Planning Documents for NC

D-27706-2009

ST-8934-2008

D-55199-2012

Planning Documents

for NC

PLANNING DOCUMENTS FOR NC | PREAMBLE | 3

Preamble

This Planning Document is written to get knowledge about the Dräger portfolio

and also to find advices to build up an intensive care area. This document

contains an overview about the products of Dräger and its technical data.

At the last pages of this document you will find several Dräger solutions as

an example. According to this you will find detailed drawing of the single

workplaces.

4 |

PLANNING DOCUMENTS FOR NC |

INDEX OF CONTENTS

INDEX OF CONTENTS

OVERVIEW

NC 6

Dräger – Workplace infrastructure 7

DRÄGER PORTFOLIO 8

Overview Supply units 10

Lights and display holder/Gas Management Systems 11

Ceiling supply units 12

Workstations 14

Wall supply units 16

Column 17

Lights and display holder 18

Ceiling fixtures 20

Workstation components 23

Gas Management Systems 28

Accessories 30

WORKPLACE EXAMPLES 32

Supply units Ventilation/Monitoring 34

Infusion/Suction 35

Overview Respiratory Care 36

Overview Closed Care 37

Overview Open Care 37

Developmental care accessories 38

Jaundice management 38

Overview Monitoring Systems & IT 39

PLANNING DOCUMENTS FOR NC | INDEX OF CONTENTS | 5

INDEX OF CONTENTS

GENERAL PLANNING 40

Developmental Care 42

Support the developmental care 43

Family centered care 46

Planning of an NICU workplace 48

Workplace solutions Solution 1 – Ponta C beam system 50

Solution 2 – Ponta E/S beam system 52

Solution 3 – Ponta E/S beam system 54

Solution 4 – Agila column tube/Movita column 56

Solution 5 – Movita head/Movita head 58

Solution 6 – GeminaDUO 60

Solution 7 – GeminaDUO 62

CONTACT 65

6 |


OVERVIEW

NC

D-7585-2009

NURTURED INFANT CARE

Experience has shown that premature and

ill newborns are not just small adults. They

have unique physiological and developmental

needs. Their dependency on a stable microenvironment,

non-invasive therapies and a

number of external factors such as sound,

light and touch makes neonatal care different

from any other discipline in medicine.

The margin for error is ever so slight, and

maintaining a delicate balance can make the

difference between morbidity, long-term

developmental deficits or a healthy, happy

outcome.

“Every

and a

PLANNING DOCUMENTS FOR NC | OVERVIEW | 7

Dräger

Workplace infrastructure

Dräger offers solutions for the entire hospital

D-30018-2011

newborn deserves a

good start in life

place to thrive.”

Stefan Dräger

8 |


DRÄGER PORTFOLIO

Dräger

portfolio

D-18949-2010

PLANNING DOCUMENTS FOR NC | DRÄGER PORTFOLIO | 9

Dräger portfolio

Dräger portfolio

Get an overview about the Dräger portfolio

You always wanted to know which product portfolio

Dräger has? In this chapter you get an overview

about Dräger Supply units, OR lights and Gas

Management Systems.

10 |


DRÄGER PORTFOLIO

Overview

Supply units

D-3289-2011

Ponta

MT-5960-2008

MT-6342-2008

Agila

Movita

D-36069-2011

D-27741-2009

Linea

Gemina® Duo


Lights and display holder

Dräger portfolio

D-58476-2012

D-31307-2011

D-90844-2013

Polaris® 50

Polaris® 100/200

Display holder

Gas Management Systems

D-9489-2009

D-9270-2009

Terminal Units

EcoPharm Tower

D-9368-2009

MT-0001-2006

D-58913-2012

Medical Air Guard

Gas Control Station

Area Control Unit

12 |


DRÄGER PORTFOLIO

Ceiling supply units

D-52660-2012

MT-6342-2008

Agila

Movita

WHAT IS WHAT?

Ceiling bearing

Arm system

Distance tube

Lifting

system

Media head

Media column

D-18369-2010

D-12307-2011

Workstation

components

D-18551-2010


ARM SYSTEMS

D-52660-2012

D-52660-2012

Single arm system

Arm length: 500 mm, 750 mm, 1000 mm, 1250 mm

Load capacity*: 120 kg - 270 kg

Double arm system

Arm length: min. 1000 mm - max. 2500 mm


Dräger portfolio

D-18369-2010

Lift arm system

Arm length: min. 1000 mm (lift arm) - max. 2250 mm


*Load capacity = net load at media column/head

strong

medium

light

Arm types

For single and double arm systems you can choose between strong, medium

and light variant. Depending on type of arm and length the different load

capacities are defined.

