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Planning Documentsfor NC

D-27706

-200

9

ST-89

34-200

8

D-55199

-2012

PLANNING DOCUMENTS FOR NC | PREAMBLE | 3

Preamble

This Planning Document is written to get knowledge about the Dräger portfolio

and also to find advices to build up an intensive care area. This document

contains an overview about the products of Dräger and its technical data.

At the last pages of this document you will find several Dräger solutions as

an example. According to this you will find detailed drawing of the single

workplaces.

PLANNING DOCUMENTS FOR NC | INDEX OF CONTENTS4 |

INDEX OF CONTENTS

OVERVIEW NC 6 Dräger – Workplace infrastructure 7

DRÄGER PORTFOLIO 8 Overview Supply units 10 Lights and display holder/Gas Management Systems 11 Ceiling supply units 12 Workstations 14 Wall supply units 16 Column 17 Lights and display holder 18 Ceiling fixtures 20 Workstation components 23 Gas Management Systems 28 Accessories 30

WORKPLACE EXAMPLES 32 Supply units Ventilation/Monitoring 34 Infusion/Suction 35 Overview Respiratory Care 36 Overview Closed Care 37 Overview Open Care 37 Developmental care accessories 38 Jaundice management 38 Overview Monitoring Systems & IT 39

PLANNING DOCUMENTS FOR NC | INDEX OF CONTENTS | 5

INDEX OF CONTENTS

GENERAL PLANNING 40 Developmental Care 42 Support the developmental care 43 Family centered care 46 Planning of an NICU workplace 48 Workplace solutions Solution 1 – Ponta C beam system 50 Solution 2 – Ponta E/S beam system 52 Solution 3 – Ponta E/S beam system 54 Solution 4 – Agila column tube/Movita column 56 Solution 5 – Movita head/Movita head 58 Solution 6 – GeminaDUO 60 Solution 7 – GeminaDUO 62

CONTACT 65

PLANNING DOCUMENTS FOR NC | OVERVIEW6 |

NC

D-7585-2009

“Every

and a

NURTURED INFANT CARE

Experience has shown that premature and ill newborns are not just small adults. Theyhave unique physiological and developmentalneeds. Their dependency on a stable micro-environment, non-invasive therapies and anumber of external factors such as sound,light and touch makes neonatal care differentfrom any other discipline in medicine.The margin for error is ever so slight, andmaintaining a delicate balance can make thedifference between morbidity, long-termdevelopmental deficits or a healthy, happy outcome.

PLANNING DOCUMENTS FOR NC | OVERVIEW | 7

DrägerWorkplace infrastructure

Dräger offers solutions for the entire hospital

D-300

18-2011

newborn deserves a

good start in life place to thrive.”

Stefan Dräger

Drägerportfolio

D-189

49-2010

PLANNING DOCUMENTS FOR NC | DRÄGER PORTFOLIO8 |

PLANNING DOCUMENTS FOR NC | DRÄGER PORTFOLIO | 9

Dräger portfolio

Get an overview about the Dräger portfolio

You always wanted to know which product portfolioDräger has? In this chapter you get an overview

about Dräger Supply units, OR lights and GasManagement Systems.

Dräge

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D-3289-2011

Overview

Supply units

Ponta

MT-59

60-200

8

Agila

MT-63

42-200

8

Movita

D-360

69-2011

Linea

D-27741-200

9

Gemina® Duo


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Lights and display holder

D-584

76-2012

Polaris® 50

D-31307-2011

Polaris® 100/200D-908

44-2013

Display holder

Gas Management Systems

D-948

9-2009

Terminal Units

D-9270-2009

EcoPharm Tower

D-936

8-2009

Gas Control Station

MT-00

01-200

6

Area Control Unit

D-589

13-2012

Medical Air Guard


Ceiling supply units

D-52660

-2012

Agila

MT-63

42-200

8

Movita

D-183

69-2010

D-12307-2011

D-18551-2010

Ceiling bearing

Arm system

Liftingsystem

Media column

Workstationcomponents

Distance tube

Media head

WHAT IS WHAT?


