WO2016090116A1 - Salle d'opération hybride pour services combinés chirurgicaux et d'imagerie fixe dans un centre chirurgical ambulatoire - Google Patents

Salle d'opération hybride pour services combinés chirurgicaux et d'imagerie fixe dans un centre chirurgical ambulatoire Download PDF

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Publication number
WO2016090116A1
WO2016090116A1 PCT/US2015/063692 US2015063692W WO2016090116A1 WO 2016090116 A1 WO2016090116 A1 WO 2016090116A1 US 2015063692 W US2015063692 W US 2015063692W WO 2016090116 A1 WO2016090116 A1 WO 2016090116A1
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WO
WIPO (PCT)
Prior art keywords
surgical center
ambulatory surgical
operating room
power
room
Prior art date
Application number
PCT/US2015/063692
Other languages
English (en)
Inventor
L. Philipp WALL
Original Assignee
Wall L Philipp
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
Priority claimed from US14/560,721 external-priority patent/US9334664B2/en
Application filed by Wall L Philipp filed Critical Wall L Philipp
Priority to CN201580075089.0A priority Critical patent/CN107567307B/zh
Priority to EP15816314.7A priority patent/EP3234281A1/fr
Priority to JP2017548366A priority patent/JP2018505332A/ja
Publication of WO2016090116A1 publication Critical patent/WO2016090116A1/fr
Priority to HK18105408.5A priority patent/HK1245862A1/zh

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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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B6/00—Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis combined with radiation therapy equipment
    • A61B6/44—Constructional features of apparatus for radiation diagnosis
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B6/00—Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis combined with radiation therapy equipment
    • A61B6/44—Constructional features of apparatus for radiation diagnosis
    • A61B6/4429—Constructional features of apparatus for radiation diagnosis related to the mounting of source units and detector units
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B6/00—Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis combined with radiation therapy equipment
    • A61B6/44—Constructional features of apparatus for radiation diagnosis
    • A61B6/4429—Constructional features of apparatus for radiation diagnosis related to the mounting of source units and detector units
    • A61B6/4464—Constructional features of apparatus for radiation diagnosis related to the mounting of source units and detector units the source unit or the detector unit being mounted to ceiling
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B6/00—Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis combined with radiation therapy equipment
    • A61B6/56—Details of data transmission or power supply, e.g. use of slip rings
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B6/00—Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis combined with radiation therapy equipment
    • A61B6/10—Safety means specially adapted therefor
    • A61B6/107—Protection against radiation, e.g. shielding
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B6/00—Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis combined with radiation therapy equipment
    • A61B6/44—Constructional features of apparatus for radiation diagnosis
    • A61B6/4429—Constructional features of apparatus for radiation diagnosis related to the mounting of source units and detector units
    • A61B6/4435—Constructional features of apparatus for radiation diagnosis related to the mounting of source units and detector units the source unit and the detector unit being coupled by a rigid structure
    • A61B6/4441—Constructional features of apparatus for radiation diagnosis related to the mounting of source units and detector units the source unit and the detector unit being coupled by a rigid structure the rigid structure being a C-arm or U-arm
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B6/00—Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis combined with radiation therapy equipment
    • A61B6/44—Constructional features of apparatus for radiation diagnosis
    • A61B6/4429—Constructional features of apparatus for radiation diagnosis related to the mounting of source units and detector units
    • A61B6/4452—Constructional features of apparatus for radiation diagnosis related to the mounting of source units and detector units the source unit and the detector unit being able to move relative to each other
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B6/00—Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis combined with radiation therapy equipment
    • A61B6/48—Diagnostic techniques
    • A61B6/486—Diagnostic techniques involving generating temporal series of image data
    • A61B6/487—Diagnostic techniques involving generating temporal series of image data involving fluoroscopy
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G10/00—Treatment rooms or enclosures for medical purposes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N5/00—Radiation therapy
    • A61N5/10—X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy
    • A61N2005/1092—Details
    • A61N2005/1094—Shielding, protecting against radiation

