復合一體化手術室

1、1、全球唯一同時供應手術室凈化工程及配套醫(yī)療設備的供貨商：MAQUET是國際頂級手術室供應商，專注醫(yī)院領域；40多年國內(nèi)外手術室安裝閱歷；歐洲市場占有率60%以上，是全球唯一同時供應手術室凈化工程及醫(yī)療設備的供貨商。手術床轉運系統(tǒng)：手術床，無影燈，吊塔，數(shù)字一體化產(chǎn)品和手術室凈化均為公司自有品牌產(chǎn)品，不需要外購其它廠家的設備，可以保證整個手術室系統(tǒng)的品質(zhì)以及產(chǎn)品的連接與兼容性，同時腔鏡手術室可以兼容其它廠家的設備。/ 專業(yè)全面，標準化2、全球唯一的接受工業(yè)化流水線生產(chǎn)產(chǎn)品，保證產(chǎn)品質(zhì)量標準全都： 依據(jù)確定的手術室平面，定制龍骨框架及配件、墻板模塊及頂板模塊。進行流水線生產(chǎn)，保證產(chǎn)品質(zhì)量標準全都

2、，相比其它廠家的現(xiàn)場噴涂、切割安裝的工藝，標準化作業(yè)不會消失偏差和色差。 定制感應自動門、手動門、送風天花單元、潔凈燈帶、醫(yī)用柜及掌握面板等裝飾裝備。/標準精確、工藝先進3、全球唯一的模塊化和流程化設計，使得安裝過程精準，易于升級和維修： 德國設計團隊憑借先進的思路和實踐閱歷依據(jù)醫(yī)院的建筑平面和使用習慣來整體設計手術室方案，確定平面流程，進而確定手術室平面及裝備，確定墻板頂板模塊，進而流水線生產(chǎn)模塊。這樣能夠保證安裝程序標準，安裝過程精準：標準化模塊可敏捷安裝、拆卸和互換，更改或升級容易。維修過程簡潔、快捷。 4、全球唯一的不銹鋼面板表面噴涂，全部工廠流水線噴塑，墻面彩色噴繪： 墻板頂板為不銹

3、鋼板，表面噴涂全部工廠流水線噴塑，經(jīng)高溫烘烤熔化后續(xù)使用不變色，不起殼；后續(xù)使用如有碰撞損壞，可用原廠保存的色號噴涂墻板，現(xiàn)場拆卸互換，相比其他廠家電解板面板優(yōu)勢明顯，品質(zhì)上有本質(zhì)區(qū)分。墻面接受標準墻面噴涂+6色數(shù)碼噴繪圖案+聚氨脂圖層保護方案，噴繪工藝先進，圖案自然持久，可耐受手術室日常消毒液擦拭，同時彩色噴繪墻面可改善手術室的空間舒適度，緩解醫(yī)護人員壓力，消除患者緊張情緒。5、手術室轉運系統(tǒng)快速平安、便捷、同時具備電動和手動掌握：電動掌握操作臺、同時具備手動掌握遙控器、調(diào)節(jié)轉運系統(tǒng)床面高度及平移，能夠快速平安的轉運病人、提高使用效率、增加醫(yī)院收益，大大節(jié)省人力、避開病人術前術后的猛烈翻轉、

4、有利于病人的術前籌備和術后恢復。、6、自動門和醫(yī)療柜原裝進口，平安舒適：原裝進口的自動門感應柱開啟，符合人體工程學，有用、美觀、潔凈，取得歐盟TUV認證，產(chǎn)品符合歐洲DIN18650標準。醫(yī)療柜接受雙層不銹鋼結構，密閉性好； 潔凈扣手，表面平整光滑不積塵、易于清潔、消毒； 模塊化設計依據(jù)用戶需要進行功能匹配； 表面彩色噴涂，可與手術室墻面完善組合； 可內(nèi)置保溫、保冷柜。HYBRID OPERATING ROOM 復合一體化手術室 Is it § the combination of two technologies? 兩種技術的結合？ § the combination o

5、f an operating room and an imaging system? 手術室和影像室的結合？ § the possibility to use the operating room for different disciplines? 不同學科對手術室使用的可能性？ § the combination of an operating room and a cathlab? 手術室和導管室的結合？ HYBRID OPERATING ROOM LEVELS 復合一體化手術室分級 § Converted cathlab or converted oper