TECHNICAL DATA

Product Agila Movita

Load capacity

Media head 120 kg 120 kg

Column 120 kg 270 kg

Lift express/Lift 80 kg/120 kg 80 kg/180 kg

Lift speed 10/20 sec 10/20 sec

Height adjustment 600 mm 600 mm

Media outlets up to 51 up to 102

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MT-59

63-200

8

Agila

MT-63

42-200

8

Movita

strong

Single arm systemArm length: 500 mm, 750 mm, 1000 mm, 1250 mmLoad capacity*: 120 kg - 270 kg

Double arm systemArm length: min. 1000 mm - max. 2500 mmLoad capacity*: 120 kg - 270 kg

Lift arm systemArm length: min. 1000 mm (lift arm) - max. 2250 mmLoad capacity*: 80 kg - 180 kg

*Load capacity = net load at media column/head

Arm typesFor single and double arm systems you can choose between strong, mediumand light variant. Depending on type of arm and length the different loadcapacities are defined.

medium

light

D-52660

-2012

D-52660

-2012

D-183

69-2010

ARM SYSTEMS


WorkstationsD-3289-2011

Ponta

C-workstation - pole

TECHNICAL DATA

Supply beam

Recommended clearance height C-shuttle (supplies in beam) 1800-2000 mm

(under side of beam to floor) E-shuttle (supplies in column/head) 2100 mm 1)

S-shuttle (supplies in column/head) 2350 mm 1)

Beam length 2200, 2800, 3100, 3500 mm - Custom lengths available on request

Beam width 588 mm

Beam height 212 mm

Beam weight C/H type 25,5 kg/m 2)

E/S type 28 kg/m 2)

Beam color NCS-S-0500 N: white Powder coated

Color for installation plates Anodized aluminum, NCS-S-0500 N, Dräger Munsel blue,

according to Color Line concept, others on request - powder coated

End-cap length 121 mm each

1) If supplies are also located in the beam then a clearance height is required which permits ergonomic use!2) When combining different shuttles, use highest value.

C-workstation - rack

E-workstation – Movita column


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TECHNICAL DATA

Shuttles Type C Types E / HE Types S / HS

Load capacity shuttle Under each shuttle 150 kg Under each shuttle 150 kg Under each shuttle 150 kg

Standard rail On front of shuttle On front of shuttle On front of shuttle

25 x 10 x 294 mm 25 x 10 x 294 mm 25 x 10 x 294 mm

Load capacity rail 10 kg 10 kg 10 kg

Linear travel Complete length From central point From central point

of beam/beams (positioned as required) (positioned as required)

± 550 mm (total 1100 mm) ± 550 mm (total 1100 mm)

Brakes Mechanical Linear travel Pneumatic for linear travel Pneumatic for linear travel and

and carrier rotation swivel arm

Friction for column or head Friction for column or head

Optional Pneumatic brake Optional Pneumatic brake

for column or head for column or head

Maximum load3) Equipment carrier pole 60 kg With Agila head or column or With Agila head or column or

Equipment carrier rack 130 kg Movita head or column: 120 kg Movita head or column: 100 kg

Rotation Equipment carrier 170° 330° Swiveling arm 330°

(Length swiveling arm 400 mm)

3) Maximum load that can be carried on the supply head or column

E-workstation – Movita head S-workstation – Agila column

S-workstation – Agila column tube


Wall supply units

D-288-2010

Linea I

MT-43

06-200

7

Linea N

MT-43

07-200

7

Linea IM

TECHNICAL DATA

Linea I Linea IM Linea N - for normal wards

Height/depth 174 mm/135 mm (with 1 media duct) 213 mm/135 mm (with 1 media duct) 251 mm/110 mm (with 1 media duct)

275 mm/135 mm (with 2 media ducts) 313 mm/135 mm (with 2 media ducts) 351 mm/110 mm (with 2 media ducts)

385 mm/135 mm (with 3 media ducts) 423 mm/135 mm (with 3 media ducts) 461 mm/110 mm (with 3 media ducts)

Lighting No lighting Indirect lighting Indirect lighting

Optional integrated night light in duct 1 x 54 watt with electronic ballast 1 x 54 watt with electronic ballast

and orientation light 1 x 7 watt (above) and orientation light 1 x 7 watt (above)

or reading light 1 x 24 watt with electronic and/or reading light 1 x 24 watt with

ballast (below) electronic ballast (below)

Accessories Dräger accessories for standard rails Dräger accessories for standard rails Dräger accessories for standard rails

(only if Linea N is equipped

with optional standard rail)

Rows of outlets 1 / 2 / 3 1 / 2 / 3 1 / 2 / 3

Outlet spacing Ensure there is at least 200 mm between gas terminal units (for flammable or oxidizing gases) and electrical outlets

The minimum distance between two electrical outlets is 75 mm and between two gas outlets 100 mm

Outlets Grounded outlets in various colours, with or without indicator light and in a variety of country standards,

equipotential bonding pins, gas terminal units for medical gases, low-voltage devices such as nurse alert,

RJ-45 data jack, telephone connections, etc.

