inersys hf equipment
TRANSCRIPT
INNOVATIVE ENERGY SYSTEMS LLC
Technology Innovations
through creative partnerships…
BIO-MEDICAL/ GAS & FUEL/ FIRE & SAFETY
Near to the Muscat International Airport
650, Way No 6802, North Al Anwar Street, Azaiba, P.O. Box 610, Seeb,
P.C 111, Sultanate of Oman
LOCATION
INERSYS offers a wide range of hospital Systems Integrationspecialisations to its valuable customers. INERSYS has developed itscapabilities as a multifunctional company that offers technologicalproven systems and solutions in Low Voltage, MGPS, Biomedical, cleanrooms, and Industrial Electronics in cooperation with our world widepartnersOur extensive referral basis, information and capability resources allowus to provide systems & solutions for hospital projects throughout theSultanate of Oman and in the neighbouring countries.Our goal is to create an organisation that provides unmatched servicesand support to its valuable customers in building hospitals andintegrating them.
INERSYS BIO-MEDICAL
MANAGINGDIRECTORAUGUSTHYM'CHALIL
OPERATIONSMANAGERPHILLIPMARTIN
FIRE&SAFETYDIVISIONMANAGER
BIOMEDICALDIVISIONMANAGER
MGPSSENIORENGINEER
INSTALLATIONTEAMA
SITEENGINEER
INSTALLATIONTEAMB
SITEENGINEER
FACILITYMANAGEMENT
DIVISIONMANAGERDESIGN&ESTIMATIONFUEL&GAS
DIVISIONMANAGERADMIN&FINANCE
EQUIPMENT&LVSYSTEMS
SENIORENGINEER
MAINTENANCE&SERVICEENGINEER
PIPEFITTER
PIPEFITTER
PIPEFITTER
PIPEFITTER
APPRENTICE
SUPERVISOR
APPRENTICE
TECHNICIAN
TECHNICIAN
TECHNICIAN
TECHNICIAN
SUPERVISOR
PIPEFITTER
PIPEFITTER
PIPEFITTER
PIPEFITTER
APPRENTICE
APPRENTICE
INERSYS ORGANISATION
Fixed Hospital Equipment Systems & Solutions(A) Modular Operation Rooms, Clean Rooms & Fresh Air Handling units (B) Medical Gas Pipe Line Systems(C) Nurse Call & Hospital Communication Systems
INERSYS BIO-MEDICAL
MODULAR OPERATION THEATERS & CLEAN ROOMS
Our design meets four major criteria requirements of OT
◦ Controlling the temperature & humidity of space at a required level
◦ Assisting in the removal and dilution of waste anesthetic gases from the OT
◦ Preventing/ diluting airborne bacterial contamination in the OT
◦ Controlling the movement of air within the department
OT DESIGN CRITERIA
Current Issues of conventional OTs
� No physical zoning system� Inefficient work flow� Uncontrolled direction of air flow� In case of infection, whole the complex needs to be shut down.� False ceiling with its associated issues.� Non-availability of dedicated AHUs for OTs� No proper air filtration� Improper movement of soiled and dirty linen.� Delays in maintenance of OT and Sterile Areas.