MT-5963-2008

MT-6342-2008

Agila

Movita

TECHNICAL DATA

Product Agila Movita

Load capacity

Media head 120 kg 120 kg

Column 120 kg 270 kg

Lift express/Lift 80 kg/120 kg 80 kg/180 kg

Lift speed 10/20 sec 10/20 sec

Height adjustment 600 mm 600 mm

Media outlets up to 51 up to 102

14 |


DRÄGER PORTFOLIO

Workstations

Ponta

D-3289-2011

C-workstation - pole

E-workstation – Movita column

C-workstation - rack

TECHNICAL DATA

Supply beam

Recommended clearance height C-shuttle (supplies in beam) 1800-2000 mm

(under side of beam to floor) E-shuttle (supplies in column/head) 2100 mm 1)

S-shuttle (supplies in column/head) 2350 mm 1)

Beam length

2200, 2800, 3100, 3500 mm - Custom lengths available on request

Beam width

588 mm

Beam height

212 mm

Beam weight C/H type 25,5 kg/m 2)

E/S type 28 kg/m 2)

Beam color

NCS-S-0500 N: white Powder coated

Color for installation plates

Anodized aluminum, NCS-S-0500 N, Dräger Munsel blue,

according to Color Line concept, others on request - powder coated

End-cap length

121 mm each

1)

If supplies are also located in the beam then a clearance height is required which permits ergonomic use!

2)

When combining different shuttles, use highest value.


Dräger portfolio

E-workstation – Movita head

S-workstation – Agila column

S-workstation – Agila column tube

TECHNICAL DATA

Shuttles Type C Types E / HE Types S / HS

Load capacity shuttle Under each shuttle 150 kg Under each shuttle 150 kg Under each shuttle 150 kg

Standard rail On front of shuttle On front of shuttle On front of shuttle

25 x 10 x 294 mm 25 x 10 x 294 mm 25 x 10 x 294 mm

Load capacity rail 10 kg 10 kg 10 kg

Linear travel Complete length From central point From central point

of beam/beams (positioned as required) (positioned as required)

± 550 mm (total 1100 mm) ± 550 mm (total 1100 mm)

Brakes Mechanical Linear travel Pneumatic for linear travel Pneumatic for linear travel and

and carrier rotation

swivel arm

Friction for column or head

Friction for column or head

Optional Pneumatic brake

Optional Pneumatic brake

for column or head

for column or head

Maximum load 3) Equipment carrier pole 60 kg With Agila head or column or With Agila head or column or

Equipment carrier rack 130 kg Movita head or column: 120 kg Movita head or column: 100 kg

Rotation Equipment carrier 170° 330° Swiveling arm 330°

(Length swiveling arm 400 mm)

3)

Maximum load that can be carried on the supply head or column

16 |


DRÄGER PORTFOLIO

Wall supply units

D-288-2010

MT-4307-2007

MT-4306-2007

Linea I

Linea IM

Linea N

TECHNICAL DATA

Linea I Linea IM Linea N - for normal wards

Height/depth 174 mm/135 mm (with 1 media duct) 213 mm/135 mm (with 1 media duct) 251 mm/110 mm (with 1 media duct)

275 mm/135 mm (with 2 media ducts) 313 mm/135 mm (with 2 media ducts) 351 mm/110 mm (with 2 media ducts)

385 mm/135 mm (with 3 media ducts) 423 mm/135 mm (with 3 media ducts) 461 mm/110 mm (with 3 media ducts)

Lighting No lighting Indirect lighting Indirect lighting

Optional integrated night light in duct 1 x 54 watt with electronic ballast 1 x 54 watt with electronic ballast

and orientation light 1 x 7 watt (above) and orientation light 1 x 7 watt (above)

or reading light 1 x 24 watt with electronic and/or reading light 1 x 24 watt with

ballast (below)

electronic ballast (below)

Accessories Dräger accessories for standard rails Dräger accessories for standard rails Dräger accessories for standard rails

(only if Linea N is equipped

with optional standard rail)

Rows of outlets 1 / 2 / 3 1 / 2 / 3 1 / 2 / 3

Outlet spacing

Ensure there is at least 200 mm between gas terminal units (for flammable or oxidizing gases) and electrical outlets

The minimum distance between two electrical outlets is 75 mm and between two gas outlets 100 mm

Outlets

Grounded outlets in various colours, with or without indicator light and in a variety of country standards,

equipotential bonding pins, gas terminal units for medical gases, low-voltage devices such as nurse alert,

RJ-45 data jack, telephone connections, etc.

Wall mount

Via dowel pin on the wall; torques of max. 250 Nm per metre of duct; optional side or back media feed

Length

Up to 6 m long; freely selectable

Surface

16 standard RAL colours to choose from; other RAL colours available on request

Load capacity

Standard rails support a max. of 50 kg per metre

Medical product

Fulfils medical MDD (Medical Device Directive)


Column

Dräger portfolio

TECHNICAL DATA

COLUMN

Dimensions (L × W × D)

Max load

Useable (38 mm) pole length

1500 x 240 x 366 mm incl. caps

150 kg

1300 mm

D-27741-2009

Gemina DUO

INSTALLATION PLATES

Material

Mounting capacity

Based on Dräger DIN/German standards

Anodised aluminium (standard)

One-sided: max. 30 (14 gases)

Two-sided: max. 56 (20 gases)