Definitions

  • Various medical centers may benefit from having combined surgical and fixed imaging services.
  • ambulatory surgical centers may benefit from having a hybrid operating room that combines such surgical and fixed imaging services.
  • Hospital facilities are generally designed with a variety of special features to fulfill strict safety requirements that add significantly to the cost to build and operate the hospital facility.
  • hospitals are typically constructed to adhere to strict building codes.
  • Hospitals for example, are classified according to International Building Code (IBC) as Institutional Group 1-2, meaning occupancy shall include buildings and structures used for medical care on a 24-hour basis for more than five persons who are incapable of self-preservation.
  • Hospitals typically also have heightened requirements regarding fire control, such as specific required building materials, in part because the occupants of the hospital are often incapable of self-preservation, as noted above.
  • IBC International Building Code
  • hospitals traditionally include a variety of equipment. Normally, a hospital includes a number of hospital beds. Similarly, hospitals typically include patient rooms, which may house those hospital beds, and patient restrooms. Often, the size of a hospital is given as the number of beds the hospital has. Furthermore, hospitals also often include other facilities, such 5 as a pharmacy, a lab, a morgue, and facilities providing radiology services, infection isolation, dietary services, linen services, emergency services, and the like.
  • hospitals normally are required to have disaster prevention provisions for the primary structure and services as well as a disaster response 10 plan, policy, and capabilities.
  • hospitals often include central services (for example, central sterilization services), materials management, environmental services, and engineering services.
  • imaging equipment is often heavy and has substantial power requirements. Hospitals, with their massive infrastructure, can readily accommodate such requirements. Also, imaging equipment often requires shielding due to the use of radiation, such as x-rays.
  • the infrastructure 20 of a hospital is conventionally thought to be the only medical facility infrastructure adapted to safely accommodate such a purpose. For example, the thick concrete walls and floors of a typical hospital can help to block radiation.
  • Operating rooms for providing combined surgery and fixed imaging in a hospital are comparatively large.
  • a typical combined surgical 25 and fixed imaging surgery room in a hospital may be in the range of 800 to 1000 square feet.
  • operating rooms in a hospital need to be of such comparatively large size in order to accommodate the performance of up to twenty to thirty different surgical specialties and sub-specialties as may normally be performed in a hospital, such as cardiac, thoracic, vascular, obstetrics, gynecological, orthopedic, podiatric, urologic, otolaryngologic, neurosurgery, trauma, ophthalmology, gastrointestinal, transplant, general surgery, colorectal surgery, hand surgery, endocrine surgery, breast surgery, plastic surgery, head and neck surgery, surgical oncology, pediatric surgery, spine surgery, oral maxillo facial surgery and so on.
  • hospitals typically are required to have particularly robust infectious vector isolation as well as high quality and sophisticated nurse call systems. Hospitals also have requirements for control of airborne sound transmission and water temperature requirements. Hospitals also normally have medical gas systems with strict requirements on their number and amount of testing. Likewise, elevators in hospitals are required to be large to accommodate gurney traffic.
  • hospitals typically have specific fire code requirements.
  • hospital construction materials must be non- combustible and must provide for patient and staff safety in case of an emergency. Because hospitals are viewed as essential in case of a disaster, hospitals must be able to withstand greater events, such as earthquakes, floods, and the like.
  • the structure also needs to be designed to provide the option of defending the structure in place rather than evacuating the structure.
  • HVAC heating, ventilation, and air conditioning
  • the materials from which the building is constructed including the finishes for interior walls and ceilings, must comply with strict fire requirements, such as a very low flame spread index. Other similar reinforcements and protections may likewise be required.
  • a hospital is normally required to have a significantly enhanced infrastructure.
  • ASCs ambulatory surgical centers
  • IBC class B structure which may house an ASC
  • IBC class 1-2 structure typically associated with the construction of a hospital.
  • air change requirements for ASCs and other requirements may be much less strict for ASCs than for hospitals.
  • class B can refer to use and occupancy classification, such as described in International Building Code (2012 version), Chapter 3, section 304, "Business Group B.”
  • ASCs typically do not require a pharmacy, a lab, a morgue, linen services, dietary services, and the like. Indeed, ASCs normally do not have any hospital beds, because it is not expected that the patients will be staying overnight.
  • typical operating rooms in ASCs may be smaller than in hospitals.
  • an operating room in an ASC may be less than 600 square feet and possibly as small as 425 square feet.
  • an ASC may generally offer only one to ten different surgical specialties, rather than the twenty to thirty surgical specialties offered in a typical hospital.