Wall mount Via dowel pin on the wall; torques of max. 250 Nm per metre of duct; optional side or back media feed

Length Up to 6 m long; freely selectable

Surface 16 standard RAL colours to choose from; other RAL colours available on request

Load capacity Standard rails support a max. of 50 kg per metre

Medical product Fulfils medical MDD (Medical Device Directive)


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Column

D-27741-200

9

Gemina DUO

TECHNICAL DATA

COLUMN

Dimensions (L × W × D) 1500 x 240 x 366 mm incl. caps

Max load 150 kg

Useable (38 mm) pole length 1300 mm

INSTALLATION PLATES

Material Anodised aluminium (standard)

Mounting capacity

Based on Dräger DIN/German standards One-sided: max. 30 (14 gases)

Two-sided: max. 56 (20 gases)

CABLE MANAGEMENT

Capacity single-sided: 6 hoses, external diameter 13.5

or 18 cables, diameter 8

or 3 hoses + 10 cables


Double-sided: 12 hoses, external diameter 13.5

or 36 cables, diameter 8



LIGHT: WALL ELEMENT

Dimensions 950 x 270 x 70 mm

Indirect light 2 x 39 W

Reading/exam light 21 W

Night light 5 W

LIGHT: COLUMNS

Indirect light* Compact fluorescent (for switched and for dimmed)

lamp 11 W, 830 warm white

Night light** Compact fluorescent (for switched) Compact fluorescent (for dimmed)

lamp 7 W, 830 warm white lamp 11 W, 830 warm white

OTHER

Console swivel range 112°

STANDARDS

Meets guidelines for medical devices MDD 93/42/EWG class IIb

Medical electrical devices – Part 1 IEC 60601-1 – Part 1-2 IEC 60601-1-2

Medical supply units ISO 11197

Light options in general supporting DIN EN 12464-1 and DIN 5035-3. Data for planning software on request.

Installation instructions 9039804

Catalogue of workstation components for supply units 9048440

*Indirect light on the column available only as package with night light.**Night light on the column available only as package with indirect light.


Lights and display holder

D-31029-2011

Polaris® 100/200

D-31307-2011

Polaris® 200

D-584

77-2012

Polaris® 50

TECHNICAL DATA

Product Polaris® 100/200 Polaris® 50

Technology LED LED

Light intensity 120.000 or 160.000 Lux 60.000 Lux

Endo-light mode 300 Lux no

Light field diameter 200 mm 160 mm

Color temperature 4400 K or 5000 K or 5600 K (option) 4500 K

Video options external SD camera no


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D-908

44-2013

Display holder

TECHNICAL DATA

Product Display arm

Description Display arm at central axis

Display sizes approx. 24” (larger displays on request)

Display quantity 1 or 2

Fixation at central axis of OR light or separate

D-908

40-2013

Double ceiling fixation Polaris® 50 with display


Ceiling fixtures

Ceiling fixtures for supply units

PRODUCT DESCRIPTION

The universal Dräger ceiling fixation supportsthe installation of the ceiling supply units Agila, Movita and Forta and the Pendula. Theyare available for anchor (fig. B + D) and bolt-through (fig. A + C) mounting. The ceilingsupply unit can be fixed directly under theconcrete ceiling (direct mounting - see A, B,in figure below). A variable fixation set allowsfor mounting at different heights up to 1200mm under concrete ceiling in order to bridgethe space above false ceiling (see C, D in figurebelow). A media flange, located between rawceiling and false ceiling, offers enough spacefor connecting various media as supply voltage,medical gas, vacuum and data cables. Theinstallation manuals are included on delivery.

PLANNING GUIDELINES

The Dräger ceiling supply units are validatedand certified in combination with these ceilingfixtures. The certification will become invalid,if the supply units are installed in combinationwith a non-Dräger ceiling fixture.

The ceiling mount must meet the followingcriteria: – 12.500 Nm torque at lower end of the

fixation construction – 9.000 N tensile force at the ceiling

If architectural constraints do not allow aDräger ceiling mount, an alternative moun-ting solution can be used. A project-specificcertificate confirming such constraints is

mandatory. The complete functionality of aDräger ceiling supply unit cannot be guaran-teed if the above conditions are not met. Insuch cases, all approvals are void.

