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Hybrid OR: the changing landscape calls for new approaches

by Lauren Dubinsky, Senior Reporter | February 25, 2015
Cardiology Medical Devices
From the January/February issue of HealthCare Business News magazine


The same imaging equipment can be used for any procedure, but the secret to making it a multi-discipline room lies in the room layout. The ceiling must be outfitted with the proper surgical lights and a surgical table must be installed that can easily transform from a supine to a bench position and anything in-between.

MAQUET and Trumpf Medical offer certified surgical tables with all the functionality required for an OR environment that can be integrated with the imaging systems. Philips Healthcare, Siemens and Toshiba America Medical Systems can all be paired with Maquet’s MAGNUS tables.

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The MAGNUS table systems have removable and interchangeable table tops for a range of different surgical procedures. It can be moved into lithotomy, lateral, knee-chest, prone and supine positions for a range of procedures including gynecological, spinal and neurological surgery.

Trumpf, which was acquired by Hill-Rom in August, offers the TruSystem 7500 surgical table, which can be integrated with Siemens’ Artis zeego. The integrated solution can be used for neurosurgery, urology, trauma surgery, orthopedic surgery, abdominal surgery and thoracic surgery.

But bringing all of those procedures into one room brings its share of challenges. “If all of these multiple disciplines are going to be working in that room, then they need space to bring in all of that equipment,” says Kulkarni. He has noticed that in order to accommodate all of the equipment, the rooms have started to become bigger over the past couple of years.

The technology follows suit
When GE Healthcare designed its Discovery IGS 730 and 740, which received FDA approvals in 2011 and 2014 respectively, it kept the idea of a multi-discipline hybrid OR at the forefront. “We already had that understanding about the market going forward baked into the design of the product,” says Miranda Rasenberg, global interventional marketing manager at GE.

The IGS 730 and 740 are both mobile laser-guided angiography systems and the only difference is the detector sizes. The 730 has a 30 by 30 centimeter detector, which is an ideal field-of-view size for cardiology and vascular applications. The 740 has a 40 by 40 centimeter square panel, which is a comfortable size for abdominal procedures. Their mobile design sets them apart from systems like Siemens’ floor-mounted Artis zeego and Philips Healthcare’s ceilingmounted Allura Xper system.

Traditionally, GE only had a floor-based product platform but when it noticed the hybrid OR trend coming down the pipeline, the company started to think about what would most satisfy the needs of the surgeons and hospitals, learned that the main clinical criteria and customer needs were really about the capability for gantry back out and sterility,” says Rasenberg.

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