CABLE MANAGEMENT

Capacity single-sided: 6 hoses, external diameter 13.5

or 18 cables, diameter 8

or 3 hoses + 10 cables


Double-sided: 12 hoses, external diameter 13.5

or 36 cables, diameter 8



LIGHT: WALL ELEMENT

Dimensions

Indirect light

Reading/exam light

Night light

950 x 270 x 70 mm

2 x 39 W

21 W

5 W

LIGHT: COLUMNS

Indirect light*

Night light**

Compact fluorescent (for switched and for dimmed)

lamp 11 W, 830 warm white

Compact fluorescent (for switched) Compact fluorescent (for dimmed)

lamp 7 W, 830 warm white lamp 11 W, 830 warm white

OTHER

Console swivel range 112°

STANDARDS

Meets guidelines for medical devices MDD 93/42/EWG class IIb

Medical electrical devices – Part 1 IEC 60601-1 – Part 1-2 IEC 60601-1-2

Medical supply units ISO 11197

Light options in general supporting DIN EN 12464-1 and DIN 5035-3. Data for planning software on request.

Installation instructions 9039804

Catalogue of workstation components for supply units 9048440

*Indirect light on the column available only as package with night light.

**Night light on the column available only as package with indirect light.

18 |


DRÄGER PORTFOLIO

Lights and display holder

D-31029-2011

D-31307-2011

Polaris® 100/200

Polaris® 200

D-58477-2012

Polaris® 50

TECHNICAL DATA

Product Polaris® 100/200 Polaris® 50

Technology LED LED

Light intensity 120.000 or 160.000 Lux 60.000 Lux

Endo-light mode 300 Lux no

Light field diameter 200 mm 160 mm

Color temperature 4400 K or 5000 K or 5600 K (option) 4500 K

Video options external SD camera no


D-90840-2013

D-90844-2013

Dräger portfolio

Double ceiling fixation Polaris® 50 with display

Display holder

TECHNICAL DATA

Product

Display arm

Description

Display arm at central axis

Display sizes

approx. 24” (larger displays on request)

Display quantity 1 or 2

Fixation

at central axis of OR light or separate

20 |


DRÄGER PORTFOLIO

Ceiling fixtures

Ceiling fixtures for supply units

PRODUCT DESCRIPTION

The universal Dräger ceiling fixation supports

the installation of the ceiling supply units

Agila, Movita and Forta and the Pendula. They

are available for anchor (fig. B + D) and boltthrough

(fig. A + C) mounting. The ceiling

supply unit can be fixed directly under the

concrete ceiling (direct mounting - see A, B,

in figure below). A variable fixation set allows

for mounting at different heights up to 1200

mm under concrete ceiling in order to bridge

the space above false ceiling (see C, D in figure

below). A media flange, located between raw

ceiling and false ceiling, offers enough space

for connecting various media as supply voltage,

medical gas, vacuum and data cables. The

installation manuals are included on delivery.

PLANNING GUIDELINES

The Dräger ceiling supply units are validated

and certified in combination with these ceiling

fixtures. The certification will become invalid,

if the supply units are installed in combination

with a non-Dräger ceiling fixture.

The ceiling mount must meet the following

criteria:

– 12.500 Nm torque at lower end of the

fixation construction

– 9.000 N tensile force at the ceiling

If architectural constraints do not allow a

Dräger ceiling mount, an alternative mounting

solution can be used. A project-specific

certificate confirming such constraints is

mandatory. The complete functionality of a

Dräger ceiling supply unit cannot be guaranteed

if the above conditions are not met. In

such cases, all approvals are void.

Available for:

– Anchor mounting: Anchor mounting is

possible if the ceiling structure is at least

250 mm of B 25 concrete ceiling

– Bolt-through mounting: Bolt-through

mounting is required if the concrete ceiling

thickness is less than 250 mm or if the

concrete quality is less than B 25.

Without ceiling fixture set

With ceiling fixture set

A

C

Nm

max. 1200 mm

Bolt-through mounting

N

B

D

Anchor mounting

TECHNICAL DATA

Product

Span intermediate ceiling distance

Max. torque

Max. tensile force at the ceiling

Hole pattern

Ceiling fixtures

up to 1.200 mm

12.500 Nm

9.000 N

Ø 470 mm


Ceiling hood/Flat cover

Dräger portfolio

TYPES OF CEILING COVERS

D-90841-2013

D-90845-2013

D-90848-2013

D-90849-2013

D-90846-2013

Ceiling hood (height: 170 mm)

Flat cover (height: 2 mm)

Single/double/triple CSU

There is a Dräger ceiling fixture solution for

every application. Single, double and triple

arm options are available.

Single CSU

Double CSU

Double CSU with third arm

OPTIONS

Single Double Triple

CSU

CSU/CSU

Examination light CSU /Examination light CSU/CSU/Examination light

Display CSU /Display CSU /CSU /Display

22 |


DRÄGER PORTFOLIO

Ceiling fixtures for lights/display arms

PRODUCT DESCRIPTION

The Dräger ceiling fixation supports the

installation of the lights and display holder (at

central axis). The OR light/display arm can be

fixed directly under the concrete ceiling

(direct mounting). The distance tube allows

for mounting at different heights of up to 1200

mm under concrete ceiling, in order to bridge

the space above false ceiling. The installation

manuals are part of the delivery.