  • ASCs can herein or otherwise be described in various ways.
  • ASCs can also be referred to as ambulatory surgery center, clinics, outpatient surgical centers, and the like.
  • ASC can refer generally to ASCs, clinics, outpatient surgical centers and similar structures.
  • an ambulatory surgical center can include a hybrid operating room.
  • the hybrid operating room can include at least one lead-shielded wall, a floor, and a ceiling.
  • the ambulatory surgical center can also include an imaging device disposed in the hybrid operating room.
  • the ambulatory surgical center can further include an operating table disposed in the hybrid operating room.
  • the ambulatory surgical center can additionally include a power room near the operating room, wherein the power room comprises a power supply for the imaging device.
  • the ambulatory 5 surgical center can also include a conduit from the power room to the imaging device configured to deliver power to the imaging device.
  • the building for the ambulatory surgical center may be one that is initially constructed to conform to International Building Code (IBC) Class B standards.
  • IBC International Building Code
  • the 10 surgical center can include building a hybrid operating room.
  • the hybrid operating room can include at least one lead-shielded wall, a floor, and a ceiling.
  • the method can include shielding the at least one wall with lead.
  • the method can further include installing an imaging device disposed in the hybrid operating room.
  • the method can additionally include installing an operating i s table disposed in the hybrid operating room.
  • the method can also include building a power room near the operating room.
  • the method can further include installing, in the power room, a power supply for the imaging device.
  • the method can additionally include installing a conduit configured to supply power from the power room to the imaging device.
  • the building can include
  • a building can include a hybrid operating room, wherein the hybrid operating room comprises radiation 25 shielding.
  • the building can also include an imaging device disposed in the hybrid operating room.
  • the building can further include an operating table disposed in the hybrid operating room.
  • the building can additionally include a power room near the operating room, wherein the power room comprises a power supply for the imaging device.
  • the building can also include a conduit from the power room to the imaging device configured to deliver power to the imaging device.
  • the building can have 20,000 square feet or less of floor space.
  • Figure 1 illustrates a cross-section of an ambulatory surgical center according to certain embodiments of the present invention.
  • Figure 2 illustrates a method of manufacturing an ambulatory surgical center, according to certain embodiments of the present invention.
  • Figure 3 illustrates a cross-section of another ambulatory surgical center according to certain embodiments of the present invention.
  • ASC ambulatory surgical center
  • FIG. 1 illustrates a cross-section of an ambulatory surgical center according to certain embodiments.
  • an ambulatory surgical center 100 can include a hybrid operating room 105.
  • the hybrid operating room 105 can include one or more lead-shielded walls 1 10. Only two walls are shown in the cross-section view, but two more may be orthogonal to those illustrated.
  • the hybrid operating room may also include a floor 1 15 and a ceiling 120.
  • Shielded doors not illustrated, may also be provided in the lead-shielded walls. Other shielding materials besides lead are also permitted in certain embodiments. Those doors may lead to a hallway or to other rooms.
  • the ceiling 120 may not, in certain embodiments, include lead shielding or any other type of radiation shielding. This may be particularly applicable when the ambulatory surgical center 100 is a single story building or when the ambulatory surgical center 100 is on the top floor of an office building. By contrast, in other embodiments the ceiling 120 may be shielded. For example, such shielding may be provided when the ambulatory surgical center 100 is located on a lower floor of a multi-story building.
  • the floor 1 15 can be shielded or unshielded, according to the location of hybrid operating room 105 with respect to the rest of the ambulatory surgical center 100 or building.
  • the floor 1 15 may be shielded (with lead or other radiation shielding material), whereas when the ambulatory surgical center 100 is on a ground floor or in a basement, it may not be necessary to shield the floor 1 15. In a basement it may not be necessary to provide any additional shielding to one or any of the walls.
  • a material can be considered as shielding if it provides adequate protection to humans who are on the side opposite the material from the radiation source.
  • the adequacy of the protection may depend on factors such as what is deemed a safe exposure level and depending on an expected dwell time of a human on the other side of the shielding.
  • the ambulatory surgical center 100 can also include an imaging device 125a, 125b disposed in the hybrid operating room 105, for example in a central area of the hybrid operating room 105.
  • the ambulatory surgical center 100 can further include an operating table 130 disposed in the hybrid operating room 105, for example in the central area of the hybrid operating room 105.
  • the operating table 130 is shown without legs due to the cross- sectional view, but the operating table 130 may have legs, wheels, or the like.
