The present invention relates to a method and a device for providing a zone of clean air at an operation area by means of an air treatment device, wherein a lighting device is provided for illuminating the operation area. The invention also relates to use of said device.
The purpose of ventilating operation areas is to avoid as far as possible infections of patients being operated on. Infections are caused by bacteria-carrying airborne particles contaminating the operation area. Particularly the operation personnel generates airborne bacteria-carrying particles. It is the direct drop-off of these particles in the exposed operation area of the patient which is one of the main reasons for the spreading of infections in the operation premises.
At the present improved ventilating devices for operation premises, the operation lighting is most often located between a so called LAF (Laminar Air Flow)-ceiling, emitting a laminar, downwardly directed flow of air, and the operation area. The operation lighting disturbs the flows of air partly by its location and partly by the convection currents generated by the heating effect of the lighting. Both disturbances give rise to stagnation zones where bacteria-carrying airborne particles can be concentrated and is an important danger factor for bacterial propagation in the operation area.
Present ventilating ceilings, the so called LAF-ceilings, are mostly connected to an infrastructure/air treatment plant which is fixedly built into the hospital and which provide said LAF-ceilings with treated supply air. This infrastructure requires a great deal of engineering during installation and it is most often a building or heating, water and sanitation contractor carrying through the installation. The engineering and contractor's work is most often bought in by local heating, water and sanitation engineers and contractors who mostly know very little about medicine and transmissions of infections.
Present ventilating ceilings, the so called LAF-ceilings, also require very large air flows to compensate for the equipment located between the ceiling and the operation area. Furthermore, since the present ventilating devices are fixedly built into the ceiling of the operation premises, they must cover all types of surgery taking place in said operation premises. Thereby, the ventilating devices become large and require large volumes of filtered ventilating air, resulting in expensive, bulky installations and high operating costs.
The large ventilating ceilings must also through their size compensate for the convection currents of the operation personnel generated within the extension of the ceilings. A substantial part of the bacteria-carrying particles is generated in these convection currents.
Methods and devices for providing zones of clean air are previously known from e.g. U.S. Pat. No. 5,167,577 and WO 2005/017419, but these methods and devices are not specifically adapted to generate zones of clean air for operation areas. U.S. Pat. No. 6,811,593 relates to an air treatment device for, inter alia, operation areas, but this device is adapted to blow air in horizontal directions. The device neither considers the temperature of the supplied air relative to the temperature of the surrounding air in the premises nor the thermal zoning in the premises.
The object of the present invention is therefore to provide a method and a device particularly suited for use in connection with operation areas and this is arrived at through a method including the characterizing measures of subsequent claim 1 and by means of a device having the characterizing features of subsequent claim 18.
By combining the air treatment device and the lighting and locate them above the operation area or reversed locate the operation area such that it is found under the air treatment device and the lighting, and design said air treatment device to emit or discharge clean air to define a zone thereof in which the speed of the air flows is low and which has a limited extension at the operation area, minimal interference of surrounding impure air is achieved while at the same time optimal illumination of the operation area is obtained. Also, stagnation zones above the operation area are avoided and airborne bacteria-carrying particles from the operation personnel are prevented from reaching the operation area because particle generating operation personnel is found essentially outside the operation area. In other words, when the lighting for the operation area is optimized, the air supply relative to the lighting as well as the operation area is at the same time optimized. Irrespective of how the lighting is positioned, the ventilation is brought along therewith and otherwise usual stagnation zones are eliminated. Furthermore, the risk for infections is reduced, the dependency on nonprofessionals for installation is reduced, the possibility for medical documentation is increased, the energy costs and the costs for maintenance are reduced and the sound level is lower.
Other objects and advantages with the invention will be apparent for a skilled person studying the enclosed drawings and the following detailed description of preferred embodiments.