Available for: – Anchor mounting: Anchor mounting is

possible if the ceiling structure is at least250 mm of B 25 concrete ceiling

– Bolt-through mounting: Bolt-throughmounting is required if the concrete ceilingthickness is less than 250 mm or if theconcrete quality is less than B 25.

TECHNICAL DATA

Product Ceiling fixtures

Span intermediate ceiling distance up to 1.200 mm

Max. torque 12.500 Nm

Max. tensile force at the ceiling 9.000 N

Hole pattern Ø 470 mm

B

A C

D

max. 1200 mmNm

N

Without ceiling fixture set With ceiling fixture set

Bolt-through mounting

Anchor mounting


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Ceiling hood/Flat cover

D-908

41-2013

Single CSU

D-908

48-2013

Double CSU with third arm

D-908

45-2013

Double CSU

D-908

49-2013

Ceiling hood (height: 170 mm)

D-908

46-2013

Flat cover (height: 2 mm)

There is a Dräger ceiling fixture solution forevery application. Single, double and triplearm options are available.

Single/double/triple CSU

OPTIONS

Single Double Triple

CSU CSU/CSU

Examination light CSU /Examination light CSU/CSU/Examination light

Display CSU /Display CSU /CSU /Display

TYPES OF CEILING COVERS


PRODUCT DESCRIPTION

The Dräger ceiling fixation supports theinstallation of the lights and display holder (atcentral axis). The OR light/display arm can be

MOUNTING VARIANTS

Direct mountThis system is recommended as a directmount or for use with a false ceiling up to adistance of 600 mm between concrete andfalse ceiling or in combination with a laminarflow system. The suspension tube is availablein five standard lengths (220/460/630/800/1000 mm). For service purposes, it is tobe considered that the electrical componentsare installed in a switch box near the NC(max. 40 m).

With distance tubeThis system is recommended for use at a distance > 600 mm between concrete andfalse ceiling or in combination with a laminar-flow system. The distance tube is available intwo standard lengths (600/1200 mm). Forservice purposes, it is to be considered thatthe electrical components are installed in aswitch box near the NC (max. 40 m).

fixed directly under the concrete ceiling(direct mounting). The distance tube allowsfor mounting at different heights of up to 1200mm under concrete ceiling, in order to bridge

the space above false ceiling. The installationmanuals are part of the delivery.

Ceiling fixtures for lights/display arms

D-908

51-2013

With ceiling coverD-908

51-2013

With flat cover With laminar flow ceiling

D-908

51-2013

With ceiling cover

D-908

51-2013

With flat cover With laminar flow ceiling


SHELF SIZES/UASBLE SURFACE (W X D)

430 x 340 mm630 x 340 mm430 x 480 mm530 x 480 mm630 x 480 mm860 x 480 mm

STANDARD RAILS

no railsside railsfront railcontrol handles at front

DRAWER OPTIONS

1 drawer1 drawer with lock (incl. 2 keys)2 drawers2 drawers and 1 lock2 drawers and 2 locksdrawers and 2 locks on a shelf(860 x 480 mm)1 drawer and 1 documentation module1 documentation module

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Workstation components

Dräger offers a wide range of workstation components. These components are freely configurable and ensure excellent ergonomic workplace design.

D-27735

-200

9

D-27733

-200

9

D-27732-200

9

Our shelf portfolio offers a wide range of options. Shelf size, the number of standard rails and drawers canbe selected as needed.

SHELVES

D-26256

-200

9


D-32268-2011

Double swivel arm for 25 mm pole (infusion), mounted on a 38 mm pole

ARM TYPES

D-111-2010

INFUSION ARMS

For all infusion arms, a wide variety of optionsto choose from. Arms are available as single ordouble swivel arms and come in lengths of 200/300/400 mm. All arms come withadjustable friction brakes (ball bearings) andintegrated cable management.

MONITOR ARMS

Monitor arms come in a wide variety of confi-gurations. The arms are available as a lift armwith or without an additional swivel arm andwith or without keyboard holder. Swivel armscome in lengths of 200/300/400 mm. Allarms are equipped with adjustable frictionbrakes (ball bearings) and integrated cablemanagement.


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D-265

83-200

9

Cable channel

D-238

0-2011

Cable extension arm

D-263

05-200

9

Cable management system (boxes): Cable duct and cable boxes

D-266

00-200

9

Cable boxes

CABLE MANAGEMENT


MT-1701-200

5

Handle at shelf

MT-1712-200

5

Control at column

ADDITIONAL COMPONENTS

In addition to the components mentioned above, many others are available (eg. infusionpoles, application rods, racks, clamping rails,equipment holders etc.).

