The funds allocated by Regione Lombardia with the decree D.G.R. n. X/4189 of 16 October 2015 were aimed at the implementation of the technological equipment considered obsolete. The Clinical Engineering Service of the Fondazione IRCCS Istituto Nazionale dei Tumori, considering the needs of the hospital, has allocated part of these regional funds to the improvement and modernization of two operating room through upgrading works of the integrated management system made by all the hardware and software (medical and non-medical) devices and through renovation of the medical room layout. The main characteristic of this technologic renewal is the introduction of the integrated system for the management and the control of audio and video signal and the electromedical equipment (system called Endoalpha) in a flexible use of the biomedical technologies in the different surgical procedures. The rooms are equipped with a touch screen interface to manage signals in any extension, including 3D, web-streaming and videoconference system inside and outside of the hospital also in web live surgery mode for online transmissions, and thanks to the possibility of recording signal flows, it is possible to create multimedia libraries on demand of surgical procedures and didactic material for specializing student or for using in events. The two high-integrated operating rooms manage the laparoscopic column with visualization on three different medical 2D / 3D FULL HD monitors placed on supporting arms around the surgical area, in addition to the wall screen, making the rooms adaptable to all specialties and surgical procedures. Therefore, the integrated system allows to optimize the processes allowing the operating room staff to interact with the equipment through the central control point, avoiding complex and laborious manual actions. The management of the room configuration takes place through pre-configurable modes (for example, start / end laparoscopy) in order to optimize the time of the room and its preparation. The Clinical Engineering Service followed all the phases from the purchase of the equipment to the first use. The entire acquisition procedure has been performed by means of the computer trading system “Sintel”. The awarding of the equipment took place through an open procedure in favor of the most economically advantageous offer, considering the scores attributed to the technical/qualitative and economic elements of the different competitors offers. During the works have been adopted the necessary measures to avoid interfering with the hospital activities and to ensure safety of patients and employees. The equipment delivered to the structure, before being used, is verified by the Clinical Engineering Service, in particular is established the completeness of the documentation and is carried out visual, electrical safety and functional checks. Following the positive outcome of these tests, is arranged for the inventory of equipment as well as its acceptance and training employees.
I fondi stanziati dalla Regione Lombardia con il decreto D.G.R. n. X/4189 del 16 ottobre 2015 sono stati destinati all’implementazione del parco tecnologico aziendale ritenuto ormai obsoleto. La s.c. Ingegneria Clinica della Fondazione IRCCS Istituto Nazionale dei Tumori, considerando le necessità dell’ospedale, ha destinato parte di tali fondi regionali al miglioramento e all’ammodernamento di due sale operatorie attraverso opere di aggiornamento del sistema di gestione integrato, costituito da tutti i dispositivi hardware e software (medicali e non), e al rinnovamento del medical layout di sala. La caratteristica principale di tale rinnovo tecnologico è l’inserimento di un sistema integrato di gestione e controllo dei segnali audio, video e degli elettromedicali (sistema denominato Endoalpha) in una logica di flessibilità d’uso delle tecnologie biomedicali nelle diverse procedure chirurgiche. Le sale sono dotate di un’interfaccia touch screen per la gestione dei segnali in qualsiasi formato, anche 3D, del sistema di web-streaming e di videoconferenza all’interno ed all’esterno dell’Istituto anche in modalità Web Live Surgery per trasmissioni online e, grazie alla possibilità di registrazione dei flussi di segnali, è possibile creare librerie multimediali On-Demand di procedure chirurgiche e materiale didattico per specializzandi o per partecipare ad eventi. Le due sale operatorie ad alta integrazione gestiscono la colonna laparoscopica con visualizzazione su tre diversi monitor medicali 2D/3D FULL HD posti su bracci pensili intorno all’area chirurgica, oltre allo schermo a parete, rendendo le sale adattabili a tutte le specialità e le procedure chirurgiche. Il sistema integrato, quindi, consente di ottimizzare i processi permettendo al personale di sala operatoria di interagire con le apparecchiature attraverso il