6、ating room 傳統(tǒng)的導管室或改良的手術室 § Previously, most Hybrid ORs were simply cathlab rooms made sterile or normal ORs with a more advanced C-arm system 以前的，多數(shù)的復合一體化手術室均由導管室無菌化處理或者由常規(guī)的手術室配備較先進的 C 臂系統(tǒng) § True Hybrid Operating Room 真正的復合一體化手術室 § A true Hybrid Operating Room is the merger of a fully

7、 equipped operating room and a fully equipped cathlab 一個真正的復合一體化手術室是一間配備齊全的手術室和導管室的整合 § Multi-disciplinary Hybrid Operating Room 多學科復合一體化手術室 § The Hybrid OR can be used for different disciplines e.g. cardiac, vascular, neurological and orthopaedic interventions thanks to interchangeable OR

8、 table tops and flexible equipment 復合一體化手術室可用于不同學科：如心臟學科，血管外科，神經(jīng)外科和骨科介入手術，這主要歸功于可更換的手術床面和敏捷的設備 THE HYBRID OPERATING ROOM 復合一體化手術室 CATHLAB VERSUS OPERATING ROOM 導管室Vs 手術室 PROCEDURES IN THE HYBRID OPERATING ROOM復合一體化手術室的手術（未完）PROCEDURE EXAMPLE 手術例子 BENEFITS OF A HYBRID OR 復合一體化手術室優(yōu)點 § Less compli

9、cations and less surgery revisions 削減了并發(fā)癥和翻修手術 § Highly accurate surgery with real time control 對高度精確手術的實時掌握 § Patients real anatomy can be considered during the surgery 手術中對患者的精確的解剖 § Patient can be treated with greater care 患者受到更好的護理 § Allows minimal invasive surgery for cardio

10、vascular diseases 允許對心血管疾病實施微創(chuàng)手術 § Time for patients treatment is reduced, as there is only one combined procedure instead of two 削減了患者的治療時間，由于由原先的兩臺手術變?yōu)橐慌_聯(lián)合手術 § Interdisciplinary use of the Hybrid OR supports cost effectiveness 復合一體化手術室的跨學科使用，提高經(jīng)濟效益 TEAM EXAMPLE CARDIAC HYBRID PROCEDURE心臟

11、復合一體化手術室示例§ Not uncommonly, 12-20 persons can be involved in a Hybrid OR procedure 不常見，復合手術室中可容納1220 人 THE COMPLEX HYBRID OR CHALLENGES AND SOLUTIONS復合一體化手術室的挑戰(zhàn)和解決方案 TYPICAL CHALLENGES 典型的困難 § Getting Return on Investment 收回投資成本 § Managing technical complexity 各項技術的管理 § Creating

12、an attractive workplace 制造一個有魅力的工作場所 § Being prepared for future needs 滿足將來升級需要 § Finding the right partner 找到合適的合作伙伴 GETTING RETURN ON INVESTMENT 收回投資成本MANAGING TECHNICAL COMPLEXITY 各項技術的管理 CREATING AN ATTRACTIVE WORKPLACE 制造一個有魅力的工作場所ENSURING A FUTURE-PROOF SOLUTION 確保永不過時的解決方案FIND A SUI

13、TABLE PARTNER 找尋合適的伙伴MAQUET SELECTED REFERENCE PROJECTSMAQUET的相關參考項目MAQUET SELECTED REFERENCE PROJECTS MAQUET的相關參考項目PLANNING THE HYBRID OR復合一體化手術室的規(guī)劃 EQUIPMENT IN THE HYBRID OR 復合手術室的設備 § Angio System血管成像儀§ OR Table手術床§ OR Lights手術燈§ Ceiling Supply Units吊塔§ HR video cameras高

14、清視頻相機§ Digital OR Integration數(shù)字一體化§ Anesthesia machine麻醉機§ Heart-lung machine心肺復蘇機§ Intra-Aortic Balloon Pump§ 動脈內(nèi)氣囊泵§ Patient monitoring system 患者監(jiān)測系統(tǒng)§ Laminar air flow system層流系統(tǒng)§ Echocardiograph超聲心動儀§ Electrocautery 電刀§ Defibrillator除顫儀§ Endo