SAFETY &
EFFICIENCY-COMPROMISED
CONVENTIONAL OT
Solutions addressed and main Features of a Modular OT� Prefabricated Zinc Passivated / SS Wall panels with Anti-Bacterial Coating� Conductive Vinyl / Epoxy Coated Flooring� Digital Surgeon’s Control panel for Medical Gases, AC, lighting controls etc� Laminar Airflow system with HEPA filters � Return Air Grills & Ducts to control the airflow� Hermetically Sealed Sliding Doors for full isolation of the room� Stainless Steel Scrub Sink� Hatch Box for passing clean and dirty linen and equipment� Ceiling Mounted Surgeon & Anaesthesia Equipment Pendant� LED Colour rendering Surgical lights within the laminar flow diffuser � Video Preparation facility and monitoring
MODULAR OT
OPERATION THEATER PLAN
Composition of New Operating TheatersNEW AUTOMATIC DOORSNEW WALL COVERING SYSTEM
NEW FLOOR COVERING
NEW LIGHTING - SYSTEM
NEW FALSE CEILING
NEW CABLING SYSTEM(CABLE TRAY)
Wall System
Cable Tray
False ceiling
New Lighting
MODULAR OT
Wall Surfaces
The main requirements for any Operation Theatre wall is that they should be impact resistant, resistant to solvents, chemicals & must be bacteria freeDifferent material could be used as a wall surface of an operating theatre suite. We mainly use Stainless Steel panels with supportive baffles for rigidity. Best finish of epoxy paint is applied and an antibacterial film coating is done which is guaranteed for at least 10 years.
MODULAR OT
Standards of Wall Paneling - HBN 26
Standards of Ceiling - HBN 26
Standards for Laminar system as per ASHRAE
AntiBacterialFilming- Certificate
COMPARISON CHART–WALL PANELING
PROPERTIES/WALLPANELTYPE HPL STEEL CORIAN®
ImpactResistance Good Excellent Excellent
Jointless/SeamlessFinishOfWall No Yes Yes
Anti-Bacterial/MicroorganismsGrowth Average Excellent Excellent
ResistanceToSolvents&Chemicals Good Excellent Excellent
CorrosionProtection Excellent Excellent Excellent
Porosity Good Good Excellent
OctagonalShape No Yes No
ThermalInsulation Good Average Good
DelaminatingOfPanels Possible No No
Cost Good Average Expensive
AIR & LIGHT DISTRIBUTION PLENUM
Air & Light Distribution PlenumOur Laminar flow system plenum ensuresturbulence free unidirectional air flow. This ensures the air from the laminar system directly fall on the patient and washes away the possible contaminants. The plenum has also energy efficient, colour rendering LED lights. The diffusers used are synthetic washable and clear, ensuring easy maintenance and contaminant free service.
HEPA(high-efficiency particulate air) FiltersCertified Heppa filters are placed on the exit point of the air duct which ensures clean air into the plenum.
Traditional Turbulent Air Distribution System
CONVENTIONAL VENTILATION SYSTEM
CONVENTIONAL AIR DISTRIBUTION SYSTEM
Diagonal flow systems are the
most turbulent of all available
airflow systems and have a
tendency to entrain the
surrounding contaminated air
and pick up contaminants from
objects within their path
Unidirectional Air Distribution
UNIDIRECTIONAL AIR FLOW–LAMINAR SYSTEM
Hepa Filter Planair System
LAMINAR FLOW SYSTEM
ESD VINYL FLOORINGVinyl is the oldest effective ESD flooring material. Solid vinyl tile (SVT) can give a hospital the required cleanliness and hygeneFacilities managers often favour vinyl floor because vinyl has a reputation for being inexpensive, simple to repair and easy to cleanThe joints between individual tiles are welded by heat fusion process to get a seamless floor
MODULAR OT FLOORING
Electrostatic conductive vinyl covering has high resistance against chemical & mechanical strains.Homogeneous installation at wall connections and has a wide color range to suit the decor and ambiance. It is easy to install, repair, clean and maintain as well
CATEGORY PRODUCT TYPE ESD VINYL TILE (Conductive) ESD EPOXY (Conductive)Cost Lowest ModerateCost of Maintenance Low - Moderate LowDurability Excellent ExcellentEase Of Repair Easy Most Difficult
