In the late 1990s, a few innovative companies partnered to bring
technology into the OR that, for the
most part, hadn’t changed in years.
The concept involved relocating
cameras from mobile carts onto
ceiling mounted equipment shelves
(booms). Images were then routed
from a control station to monitors
floating around the operative space.
There were no carts to move, no
cords or cables on the floor, and
monitors could be placed in the
correct ergonomic position.
These advances resulted in a decrease of staff fatigue and maximization of room efficiency. The concept
of the integrated operating room
(OR) was born.
Fixed integration drove standardization of camera suppliers, tying the
OR to their core technology while
adding significant benefits. This
initiative’s primary objective was the
ergonomic placement of monitors at
the highest resolution.
Then and still today, most integrated rooms take years to develop
and install, while camera and monitor technologies march on. Hospitals should avoid getting caught
in a video technology formatting
transition — analog to digital — that
has left many OR directors with the
new room and old video technology
In some hospitals, the cost of
replacing analog routing technology
eventually leads to the migration of
HD camera carts back into the OR.
When planning for the next project,
Mobile carts with extended arms
are now entering the market and are
easy to upgrade and position where
needed, moved out of the way when
not, and can present a viable option
if conditions merit.
Another challenge today’s OR di-
rector is facing in planning a project
involves designing room preferenc-
es for a surgical discipline. What
might work for orthopedics might
not suit a general surgeon, creating
havoc with scheduling block time.
It’s imperative that the archi-
tect and the clinical planning team
review in great detail monitor and
boom storage/use sites, patient and
staff egress pathways, sterile/non
sterile work zones, table potential
orientation, and anesthesia options.
Getting consensus on these issues
is time consuming, but vital to the
project and creating ownership with
the final product.
Currently the minimally invasive
surgery (MIS) camera market is in
the early stage of transforming from
high definition (HD) 1K to ultra-high
definition (UHD) 4K, which pro-
duces stunning medical images.
OR Hybrid suites have introduced
large field 4K monitors to manage
multi-modality sources, many of
which aren’t native 4K in resolution,
but benefit from the monitor’s res-
olution and processing. Hospitals
should consider whether they want
By Mark Hansen, Director Of New Business Development, Image Diagnostics
provide a solution to
images into a
central location and
free up space around
the operative site.
Director of New Business Development
The Return Of Mobile Imaging Will Transform The Work Of Surgeons