15、scopy tower內(nèi)窺鏡塔§ Cell saver 血液回輸裝置§ Contrast injector 造影劑注射器§ Radiation screen 輻射防護屏EQUIPMENT IN THE HYBRID OPERATING ROOM 復合手術室的設備 ROOM PLANNING 手術室規(guī)劃 ROOM PLANNING 手術室規(guī)劃 § Layout 設計§ Workflow analysis工作流分析§ Collision points 沖突分析§ Action radius 工作范圍§ Definiti

16、on of interfaces 界面定義§ Detailed solutions 細致的解決方案§ Structure 結構§ Floor preparation 地面的籌備§ Ceiling reinforcement needs吊頂增強§ Wall system 墻面系統(tǒng)§ Ceiling system 吊頂系統(tǒng)§ Door systems 門禁系統(tǒng)§ Glass elements 玻璃配件§ Media-utilities 媒體工具§ HVAC system 空調(diào)通風系統(tǒng)§ R

17、oom light 手術燈§ Electrical outlets/controls 電路/掌握§ Utilities (gases, suction, etc)使用（氣體，吸引等）§ Laminar air flow 層流§ Regulatory compliance 遵循規(guī)范§ Hygiene/tightness 清潔/密閉性§ Radiation 防輻射§ Fire Safety 防火平安§ Noise 噪音處理SOLUTIONS FOR DIFFERENT SPACIAL CONDITIONS 不同面積的空

18、間的解決方案 ROOM PLANNING 手術室規(guī)劃 PLANNING IN OR3D 使用OR3D 軟件規(guī)劃 § 3D simulation software for visualisation of the complex Hybrid operating room at the earliest stage3D 模擬軟件可在早期對簡單的復合手術室的規(guī)劃直接呈現(xiàn)給客戶 § Best tool for workflow consulting: Positioning of all medical devices to give the ideal workflow and

19、 to best suit the staffs working practices 評估工作流的最佳工具：全部的醫(yī)療設備的定位可實現(xiàn)真正的工作流，從而最好的協(xié)作醫(yī)務工作者 § Giving customers a precise idea of the envisioned equipment: “What you see is what you get” 對于客戶所期望的設備，供應一個精確的概念：“ 所見即所得” § Checking that the final proposed solution meets expectations 審核最后提議的解決方案來達到期望

20、的目標 PLANNING IN OR3D 使用OR3D 軟件規(guī)劃§ CAD interface to import/export architect files 可輸入/ 輸出CAD 格式的工程圖 § Exact room layout 輸出手術室規(guī)劃圖 (with all corners and dimensions) （包含角落和尺寸） § Possibility to get the quotation immediately after the end of the presentation/ configuration/simulation 演示/ 配置

21、/ 模擬后即刻生成報價表 § OR3D-Player: A stand alone application to be given out to the customer (e.g. for customers internal meetings)OR3D- 播放器：獨立格式的軟件，可直接播放給客戶（如客戶內(nèi)部會議上） § Integrated product knowledge to prevent mistakes during product configuration 可將產(chǎn)品整合在一起，來預防產(chǎn)品配置時的可能的錯誤 § A tool used from

22、the sales reps up to the plant (what is designed by the sales rep is exactly the same information that goes to the factory line) 這款軟件可從銷售代表直接到工廠（銷售代表的設計與工廠生產(chǎn)線出來的信息完全全都） SELECTING PRODUCTS FOR THE HYBRID OR為復合手術室選擇產(chǎn)品 SELECTING PRODUCTS 選擇產(chǎn)品 § Adapted products for Hybrid operating rooms 與復合手術室匹配的

23、產(chǎn)品 § Flexible OR equipment 敏捷的手術室設備 § Future proof room elements 永不過時的手術室配件 § Future proof equipment 永不過時的設備 § Ergonomic workplace 符合人體工程學的工作環(huán)境 § Appealing workplace 布滿魅力的工作環(huán)境 SELECTING PRODUCTS 選擇產(chǎn)品 § OR Tables with X-ray capabilities and (full) integration into angiog

