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hybrid operating room , a shining business card of the current hospital. As an application platform for multidisciplinary and combined treatment methods, the hybrid operating room improves surgical efficiency, reduces surgical injuries, speeds up the medical turnover cycle, and greatly promotes the improvement of medical service levels.
Hybrid operating room is a special operating room within the category of clean operating room that can perform imaging diagnosis, interventional treatment and surgery at the same time, especially with CT/MR/US/DSA imaging equipment as the core, endoscopic, navigation, robot Multi-source (multi-modal) hybrid operating rooms that combine multiple medical devices have gradually emerged in recent years. Since the concept of hybrid operating room was proposed for the first time in the world in 1996, a new generation of multi-source hybrid operating room with multi-modality, multi-application, multi-integration and multi-benefit has been built. Hybrid operating room has shined in clinical applications. Due to its multidisciplinary integration and special characteristics of medical equipment, hybrid operating rooms have many interdisciplinary integration issues in terms of design implementation, clinical application, process design, cleanliness control, and social and economic value.
html On June 25th, the 2022 [ Philips Multi-source Hybrid Operating Room Summit Forum ] was successfully held. This forum continued the theme of the first Philips Multi-source Hybrid Operating Room Summit Forum in 2021 "Nothing is too small, no treatment is limited", and adopted Held in a combination of online and offline.
2022 Philips multi-source hybrid operating room summit forum site
A new business card of hospital integration and innovation capabilities
Why build an integrated hybrid operating room? What is its necessity?
hybrid operating room is currently a technological innovation business card of the hospital. As an application platform for multidisciplinary and combined treatment methods, the hybrid operating room improves surgical efficiency, reduces surgical injuries, speeds up the medical turnover cycle, and greatly improves the level of medical services and treatment integration capabilities.
Professor Li Tianxiao, vice president of the Interventional Physician Branch of the Chinese Medical Doctor Association and executive vice president of Henan Cerebrovascular Disease Hospital Professor Li Tianxiao pointed out that the hybrid operating room is extremely important for improving the diagnosis and treatment of difficult and severe diseases such as cardiovascular and cerebrovascular diseases and tumors. Placing imaging equipment in the same operating room area has achieved remarkable results in early diagnosis and early treatment of acute stroke patients.
Professor Li Tianxiao, vice president of the Interventional Physician Branch of the Chinese Medical Doctor Association and executive vice president of Henan Cerebrovascular Disease Hospital
Professor Zheng Jiasheng, an authoritative domestic interventional expert and chairman of the Minimally Invasive Oncology Alliance, believes that the emergence of hybrid operating rooms has made clinical treatment more scientific. and humanistic diagnosis and treatment concepts. In vascular and non-vascular interventional treatment technology, hybrid operating rooms are indispensable, especially the blessing of advanced imaging equipment. "The emergence of hybrid operating rooms provides a new model of humanistic diagnosis and treatment that is "minimally non-invasive and leaves no trace" for interventional, oncological, cardiovascular and cerebrovascular, minimally invasive surgery and other disciplines." Professor Zheng Jiasheng said, "Simplifying complex surgeries makes difficult Diseases are easy to treat, and diseases that cannot be treated conventionally can be treated. Early screening, early diagnosis, early treatment, and full life cycle health management are achieved for major diseases.”
Professor Zheng Jiasheng, Chairman of the National Minimally Invasive Cancer Alliance
How about the hybrid operating room. Really empower clinical practice? Professor Chen Shuang, deputy director of the North Branch of Shanghai Huashan Hospital, took the Hongqiao campus as an example. In August 2019, the Philips one-in-two Ingenia 3.0T intraoperative MR hybrid operating room was officially introduced to meet the needs of intraoperative and routine MR examinations. It has been in operation for nearly three years and has achieved satisfactory clinical results: an average of 4-6 intraoperative MR examinations per day and 40-70 pre-operative/post-operative examinations. The examination volume is three times that of the first set of sky-rail intraoperative MR in the main hospital. , the cumulative business volume is the highest in the country, attracting many patients from all over the country to come to Hongqiao Hospital for treatment, especially patients with secondary surgeries.
Professor Chen Shuang, Vice President of the North Branch of Shanghai Huashan Hospital
In addition to public hospitals, private hospitals have also introduced hybrid operating rooms. For example, it is determined to build 25 chain brain hospitals and 10,000 beds across the country by 2025. Shanghai Lansheng Brain Hospital Investment Co., Ltd., its general manager Mr. Liu Yiyong revealed: "As early as 2015, we established a long-term strategic cooperation with Philips and took the lead in building the first neurosurgery dedicated DSA composite operating room in Shanghai. .This year, its Sichuan Lansheng Brain Hospital will introduce Philips' new generation Azurion DSA combined with 3.0T intraoperative magnetic resonance hybrid operating room, which is expected to become the first ultra-high-end multi-modal, intelligent super hybrid operating room in Sichuan and even the west. Achieve joint operations of precise imaging, intraoperative positioning, minimally invasive treatment and efficacy evaluation. "
Mr. Kong Fa, Vice President of Philips Greater China and General Manager of Marketing and Medical Affairs, analyzed that there are three reasons why hospitals are rushing to build hybrid operating rooms: First, it stems from the academic pursuit of the hospital, the integration of surgery and intervention , and imaging , to jointly overcome medical problems; the second is the hospital's pursuit of clinical value; and the other is the hospital's brand value creation. It is understood that Philips has built nearly 200 domestic centers mainly with DSA and other imaging equipment. The multi-source hybrid operating room , involving various clinical departments such as oncology, neurology, and heart, has played a positive role in improving the diagnosis and treatment of difficult and severe cases and saving patients' lives.
