Planning documentation. Leica M720 OHC5. Living up to Life

Transcription

1 Planning documentation Ceiling Mount Leica M525 OHC4 Leica M720 OHC5 Living up to Life

2

3 Contents Part 1 Product Information 5 About this section 6 Structural requirements 7 Radius of action 8 Wiring 9 Technical data 11 Part 2 Questions for the Surgeon 11 About this section 12 General questions 13 Questions concerning setup 14 Part 3 Specifications for the Structural Engineer 15 Vibrations in general 16 General questions 17 Part 4 Planning Aids for the Architect 19 Help for the 3D planning 20 Part 5 Confirmation of Agreed Upon Actions and Purchase Order 21 Confirmation of structural calculation and installation 22 Order form 1: Ceiling Mount Leica M525 OHC4 / Leica M720 OHC5 24 Order form 2: Ceiling Mount Leica M525 OHC4 / Leica M720 OHC5 25 Order form 3: To be provided locally 27 Leica OHC planning: Procedure/checklist 28 Planning Manual for the Leica OHC4 / Leica OHC5 Ceiling Mount 3

4 About this Planning Manual The Manual before you answers questions related to planning for the ceiling mount Leica OHC4 and Leica OHC5 from Leica Microsystems. With a weight of 500 kg and a boom radius of 1.43 m, it places particular requirements on the room planning and structural engineering. The following pages help all involved with the necessary clarifications: hospital technicians, architects, structural engineers, and electricians find here all the information and technical requirements necessary for a successful installation. In addition to the structural requirements, personal preferences should also be taken into account. Each operating room is shaped by the way its staff works. Therefore you will also find draft proposals in this Manual that help you find the optimum location for your Leica OHC4 / Leica OHC5. But even the best manual is no substitute for personal support. If at any time questions arise that are not answered in this Planning Manual, please get in touch with your contact person at Leica Microsystems directly. You can find all contact information on page 6. We wish you success! Leica Microsystems (Schweiz) AG 4 Planning Manual for the Leica OHC4 / Leica OHC5 Ceiling Mount

5 Part 1 Product Information Planning Manual for the Leica OHC4 / Leica OHC5 Ceiling Mount 5

6 About this section This section helps with checking the structural requirements. The load capacity of the ceiling plays just as much of a role here as the available space or the kind of operations that are performed. If the operating room does not meet one of the requirements, it does not mean that the installation is impossible it simply means that additional clarifications must be made. Most problems can be solved by adapting standard components. Your contact person Leica Microsystems (Schweiz) AG Surgical Division, Hotline Max-Schmidheiny-Strasse Heerbrugg Switzerland som-hotmail@leica-microsystems.com Phone: Fax: What happens after the clarification? Every operating room is unique, and the responsible surgeon knows exactly what is important to him or her. Therefore send the completed checklists and data sheets by fax or to your contact person at Leica Microsystems. He or she will closely examine the state of affairs and discuss with you how to proceed. Your benefits You and your customer know with certainty whether the project can be implemented In the case of special requirements, the necessary actions can be initiated at an early stage There will be no project interruptions caused by the need for subsequent clarifications or improvements The risk of misplanning is minimized The planners and tradespeople can prepare optimally for the requirements Use the expertise of Leica Microsystems to guide the project in the right direction from the start. 6 Planning Manual for the Leica OHC4 / Leica OHC5 Ceiling Mount

7 Structural requirements The table below shows the structural requirements. Please compare the specifications with the conditions and enter the values in the table. Please send the completed checklist by fax or to your contact person at Leica Microsystems (see page 6). We will contact you as quickly as possible to discuss how to proceed. Concrete ceiling Suspended ceiling Floor No. Measure Target Actual 1 Height of the intermediate ceiling 450 mm 1350 mm 2 Room height up to the intermediate ceiling 3000 mm 3500 mm 3 Space for the anchor min. 630 mm 4 Thickness of the concrete ceiling min. 200 mm Specification for the ceiling Imposed load At least 6000 N/m 2 These specifications must Concrete load-bearing capcity to DIN1045/2001 At least C20/25 Ceiling thickness At least 200 mm be confirmed in the order form. Planning Manual for the Leica OHC4 / Leica OHC5 Ceiling Mount 7

8 Radius of action This is a recommended standard positioning. In each case, however, the surgeon must check that proper work is ensured in this position. (Taking into consideration the patient's position, the kind of operation, operating room table, operating room lamps and the position of the assistants and nurses. Also particularly critical is the use with MRI systems.) Work is not allowed without a rotation stop, since otherwise the cables are in danger. This is also the range of movement of the arms and weights of the ceiling mount. Ideally, there should not be any secondary devices in this range. A part of the range can be protected from collisions by rotation stops on the ceiling mount. This dead range can be freely selected via two stops (minimum 90 ). r=560 mm r=1430 mm 358 mm Center of Leica OHC 930 mm Positioning: Range in which the Leica OHC is used Unreachable zone 8 Planning Manual for the Leica OHC4 / Leica OHC5 Ceiling Mount