punto di controllo centrale, evitando azioni manuali complesse e laboriose. La gestione della configurazione di sala avviene attraverso modalità pre-configurabili (ad esempio inizio/fine laparoscopia) in modo da ottimizzare il tempo utile di sala e di predisposizione della stessa. Il servizio d’Ingegneria Clinica ha seguito tutte le fasi, dall’acquisto della fornitura fino al primo utilizzo. L’intera procedura d’acquisto è stata espletata attraverso l’utilizzo del sistema informatico di negoziazione “Sintel”. L’aggiudicazione della fornitura è avvenuta mediante procedura aperta, a favore dell’offerta economicamente più vantaggiosa, sulla base dei punteggi attribuiti agli elementi tecnico/qualitativi e agli elementi economici delle offerte dei vari concorrenti. Durante i lavori sono state attuate tutte le misure necessarie per evitare interferenze con le attività ospedaliere in corso, garantendo la sicurezza del paziente e del personale dipendente. La fornitura consegnata presso la struttura, prima di essere utilizzata, è stata verificata dalla s.c. Ingegneria Clinica, in particolare si constata la completezza della documentazione e si sono effettuati dei controlli visivi, di sicurezza elettrica e funzionali. A seguito dell’esito positivo di tali prove si è provveduto all’inventariazione della fornitura nonché alla sua accettazione e alla formazione del personale.
Il ruolo dell'ingegneria clinica nelle fasi di acquisizione e di gestione di due sale operatorie integrate
KASSWAT, CRISTINA
2017/2018
Abstract
The funds allocated by Regione Lombardia with the decree D.G.R. n. X/4189 of 16 October 2015 were aimed at the implementation of the technological equipment considered obsolete. The Clinical Engineering Service of the Fondazione IRCCS Istituto Nazionale dei Tumori, considering the needs of the hospital, has allocated part of these regional funds to the improvement and modernization of two operating room through upgrading works of the integrated management system made by all the hardware and software (medical and non-medical) devices and through renovation of the medical room layout. The main characteristic of this technologic renewal is the introduction of the integrated system for the management and the control of audio and video signal and the electromedical equipment (system called Endoalpha) in a flexible use of the biomedical technologies in the different surgical procedures. The rooms are equipped with a touch screen interface to manage signals in any extension, including 3D, web-streaming and videoconference system inside and outside of the hospital also in web live surgery mode for online transmissions, and thanks to the possibility of recording signal flows, it is possible to create multimedia libraries on demand of surgical procedures and didactic material for specializing student or for using in events. The two high-integrated operating rooms manage the laparoscopic column with visualization on three different medical 2D / 3D FULL HD monitors placed on supporting arms around the surgical area, in addition to the wall screen, making the rooms adaptable to all specialties and surgical procedures. Therefore, the integrated system allows to optimize the processes allowing the operating room staff to interact with the equipment through the central control point, avoiding complex and laborious manual actions. The management of the room configuration takes place through pre-configurable modes (for example, start / end laparoscopy) in order to optimize the time of the room and its preparation. The Clinical Engineering Service followed all the phases from the purchase of the equipment to the first use. The entire acquisition procedure has been performed by means of the computer trading system “Sintel”. The awarding of the equipment took place through an open procedure in favor of the most economically advantageous offer, considering the scores attributed to the technical/qualitative and economic elements of the different competitors offers. During the works have been adopted the necessary measures to avoid interfering with the hospital activities and to ensure safety of patients and employees. The equipment delivered to the structure, before being used, is verified by the Clinical Engineering Service, in particular is established the completeness of the documentation and is carried out visual, electrical safety and functional checks. Following the positive outcome of these tests, is arranged for the inventory of equipment as well as its acceptance and training employees.| File | Dimensione | Formato | |
|---|---|---|---|
|
Tesi_Cristina_Kasswat.pdf
non accessibile
Descrizione: Testo della tesi
Dimensione
4.34 MB
Formato
Adobe PDF
|
4.34 MB | Adobe PDF | Visualizza/Apri |
I documenti in POLITesi sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
https://hdl.handle.net/10589/140347