MOUNTING VARIANTS

Direct mount

This system is recommended as a direct

mount or for use with a false ceiling up to a

distance of 600 mm between concrete and

false ceiling or in combination with a laminar

flow system. The suspension tube is available

in five standard lengths (220/460/630/

800/1000 mm). For service purposes, it is to

be considered that the electrical components

are installed in a switch box near the NC

(max. 40 m).

D-90851-2013

With ceiling cover

D-90851-2013

With flat cover

With laminar flow ceiling

With distance tube

This system is recommended for use at a

distance > 600 mm between concrete and

false ceiling or in combination with a laminarflow

system. The distance tube is available in

two standard lengths (600/1200 mm). For

service purposes, it is to be considered that

the electrical components are installed in a

switch box near the NC (max. 40 m).

D-90851-2013

D-90851-2013

With ceiling cover

With flat cover

With laminar flow ceiling


Workstation components

Dräger offers a wide range of workstation components. These components are freely

configurable and ensure excellent ergonomic workplace design.

Dräger portfolio

SHELVES

D-27735-2009

D-27733-2009

D-27732-2009

Our shelf portfolio offers a wide range of options. Shelf size, the number of standard rails and drawers can

be selected as needed.

SHELF SIZES/UASBLE SURFACE (W X D)

430 x 340 mm

630 x 340 mm

430 x 480 mm

530 x 480 mm

630 x 480 mm

860 x 480 mm

STANDARD RAILS

no rails

side rails

front rail

control handles at front

DRAWER OPTIONS

1 drawer

1 drawer with lock (incl. 2 keys)

2 drawers

2 drawers and 1 lock

2 drawers and 2 locks

drawers and 2 locks on a shelf

(860 x 480 mm)

1 drawer and 1 documentation module

1 documentation module

D-26256-2009

24 |


DRÄGER PORTFOLIO

ARM TYPES

INFUSION ARMS

For all infusion arms, a wide variety of options

to choose from. Arms are available as single or

double swivel arms and come in lengths

of 200/300/400 mm. All arms come with

adjustable friction brakes (ball bearings) and

integrated cable management.

D-32268-2011

Double swivel arm for 25 mm pole (infusion), mounted on a 38 mm pole

MONITOR ARMS

Monitor arms come in a wide variety of configurations.

The arms are available as a lift arm

with or without an additional swivel arm and

with or without keyboard holder. Swivel arms

come in lengths of 200/300/400 mm. All

arms are equipped with adjustable friction

brakes (ball bearings) and integrated cable

management.

D-111-2010


CABLE MANAGEMENT

D-26583-2009

Dräger portfolio

Cable channel

D-26305-2009

D-2380-2011

D-26600-2009

Cable boxes

Cable management system (boxes): Cable duct and cable boxes

Cable extension arm

26 |


DRÄGER PORTFOLIO

COLOR CODE CONCEPT

MT-1701-2005

MT-1712-2005

Handle at shelf

Control at column

ADDITIONAL COMPONENTS

In addition to the components mentioned

above, many others are available (eg. infusion

poles, application rods, racks, clamping rails,

equipment holders etc.).

MT-21198-94

2-1065-96

D-35690-2009

Rail holder, short

Cable holder

Compact rail


MEDICAL EXAMINATION LIGHT

D-50601-2012

D-50637-2012

Dräger portfolio

Medical examination light VarioLux®

D-50753-2012

TECHNICAL DATA

Product

VarioLux rail mounted examination light

Weight

1.5 kg (3.3 lbs)

Electrical values

100-240 V, 50/ 60 Hz

Max. illumination intensity Ec at 0.5 m

30,000 lx

Dimming levels

30,000 lx, 24,000 lx, 18,000 lx, 12,000 lx, 6,500 lx

Light field diameter d10 at 0.5 m

21 cm

Light field diameter d50 at 0.5 m

9 cm

Color temperature adjustable Cool white (blue) 4,700 K, Neutral white (white) 4,100K, Warm white (red) 3,500K

Min. service life of bulb (LEDs)

30,000 h

Color reproduction index Ra ≥ 96, R9 = 90

Max. radiant power at 0.5 m

105 W/m²

28 |


DRÄGER PORTFOLIO

Gas Management Systems

Dräger Gas Management Systems (GMS) are designed to manage

the hospital’s gas supply needs. Dräger offers complete gas supply

systems which include all necessary components and distribution

piplines.

MT-0018-2006

Gas Terminal Units

Planning and designing Gas Management

Systems for either complete hospitals or

individual areas like a new IC or OR area is

a challenging task. Different international

standards and guidelines provide different

information, require different system configurations

and different approaches to all the

challenges occurring.

Dräger is at your side when it comes to solving

these challenges and optimizing the system

design for the benefit of the hospital.

We have more than 50 years experience in

designing, building and testing Gas

Management Systems.

As every project is different and the systems

tailor-made for the hospital, it is difficult to

provide generic planning details. Therefore

we kindly ask you to contact your local

Dräger representative for individual planning

support.

GAS TERMINAL UNITS

The locations and quantities of gas terminal

units are essential parts of the planning of

every Gas Management System. Depending

on the clinical procedures and applications,

different gases are required in different hospital

areas and the amount of units provided

needs to match processes and devices used

there. Dräger builds world-renowned gas terminal

units since over 40 years and is offering

outlets according to DIN, British Standard and

other international types.