9 Wiring Required opening in the wall for control unit and transformer The Leica OHC system requires installation of the control unit in the wall. For this reason, an opening of exactly mm must be created with a mounting hole pattern in accordance with the drawing next to this paragraph. The depth must be at least 300 mm. 600~ Floor Overview of the Control Unit location and the cabling of the system: The transformer is placed on the base, which requires a height of the CU opening of at least 600 mm. All cables needed for the system operation, incl. Leica FL400 / Leica FL800, are provided along with the Leica OHC. The cables are 20 m long. If the distance from the CU to the stand is longer than 20 m, Leica Microsystems must be notified (see contact information on page 6). The standard cables are long enough if the stand control unit and the documentation system (Leica MDRS, HDMD) are located at the same place. Some cables are too short for other placements. In this case, contact Leica Microsystems (see page 6) Planning Manual for the Leica OHC4 / Leica OHC5 Ceiling Mount 9

10 Technical Data Ceiling Mount Leica M525 OHC4 / Leica M720 OHC5 Use Supports and positions the Leica M525 and Leica M720 microscope Suspended under intermediate ceiling up to 1350 mm Ceiling attachment Secured to concrete ceiling Rotation ranges Provided with stop system (min. 90 ) Ranges Total reach Leica M525 OHC4 / Leica M720 OHC5 max mm Standards EC , IEC , UL , CAN/CSA-C22.2 No Electrical data Power connection for Leica M525 OHC4 / Leica M720 OHC5 100/120 V AC, 220/240 V AC (±10%), 50/60 Hz Power consumption 1600 VA Safety class Class 1 Torque (cantilever weight) 300 Nm Weight Suspension variable (depending on ceiling height) Microscope incl. accessories Leica M525 / Leica M720 Leica OHC weight Interface flange (depending on the length of the part) Total system weight ca. 82 kg 28 kg ca. 350 kg 50 kg = 510 kg 10 Planning Manual for the Leica OHC4 / Leica OHC5 Ceiling Mount

11 Part 2 Questions for the Surgeon Planning Manual for the Leica OHC4 / Leica OHC5 Ceiling Mount 11

12 About this section The Leica ceiling mount OHC serves one purpose only: It should make work as easy and comfortable as possible for the surgeon. Every doctor has his or her way of operating, with a unique style and an arrangement that is best suited to him or her. For these reasons, it is of great importance that the doctor's needs and desires be taken into consideration during the planning. Where is the illumination located? The anesthesiologist? The assistant? Even the difference between left and right-handedness can be significant. Unlike most other fixtures, the position of the Leica OHC cannot be changed again. The better the setup is planned, the more pleasant it will be to work with the ceiling mount. Every question has its purpose This section poses various questions that are important for the planning and setup. Please read through these questions carefully. In the column on the right, you also find a short explanation of why these questions are significant. These responses provide an important foundation so that your Leica system can fulfill the most stringent requirements later as well. 12 Planning Manual for the Leica OHC4 / Leica OHC5 Ceiling Mount

13 > General questions Question What kind of operations is the Leica OHC4 used for? Is the operating room table moveable? Yes No Is the operating room table fixed on a base? Yes No Explanation The response helps determine the optimum positioning. In any case, it must be established that the operating field lies within the range of the Leica OHC and that the operating room illumination is not cast in a shadow. A moveable table grants more freedom for different procedures and is very advantageous in any case. A base limits the table's movability or even prevents movement entirely. This requires exact consideration of all possible procedures. In addition, it must be judged whether the combination of the Leica OHC and the position of the operating room lamps enable these procedures. In what range is the operating room table moveable? From which direction will the surgeon operate? Example Example 90 > The operating room lamps cannot be oriented towards the operation area from the side of the Leica OHC, since otherwise collisions with the Leica OHC may result. Therefore lateral procedures on the skull with operating room illumination are not possible on the side of the Leica OHC. Planning Manual for the Leica OHC4 / Leica OHC5 Ceiling Mount 13

14 Questions concerning setup 3. Where are these fixtures positioned? 1 Operation lamps 2 Monitor 3 Documentation 4 Control unit Stand 4. Please enter the following staff members on the diagram: 1 Surgeon 2 Assistant doctor 3 Anesthesiologist 4 Operating room nurse Example Example Planning Manual for the Leica OHC4 / Leica OHC5 Ceiling Mount