Demand-driven, technology-empowered
Professor Chen Shuang believes that: domestically. The equipment of hybrid operating rooms in hospitals at all levels is still seriously insufficient, which affects the improvement of the ability to diagnose and treat difficult and complicated diseases. Therefore, there is huge room for development of hybrid operating rooms. “Most hospitals above Grade III in China have cases suitable for hybrid operating rooms. According to statistics, at least 350,000 cases nationwide each year are suitable for treatment in hybrid operating rooms. "
Hybrid surgery is widely used in the fields of nerves, heart, blood vessels, tumors and other fields. With the maturity and popularization of vascular CT technology, hybrid operating rooms with MR-DSA as the core may become the layout of hospitals in recent years. The focus of is that MR not only has the advantages of high-contrast soft tissue imaging, precise intraoperative guidance, functional imaging, and immediate postoperative evaluation, but also can be seamlessly integrated with DSA to develop several new surgical techniques. Professor Huang Guangfu has been engaged in related work for 30 years and is deeply aware of the demand for hybrid operating rooms: “Intraoperative magnetic resonance can improve the total tumor resection rate and prevent patients from having to undergo surgery again because the tumor has not been completely removed. In addition, it can protect the surrounding nerve tissue and blood vessels to the greatest extent possible, reduce complications caused by surgery, and reduce mortality. ”
Professor Huang Guangfu, Department of Neurosurgery, Sichuan Provincial People’s Hospital and Sichuan Lansheng Brain Hospital
The digital operating room of Chengdu Wanda UPMC Hospital also introduced Philips’ latest MR-DSA hybrid operating room. Intraoperative MR not only achieves precise intraoperative guidance and immediate For efficacy evaluation, the flexible placement and linkage of the suspended DSA gantry and surgical robot also facilitates the positioning and operation of medical staff, fully meeting the requirements of cardiovascular, cerebrovascular, tumor, neurological and interventional surgeries
Chengdu Wanda. Professor Dai Hui, General Manager of UPMC International Hospital
Chairman of the Peripheral Nerve Interventional Committee of the Chinese Medical Doctor Association and Professor Wang Feng of the Interventional Therapy Department of the First Affiliated Hospital of Dalian Medical University, also said that the neurological hybrid operating room is of high quality and high quality for interventional doctors. A powerful DSA system is very important, especially the flexibility of the frame. The frame needs to be able to move out of the head surgery space to leave enough operating space for the surgical microscope and the surgeon's operating station. Taking into account the positioning requirements of neurointerventional surgery and neurosurgery
Professor Wang Feng, Department of Interventional Therapy, The First Affiliated Hospital of Dalian Medical University
In this forum, the two intraoperative magnetic resonance imaging methods of Philips Kinsel and liquid helium-free "007" were also used. Mentioned by many speakers. The "007" magnetic resonance, namely 0 liquid helium leakage, 0 quench risk, 7-liter microcirculation cooling technology, has achieved a disruptive breakthrough in the field of magnetic resonance. The magnet weighs only 2.3 tons. It alleviates the building load problem, and has no quench tube and does not interfere with laminar flow. In theory, can be installed on any floor . More importantly, this breakthrough technology does not require the addition of expensive liquid helium and avoids quenching. Ultra-risky, it is a new generation of intraoperative MR solution that is very suitable for operating room design and use.Mr. Fu Shikuo, Senior Clinical Program Support Director of Philips, introduced innovative procedures such as MR-guided ablation/ puncture/ seed implantation/suction drainage, which have been very popular in recent years, as well as their cooperation with Shandong Provincial Hospital, Xi'an International The cases collaborated by experts from the Medical Center and the First Affiliated Hospital of Fujian Medical University are refreshing and impressive, and further expand the clinical value of MR equipment in hybrid operating rooms.
Mr. Fu Shikuo, Director of Advanced Clinical Solution Support at Philips
Standardization, standardization, digitalization
The construction of hybrid operating rooms is gradually moving towards standardization.
Due to its large investment amount and complex construction technology, the successful construction experience of hybrid operating rooms in different hospital environments is difficult to replicate. In this regard, Kong Fa told reporters that although each hospital has different demands for building hybrid operating rooms, Philips is committed to simplifying and standardizing the management process of hybrid operating rooms on the basis of meeting the individual needs of customers. In 2018, Philips established a professional hybrid operating room team to integrate relevant technologies in clinical fields such as heart and peripheral blood vessels, nerves and tumor diagnosis and treatment, in order to rationally allocate relevant resources based on clinical needs, form standardization, improve surgical quality and efficiency, and promote hybrid surgery. Development and promotion of surgery.