COLOR CODE CONCEPT

MT-21198-94

Compact rail

D-356

90-200

9

Cable holder

2-1065

-96

Rail holder, short


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MEDICAL EXAMINATION LIGHT

D-506

01-2012

D-506

37-2012

Medical examination light VarioLux®

D-50753

-2012

TECHNICAL DATA

Product VarioLux rail mounted examination light

Weight 1.5 kg (3.3 lbs)

Electrical values 100-240 V, 50/ 60 Hz

Max. illumination intensity Ec at 0.5 m 30,000 lx

Dimming levels 30,000 lx, 24,000 lx, 18,000 lx, 12,000 lx, 6,500 lx

Light field diameter d10 at 0.5 m 21 cm

Light field diameter d50 at 0.5 m 9 cm

Color temperature adjustable Cool white (blue) 4,700 K, Neutral white (white) 4,100K, Warm white (red) 3,500K

Min. service life of bulb (LEDs) 30,000 h

Color reproduction index Ra ≥ 96, R9 = 90

Max. radiant power at 0.5 m 105 W/m²


Gas Management Systems

Dräger Gas Management Systems (GMS) are designed to managethe hospital’s gas supply needs. Dräger offers complete gas supplysystems which include all necessary components and distributionpiplines.

ALARM MANAGEMENT SYSTEM

A complex system like a medical GasManagement System requires good operatio-nal management and provides a host of infor-mation. Dräger Alarm Management Systemsconsolidate all this information like operationaland emergency alarms. Analogue operationaldata (e.g. pressure and flow) can also easilybe integrated. All information can be displayedwhere ever required with LED-, text- or touchdisplay monitors and connected to integratedbuilding management systems.

GAS TERMINAL UNITS

The locations and quantities of gas terminalunits are essential parts of the planning ofevery Gas Management System. Dependingon the clinical procedures and applications,different gases are required in different hospi-tal areas and the amount of units providedneeds to match processes and devices usedthere. Dräger builds world-renowned gas ter-minal units since over 40 years and is offeringoutlets according to DIN, British Standard andother international types.

MT-00

18-200

6

Gas Terminal Units

D-1217-2009

Alarm Management

Planning and designing Gas ManagementSystems for either complete hospitals orindividual areas like a new IC or OR area isa challenging task. Different internationalstandards and guidelines provide differentinformation, require different system config-urations and different approaches to all thechallenges occurring.Dräger is at your side when it comes to solv-ing these challenges and optimizing the sys-

tem design for the benefit of the hospital.We have more than 50 years experience indesigning, building and testing GasManagement Systems.As every project is different and the systemstailor-made for the hospital, it is difficult toprovide generic planning details. Thereforewe kindly ask you to contact your localDräger representative for individual planningsupport.

DISTRIBUTION SYSTEM

Medical grade copper tubes according to ISO13348 with defined cleanliness and thoroughtesting regime in combination with high quali-ty installation (e.g. inert gas shielding duringwelding) form the backbone of the infra-structure which ensures that all gases areavailable at the required points of use. Propersystem calculation according to DrägerDesign Guidelines and international standardsand comprehensive testing and installationensure quality and performance of the overallsystem.

D-16746

-2010

Distribution systems


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D-507-2014

AREA CONTROL UNITS

All clinical areas need to be controlled indivi-dually by Area Control Units. This includespressure gauges for each gas and alarms forpressure deviations as well as lock-off valvesand emergency inlet points.

VACUUM SYSTEM

Vacuum is indispensable for surgical applica-tion (wound field aspiration) as well as bron-chus suctioning in anaesthesia and intensivecare treatment. Dräger vacuum systems withtriplex or quadruplex pumps fulfill the ISO7396-1 and match all requirements in terms ofsafety and efficiency.

MT-7526-200

4

Reliable monitoring throughout the entire system

COMPRESSED AIR SYSTEM

Medical air systems for breathing purpuoe(4/5 bar) as well as for surgical tool air (7/8bar) must fulfill the ISO 7396-1, breathing airmust also comply with the European Pharma-copoiea. Dräger medical air systems combineproven design, safe operations, and efficientreliability.

MT-5206

-200

4

Compressed air system

MT-5164

-200

4

Vacuum pumps

CYLINDER MANIFOLDS

Oxygen, Nitrous Oxyde and Carbon Dioxidecan be supplied by 3-fold cylinder manifoldsor by a liquid oxygen tank (V.I.E.) and a 2-foldcylinder manifold with a Dräger Gas ControlStation as the core of the system.