24、raphic systems 手術床具有X 線透視功能，與血管成像儀完全整合 § OR Lights with wide swing range to be compatible with the angiographic system 具有寬闊懸臂的手術燈確保了和血管成像儀的相容 § Ceiling Supply Units that can be used and positioned very flexibly in the Hybrid Operating Room 吊塔可在復合一體化手術室中敏捷使用和定位 § Digital OR Integration

25、 solutions for the management of images, videos and data 影像，視頻和數(shù)據(jù)都可通過數(shù)字化手術室的解決方案進行管理 § Room Design Elements: flexible walls and installation elements 手術室設計元件：敏捷的墻面和安裝元件 § MAQUET also offers anaesthesia machines, heart-lung machines, intra-aortic balloon pumps, patient transport solutions,

26、etc MAQUET 也供應麻醉機，心肺復蘇機，主動脈內(nèi)氣囊泵，患者轉運方案等 IN SYNCHRONY WITH THE ANGIO SYSTEMMAGNUS HYBRID OR TABLE復合一體化手術室中MAGNUS手術床與血管成像儀的同步合作MAGNUS OR TABLE SYSTEM MAGNUS 手術床系統(tǒng) § MAGNUS is the ideal choice for interventions requiring unrestricted radiotranslucency 介入手術時需要不受限的放射線可透性， MAGNUS 手術床是最抱負的選擇 § Fu

27、ll integration of MAGNUS with the angiography system*MAGNUS 手術床和血管成像儀可完全結合在一起 § Simple operation and high safety thanks to synchronized movements* 歸功于同步移動的協(xié)調(diào)性，確保了操作的簡便性和高度的平安性 § 3D X-ray imaging 3D 成像 § Automatic position control 自動體位掌握 § Bolus chase procedures 術中造影劑追蹤 MAGNUS OR

28、TABLE SYSTEM MAGNUS 手術床系列 § Interdisciplinary use with different table tops: 不同床面用于不同學科 § Radiotranslucent table tops for percutaneous procedures 全透床面用于經(jīng)皮操作的手術 § Modular table tops for open surgery 模塊化的床面用于開放性手術 § Tailor-made solutions: 量身定制的方案： § Six table top versions are

29、available 共有6 款床面可供選擇 § Three lengths: 2500, 2700, 3000 mm 床面長度：2500, 2700, 3000 mm § Two ranges of longitudinal shift:600, 1000 mm 兩種平移長度：600 ，1000mmBENEFITS OF MAGNUS IN THE HYBRID OR復合一體化手術室中MAGNUS手術床帶來的好處§ Improved tracking of contrast medium thanks to a longitudinal shift up to 1

30、50 mm/s with MAGNUSMAGNUS 的平移速度達到150mm/s ，這大大提高了造影劑的追蹤效果 § Motor driven X/Y shift , “panning”, allows for comfortable use in radiological applications 電動的X/Y 軸平移,“ 面板” 使床面在透視時得心應手 § Synchronous movement of angiography and MAGNUS for better radiological results while keeping the isocentreMA

31、GNUS 與血管成像儀的同步運動會取得更好的放射效果，使患者始終處于中心點位置 § Organ shifting through gravity while keeping the isocentre. BENEFITS OF MAGNUS IN THE HYBRID OR 復合一體化手術室中MAGNUS 手術床帶來的好處§ Radiolucent MAGNUS interface for head positioning accessories: 360° radiotranslucent skull clamp for intraoperative monit

32、oring 可透視的MAGNUS 頭部配件：360° 全透視的顱骨夾有利于術中透視 § Synchronous movement of angiography and MAGNUS for better radiological results by keeping the isocentre MAGNUS 與血管成像儀的同步運動會取得更好的放射效果，使患者始終處于中心點位置BENEFITS OF MAGNUS IN THE HYBRID OR 復合一體化手術室中MAGNUS 手術床帶來的好處§ MAGNUS table top with 360° ra

33、diotranslucency up to 1850 mm allows time saving, intraoperative imaging in 3D MAGNUS 床面360° 透視范圍達1850mm, 從而節(jié)省了術中3D 成像的時間 § Improved view for pelvic interventions(inlet-outlet view) 提高了骨盆手術時的視野（出入口位） § Better imaging support for spinal surgery 更好的影像支持有利于脊柱手術 § Radiotranslucent MA

