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Special report: The case for the hybrid OR

by Olga Deshchenko, DOTmed News Reporter | August 15, 2011
From the August 2011 issue of HealthCare Business News magazine

Hybrid OR equipment options
Hospitals able to set aside $3 to $5 million to build a hybrid OR have plenty of opportunities to shop around for vendors.

First, facilities must decide on a particular imaging system, the priciest and largest device to inhabit the hybrid room. (The clinical goals of the specialists who will be using the OR dictate the requirements of the device.)

With the intended procedures in mind, surgeons will need to consider whether they need a biplane or a single plane angiography system and determine the best detector size.

And since the imaging device is only one piece of the hybrid OR puzzle, it’s important to consider how the staff will work with and around the system.

Hanneke Naus, business development manager, hybrid OR, with Philips Healthcare, says the company’s most popular imaging solution has been a device with a large detector, the Allura Xper FD20.

Choosing a system with a large detector is driven by the desire to create an OR environment that can accommodate a range of procedures by different specialists, Naus says.

A recent innovation by Philips for the hybrid OR environment is its FlexMove option for the Allura Xper FD product line. With FlexMove, the ceiling mounted X-ray system can be moved to either side of the table during procedures. When not in use, it can be “parked” in the corner of the OR to free up space.

Hospitals can also look to Siemens Healthcare for hybrid room imaging options. The company’s Artis zee product line includes floor and ceiling-mounted interventional imaging systems, as well as the Artis zeego, a multi-axis system based on robotic technology to enable greater control and positioning.

According to Sudhir Kulkarni, segment manager, hybrid OR with Siemens, the zeego system is ideal for the hybrid room environment because of its flexibility. The device’s various angulations provide unobstructed access to the operating table without disrupting the staff’s workflow.

Another player in this sector is GE Healthcare. At the high-end of the company’s imaging solutions for hybrid rooms is the Innova 4100-IQ system, currently indicated for catheter-based interventional procedures. The system is equipped with 3D reconstruction capabilities and the company’s flat panel detector.

GE also markets the OEC 9900 Elite MD motorized C-Arm for hybrid environments. “This is a mobilized C-Arm with a cath lab-like control panel,” GE’s McIff explains. “It can be attached to a surgical table that allows the surgeon to have full control of all orbital locations of the C-Arm.”


Dr Michael Friebe

Training and Integration needed ...

August 18, 2011 08:18

Nice review!
What is clear is the need for common standards (mainly software) to get the ideal and best suited environment for the individual purpose.
The next generation of Hybrid OR's integrating CT and MRI systems and possibly dedicated radiation therapy equipment (e.g. intraoperative RT procedures) is already on the horizon.
What still remains a problem is the staff training - no use to have a fancy OR and no one or not enough people who are able to use it properly. All in all exciting developments to come.

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