  • the operating table 130 may be in a fixed position or may be capable of movement, for example, to position a patient.
  • the imaging device 125a, 125b can be or include a fluoroscopy device.
  • the fluoroscopy device can include a fixed C-arm device with the ability to perform, among other things, cineradiography (CINE) and digital subtraction.
  • CINE cineradiography
  • the imaging device 125a, 125b can include a radiating component 125b fixed to the floor 1 15 or ceiling 120 and a monitor component 125a fixed to the ceiling 120.
  • the monitoring component 125a can be fixed to the floor 1 15.
  • the monitoring component 125a and the radiating component 125b, or either of the components can be fixed to one or more of the walls.
  • the ambulatory surgical center 100 can further include a power room 135 adjacent to the operating room.
  • the power room 135 can include a power supply 140 for the imaging device 125a, 125b.
  • the ambulatory surgical center 100 can include one or more conduit(s) 145a, 145b from the power room 135 to the imaging device 125a, 125b configured to deliver power to the imaging device 125a, 125b.
  • the conduit(s) 145a, 145b can be located beneath the floor 1 15 (for example, at 145b), above ground, or above the ceiling 120 (for example, at 145a).
  • An above-ceiling conduit 145a may provide power to elements that are not attached to the floor (such as monitor element 125a), while the below floor-surface conduit 145b can provide power to elements that are attached to the floor (such as radiating component 125b), or which are held in place by gravity.
  • the power room 135 and/or the power supply 140 can be configured to provide power employing at least 480 VAC or at least 208 VAC.
  • the power room 135 may include a step-up transformer 155 configured to provide the desired power, such as the 480 VAC, 208 VAC or any other desired power.
  • the ambulatory surgical center 100 can additionally include an 5 emergency power source 145 for the imaging device 125a, 125b configured to permit continuity of surgery in the hybrid operating room 105 during a power outage.
  • the emergency power source 145 may be, for example, a generator, an uninterruptable power supply, or another source of power different from the power used in a non-emergency setting.
  • 10 power source 145 may be configured to supply emergency power to other devices or aspects than just the imaging device 125a, 125b.
  • the emergency power source 145 may be configured to supply a critical power bus or critical power panel for multiple devices.
  • the ambulatory surgical center 100 can also include equipment 150 i s configured for the supply and provision of medical gasses.
  • the medical gasses can include anesthetic gasses, such as nitrous oxide, as well as oxygen.
  • the medical gasses equipment 150 can also provide suction. Accordingly, the medical gasses equipment 150 can be attached to plumbing in the wall (not illustrated), as well as to a waste trap (not illustrated).
  • this plumbing may lead to a central medical gas room, from which gas and suction are provided to a plurality of hybrid operating rooms like hybrid operating room 105.
  • the ambulatory surgical center 100 can further include an air change system 160.
  • the air change system 160 can be configured to provide a
  • the ambulatory surgical center 100 can include a wooden frame building structure.
  • the ambulatory surgical center 100 can be constructed according to building codes that are suitable to an office building.
  • the ambulatory surgical center 100 can be constructed to conform to International Building Code (IBC) Class B standards (or such other standards permitting the use of combustible construction materials).
  • IBC International Building Code
  • the building may initially be constructed according to Class B standards but may subsequently be modified to other standards, in whole or in part.
  • a class I structure may be used as an ambulatory surgical center.
  • the ambulatory surgical center can be adjacent to an office such as a medical office and separated from the office by at least one firewall.
  • a firewall and other upgrades can be added to an existing office building or to a building otherwise constructed as suitable for office building usage.
  • the ambulatory surgical center may, for example, be in a strip mall or in another structure where a wall is shared with another business, which business may not have anything to do with medical care.
  • the other office may be restaurant and the firewall may separate the ambulatory surgical center or part of that center from the restaurant.
  • an ambulatory surgical center may be separated from a related medical office or other parts of a building not related to the ambulatory surgical center, by a firewall.
  • the ambulatory surgical center 100 may not be adjacent to or within a hospital. Indeed, in certain embodiments of the present invention, the ambulatory surgical center 100 may not be in close physical proximity to a hospital. Additionally, the ambulatory surgical center 100 may not be affiliated with any hospital.