D-1216-2009

Cylinder Manifold for oxygen

D-2269-2014


Accessories

MT-294-99

E.g. mattress SoftBed

MT-1035

-200

5

E.g. skin temperature probes

MT-3278-200

5

E.g. warming mattress TransWarmer®

WARMING THERAPY

Whether for patient monitoring, care andtreatment of neonates, anesthesia, intensivecare, the emergency department or on theward: each original accessory from Dräger

doesn't just fulfil all the official quality stan-dards. We also measure our accessoriesagainst our own strict Dräger quality stan-dards.


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D-101213-2013

Nasal CPAP system BabyFlow

D-937-2010

Breathing masks

D-19285-200

9

Breathing circuits

MT-43

97-200

7

Breathing system filters and HMEs

D-402-2010

Intubation kits

D-706

1-2009

CO2 cuvettes

VENTILATION

MT-35

1-2003

E.g. neonatal flow sensor

SENSORS

D-497-2014

E.g. Masimo® Sensors

MONITORING

D-103

09-2011

E.g. medical aspiration

WARD EQUIPMENT

Workplaceexamples

D-22040

-200

9

PLANNING DOCUMENTS FOR NC | WORKPLACE EXAMPLES32 |

PLANNING DOCUMENTS FOR NC | WORKPLACE EXAMPLES | 33

Workplace examples for NC

The following pages will help you develop a deeper understanding of various workplace designs.

The detailed drawings shown in the next sectioncan serve as a starting point for you own designconcepts.

Combine elements of two or more examples todevelop the best possible solution for your client.

Workp

lace examples

Supply units


VENTILATION

D-26140

-200

9

CSU with V500* on a shelf

D-26141-200

9

CSU with V500* mounted on the front rails

D-26137-200

9

V500* mounted on a 38 mm pole

MONITORING

D-266

90-200

9

C700 and Delta mounted on front rails on the same side

D-22044

-200

9

C700 and Delta mounted on front rails on different sides

D-73170-2012

IACS system consisting of C700 and M540

*Infinity Acute Care System Workstation Critical Care.


Workp

lace examples

INFUSION

D-455

-2014

Infusion rack on M26 arm system

D-456

-2014

Infusion rack mounted on Agila column tube

D-457-2014

Infusion rack mounted on infusion set AS1

SUCTION

D-266

64-200

9

Infusion rack mounted on infusion set AS1

MT-1721-200

5

Workstation – Endotracheal suctioning


Overview Respiratory Care

D-259

32-200

9

Babylog VN500*

D-203

29-2010

Babylog 8000 plus

VENTILATORS

Smart Pulmonary View Intuitive user interface with colour touch screen

Non-invasive nasal CPAP and oxygen therapy

Flexible transport and backup solution

Powerful High Frequency Oscillation

D-195

38-200

9

*Infinity Acute Care System Workstation Neonatal Care.


Workp

lace examples

Overview Open Care

Overview Closed Care

MT-1213-200

4

Caleo

MT-05

88-200

8

Isolette C2000

D-22377-2010

Isolette 8000

MT-1223-200

4

Babytherm

D-22154

-2010

Resuscitaire


Jaundice management

D-16736

-2010

Jaundice Meter JM-103

MT-1154

-94

Photo Therapy 4000

D-863

97-2013

Jaundice Meter JM-105

Developmental care accessories

D-335

09-200

9

Incubator cover

D-335

14-200

9

Small pillows

MT-00

92-200

8

Towel doll Cally

D-335

12-200

9

Nesting

D-335

11-200

9

Positioning aid Hug it


Workp

lace examples

Overview Monitoring Systems & IT

PRODUCTS

D-3527-2011

Vista 120

MT-8849

-200

6

Infinity® Delta XL

D-22376-2010

Infinity® C500

D-64760

-2012

Infinity® C700

D-19701-200

9

Infinity® M500 docking station and Infinity® M540

SOLUTIONS

D-19739

-200

9

Infinity® Acute Care System monitoring solution

D-71806

-2012

Infinity® CentralStation

D-653

-2014

Infinity® Omega Solution

Generalplanning

MT-8526-200

6

PLANNING DOCUMENTS FOR NC | GENERAL PLANNING40 |

PLANNING DOCUMENTS FOR NC | GENERAL PLANNING | 41

General planning

Learn more about planning a neonatal intensive care area.