34、GNUS interface for head positioning accessories supports low artefact cervical spine treatmentMAGNUS 全透的頭部附件有助于脊柱治療時拍攝出低偽影的影像檢查 BENEFITS OF MAGNUS IN THE HYBRID OR復合一體化手術室中MAGNUS手術床帶來的好處§ MAQUET can offer the most technically advanced Hybrid OR solution with a full synchronization between table

35、 and angio system.MAQUET 可供應最多的技術先進的復合一體化手術室解決方案，與床和血管成像儀同步運作 § MAQUET offers a universal table that can be used for hybrid procedures as well as for pure surgical procedures or pure interventional procedures.MAQUET 也供應通用手術床，用于復合一體化手術，如單純的外科手術或介入手術 § MAQUET can offer a more compact (or les

36、s crowded) Hybrid OR solution as there is no need to have two tables in the room as with Steris of Skytron.MAQUET 可供應更多的簡潔的復合一體化手術室解決方案，免除了像Skytron 和Steris 那樣將兩張床放入手術室中 OPTIMAL ILLUMINATION最佳照度POWERLED OR LIGHTSPowerLED 手術燈 POWERLED OPERATING ROOM LIGHTSPowerLED手術燈POWERLED OPERATING ROOM LIGHTS Powe

37、rLED 手術燈POWERLED OPERATING ROOM LIGHTSPowerLED 手術燈POWERLED OPERATING ROOM LIGHTSPowerLED 手術燈LEADING EDGE OR INTEGRATION尖端的數(shù)字化一體系統(tǒng)AV CONFERENCEAV CONFERENCE - DIGITAL OR INTEGRATION數(shù)字化整合系統(tǒng)§ Improvement of the OR efficiency is key to make best use of the significant investments associated with th

38、e design of an Hybrid Operating Room. 提高手術室效率的關鍵點在于充分應用復合一體化手術室設計時所選購的設備 § By centralizing video management, documentation, device control and room control on a single intuitive user interface, the complexity of the Hybrid Operating Room is significantly reduced 將視頻管理，文檔處理，設備和手術室的掌握集結在一個直觀的用戶界面

39、，大大的削減了復合一體化手術室的簡單性 § AV CONFERENCE closes the gap between angiography and surgery AV CONFERECE 更靠近血管成像儀和手術 § AV CONFERENCE improves the therapy workflow in the Hybrid Operating Room.AV CONFERENCE 提高了復合一體化手術室中的治療流程 AV CONFERENCE - DIGITAL OR INTEGRATION數(shù)字化整合系統(tǒng)§ Availability of patient

40、 related information presented in the room is essential - supporting fast, safe and appropriate therapy decisions. 在手術室能快速的獵取患者的相關信息是特別必要的- 這有助于幫助醫(yī)生做出快速的，平安的和正確的治療決定 § The number of screens and user interfaces can be reduced 有助于削減屏幕和用戶界面 § AV CONFERENCE positions the healthcare professiona

41、l in the drivers seat of the high-tech Hybrid Operating Room.AV CONFERENCE 在高科技的復合一體化手術室中的定位是專業(yè)和主導地位？AV CONFERENCE - DIGITAL OR INTEGRATION數(shù)字化整合系統(tǒng)§ Video routing for flexible use of monitors broadens the usability of the OR and supports an ergonomic working, while reducing the number of monitor

42、s required. 顯示屏上的視頻路線的敏捷應用拓寬了手術室的可用性，營造了人體工程學的環(huán)境，同時也削減了顯示屏的數(shù)量 § Presets for video routing configurations to set up the room according to the procedure help to accelerate patient change-over time. 依據(jù)手術所需而進行預設的視頻設置有助于加快患者信息的傳輸 AV CONFERENCE - DIGITAL OR INTEGRATION數(shù)字化整合系統(tǒng)§ Video capture enab

43、les documentation of all non-angiography sources incl. endoscopy or OR light-cameras. 全部的非血管成像儀來源的，包括內(nèi)窺鏡的或手術燈內(nèi)置攝像機捕獲的視頻都可文檔處理 § Video streaming to seminar-rooms or lecture halls provides the audience with a live-experience of state-of-the-art hybrid procedures. 視頻傳輸?shù)綍h室或講堂，可以使觀眾對頂尖的復合一體化手術有身臨其境