  • the ambulatory surgical center 100 may not itself be a hospital. Furthermore, the ambulatory surgical center 100 can exclude an inpatient room configured to permit a patient to stay for more than twenty-three hours. The ambulatory surgical center may not include any rooms equipped with hospital beds. Similarly, the ambulatory surgical center 100 can be operated by medical professionals and medical support staff exclusively dedicated to providing not more than a predetermined number of surgical specialties, e.g., 5 or 10 or any number there between, of medical procedures in the ambulatory surgical center 100. Furthermore, the ambulatory surgical center 100 can be 20,000 square feet or less in terms of its floor space. Moreover, in certain embodiments, the hybrid operating room can be installed in a building that has 20,000 square feet or less, but which may not necessarily be an ambulatory surgical center.
  • Figure 2 illustrates a method of manufacturing an ambulatory surgical center, according to certain embodiments of the present invention.
  • the method can include, at 205, building a hybrid operating room.
  • the hybrid operating room can include one or more lead-shielded wall, a floor, and a ceiling.
  • the building of the hybrid operating room can involve converting an existing room into a hybrid operating room through renovations, or can involve building the hybrid operating room during construction of a building housing the hybrid operating room.
  • the method can also include, at 210, shielding the walls with lead or any other suitable shielding material.
  • the lead shielded walls can be shielded to a height of less than a predetermined limit, e.g., eight feet.
  • the shielding may, in certain embodiments, extend to a height of at least seven feet.
  • the ceiling can be unshielded.
  • the floor can also be unshielded, for example, when the ambulatory surgical center is on the ground floor of a building that does not have any basement or other space intended for human occupancy.
  • the method can further include, at 215, installing an imaging device disposed in a central area of the hybrid operating room.
  • the imaging device can be or include a fluoroscopy device.
  • the fluoroscopy device can be a fixed C-arm device.
  • the method can additionally include, at 220, installing an operating table disposed in the central area of the hybrid operating room.
  • the operating table can be installed and positioned specifically to place a patient within an operational range of the fluoroscopy device.
  • the method can further include, at 225, building a power room adjacent to the operating room.
  • the building of this power room can be a matter of renovating an existing office building structure, in certain cases.
  • the building can involve constructing the ambulatory surgical center from a building initially constructed to conform to International Building Code (IBC) Class B standards, such as the 2012 version of those standards or any similar standards.
  • IBC International Building Code
  • the method can also include, at 230, installing, in the power room, a power supply for the imaging device.
  • the power supply may be installed to receive electricity from an electric utility company, process it, and supply it to the imaging device.
  • the power room and/or power supply can be configured to provide power at 480 VAC.
  • the method can additionally include, at 235, installing one or more conduit(s) configured to supply power from the power room to the imaging device. These conduits can be installed beneath the floor of the hybrid operating room and/or in or above the ceiling of the hybrid operating room.
  • the method can further include, at 240, installing an emergency power source for at least the imaging device configured to permit continuity of surgery in the hybrid operating room during a power outage.
  • This emergency power source if it is a generator or a set of batteries, may be installed outside the walls of the ambulatory surgical center, and may be connected by tie-ins to the power room and/or power supply.
  • the ambulatory surgical center can include a wooden frame building and can be constructed to conform to International Building Code (IBC) Class B standards (or such other standards permitting the use of combustible construction materials), as described above with reference to Figure 1. Other constructions of the frame of the building are also permitted.
  • the ambulatory surgical center can include a steel, concrete, or masonry frame building structure.
  • the method can also include, at 245, permanently fixing a radiating component of the imaging device to the floor and, at 250, permanently fixing a monitor component of the imaging device to the ceiling.
  • the monitor component and the radiating component may each include moving parts, but may be anchored to a specific location in the floor and ceiling.
  • the method additionally may include, at 255, installing an air change system in the ambulatory surgical center, wherein the air change system is configured to provide twenty room air changes per hour (or any other desired rate of air change).
  • Figure 3 illustrates a cross-section of another ambulatory surgical center according to certain embodiments of the present invention.
  • Figure 3 differs from Figure 1 in that the radiating component 125b is shown fixed to ceiling 120 instead of the floor 1 15.
  • Other implementations are also possible.
  • the invention as discussed above may be practiced with steps in a different order, and/or with hardware elements in configurations which are different than those which are disclosed. Therefore, although the invention has been described based upon these preferred embodiments, it would be apparent to those of skill in the art that certain modifications, variations, and alternative constructions would be apparent, while remaining within the spirit and scope of the invention. In order to determine the metes and bounds of the invention, therefore, reference should be made to the appended claims.

