OR design; Characteristics and future directions · [email protected]. HoloLens Microsoft...
Transcript of OR design; Characteristics and future directions · [email protected]. HoloLens Microsoft...
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OR design;Characteristics and future directions
Noemi Bitterman
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Pictures from OR
• Take pictures from internet+ names of centers + link
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What is missing? Where is Dany?
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What/ who is missing?
PatientÞ
• Cables
• Lines
• Tubes
• And more…
StaffSurgeonsAnesthetistsNursesNon-medical
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Data display and information in the OR
Some Future directions
From radial OR to self-contained Operating Table (OT)
Missing….
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Leg Amputationscentury th15
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Anatomical theatre of the Archiginnasio, Bologna, Italy
16th century
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Leg Amputationscentury th18
Operating table
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Dr. Morton presents Ether as an anesthetic. 1846
Robert Hinckley
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Operating Theatre
(Penn Univ) Thomas Eakins
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Operating Room
Beginning of century th20
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And Today
Hybrid OR having in-room imaging (CT, MRI, catheterization)
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Operating Room
Configuration
Ofek E, Pizov R, Bitterman N.From a radial operating room to a self contained operating table. Anaesthesia, 61(6): 548-52, 2006.
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Radial Configuration
Ofek E, Pizov R, Bitterman N.From a radial operating room to a self contained operating table. Anaesthesia, 61(6): 548-52, 2006.
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RadialConfiguration
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Congestion
Blockage
Restriction
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Methods� Observations� Video recordings� Questionnaires� Interviews
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Input–Output Diagram
input
output
ElectricalPhysicalMixed
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Aim:
safety workflow and mobility
efficiency Clutter, congestion,
Flexibility Communication
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Ceiling-mounted BOOMS 2005
2018
lazy Susan
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Ceiling-mounted BOOMS
Erasmus MC, Rotterdam
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A self contained, "built-in" operating table:
central unit compressed gas, vacuum, drain systems, water for heating & cooling, communication lines backup power supply.
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A self contained, "built-in" operating table:
equipment for surgeons diathermy device, electric stimulator, defibrillator
monitoringequipment;
telescopic stands for infusion
panels with embedded inlets;
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ORWirelessandTubelessOR
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Interstitial floor
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by Spike Jonze.
• 7½ floor.
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Data display and information in the OR
From radial OR to self-contained Operating Table (OT)
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Focal distanceLight intensityDark adaptation Glare Color blindnessAging..
monitor- surgeon interactions
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Monitors in OR
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Activity sampling Time Interval
coronary by pass
0
2
4
6
8
10
12
14
16
0 10 20 30 40 50 60 70 80 90 100 110 120 130 140 150 160TIME [min]
time
inte
rval
bet
wee
n ob
serv
atio
ns
[min
] on bypass defibrillator off bypass
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Activity sampling - Gestures
Katerina Klimovich, Reuven Pizov,
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Task Analysis: Activity Sampling & Timeline
Dynamic, smart, responsive, tailored, personalized multimodal information exchange system
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Data display and information in the OR
Some Future directions
From radial OR to self-contained Operating Table (OT)
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Interacts with hand gesture
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3D holograms
Hololens Microsoft
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• Self contained OR table • 2D 3D and even 4D(time )• Multimodal OR design( visual,
auditory, tactile considerations)• Flexible ( interstitial floors)• Multidisciplinary open minded
team !!!Design implications
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Gofrit, O., Weissman, C., Peleg, E., Lifshits, N., Pinchover, R., & Weiss, Y. (2016). Designing a modern surgical facility. Perioperative Care and Operating Room Management, 3, 12-20.
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What about human factors experts ?Designers ? Architects? Technicians ?
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• "Although it is a very wild idea, it would be interesting in surgery if you could swallow the surgeon," Feynman told the audience.
• "You put the mechanical surgeon inside the blood vessel and it goes into the heart and 'looks' around. It finds out which valve is the faulty one and takes a little knife and slices it out."
1959, Richard Feynman“There is plenty of room at the bottom”
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Fantastic Voyage (1966 )
“Swallow the surgeon”
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It is time toRedesign the future OR
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HoloLensMicrosoft
virtual reality= visual field+ computerized images
Hand gesture manipulations
3D hologram
Independent, portable
Real time imaging