The basics of planning a neonatal intensive carearea are discussed in the next section. It’s vital tounderstand these concepts in order to provide the customer with the best possible solution. Carefulanalysis of workflow, architectural constraints andof the customer’s care concepts are fundamentalsteps in the process of creating a custom solution.

In addition, an intimate knowledge of the Drägerproduct portfolio is a necessary prerequisite. To create a fully integrated solution, planning considerations will range from workplace designand device placement to medical gas manage-ment and lighting an/or color schemes.

General plann

ing


DEVELOPMENT IN THE UTERO CHARACTERIZED BY:

– Security and containment though the utero – Heartbeat of the mother – Limited light and noise exposure– Sleep cycle preservation

DEVELOPMENT IN THE ENVIRONMENT OF THE NICU

CHARACTERIZED BY:

– Painful procedures – Excessive light and noise exposure – Interrupted an inadequate sleep– Separation of the mother

Developmental care

It is recommended to keep the following points in mind:

D-64732-2012

D-52696

-2012

Color Line Classic

Ceilinge.g.

Wallse.g.

Supply unite.g. RAL 3004

Floore.g.

Room Colors Color Line on

supply unit

Furnituree.g.


General plann

ing

THE IMPACT OF COLOR

– The psychological aspect of colors is very strong– The infant and parents spends a long time in a NICU, so that the

use of color has a big impact– Think about a concept for the hole hospital– Supply units could be part of the concept (color line)

Support the developmental care

D-18682-2010

D-463

-2010


THE IMPACT OF NOISE

– Preterm infants are highly vulnerable to noise due to theirimmaturity

– Causes stress for patients, visitors and staff – Reduces the ability for staff to work efficiently– Can actuate a higher error rate– Recommendations DIVI:

≤ 45 dB during the day, ≤ 40 dB during the evening, ≤ 20 dB during the night

DECREASE NOISE

– Move conversation away from bedside– Consider noise generated by medical equipment– Never place something on the top of an incubator– Reduce monitor alarm levels– No radio, no telephone– Use a thick, fluffy incubator cover to reduce the noise level inside

the incubator– Dräger Noise Display monitor and display background noise levels

on the NICU

D-1210-2011

D-13278-2010


General plann

ing

THE IMPACT OF LIGHT

– Directly influences the central nervous system– REM sleep periods (important for the brain development) are

greatly reduced at bright light levels– Create a comfortable environment for patient, care giver and

visitors– Improve the healing process by providing the right lighting

ambience– Improve work processes (e.g. documentation, medication, etc.)– Reduce stress by providing orientation

LIGHT MANAGEMENT

– If bright light is needed for medical assessments, infant’s eyesmust be protected to avoid damage to the immature visual system

– Reduce ambient light– Reduce screen brightness of medical equipment– Use individual, indirect light systems– Use incubator covers– Ponta indirect light, RGB light or circadian light– Agila, Movita navigation light column, navigation light arm system– Workstation components, drawer light

D-1424-2011

D-1412-2011

D-140

2-2011

D-1284-2011


Family centered care

D-504

-2014

D-505

-2014

THIS IS TODAY‘S APPROACH

CHANGE THE PROCESS!

– Prevent separation– Closeness– Skin to skin – Kangaroo mother care– Rooming-in 24/7– Breastfeeding– Empowerment– Parents are the primary care givers

NICU + ROOMING-IN = A CONTRADICTION?

Today it is possible to practice Kangaroo Mother Care (KMC) evenwith tube feeding and ventilated babies.

But this situation may continue for weeks and even months!Without any privacy for the parents? This is not reasonable!

How can you support them?

BUT WHAT DO WE EXPECT FOR THE FUTURE?

Several studies conclude that the early separation and psycologicaldistress of the parents have a negative impact on the development ofpreterm babies.

WHAT CAN YOU DO?

NICU + Rooming-In


General plann

ing

D-506

-2014

NICU + Rooming-In + Family area

D-2272-2014


D-554

67-2012

GENERAL

What is left- and right side? – As seen from the foot end of the incubator (technician) – As seen from the patient (medical staff)

The incubator! – Think about the size – Open care or closed care – Connections required?