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Medical Informatics (AREA)
  • Public Health (AREA)
  • Heart & Thoracic Surgery (AREA)
  • General Health & Medical Sciences (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Optics & Photonics (AREA)
  • Pathology (AREA)
  • Radiology & Medical Imaging (AREA)
  • Biomedical Technology (AREA)
  • Physics & Mathematics (AREA)
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  • Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • High Energy & Nuclear Physics (AREA)
  • Biophysics (AREA)
  • Veterinary Medicine (AREA)
  • Architecture (AREA)
  • Computer Networks & Wireless Communication (AREA)
  • Civil Engineering (AREA)
  • Structural Engineering (AREA)
  • Accommodation For Nursing Or Treatment Tables (AREA)
  • Apparatus For Radiation Diagnosis (AREA)
  • Paints Or Removers (AREA)

Abstract

L'invention concerne un centre chirurgical ambulatoire pouvant comprendre une salle d'opération hybride. La salle d'opération hybride peut comprendre au moins une paroi blindée de plomb, un plancher et un plafond. Le centre chirurgical ambulatoire peut également comporter un dispositif d'imagerie disposé dans la salle d'opération hybride. Le centre chirurgical ambulatoire peut comprendre en outre une table d'opération disposée dans la salle d'opération hybride. Le centre chirurgical ambulatoire peut comprendre par ailleurs une salle d'alimentation adjacente à la salle d'opération. La salle d'alimentation peut comprendre une alimentation électrique pour le dispositif d'imagerie. Le centre chirurgical ambulatoire peut également inclure un conduit, allant de la salle d'alimentation au dispositif d'imagerie, conçu pour alimenter le dispositif d'imagerie en électricité.
PCT/US2015/063692 2014-12-04 2015-12-03 Salle d'opération hybride pour services combinés chirurgicaux et d'imagerie fixe dans un centre chirurgical ambulatoire WO2016090116A1 (fr)

Priority Applications (4)

Application Number Priority Date Filing Date Title
CN201580075089.0A CN107567307B (zh) 2014-12-04 2015-12-03 用于在流动外科手术中心中的联合外科手术和固定成像服务的混合手术室
EP15816314.7A EP3234281A1 (fr) 2014-12-04 2015-12-03 Salle d'opération hybride pour services combinés chirurgicaux et d'imagerie fixe dans un centre chirurgical ambulatoire
JP2017548366A JP2018505332A (ja) 2014-12-04 2015-12-03 外来外科センターにおける外科・固定撮像複合サービス用ハイブリッド手術室
HK18105408.5A HK1245862A1 (zh) 2014-12-04 2018-04-25 含結合手術和固定影像服務混合手術室的門診手術中心

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US14/560,721 US9334664B2 (en) 2014-03-19 2014-12-04 Hybrid operating room for combined surgical and fixed imaging services in an ambulatory surgical center
US14/560,721 2014-12-04

Publications (1)

Publication Number Publication Date
WO2016090116A1 true WO2016090116A1 (fr) 2016-06-09

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PCT/US2015/063692 WO2016090116A1 (fr) 2014-12-04 2015-12-03 Salle d'opération hybride pour services combinés chirurgicaux et d'imagerie fixe dans un centre chirurgical ambulatoire

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EP (1) EP3234281A1 (fr)
JP (1) JP2018505332A (fr)
CN (1) CN107567307B (fr)
HK (1) HK1245862A1 (fr)
WO (1) WO2016090116A1 (fr)

Citations (5)

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JP2018505332A (ja) 2018-02-22
HK1245862A1 (zh) 2018-08-31
EP3234281A1 (fr) 2017-10-25
CN107567307A (zh) 2018-01-09

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