Long Term Appearance Excellent - resurfaced by buffing Difficult to hide micro-scratches
Colour through out Thickness Yes NoHandle / With stand Rolling Loads Excellent ExcellentMaintenance Sweep, Damp Mop & Buff Sweep and Damp MopInstallation Average DifficultSlip Resistance 0.5 - 0.6 0.4 - 0.6 (depends on texture)Chemical Resistance Excellent ExcellentAcid, Alkali & Solvent Resistance Good ExcellentSound Absorption 4 dB Not Sound Resistant
Comparison Chart…Different Types of ESD Flooring
Sliding Hinged
MODULAR OT - DOORS
SWING DOOR SLIDING DOOR
DOORS – HERMETICALLY SEALED
Why hermetic sealing for sliding doors . . .?Contamination risks in the room are under controlDisinfecting is quicker & saferControl the positive pressure in the roomThe number of air changes and amount of clean air required is reduced, saving moneyLess clean air is necessary with hermetic doorsControlled theatre atmosphere: constant temperature of 18ºC - 24ºC and a humidity of 40 – 60% can be easily controlledIn case of fire, prevents smoke from spreadingCreating a quite environment in & outside the theatre
DOORS -WHY HERMITECALLY SEALED
Surgical Pendent
METICULOUS DESIGNSuperior technologyFull-aluminum construction, with high torsion resistance.The maximum permissible loads are determined in accordance with the IEC 60601 standard, 3rd edition.Soft motions, optimal safetyThe standard equipment of the SURGIBEAM pendants includes the electromagnetic E-Brake™ or pneumatic brakes.Large effective fields
LED Surgical Light
The X3 & X2 cupolas are innovative LED surgical lights manufactured by SURGIRIS based on a new optical lighting system FocusmaticTM. Made of aluminium with module of separate petals, convenient for operating rooms with laminar flow systems. The X3 & X2 are available in MT (Multi-color Temperature) and ST (Single color Temperature) versions.Capable of video solution & Communication.
RangeManual and Automation OperationStainless Steel Grade 304 Also Available in Due Pont Corian.User Defined settings in 1,3,5 & 10 min Available in various sizes 2,3 & 4 Bay DesignConstructed from Corian / Stainless steelUnit have radiuses with anti splash frontsProvide knee action or infrared sensor or both in Stainless Steel version, thermostatic controls with fail-safe temperature controls
SURGICAL SCRUB SINKS
SURGEON CONTROL PANEL
Control Panel for OTsControl Panel of the operating theatre is a modern medical device necessary in the OT. It enables remote control of various devices and equipment placed in the room, from one or more places, which significantly increase ergonomics and effectiveness of staff at work.
DIRTY/CLEAN HATCH
Dirty/Clean HatchTotally isolated passage for transferring dirty/clean equipment, linen and surgical tools etc.Has double locking and interlocking facility.
OT TH
AT IS FA
R M
OR
E EFFICIEN
T A
ND
LESS INFEC
TIOU
SA SAMPLE MODULAR OT ROOM
MEDICAL GAS PIPELINE SYSTEMS (MGPS)
Medical gases are essential in a Hospital and it should have..
• CONTINUITY – Uninterrupted continuous supply
• ADEQUACY – Adequate flow and pressure
• IDENTITY - Right gas should always be delivered
• QUALITY - Gas must be pure and safe
Why Medical Gas Pipeline System ?
Medical Gas Pipeline System Comprises◦ Medical Oxygen Supply◦ Nitrous Oxide Supply◦ Medical Air and Surgical Air Supply◦ Medical Vacuum Supply◦ Anesthetic Gas Scavenging System◦ Area Valve Service Units◦ Medical Gas Terminal Outlets◦ Central and Area Alarm Panels
Medical Gas Pipeline System
Automatic Gas Manifold
• Provides centralised distribution of Medical Gases
• Reduces the number of cylinders in ward areas
• Built in safety features to monitor gas distribution within the hospital.
• Gas specific connectors ensure correct supply
Medical Gas Pipeline System Components
Medical Air Plant
Provides clean dry Medical quality air
@ 4 bar, @7 bar & @10 bar
Conforms to requirements of HTM 02-01
Duplex/ Triplex/ Quadruplex plants
Include duplex bacterial filters, desiccantdryers and controls.
