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New hardware and design concepts help organize the OR, keeping flooring free from cables and easing cleaning and sterilization. Ceiling‐mounted movable arms or tracks can conveniently position equipment near the patient while freeing the floor space around the operating table. Ceiling booms can be fixed or movable by means of suspended racks and are highly advantageous in the OR. They provide integrated electrical connection as well as access to gas lines and suction (“air‐pods”), and they provide shelves and drawers. Other less complex ceiling booms support surgical illumination and auxiliary screens, which are standard in modern MIS suites. Disadvantages mainly include cost and specific installation requirements.
ssss1 Mobile cart equipped with NIR/ICG imaging system for laparoscopic and thoracoscopic procedures.
Source: © KARL STORZ SE & Co. KG, Germany.
Integrated and Intelligent Operating Rooms
As the number of devices has increased in MIS, access to each piece of equipment has become a challenge, risking excessive circulation near or within the sterile area. This challenge led to the development of integrative software and hardware platforms, or the integrated room. The integrated OR concept is based on a single‐post control station near the border of the sterile area (ssss1b), which allows a single operator to coordinate, manipulate, manage, and access all information by a network and integration software displayed on one or multiple screens [52].