The air treatment device 1 illustrated in the drawings is adapted to provide a zone 2 of clean air at an operation area 3 in medical care, wherein a lighting device 25 is provided for illuminating the operation area 3. The air treatment device 1 and the lighting device 25 are in the embodiment shown displaceable and located in functional positions above the operation area 3 and between said operation area and the ceiling 32 of the operation premises 4. Alternatively, if the air treatment device 1 and the lighting device 25 are fixed, the operation area 3, preferably formed or defined as an operation table, may be displaceable for location in a functional position such that the air treatment device 1 and the lighting device 25 are still found between the operation area 3 and the ceiling 32 of the operation premises 4 (see
The ceiling 32 of the operation premises 4 in which the operation area 3 is found, comprises preferably a supporting framing member 32a as well as a ceiling member 32b beneath said supporting framing member (see
A filter device 13 is provided to filter air for providing clean air which shall define the zone 2 of clean air. A device 14 for cooling air and/or taking in cool air is provided to allow clean air, which shall define the zone 2 of clean air, to have such lower temperature than impure air surrounding the zone 2 of clean air that said clean air descends slowly downwards towards the operation area 3. The air treatment device 1 may be connected to a cooling device 14 or to units with heat transfer liquid, cooling medium, cold drain water or similar. In embodiments where a cooling compressor or similar cooling machine is used, this may be mounted internally in the air treatment device 1 or externally thereof, connected through heat transfer or cooling medium conduits. It should be mentioned that most cooling devices generate waste heat in any form, but the present invention is not limited by or includes this waste heat. The air treatment device 1 may e.g. be connected to ordinary cold drain water. The air treatment device 1 may also be connected to an external heat transfer or cooling medium system with heat transfer or cooling medium produced in the hospital cooling plant, or finally, to an external cooling machine without thereby having to consider the waste heat.
A device 5 is provided to emit or discharge laminar flows of clean air which shall define the zone 2 of clean air. The device 5 for emitting or discharging laminar flows of clean air includes preferably an air supply unit which at least partly may consist of a cell body 6 or similar which is provided to generate laminar partial flows 7 of clean air to minimize the risk of mixing impure air 8 from the surroundings into the zone 2 of clean air. The cell body 6 may consist of a material with open cells and/or a fabric. The cell body 6 may consist of an inner part 9 and an outer part 10 and the inner part may be provided such that it subjects through-flowing clean air to a larger pressure drop than the outer part 10. As is apparent from
In order to emit or discharge a distinct zone 2 of clean air with a distinct limited extension around the operation area 3, the air supply unit 5 preferably has at least partly semi-spherical, substantially semi-spherical or other shape. Hereby, and preferably along with the laminar flow of clean air in the zone 2 of clean air, it becomes possible to give the zone 2 of clean air an extension such that the operation personnel is found substantially outside said zone of clean air at the operation area 3.
The impure air 8 which is brought to flow towards the air supply unit 5, is brought to pass the filter device 13 such that the air becomes sufficiently clean to form the zone 2 of clean air at the operation area 3. This filter device 13 preferably has exchangeable filter elements of any suitable type.
The cooling device 14 may be provided to lower the temperature of air which shall define the zone 2 of clean air such that the air therein gets a lower temperature than the surrounding impure air 8. This is or may be contributing to that the air in the zone 2 of clean air can descend, thereby permitting a minimum of incorporation of impure air into said zone of clean air. The cooling device 14 is preferably controllable such that the temperature of passing clean air, and thereby the speed of the flow of air in the zone 2 of clean air, may be varied. The temperature in the zone 2 of clean air may e.g. be 0.5-5° C. lower than the surrounding impure air 8 and the flow of air in said zone of clean air may preferably be 100-1500 m3/h.
A flow 15 of clean air to the air supply unit 5 is preferably provided by means of a fan device 16. This fan device 16 may be controllable for controlling the speed of the flow 15 of clean air. The flow 15 of clean air generated by the fan device 16 is distributed essentially by the air supply unit 5 such that it can descend slowly downwards, primarily due to its lower temperature relative to the temperature in the surroundings.
The air treatment device 1 also includes at least one air inlet 17. The air inlet 17 may be provided for receiving or taking in air from upper parts of the operation premises 4.