As the main drafter of the "Technical Standards for Digital Integrated Composite Operating Rooms", Professor Lu Jindong, president of the Medical Equipment Management Branch of the Shanxi Provincial Hospital Association, interpreted the "Standards" at the forum. He reviewed the standards from the background of standard preparation and field research The situation, standard structure and standard preparation content were elaborated in detail. President Lu Jindong said that the preparation of the "Standard" has filled many gaps in multiple hybrid operating rooms and has many highlights.
Professor Lu Jindong, President of the Medical Equipment Management Branch of Shanxi Provincial Hospital Association, explained the standard
Highlights:
standard parameter setting draws on the experience and usage of composite operating rooms in large domestic tertiary hospitals. In newly built or renovated and expanded composite operating rooms, there are requirements for floor layout, building structure, cleanliness, magnetic shielding, radiation protection requirements, integrated wiring , video surveillance, including informatization, Internet of Things, intelligent facilities, etc. Parameter settings were carried out, and many parameter requirements filled the gaps in the technical parameters of domestic digital integrated operating rooms.
Highlight 2: The
technical standard relies on the hybrid operating room solutions of Philips and other participating companies, such as Philips' new generation of full-process, multi-modal, intelligent hybrid operating room overall solution based on precise image-guided treatment: covering precision CT/MR/ US preoperative diagnosis, intraoperative guidance, and integrated phased array digital intracavity imaging, coronary physiology, excimer laser vascular volume reduction Azurion Rui platform DSA advanced minimally invasive clinical application, as well as comprehensive postoperative efficacy evaluation Periodic diagnosis and treatment services help improve the level of accurate diagnosis and treatment of difficult and severe diseases such as tumors, nerves, heart, peripheral blood vessels, emergency trauma, and orthopedics.
Highlight 3: The
standard introduces medical-industry collaboration for the first time, which shows a full range of innovative solutions from clinical to interventional treatment, and how to better optimize the surgical process. The
review meeting believes that the "Standard" meets the compilation principles of forward-looking, innovative, safe, reliable, coordinated, practical and marketable. It is scheduled to officially release on June 30, 2022, for those engaged in hospital composite operating rooms. Provide builders, users, and managers with reference and enforceable industry standards.
There is no end to technology, make the best use of it
The hybrid operating room is an integration of complex technologies with high consumption and high investment. How to fully meet clinical needs while forming the best technology integration to make the application efficiency and clinical value of the hybrid operating room Maximizing and making the best use of materials are issues that hospitals and equipment supply units need to think about together.
As a century-old store with a full line of medical equipment and information systems, Philips has almost witnessed the growth of domestic hybrid operating rooms. Kong Fa said: These Philips devices are core supporting technologies in the hybrid operating room project. With such technology, hybrid operating rooms can become more valuable, more targeted, and more problem-solving."But these are not enough. We must start from the perspective of hospital customers and create a hybrid operating room solution with the best clinical value and economic benefits." Take the hospital's hybrid operating room as an example. The first domestic DSA/MR/CT three-in-one super hybrid operating room of different brands, including Philips one-to-two Ingenia 3.0T intraoperative MR, has been put into use in 2021. Both conventional and The volume of intraoperative MR examinations, DSA and CT interventional surgeries is increasing month by month, with significant clinical and economic effects. It is not difficult to see from the actual clinical usage statistics that the hybrid operating room is not only carrying out operations, but also equipped with imaging equipment that can also achieve "combined peacetime and worktime". When there are no scheduled operations on a daily basis, strict purification and hospital infection measures are ensured. Next, this 3.0T MR is also open to inpatients, which not only allows patients to receive precise image-guided treatment services, but also further improves the utilization rate of the equipment.
Philips image-guided therapy system product manager Liu Bin introduced at the forum the overall solution of the new generation MR-DSA hybrid operating room as well as the industry's first 8-axis aerial robot DSA and the multi-source hybrid operating room solution of Jinsuo/zero liquid helium intraoperative MR. . He said that Philips' latest solution combines clinical advantages to provide a more personalized and accurate platform in terms of clinical diagnosis, intraoperative image fusion, and intraoperative surgical evaluation. Truly patient-centered, the flexible FlexArm crane is combined with SmartCT, etc., and combined with the new intraoperative MR support and multi-modal transport technology, to achieve one-stop MR accurate diagnosis, MR roadmap-guided DSA minimally invasive surgery, and postoperative immediate surgery. It can evaluate the integrated overall diagnosis and treatment plan and service model.
Mr. Liu Bin, Product Manager of Philips Image Guided Therapy System
The skills are endless while making the best use of everything. The strong tolerance and integration capabilities of the hybrid operating room allow it to be extended to both multi-function and multi-discipline. By improving the utilization rate of hybrid operating rooms and maximizing clinical benefits and economic efficiency, the future of hybrid operating rooms is promising.
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