High quality compressors for long troublefree operation
Medical Gas Pipeline System Components
Medical Vacuum Plant• Conforms to HTM 02-01 requirements• Duplex/Triplex/Quadruplex plants• Provides Medical Suction to wards
and theatres• Includes medical vacuum filters to avoid risk of
contamination• High quality compressors for long trouble free operation
Medical Gas Pipeline System Components
Anaesthetic Gas Scavenging System
• For the safe and effective removal of waste anaesthetic gas
• Conforming to HTM 02-01 requirements• Simplex / Duplex systems
Medical Gas Pipeline System Components
Area Valve Service Unit
◦ To provide local isolation at the entrance to
ward areas and theatre suites.
◦ Provided with locking mechanism for operation by authorised persons only.
◦ Includes ‘Break Glass Panel’ facility for emergency access.
◦ Gas Specific NIST connectors included up and down stream.
Medical Gas Pipeline System Components
Lockable Line Valve• To provide local isolation at the pipeline
branches and to hospital ward areas / Theatre Suites in the event of any maintenance.
• Provided with locking mechanismfor its operation by authorised persons only.
• Conforming to HTM 02-01
Medical Gas Pipeline System Components
Terminal Outlets
◦Forms the user interface with the system
◦Conform to the requirements of BS EN 9170-1:2008 and BS EN 7396-1:2007
◦Colour coded body to provide instant gas recognition
Medical Gas Pipeline System Components
Alarm PanelsCentral / Master Alarm PanelMonitoring the status of primary/secondary/emergency gas / vacuum suppliesLocal Area Alarm Panel –Monitoring line pressure at each area/ AVSU’sConforming to HTM 02-01 requirements.
Medical Gas Pipeline System Components
Pipes and Fittings• Degreased Cu Tubes manufactured from phosphorous
deoxidized non arsenic Cu to BS EN 1412:1996 grade CW024A
• End feed capillary fittings conforming to BS EN 1254-1:1998
Medical Gas Pipeline System Components
Pipeline identificationPipeline identification in accordance with BS 1710:1984Color band identification in accordance with HTM 02-01Chapter 13, Pipeline Identification
Medical Gas Pipeline System Components
Medical Gas Pipeline System - STANDARDS
◦ HTM.
HTM 02-01
PART A – Design installation, validation and verification
PART B – Operational management
• BS EN 7396 Part 1 – Medical Gas Pipe Line System for compressed gases and vacuum
• BS EN 7396 Part 2 – Anesthetic Gas Scavenging Disposal Systems
• BS EN 9170-1 – Terminal units for use with compressed medical gas and Vacuum
• BS EN 9170-2 - Terminal units for use with compressed medical gas and Vacuum
• C11 NHS Model Engineering specification – Medical Gases
• Medical Gas Directive 93/42/EEC (CE 086)
Other relevant standards
HOSPITAL COMMUNICATION & NURSE CALL SYSTEMS
Patients NursesDoctors
ManagementAdministrationTechnical Service
MODERN HOSPITAL COMMUNICATION SYSTEMS
Patients’ Requirements
Call for helpCommunication with hospital staffGood connection with friends and relatives Remote control for light, TV, shuttersEntertainment: Radio, TV, Video, Internet, Games, …Infotainment: Hospital or therapy informations, …Services like food and drink ordering, shop orders, magazines, ….
Nurses’ and Doctors’ Requirements
Satisfied and „calm, well entertained“ patients. Full concentration on patient careSaving time and reducing unnecessary footways. Direct communication with patients. Call for help, emergency callsand direct communication to other staff members, nurses, doctors.Organisation help like call prioritizing, call reminders, ward overview of staff allocation and call locations, evacuation…Access to patient dataEasy care administration and documentation.
Requirements of Management, Administration
Establish modern and efficient medical and care facilities. Maximum income and cost effectiveness. Highly efficient process organisation, workflow and Quality Management. Investments for long term use, future proof. Low investment costs, low maintenance costs. Easy and fast project implementation and renovation.Good managing support with user friendly data access, documentation, reports and statistics. Patient and staff security (emergency, fire, evacuation, ..)