The air treatment device 1 may include a container 18 on the lower side 19 of which the air supply unit 5 is provided directed downwards. The container 18 is through a suspension device 20 suspended from the ceiling 32 of the operation premises 4 or from a unit which is movable in the operation premises. The suspension device 20 permits setting of the container 18 in different positions relative to the operation area 3 and eventual movement thereof between different operation areas 3.
Said suspension device 20 may e.g. have a ceiling mount 21, a first horizontal arm 22 which is provided on said mount 21 such that it can pivot in relation thereto about a vertical axis, a second horizontal arm 23 which is provided on the first arm 22 such that it can pivot in relation thereto about a vertical axis, a semi-circular horizontal arm 24 which is located on the second arm 23 such that it is pivotable in relation thereto about a vertical axis. Two opposite side members of the container 18 are provided at the semi-circular arm 24 such that the container 18 can be pivoted relative to the arm 24 about a horizontal or substantially horizontal and diametrically relative to the container 18 directed axis H.
The container 18 may be cylindrical or substantially cylindrical and it may together with the air supply unit 5 be centered or substantially centered with a geometric and vertically or substantially vertically directed centre axis C. The container 18 may also be designed such that it is provided with the air inlet 17 and contains the filter device 13, cooling device 14 and fan device 16.
The lighting device 25 may be provided on and/or at the air treatment device 1 or on and/or at parts thereof. At the embodiment of
As is apparent from
With the exemplary device described above, the operator can optimize the illumination of the operation area and at the same time the air supply relative to the lighting as well as the operation area. Irrespective of how the operator locates the lighting, the ventilation is brought along therewith and vice versa.
The air treatment device 1 may be used at operation areas 3 in order to generate a zone 2 of clean air having a definite area of extension outside of which operation personnel and other things in the operation premises 4 are primarily found.
For visual marking of the extension and orientation of the zone 2 of clean air in and around the operation area 3, the air treatment device 1 may include a device, preferably a light device (not shown). This light device may be located around the device 5 for emitting or discharging laminar flows of clean air, preferably the air supply unit. In a preferred embodiment this light device may consist of a plurality of light emitting diodes which are located in a ring around said device or air supply unit 5. These light emitting diodes may emit coloured and/or white light.
It is obvious that if one wants to provide a zone 2 of clean air at or around other working areas than an operation area, with visual marking of the extension and orientation of said zone of clean air, the abovementioned device for said purpose may be used at these working areas too.
The air treatment device 1 may preferably also be used as infection-control ventilation and/or as ventilation for controlling the transmission of infections and/or as protective ventilation in the operation area 3 or for removing poisonous gases from the operation area.
The invention is not limited to what is described above and illustrated in the drawings, but may vary within the scope of the subsequent claims. Thus, the air supply unit 5 may be located in another way on a container 18 and if there is a container, said container may be designed in another way. The filter, cooling and fan devices 13, 14 and 16 may be provided in another way than in a container 18 and the suspension device 20 may be designed in another way than described above and illustrated in the drawings.
The air supply unit 5 may have another shape than at least semi-spherical or substantially semi-spherical shape or substantially semi-spherical cross section. An example of another shape is an elongated shape with semi-spherical cross section. Another example of such shape is if the lower parts of the air supply unit 5 are semi-spherical or substantially semi-spherical, while upper parts thereof have another shape. The cooling device 14 may be a thermoelectric device. The device 5 for emitting or discharging laminar flows of air in the zone 2 of clean air as well as generating a distinct zone 2 of clean air may be one and the same or different devices.
It should finally be mentioned that the combined air treatment and lighting device 1, may alternatively be displaceable relative to the operation area 3 by being suspended from a traverse, from a frame on wheels, hanging in a wire or similar, and the air treatment and lighting devices 1, 25 may be connected to each other in another way than described above.
Number | Date | Country | Kind |
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0600459-2 | Feb 2006 | SE | national |
Filing Document | Filing Date | Country | Kind | 371c Date |
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PCT/SE2007/000177 | 2/26/2007 | WO | 00 | 11/5/2008 |