15 Part 3 Specifications for the Structural Engineer Planning Manual for the Leica OHC4 / Leica OHC5 Ceiling Mount 15

16 Vibrations in general Vibrations of the microscope itself are absorbed by the damping material between ceiling mount and horizontal arm. Vibrations of the ceiling are reduced, because the ceiling mount does have a patented damping system for vibrations in the range of Hz. The microscope allows a vertical amplitude of less than 0.4 mm (peak to peak value) for all used working distances and the whole zoom range with eyepiece 10. Vibration absorber The vibration absorber is used for maximum stabilization of the microscope. Reducing the vibrations ensures a stable, clear image. Only vertical vibrations are absorbed, not lateral vibrations. Extrapolated to a vibration of the ceiling, the amplitude of the ceiling related to the floor must be smaller than ±1 mm. Short wavelengths are worst, longer wavelengths of a few seconds duration will reduce the perceptible effect. For better efficiency and reduced costs we recommend to absorb vibrations directly at their source (compressors, elevator machines, etc.). amplitude x = max. 1 mm X wavelength 16 Planning Manual for the Leica OHC4 / Leica OHC5 Ceiling Mount

17 General questions Question Is the facility in question a new construction or an existing operating room? New Modification Explanation For a modification, a special solution may need to be found in some cases. Is the operating room located near the helicopter landing site? Yes No Is the clinic located by a heavily traveled road with heavy goods traffic? Yes No Are there any sources of vibration in the immediate vicinity of the mounting point or directly above it? (For example, an elevator, compressors, walkways or drivable passageways.) Yes No Are there any elements already present that must be taken into consideration? This would include, for example, ventilation equipment, electrical equipment, etc. Yes No Does the operating room in question have a concrete or steel construction? Concrete Steel Additional vibrations occur in the vicinity of the helicopter landing site, which must be reduced by additional measures, or they could potentially hinder use of a ceiling mount. Additional vibrations can occur in the vicinity of such streets, which must be reduced by additional measures, or they could potentially hinder use of a ceiling mount. Additional disruptive vibrations can occur in the vicinity of such sources of emissions, which must be reduced by additional measures, or they could potentially hinder use of a ceiling mount. If unobstructed positioning of the stand cannot be ensured due to existing fixtures, other clarifications must be made first. With a concrete construction, a standard solution is possible in most cases. A steel construction requires a custom solution (see the sketch Basics of calculation for the ceiling plate construction ). Basics of calculation for the ceiling plate construction With steel constructions, it is particularly important that sufficient rigidity is achieved in order to prevent vibrations and residual shaking. The solution proposal above has been tried in practice and provides for a reliable, vibration-free mount. Planning Manual for the Leica OHC4 / Leica OHC5 Ceiling Mount 17

18 18 Planning Manual for the Leica OHC4 / Leica OHC5 Ceiling Mount

19 Part 4 Planning Aids for the Architect Planning Manual for the Leica OHC4 / Leica OHC5 Ceiling Mount 19

20 Help for the 3D planning Planning aid Collisions with other fixtures are a high risk. Since Leica Microsystems does not know the local conditions, we cannot assume any responsibility. To minimize the risks, however, the existing 3D data of the hospital can be supplemented with the stand data, prepared and checked for possible collisions by Leica Microsystems. Usable formats are DXF and DWG files. The costs for integration into the existing 3D plans amount to approx Swiss francs per 3D plan. This cost estimate refers to typical data integration. If additional expenses arise from special requirements, then an individual quotation will be created. 20 Planning Manual for the Leica OHC4 / Leica OHC5 Ceiling Mount

21 Part 5 Confirmation of Agreed Upon Actions and Purchase Order Planning Manual for the Leica OHC4 / Leica OHC5 Ceiling Mount 21

22 Confirmation of structural calculation and installation Customer s name and address: Project (with address of installation location): We hereby confirm that the structural calculations, the installation of the ceiling flange or intermediate piece for the Leica M525 OHC4 / Leica M720 OHC5 ceiling mount from Leica Microsystems (Schweiz) AG have been performed in accordance with the specifications listed in the chapter Technical Data of the Planning documentation and in compliance with the applicable national standards and regulations. The structural engineer for the structural calculations, release and final verification: Name: Address: Date: Signature: Company stamp: The executing company for proper execution of the installation: Name: Address: Date: Signature: Company stamp: 22 Planning Manual for the Leica OHC4 / Leica OHC5 Ceiling Mount