© SCHRACK SECONET AG • SVE • Hospital Conference 2013
Requirements of Technical Service
Support of all required services, functions and featuresCreative solutions provider with high reliability and future proof technologyEasy implementation and installation of systemsMinimum maintenance efforts and costsHigh efficiency of technical equipmentIntegration and interconnectivity of systems and devices, technical compatibility and data exchange capabilityModular systems, future expansion abilitiesIndependency by self-monitoring and -repairing systems, low failure rates, low external support needs
Typicalsysteminstallationsintoday’sHospitals
Andsomeoneshouldbeabletomanagethisall!
Mobile guest login
W-LANHIS server
Billing systemand payment station
Door / IntercomControl unit
Door intercoms
Intercom units
Video sur-veillance
Building management system
Aircon
BlindsLight
Aerialhead station
Patient TV
PABX
Paging/DECT
Staff telephones
Patient telephones
ISDN
Telephone exchange
Nurse callsystem
Patient monitoring
Telemedicine
Internet, Intranet
System integration into one network - VISOCALL IP
Bed Head Unit – ALL IN ONE
VISOCALL IP
ALL IN ONE
24VDC BUS PA a/b Coax LAN
NursecallRadio
Phone TV Network
Voice
From separate wiring to integration into one cable
Main benefits of system integration
Multiple functions in one system- optimum interoperabilityOne system has much lower investment costs than many systemsSaves a lot of individual installationsUse of existing network structureHigher reliability and lower failure rate
Main benefits of system integration
Maintenance of only one structurereduces manpower and costs for whole system lifetimeEasy data transfer between servers via IP protocolFuture oriented investment for easy, modular hardware and software extensionSupports all functional requirements for patients, nurses, doctors, administration and technical services
VISOCALL IP System Structure
Sound Interface
VISOCALL IP Server
PABX
InternetServer
Billing Server
Host
AlarmServer
Fire Alarm System
VISOCALL IP System Concept
Staff Terminal – user friendly operation
Patient handsets –choices
The releasing plug IntelliFIX
Medical Device Monitoringwith VISOCALL IP
Infusions
Heart monitoring
Contact plates, fall sensors or other monitoring devices
§ High risk of accidents due to unwanted exits
§ High responsibility
for hospitals
§ Psychological distressfor staff
Protecting demented patients
Solution: Protection by means of wireless tags for patients and integration of door alarm
.
Alarm overview Detail view
.
Job overview Detail viewJob entry
VISOCALL IP Software Modules
Control panelEvent database
VISOTAX IPSeco CareDATA
Audio managerSystem monitor
Patient managementOther functions…
.
SW Module Control Panel
.
SW Module Event Database
SW Module Seco CareDATA
Simple and fast menu drivendata entry at care placeAutomatic switch to menuafter insertion of staff chipcardAutomatic call cancellationand presence settingAutomatic data transfer to serverafter chip card removalNo additional staff workload
.
SW Module Seco CareDATA
.
SW Module Audio ManagerAnnouncements / Evacuation
Support
From room TV to Multimedia Solutions
Modern Patient Entertainment
§ IP – TV at each individual bed
§ Video On Demand
§ Internet and Intranet
§ Games
§ Multilingual user interface§ Food or shop orders
§ Wellness and healthcare informations
and explanations to patients regarding their therapy
§ Access to HIS (via Citrix server)
TV / Multimedia Terminal Design and Mounting
How to use sources of income
Integrated paymentsystem for services
Thank you
INNOVATIVE ENERGY SYSTEMS LLC650, Way No 6802, Al Anwar Street, Azaiba NorthP.O. Box 610, P.C. 111, SeebSultanate of OmanTel: 00968 24613492/ 24613493Fax: 00968 24613490E-mail:[email protected]
We deliver what we commit……