• “At the core of every hybrid room is an
integration system that serves as the cockpit
for control of all signals in the room,” states
Gaudet. “Considerations for what’s built
on top of that infrastructure are deter-
mined by the intended specialty. Ceiling vs.
floor-mounted components and single vs.
biplane are common decisions. On top of
these ‘must haves’, 4K displays, telemedicine
connectivity, and network-based content
management solutions are emerging trends.”
• “It is my opinion that as technology ad-
vances we will see a major shift in what is
required in an operating room department,”
offers Anderson. “So today, many OR
departments across the country have one or
two hybrid ORs, and the rest are standard.
I believe that that will completely change
so that OR departments will be all hybrid
except for maybe one or two. Advanced im-
aging capabilities are even being used during
some open surgical procedures to check the
results at the end or during the procedure to
ensure that the results will be good.”
Regardless of the ROI timeframe,
multi-functional capabilities or even improved
patient outcomes, the harsh reality is that any
integration project or hybrid OR expansion
will carry a significant price tag. In some circles this means the use of used or refurbished
equipment may enter the conversation. In
speaking with those throughout the industry,
this concept was met with mixed reviews.
However, in the end, this decision, as always
will depend on what is best for each facility, its
patients and its staff.
Those supporting the use of
refurbished equipment offer these
• Those with a limited budget can benefit
from a customized refurbished system.
• Budgetary constraints could lead to an
increasing number of hospitals and surgical
centers taking this route.
• Using refurbished computers and CCUs
in order to spend more on other pieces of
equipment can be a viable strategy.
• It depends on the equipment. For example,
a refurbished imaging system with updated
memory and bandwidth capabilities could
be a viable option. Something like a monitor
might make more sense to buy new, but that
would depend on the procedures it supports.
Others are less supporting of
refurbished options, citing:
• A lack of support for new data formats and
their higher files sizes and network band-
• New technology, including 4k and 8k video
processing, as well HD and UltraHD will not
be supported appropriately.
• The room’s cabling and routing integration
system should be newly purchased in order to
ensure data transmission speed and reliability.
The hybrid OR presents a number of
challenges and opportunities for the surgical
community. Perhaps what is most exciting
is the number of equipment options that are
available and the new technologies being
embedded into them. However, the capabili-
ties of these new products will never be fully
realized if the foundation on which they are
built is lacking. The primary focal point for
any facility looking to integrate these amazing
technologies is to ensure the proper IT infra-
structure is in place and that training for those
who use and maintain the equipment is being
Taking these steps prior to integration will
ensure a more complete and satisfying experi-
ence for the patient, the staff and the facility.
FOCUS ON: OR Integration