D-1217-2009

Alarm Management

ALARM MANAGEMENT SYSTEM

A complex system like a medical Gas

Management System requires good operational

management and provides a host of information.

Dräger Alarm Management Systems

consolidate all this information like operational

and emergency alarms. Analogue operational

data (e.g. pressure and flow) can also easily

be integrated. All information can be displayed

where ever required with LED-, text- or touch

display monitors and connected to integrated

building management systems.

D-16746-2010

Distribution systems

DISTRIBUTION SYSTEM

Medical grade copper tubes according to ISO

13348 with defined cleanliness and thorough

testing regime in combination with high quality

installation (e.g. inert gas shielding during

welding) form the backbone of the infrastructure

which ensures that all gases are

available at the required points of use. Proper

system calculation according to Dräger

Design Guidelines and international standards

and comprehensive testing and installation

ensure quality and performance of the overall

system.


D-507-2014

MT-7526-2004

Dräger portfolio

Reliable monitoring throughout the entire system

AREA CONTROL UNITS

All clinical areas need to be controlled individually

by Area Control Units. This includes

pressure gauges for each gas and alarms for

pressure deviations as well as lock-off valves

and emergency inlet points.

MT-5164-2004

MT-5206-2004

D-1216-2009

Vacuum pumps

Compressed air system

Cylinder Manifold for oxygen

VACUUM SYSTEM

Vacuum is indispensable for surgical application

(wound field aspiration) as well as bronchus

suctioning in anaesthesia and intensive

care treatment. Dräger vacuum systems with

triplex or quadruplex pumps fulfill the ISO

7396-1 and match all requirements in terms of

safety and efficiency.

COMPRESSED AIR SYSTEM

Medical air systems for breathing purpuoe

(4/5 bar) as well as for surgical tool air (7/8

bar) must fulfill the ISO 7396-1, breathing air

must also comply with the European Pharmacopoiea.

Dräger medical air systems combine

proven design, safe operations, and efficient

reliability.

CYLINDER MANIFOLDS

Oxygen, Nitrous Oxyde and Carbon Dioxide

can be supplied by 3-fold cylinder manifolds

or by a liquid oxygen tank (V.I.E.) and a 2-fold

cylinder manifold with a Dräger Gas Control

Station as the core of the system.

30 |


DRÄGER PORTFOLIO

D-2269-2014

Accessories

Whether for patient monitoring, care and

treatment of neonates, anesthesia, intensive

care, the emergency department or on the

ward: each original accessory from Dräger

doesn't just fulfil all the official quality standards.

We also measure our accessories

against our own strict Dräger quality standards.

WARMING THERAPY

MT-294-99

MT-3278-2005

MT-1035-2005

E.g. mattress SoftBed

E.g. warming mattress TransWarmer®

E.g. skin temperature probes


VENTILATION

D-101213-2013

D-19285-2009

D-937-2010

Dräger portfolio

Nasal CPAP system BabyFlow

Breathing circuits

Breathing masks

MT-4397-2007

D-7061-2009

D-402-2010

Breathing system filters and HMEs

CO 2 cuvettes

Intubation kits

SENSORS

MONITORING

WARD EQUIPMENT

MT-351-2003

D-497-2014

D-10309-2011

E.g. neonatal flow sensor

E.g. Masimo® Sensors

E.g. medical aspiration

32 |


WORKPLACE EXAMPLES

Workplace

examples

D-22040-2009

PLANNING DOCUMENTS FOR NC | WORKPLACE EXAMPLES | 33

Workplace examples for NC

The following pages will help you develop a deeper understanding

of various workplace designs.

Workplace examples

The detailed drawings shown in the next section

can serve as a starting point for you own design

concepts.

Combine elements of two or more examples to

develop the best possible solution for your client.

34 |


WORKPLACE EXAMPLES

Supply units

VENTILATION

D-26140-2009

D-26141-2009

D-26137-2009

CSU with V500* on a shelf

CSU with V500* mounted on the front rails

V500* mounted on a 38 mm pole

MONITORING

D-26690-2009

D-22044-2009

C700 and Delta mounted on front rails on the same side

C700 and Delta mounted on front rails on different sides

D-73170-2012

IACS system consisting of C700 and M540

*Infinity Acute Care System Workstation Critical Care.


INFUSION

Workplace examples

D-455-2014

D-456-2014

D-457-2014

Infusion rack on M26 arm system

Infusion rack mounted on Agila column tube

Infusion rack mounted on infusion set AS1

SUCTION

D-26664-2009

MT-1721-2005

Infusion rack mounted on infusion set AS1

Workstation – Endotracheal suctioning

36 |


WORKPLACE EXAMPLES

Overview Respiratory Care

VENTILATORS

D-25932-2009

D-20329-2010

Babylog VN500*

Babylog 8000 plus

Smart Pulmonary View

Intuitive user interface

with colour touch screen

Flexible transport

and backup solution

Powerful High

Frequency Oscillation

Non-invasive nasal CPAP

and oxygen therapy

D-19538-2009

*Infinity Acute Care System Workstation Neonatal Care.


