multiphasic medical examinations screening laboratory construction
US3862525A (en) * 1970-07-24 1975-01-28 Donald J Greenspan Medical office facility with two or more examining rooms having a common equipment core area

Non-Patent Citations (1)

* Cited by examiner, † Cited by third party
Title
WEG- EN WATERBOUW, vol. 35, no. 1, janvier 1975, pages 8-12, Rotterdam, NL; "Het ziekenhuis van de toekomst" *

Cited By (12)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2003064792A1 (fr) * 2002-02-01 2003-08-07 Acentino S.A. Nouvelle structure d'unite chirurgical
FR2835555A1 (fr) * 2002-02-01 2003-08-08 Jean Francois Raynaud Nouvelle structure d'unite chirurgicale
WO2005118982A2 (en) * 2004-05-13 2005-12-15 Nbbj Design Llp Operating room/intervention room
WO2005118982A3 (en) * 2004-05-13 2006-03-23 Nbbj Design Llp Operating room/intervention room
US8112942B2 (en) 2004-05-13 2012-02-14 Nbbj Design Llp Operating room/intervention room
US8905585B2 (en) 2004-05-13 2014-12-09 Or21, Llc Operating room/intervention room
US9222257B2 (en) 2004-05-13 2015-12-29 Or21, Llc Operating room/intervention room
US20130067721A1 (en) * 2008-12-23 2013-03-21 Xoma Technology Ltd. Flexible manufacturing system
US8584349B2 (en) * 2008-12-23 2013-11-19 Xoma Technology Ltd. Flexible manufacturing system
US10106974B2 (en) 2008-12-23 2018-10-23 Xoma (Us) Llc Flexible manufacturing system
US10294658B2 (en) 2008-12-23 2019-05-21 Xoma (Us) Llc Flexible manufacturing system
CN104533109A (zh) * 2014-11-27 2015-04-22 浙江盛源医用工程有限公司 一种砂加气混凝土砌块手术室及其砌筑搭建方法

Also Published As

Publication number Publication date
GR900300200T1 (en) 1991-10-10
ES2019053A4 (es) 1991-06-01
DE398079T1 (de) 1991-03-21

Similar Documents

Publication Publication Date Title
US7779585B2 (en) Combined shopping center and apartment building
EP3482021B1 (de) Eigenständige behandlungseinheit für hämodialysebehandlungen
EP0398079A1 (de) Modulares ambulantes chirurgisches Zentrum
Lovering Alzheimer's disease and outdoor space: Issues in environmental design
JP2003138762A (ja) 被介護者室付き住宅
JP7320545B2 (ja) 建物
Hwang Housing for the elderly in Taiwan
Thompson Woldenberg Village: an illustration of supportive design for older adults
Law-Bo-Kang et al. NEW BREATH IN THE VILLAGE a dementia village for utby
Middleton Modern Buildings: Their Planning, Construction and Equipment
Gronostajska et al. Architecture therapy: principles of designing and shaping space in centres for cancer patients, based on the architecture of Maggie's Centres
RU96153U1 (ru) Здание дошкольного образовательного учреждения
JPH0489972A (ja) 集合住宅
Xhexhi et al. Lighting in Hospitals-Case Study: Military Hospital of Tirana, Albania
Cheung Vibrant Senior Living: Rehabilitating existing office towers into high-density senior care homes
Chakravarty ONGC Hospital, Dehradun
Butler Hospitals
Becker et al. DEA 453
Kashyap Extent of infrastructure facilities available in old age homes of Uttarakhand, India
Foulerton et al. A model sanatorium for the treatment of pulmonary tuberculosis: An essay submitted in the competition for the erection of a sanatorium for tuberculosis
BREWER SANATORIA
Miller A retirement village for Waco, Texas
JP2002242457A (ja) 居住用建物構造
Doyle Droimnin Nursing Home, Brockley Park, Stradbally, Laois
Cairns VIII. The Vale of Leven Hospital, Alexandria

Legal Events

Date Code Title Description
PUAI Public reference made under article 153(3) epc to a published international application that has entered the european phase

Free format text: ORIGINAL CODE: 0009012

AK Designated contracting states

Kind code of ref document: A1

Designated state(s): AT BE CH DE DK ES FR GB GR IT LI LU NL SE

TCAT At: translation of patent claims filed
GBC Gb: translation of claims filed (gb section 78(7)/1977)
DET De: translation of patent claims
TCNL Nl: translation of patent claims filed
STAA Information on the status of an ep patent application or granted ep patent

Free format text: STATUS: THE APPLICATION IS DEEMED TO BE WITHDRAWN

18D Application deemed to be withdrawn

Effective date: 19910522