Overview: Eight routine Operating Rooms and five High Tech Operating Rooms have been completed to date. The audiovisual scope of work included boom wiring and medical scope signal routing to facilitate teaching events.
These systems are all managed through a central head end so as to facilitate large training events that are done several times annually. The University Hospital hosts several training events in which video and audio is delivered over fiber to a local auditorium on campus. Communications between the two rooms allows participants to ask questions of the surgeon and allows the surgeon to demonstrate procedures in real time with HD resolution video support from the various medical cameras and scopes. Medical equipment signals differ from traditional audiovisual equipment so there was some trial and error in specifying components that would be fully interoperable with this specialized equipment.
Multiple OR Rooms have been completed starting in 2004 and continuing into 2013 these systems have been upgraded to remain consistent for the user group as technology has advanced and moved from analog to digital formats. In 2007, the systems were expanded to better support distance learning for the RMIE annual events.
These high resolution telemedicine systems are capable of broadcasting endoscope procedures through the campus fiber network. The Advanced Centralized Telemedicine System (ACTS) provides the capability for a remote group to interactively participate in up to two simultaneous endoscopic procedures. The two procedures would be hosted in side-by-side procedure rooms and administered by two different medical teams. The remote group assembles anywhere within the reach of the campus’ local area network (LAN) that has four fiber connections available.
The medical team(s) performing the procedure(s) are required to operate only the medical imaging equipment warranted by the procedure itself. An ACTS operator (ACTS-Op) has the responsibility and capability to select which images are displayed to the remote group. The primary location for ACTS control exists near the procedure rooms. This control will be facilitated though manual and/or automated manipulation of the processing gear. The gear is housed in integrated multimedia equipment cabinets, fully populated with all necessary equipment and audio/video monitors.
The primary physician is able to respond to the remote participants through his/her wireless ACTS linked microphone. Audio between both the primary physicians and the remote group is simultaneous and fluid. No discriminate control is necessary to facilitate the transmission and reception of audio between the three parties.
The ACTS equipment that resides in the procedure lab(s) is minimal. The only required in-lab equipment are two monitors, two wireless microphones, speakers, one room pan/tilt/zoom camera, and one 3CCD tripod-mounted camera. The ACTS equipment that resides in the remote group’s assembly location is also minimal. There are two wireless microphones, one room PTZ camera, the necessary fiber transmission/reception equipment, and one video monitor for viewing the local PTZ camera feed. This equipment is housed in a mobile conference cart.
The remainder of the ACTS equipment resides in a hub. This hub is a full size equipment rack located in an equipment room, central to the procedure rooms. Distributed images from the Aloka Cart, Baby Scope, EUM-30, Endoscope, Fluoroscope, room camera, and optional auxiliary camera is fed from each procedure room to the ACTS hub.
In addition, we have completed eight routine endoscopy suites that included boom wiring, monitor support and Provation input plates. These rooms have been continually updated with the latest in endoscope technology over the years. This project included general infrastructure upgrades and a new floro camera for every day use but also to better support the RMIE for 2013. The RMIE training event is an annual endoscopic training with live interaction between the operating room and the Education II building auditorium (600 seats). DRI has supported this event every year since 2004. We work closely with medical device companies such as GE Healthcare, Olympus and Berchtold to properly support and integrate their equipment into these high technology spaces.