Overview Closed Care

MT-1213-2004

MT-0588-2008

D-22377-2010

Caleo

Isolette C2000

Isolette 8000

Overview Open Care

Workplace examples

MT-1223-2004

D-22154-2010

Babytherm

Resuscitaire

38 |


WORKPLACE EXAMPLES

Developmental care accessories

Jaundice management

D-16736-2010

D-86397-2013

MT-1154-94

D-33509-2009

Incubator cover

D-33514-2009

MT-0092-2008

D-33511-2009

D-33512-2009

Positioning aid Hug it

Nesting

Small pillows

Towel doll Cally

Jaundice Meter JM-103

Jaundice Meter JM-105

Photo Therapy 4000


Overview Monitoring Systems & IT

PRODUCTS

Workplace examples

D-3527-2011

MT-8849-2006

D-22376-2010

Vista 120

Infinity® Delta XL

Infinity® C500

D-64760-2012

D-19701-2009

Infinity® C700

Infinity® M500 docking station

and Infinity® M540

SOLUTIONS

D-19739-2009

D-653-2014

D-71806-2012

Infinity® Acute Care System monitoring solution

Infinity® Omega Solution

Infinity® CentralStation

40 |


GENERAL PLANNING

General

planning

MT-8526-2006

PLANNING DOCUMENTS FOR NC | GENERAL PLANNING | 41

General planning

Learn more about planning a neonatal intensive care area.

The basics of planning a neonatal intensive care

area are discussed in the next section. It’s vital to

understand these concepts in order to provide the

customer with the best possible solution. Careful

analysis of workflow, architectural constraints and

of the customer’s care concepts are fundamental

steps in the process of creating a custom solution.

In addition, an intimate knowledge of the Dräger

product portfolio is a necessary prerequisite.

To create a fully integrated solution, planning

considerations will range from workplace design

and device placement to medical gas management

and lighting an/or color schemes.

General planning

42 |


GENERAL PLANNING

Developmental care

It is recommended to keep the following points in mind:

DEVELOPMENT IN THE UTERO CHARACTERIZED BY:

– Security and containment though the utero

– Heartbeat of the mother

– Limited light and noise exposure

– Sleep cycle preservation

DEVELOPMENT IN THE ENVIRONMENT OF THE NICU

CHARACTERIZED BY:

– Painful procedures

– Excessive light and noise exposure

– Interrupted an inadequate sleep

– Separation of the mother

D-52696-2012

D-64732-2012


Support the developmental care

THE IMPACT OF COLOR

– The psychological aspect of colors is very strong

– The infant and parents spends a long time in a NICU, so that the

use of color has a big impact

– Think about a concept for the hole hospital

– Supply units could be part of the concept (color line)

Color Line Classic

Ceiling

e.g.

Walls

e.g.

Supply unit

e.g. RAL 3004

Floor

e.g.

Furniture

e.g.

Room Colors

Color Line on

supply unit

General planning

D-463-2010

D-18682-2010

44 |


GENERAL PLANNING

THE IMPACT OF NOISE

– Preterm infants are highly vulnerable to noise due to their

immaturity

– Causes stress for patients, visitors and staff

– Reduces the ability for staff to work efficiently

– Can actuate a higher error rate

– Recommendations DIVI:

≤ 45 dB during the day, ≤ 40 dB during the evening,

≤ 20 dB during the night

DECREASE NOISE

– Move conversation away from bedside

– Consider noise generated by medical equipment

– Never place something on the top of an incubator

– Reduce monitor alarm levels

– No radio, no telephone

– Use a thick, fluffy incubator cover to reduce the noise level inside

the incubator

– Dräger Noise Display monitor and display background noise levels

on the NICU

D-1210-2011

D-13278-2010


THE IMPACT OF LIGHT

– Directly influences the central nervous system

– REM sleep periods (important for the brain development) are

greatly reduced at bright light levels

– Create a comfortable environment for patient, care giver and

visitors

– Improve the healing process by providing the right lighting

ambience

– Improve work processes (e.g. documentation, medication, etc.)

– Reduce stress by providing orientation

LIGHT MANAGEMENT

– If bright light is needed for medical assessments, infant’s eyes

must be protected to avoid damage to the immature visual system

– Reduce ambient light

– Reduce screen brightness of medical equipment

– Use individual, indirect light systems

– Use incubator covers

– Ponta indirect light, RGB light or circadian light

– Agila, Movita navigation light column, navigation light arm system

– Workstation components, drawer light

D-1402-2011

D-1284-2011

General planning

D-1424-2011

D-1412-2011

46 |


GENERAL PLANNING

Family centered care

THIS IS TODAY‘S APPROACH

BUT WHAT DO WE EXPECT FOR THE FUTURE?

Several studies conclude that the early separation and psycological

distress of the parents have a negative impact on the development of

preterm babies.

WHAT CAN YOU DO?

D-504-2014

CHANGE THE PROCESS!

– Prevent separation

– Closeness

– Skin to skin – Kangaroo mother care

– Rooming-in 24/7

– Breastfeeding

– Empowerment

– Parents are the primary care givers

NICU + ROOMING-IN = A CONTRADICTION?

