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Life science special report 161215 IY opt

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LIFE SCIENCES HIGH-TECH OPERATING ROOM<br />

LT V - fi e l d<br />

FIGURE 6: Temperature distribution in the area of the<br />

operating table (LTV = low-turbulence velocity)<br />

FIGURE 9: CFD simulation of a hybrid OR with temperaturecontrolled<br />

directional airfl ow<br />

FIGURE 7: Comparison of simulated and measured temperature distributions<br />

FIGURE 8: Comparison between simulated fl ow visualization (left) and smoke visualization test (right)<br />

temperature distribution were also<br />

found to be in good agreement with the<br />

experimental data. A deviation of less<br />

than 2 % was achieved (see Figures 6<br />

and 7).<br />

The effect of the OR fixtures on the airflow was<br />

also assessed. Figure 8 shows the flow field<br />

in the vicinity of the operating table, where a<br />

recirculation zone was predicted. A smoke<br />

visualization test was also performed and<br />

confirmed this finding.<br />

Through simulations, the observation<br />

was made that most medical devices<br />

(X-ray C-Bow, OR lighting, etc.),<br />

being located directly under the LAF<br />

ceiling, interrupt the protective TLAF<br />

fl ow, thereby posing an additional<br />

contamination risk. Additional turbulence<br />

zones introduced by airfl ow recirculation<br />

around the dummies ultimately cause<br />

impure air to fl ow from the outer area<br />

to the protected area, which increases<br />

the risk of microbiological contamination<br />

(see Figure 9).<br />

CONCLUSION<br />

Using CFD simulation, reliable<br />

predictions, both general and<br />

specific, about the airflow behavior<br />

and temperature distribution in<br />

the OR can be made. Furthermore,<br />

ventilation parameters can be<br />

<strong>opt</strong>imized and general improvements<br />

suggested. The CFD results<br />

presented here clearly show that<br />

the Opragon ventilation system<br />

is a step in the right direction.<br />

Nevertheless, they also indicate<br />

that ventilation technology in the<br />

OR can only function effectively if<br />

it is successfully combined with<br />

<strong>opt</strong>imized medical devices/fixtures<br />

and <strong>opt</strong>imal work procedures.<br />

REFERENCES:<br />

[1] Robert Koch-Institut: Krankenhaushygiene Basisdaten stationärer Krankenhausversorgung in Deutschland – nosokomiale Infektionen,<br />

Epidemiologisches Bulletin Nr. 36, 13.09.2010<br />

[2] Rüdiger Külpmann, Kurt Hildebrand: OP-Lüftungssysteme im Vergleich, GI – Gebäude Technik | Innenraum-Klima, Vol. 134, No. 01, pp. 12–29, 2013<br />

46 SPECIAL REPORT

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