44、的感覺 AV CONFERENCE - DIGITAL OR INTEGRATION數(shù)字化整合系統(tǒng)EVERYTHING WITHIN REACH一切盡在掌握MAQUET CEILING SUPPLY UNITSMAQUET吊塔§ Optimal space management in the Hybrid Operating Room:復合一體化手術室的最佳空間管理§ Smart workflow solutions from MAQUET 源于MAQUET 的聰慧的工作流解決方案 § Compact designed CSUs 簡潔設計的吊塔 § Fl

45、exible positioning of the equipment 設備的敏捷安放 § Best working conditions thanks to:最佳工作環(huán)境歸功于§ Ergonomic designed equipment 符合人體工程學設計的設備 § Easy handling 操作簡便 THE ANESTHESIA PENDANT 麻醉吊塔§ The optimal space management is important for an efficient workflow in the crowded Hybrid OR 在擁擠的

46、復合一體化手術室中，空間的優(yōu)化管理比有效的工作流更為重要 § Safety, hygiene and ergonomics is key 平安，衛(wèi)生和復合人體工程學是關鍵 § High availability during surgical procedures, out of the way during interventional procedures 手術操作的高有用性，介入手術所需也可得到解決 § No cables and gas hoses on the floor: The PLG system provides the anesthesia w

47、ith all utilities required 地板上不再有電纜和氣體插座：PLG 系列滿足麻醉時的各種需要 § Minimized foot print: M-LIFTING lifts the anesthesia machine from the floor 削減足部的占地面積：M-LIFTING 使麻醉機吊起，離開地板 THE SURGICAL PENDANT 手術吊塔§ A Hybrid OR typically requires 6-12 monitors or more 一間典型的復合一體化手術室需要6-12 個顯示器，或者更多 § The C

48、SU can de designed as a media centre 吊塔可設計成多媒體中心 § A large beam inner diameter is highly recommended 強烈推舉使用內(nèi)徑大的臂 § The MODUTEC/ALPHAPORT pendant can accommodate more cables/hoses than most pendants on the marketMODUTEC/ALPHAPORT 吊塔比現(xiàn)有市場上的吊塔具有更多的電纜/ 插座， ADDITIONAL SUPPORT PENDANT其它吊塔§

49、A third support pendant, beside anesthesia support and surgical support is necessary e.g. for the heart-lung machine. 第三個吊塔，除了可以支持麻醉機外，外科設備也同樣適用：例如心肺呼吸機 § As the third pendant is not used all the time therefore a parking position helps to save space and have a smooth workflow. 由于第三個吊塔不是始終使用，因此，

50、它的?？课恢糜兄诠?jié)省空間，使整個工作流順暢 § M-CARRIER places the surgical equipment at the optimal ergonomic height for the users across a range of up to 700mm height adjustmentM-CARRIER 可以使各種外科設備處于一個符合人體工程學的高度，它的調(diào)節(jié)高度達700mmCREATING AN ATTRACTIVE WORKPLACE營造一個吸引眼球的工作場所VARIOP ROOM DESIGN ELEMENTSVARIOP 手術室設計元件VARIO

51、P ROOM ELEMENTS VARIOP 手術室元件 § Clinics face the question where to realize a Hybrid OR in their existing facilities. 臨床面臨著這樣一個問題，如何在現(xiàn)有的設備中實現(xiàn) 復合一體化手術室 § VARIOP is the optimum solution for conversion and modernization measures. The modular system may be adapted to all construction circumstanc

52、es. VARIOP 是實現(xiàn)這種轉變和現(xiàn)代化的最佳解決方案。 模塊化的設計使之滿足全部建筑環(huán)境。 § The prefabricated components guarantee short disassembly times and optimized flows. 這些預先建筑組合的元件保證了短時間內(nèi)的組裝和優(yōu)化了流程。 § Given the high volume of technical equipment, there is a considerable installation density in the Hybrid OR. VARIOP allows for easy and swift access to the installation areas set in the walls and the ceiling areas. 很多的技術設備考慮完之后，在復合一體化手術室里還需要考慮到安裝密度的問題。VARIOP 可使之快速且便利的在墻上或天花板上完成安裝。 VARIOP ROOM ELEMENTSVARIOP手術室元件§ Ceiling-mounted angiography units can be integrated into the VARIOP metal cassette ceilin