Today it is possible to practice Kangaroo Mother Care (KMC) even

with tube feeding and ventilated babies.

D-505-2014

But this situation may continue for weeks and even months!

Without any privacy for the parents? This is not reasonable!

NICU + Rooming-In

How can you support them?


General planning

D-506-2014

NICU + Rooming-In + Family area

D-2272-2014

48 |


GENERAL PLANNING

D-55467-2012

Planning of an NICU workplace

GENERAL

What is left- and right side?

– As seen from the foot end of the incubator (technician)

– As seen from the patient (medical staff)

The incubator!

– Think about the size

– Open care or closed care

– Connections required?

Additional medical devices!

– Medical cart, footprint approx. 780 x 600 mm

– Mobile ultrasound, footprint approx. 600 x 600 mm

– Dialysis machine, footprint approx. 650 x 650 mm

– Mobile x-ray machine, footprint approx. 1800 x 900 mm

– ECMO device, footprint approx. 600 x 600 mm

NWPD_Key_Visual


ELEMENTS OF THE INFUSION SIDE

– How many infusion pumps are needed?

– How they should be mounted

(arm system or directly on the column)?

– Syringe pumps are needed, how many?



– Feeding pumps are needed, how many?



– Fluid bags?

– Storage for disposables

– Storage for nappy’s

– Holder for medical gloves (size S/M/L)

– Working surface

– Line routing to the infant

– Endotracheal suction (vacuum, air, electric)

– Services like electric-, gas- and data outlets

– Nurse call

– PDMS (height adjustable)

IN ADDITION

– PDMS could also be located at the foot end

of the either ceiling-mounted or on a mobile cart

– Storage for the infants stuff (plush toy)

– Infotainment for the parents e.g. TV, radio, internet

– Examination light (e.g. Polaris 50 ceiling or mobile,

VarioLux rail mounted)

– Hand disinfection near the incubator

– Chair for kangarooing!

ELEMENTS OF THE MONITORING AND VENTILATION SIDE

Monitoring

– Viewing height approx. 1500mm

– Positioned behind and above the incubator

– Accessible from the head end of the incubator

– Transport monitor (maybe IACS system)

– Storage for monitoring accessories e.g. cables


Ventilation

– Mobile or fixed device

– Positioned behind or beside the incubator

– Monitor detachable


– Form of humidification

– Ventilation bag (storage)

– Additional fluid bags

– Storage for disposables

– Storage for nappy’s

– Working surface

– Endotracheal suction (vacuum, air, electric)

– Services like electric-, gas- and data outlets

– Nurse call

– PDMS (height adjustable)

General planning

50 |


GENERAL PLANNING

Workplace solutions – Solution 1

All single devices in the following solutions are marked with numbers (e.g. 1, 2, 3).

Ponta C beam system


1. PONTA BEAM

Ponta beam with a length of 2800 mm for one

bed. Indirect light, night light and reading light

are included. Beam includes gas outlets,

RJ45 and electrical outlets.

2. INFUSION SIDE

Shuttle for a rack with 1500 x 38 mm poles.

The poles are for mounting infusion- and

syringe pumps. Arm system 300 x 300 mm

with slide adapter. Arm system 200 x 200 mm

with pole adapter. Shelf with drawer for

disposables. CVP pole with holder for 4 fluid

bags. Several standard rails.

Devices at supply unit

Monitoring (hemodynamic)

Endotracheal suction

Infusion- and syringe pumps

Fluid bags

3. MONITORING SIDE

Shuttle for a rack with 700 x 38 mm poles.

Lift arm system with VESA adapter and keyboard

holder. Shelf with drawer for disposables

and cable boxes below the shelf.


PDMS Monitor

Additional devices supplied by unit

Mobile ventilator below the shelf

(small footprint)

General planning

52 |


GENERAL PLANNING

Solution 2

Ponta E/S beam system


1. PONTA BEAM

Ponta beam with a length of 2200 mm for

one bed. Indirect light and night light are

included. Beam includes electrical outlets for

backup.

2. INFUSION SIDE

Shuttle with an 400 mm arm and a Agila

column 1250 mm. LED down light in the

column. 2 CVP poles with a holder for a total

of 8 fluid bags. Arm system 300 x 300 mm

with pole adapter. Shelf with drawer for

disposables. Several standard rails mounted

on the column.



Fluid bags


3. MONITORING SIDE

Shuttle with a Agila column 1250 mm.

LED down light in the column. Arm system

300 x 300 mm with slide adapter. Lift arm

system with VESA adapter and keyboard holder.

Shelf with drawer for disposables. Railmounted

examination light.



PDMS

General planning

54 |


GENERAL PLANNING

Solution 3

Ponta E/S beam system


1. PONTA BEAM

Ponta beam with a length of 3100 mm for one

bed. Indirect light, night light and reading light

are included. Beam includes electrical outlets

for backup.

2. INFUSION SIDE

Shuttle with an 400 mm arm and a Movita

column 1250 mm. 2 CVP poles with holder

for 4 fluid bags in total. Arm system

300 x 300 mm with VESA adapter. Shelf

with drawer for disposables. Several standard

ails mounted on the column.