23 Confirmation of structural calculation and execution Confirmation for onsite preparations Responsibility This page contains important information concerning your responsibilities within the scope of the installation of the Leica OHC4 / Leica OHC5 ceiling mount. Please read this information thoroughly. New installation of a Ceiling Mount Leica OHC4/OHC5 I have received the Planning Documentation for the Ceiling Mount Leica OHC4 / Leica OHC5 from Leica Microsystems (Schweiz) AG and I have read and understood its contents. Name: Signature: Replacement of an existing ceiling mount with a Ceiling Mount Leica OHC4 / Leica OHC5 I have received the Planning Documentation for the Ceiling Mount Leica OHC4 / Leica OHC5 from Leica Microsystems (Schweiz) AG and I have read and understood its contents. I agree Customer: Name: Title: Address: Date: Signature: Leica Microsystems (Schweiz) AG assumes no responsibility for the onsite preparations. The customer agrees that it is his/her responsibility to ensure that the site of installation meets all requirements specified above. This is confirmed by the signature in this document. The undersigned confirms that he/she is authorized to make legally binding agreements on behalf of the customer. Ϙ Ϙ Ϙ Ϙ to the removal of the existing ceiling mount and to the re-installation of the ceiling flange in accordance with the specifications of the Planning Manual. Name: Signature: Planning Manual for the Leica OHC4 / Leica OHC5 Ceiling Mount 23

24 Order form 1: Ceiling Mount Leica M525 OHC4 / Leica M720 OHC5 Salesman Order number (filled in by BU) Telephone Customer Application Country Date Signature 1. Positioning (Please mark your required Leica OHC position with regards to the patient position) Positioning: Permitted position Prohibited position Dimensioning guideline On this drawing, enter the distance between the patient's head and the ceiling mount. Do not enter the distance between the ceiling bracket and the wall mm 880 mm 24 Planning Manual for the Leica OHC4 / Leica OHC5 Ceiling Mount

25 Order form 2: Ceiling Mount Leica M525 OHC4 / Leica M720 OHC5 2. Dimensions 4. Scope of supply (fill in order form) Leica M525 OHC4 Leica M720 OHC5 Concrete ceiling Suspended ceiling 5. Electrical data SC V Hz 1980 mm FC FS Floor FC (Floor-concrete ceiling) = mm FS (Floor-suspended ceiling) = mm SC (Suspended concrete ceiling) = 3. Mounting: Optimal ceiling requirements Pre-delivery of suspension required? Yes No mm Hospital Confirmation I hereby confirm that I have read and understood the contents of this order form and that the ceiling meets the requirements concerning strength, quality (see page 10, Technical Data) and vibrations (see page 16, Vibrations). Salesman Signature Place Date Pre-delivery might be required as the hole drilling will create dirt which might not be acceptable in a late stage of the ceiling mount assembly. Hospital representative Signature Planning Manual for the Leica OHC4 / Leica OHC5 Ceiling Mount 25

26 Order form 3 For a standard solution you need to order 3 parts: Suspension variable Adapter flange OHC4/ Ceiling mount Leica OHC for Leica M525 or Ceiling mount Leica OHC for Leica M720 The length of the suspension and the adapter flange is depending on your local situation according to Page 25. Our specialists will calculate the correct length based on your drawing and add it to the order. ceiling false ceiling Suspension variable (with suspended ceiling) Ceiling mount Leica M525 OHC Leica M720 OHC Leica adapter flange Leica OHC4 / Leica OHC Planning Manual for the Leica OHC4 / Leica OHC5 Ceiling Mount

27 To be provided locally The following devices and materials must be provided locally: Cable channels for the cables from the stand to the CU Holders for video monitors Openings for CU Cabinet/holder for documentation system Forklift with a load capacity of at least 400 kg Planning Manual for the Leica OHC4 / Leica OHC5 Ceiling Mount 27

28 Leica OHC planning: Procedure/checklist Step Result OK? 1. Check structural requirements The data were measured and sent to Leica 2. Radius of action and positioning checked The position of the Leica OHC was measured and entered The positions of the control unit were understood The types and locations of procedures are known The possible positions of the operating room table are known 3. The surgeon was asked the questions The positions of the fixtures are known The positions of the staff members are known The general questions were answered 4. Planning aid clarified The necessity of a planning aid was clarified 5. Confirmations filled in Pages 22 and 23 were filled in The exact positioning was specified FS, FC, SC were entered 6. Order forms were filled in A decision was made about pre-delivery of the suspension The microscope was selected The existing voltage was specified The correct parts were ordered 7. Local responsibility understood All listed parts (see above) are made available onsite by third parties Forms 1 to 3 were filled in and sent to Leica 28 Planning Manual for the Leica OHC4 / Leica OHC5 Ceiling Mount

29 Planning Manual for the Leica OHC4 / Leica OHC5 Ceiling Mount 29

30 Illustrations, descriptions and technical data are not binding and may be changed without notice. Leica Microsystems (Schweiz) AG CH-9435 Heerbrugg, VI.2010 Leica Microsystems (Schweiz) AG Business Unit SOM Max Schmidheiny-Strasse 201 CH-9435 Heerbrugg Telephone Fax