Fluid bags


3. MONITORING SIDE

Shuttle with a Movita head with an 1.5B rack.

Arm system 200 x 200 mm with pole adapter.

Lift arm system with VESA adapter and keyboard

holder. Shelf with drawer for disposables.

Swivel cupboard for the patient’s personal

belongings.



PDMS

General planning

56 |


GENERAL PLANNING

Solution 4

Agila column tube/Movita column


1. INFUSION SIDE

Arm system 750 + 750 mm and an Agila

column tube 1500 mm. LED down light in the

column. 2 CVP poles with holder for 8 fluid

bags in total. Lift arm system with VESA

adapter and keyboard holder. Shelf with drawer

for disposables. Several standard rails

mounted on the column.



Fluid bags

PDMS

2. MONITORING SIDE

Arm system 750 + 750 mm and a Movita

column 1250. LED down light in the column.

The cable duct is integrated in the front side

of the column. Arm system 300 x 300 mm

with slide adapter. 1 CVP pole for 4 additional

fluid bags. Arm system 200 x 200 mm

with pole adapter. Several standard rails

mounted on the column.




Fluid bags

General planning

58 |


GENERAL PLANNING

Solution 5

Movita head/Movita head


1. INFUSION SIDE

Arm system 500 + 750 mm and an Movita

head with an rack 1B. 2 CVP poles with holder

for 8 fluid bags in total. Shelf with drawer for

disposables. Several standard rails mounted

on the column.



Fluid bags

2. MONITORING SIDE

Arm system 750 + 500 mm and a Movita

head with an rack 1B. 2 x arm system

200 x 200 mm with VESA adapter. 1 CVP

pole for 4 additional fluid bags. Arm system

200 x 200 mm with pole adapter.




Fluid bags

Detachable control screen of ventilation device

General planning

60 |


GENERAL PLANNING

Solution 6

GeminaDUO


1. INFUSION SIDE (MIDDLE)

Up and down light integrated in the column.

1 CVP pole for each bed with holder for 8 fluid


adapter and keyboard holder. Shelf with 2

drawers for disposables. Several standard

rails mounted on the column. Cable management

along the column.



Fluid bags

PDMS

2. MONITORING SIDE

(LEFT AND RIGHT)


Arm system 300 x 300 mm with slide adapter.

Arm system 300 x 300 mm with pole adapter.

Shelf with drawer for personal things.



General planning

62 |


GENERAL PLANNING

Solution 7

GeminaDUO


1. INFUSION AND MONITORING SIDE IN

THE MIDDLE OF TWO INCUBATORS


1 CVP pole for each bed with holder for 8 fluid


adapter and keyboard holder. Shelf with 2

drawers for disposables. Several standard

rails mounted on the column. Cable management

along the column.



Fluid bags



Examination light

General planning

64 |

PLANNING DOCUMENTS FOR NC

PLANNING DOCUMENTS FOR NC | CONTACT | 65

Contact

For planners and architects:

CENTRAL CONTACT FOR PROJECTING

AND TECHNICAL PLANNING:

Marco Patzer

Project Engineer

+49 451 882 2419

marco.patzer@draeger.com

Sebastian Rahn

Project Engineer

+49 451 882 2446

sebastian.rahn@draeger.com

WEB:

www.draeger.com/planning

Subject to change.

Not all products are available in all parts of the world.

More information: www.draeger.com

66 |

PLANNING DOCUMENTS FOR NC

NOTES

PLANNING DOCUMENTS FOR NC | 67

CORPORATE HEADQUARTERS

Drägerwerk AG & Co. KGaA

Moislinger Allee 53–55

23558 Lübeck, Germany

www.draeger.com

Manufacturer:

Dräger Medical GmbH



As of August 2015:

Dräger Medical GmbH changes

to Drägerwerk AG & Co. KGaA.

REGION EUROPE CENTRAL

AND EUROPE NORTH




Tel +49 451 882 0

Fax +49 451 882 2080

info@draeger.com

REGION EUROPE SOUTH

Dräger Médical S.A.S.

Parc de Haute Technologie d’Antony 2

25, rue Georges Besse

92182 Antony Cedex, France

Tel +33 1 46 11 56 00

Fax +33 1 40 96 97 20

dlmfr-contact@draeger.com

REGION MIDDLE EAST, AFRICA


Branch Office

P.O. Box 505108

Dubai, United Arab Emirates

Tel +971 4 4294 600

Fax +971 4 4294 699

contactuae@draeger.com

REGION ASIA / PACIFIC

Draeger Medical

South East Asia Pte Ltd.

25 International Business Park

#04-27/29 German Centre

Singapore 609916, Singapore

Tel +65 6572 4388

Fax +65 6572 4399

asia.pacific@draeger.com

REGION CENTRAL

AND SOUTH AMERICA

Dräger Panama Comercial S. de R.L.

Complejo Business Park,

V tower, 10th floor

Panama City

Tel +507 377 9100

Fax +507 377 9130

contactcsa@draeger.com

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Drägerwerk AG & Co. KGaA

Planning Documents for NC

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