Additional medical devices! – Medical cart, footprint approx. 780 x 600 mm– Mobile ultrasound, footprint approx. 600 x 600 mm– Dialysis machine, footprint approx. 650 x 650 mm– Mobile x-ray machine, footprint approx. 1800 x 900 mm– ECMO device, footprint approx. 600 x 600 mm

Planning of an NICU workplace

NWPD_K

ey_V

isual


General plann

ing

ELEMENTS OF THE INFUSION SIDE

– How many infusion pumps are needed? – How they should be mounted

(arm system or directly on the column)?– Syringe pumps are needed, how many?– How they should be mounted

(arm system or directly on the column)?– Feeding pumps are needed, how many?– How they should be mounted

(arm system or directly on the column)?– Fluid bags?– Storage for disposables– Storage for nappy’s– Holder for medical gloves (size S/M/L)– Working surface – Line routing to the infant – Endotracheal suction (vacuum, air, electric)– Services like electric-, gas- and data outlets– Nurse call– PDMS (height adjustable)

IN ADDITION

– PDMS could also be located at the foot end of the either ceiling-mounted or on a mobile cart

– Storage for the infants stuff (plush toy)– Infotainment for the parents e.g. TV, radio, internet– Examination light (e.g. Polaris 50 ceiling or mobile,

VarioLux rail mounted)– Hand disinfection near the incubator– Chair for kangarooing!

ELEMENTS OF THE MONITORING AND VENTILATION SIDE

Monitoring – Viewing height approx. 1500mm– Positioned behind and above the incubator– Accessible from the head end of the incubator– Transport monitor (maybe IACS system)– Storage for monitoring accessories e.g. cables – Line routing to the infantVentilation – Mobile or fixed device– Positioned behind or beside the incubator– Monitor detachable– Line routing to the infant– Form of humidification– Ventilation bag (storage)

– Additional fluid bags– Storage for disposables– Storage for nappy’s– Working surface– Endotracheal suction (vacuum, air, electric)– Services like electric-, gas- and data outlets– Nurse call– PDMS (height adjustable)


Workplace solutions – Solution 1All single devices in the following solutions are marked with numbers (e.g. 1, 2, 3).

Ponta C beam system


1. PONTA BEAM

Ponta beam with a length of 2800 mm for onebed. Indirect light, night light and reading lightare included. Beam includes gas outlets,RJ45 and electrical outlets.

2. INFUSION SIDE

Shuttle for a rack with 1500 x 38 mm poles.The poles are for mounting infusion- andsyringe pumps. Arm system 300 x 300 mmwith slide adapter. Arm system 200 x 200 mmwith pole adapter. Shelf with drawer for disposables. CVP pole with holder for 4 fluidbags. Several standard rails.

3. MONITORING SIDE

Shuttle for a rack with 700 x 38 mm poles.Lift arm system with VESA adapter and key-board holder. Shelf with drawer for disposab-les and cable boxes below the shelf.

Devices at supply unit

Monitoring (hemodynamic) Infusion- and syringe pumps

Endotracheal suction Fluid bags

Devices at supply unit Additional devices supplied by unit

PDMS Monitor Mobile ventilator below the shelf

(small footprint)

General plann

ing


Solution 2

Ponta E/S beam system


General plann

ing

1. PONTA BEAM

Ponta beam with a length of 2200 mm forone bed. Indirect light and night light areincluded. Beam includes electrical outlets forbackup.

2. INFUSION SIDE

Shuttle with an 400 mm arm and a Agilacolumn 1250 mm. LED down light in thecolumn. 2 CVP poles with a holder for a totalof 8 fluid bags. Arm system 300 x 300 mm with pole adapter. Shelf with drawer for disposables. Several standard rails mountedon the column.

3. MONITORING SIDE

Shuttle with a Agila column 1250 mm. LED down light in the column. Arm system300 x 300 mm with slide adapter. Lift armsystem with VESA adapter and keyboard hol-der. Shelf with drawer for disposables. Rail-mounted examination light.


Endotracheal suction Infusion- and syringe pumps

Fluid bags


Monitoring (hemodynamic)

PDMS


Solution 3

Ponta E/S beam system


General plann

ing

1. PONTA BEAM

Ponta beam with a length of 3100 mm for onebed. Indirect light, night light and reading lightare included. Beam includes electrical outletsfor backup.

2. INFUSION SIDE

Shuttle with an 400 mm arm and a Movitacolumn 1250 mm. 2 CVP poles with holderfor 4 fluid bags in total. Arm system 300 x 300 mm with VESA adapter. Shelfwith drawer for disposables. Several stan-dard ails mounted on the column.

3. MONITORING SIDE

Shuttle with a Movita head with an 1.5B rack.Arm system 200 x 200 mm with pole adapter.Lift arm system with VESA adapter and key-board holder. Shelf with drawer for disposab-les. Swivel cupboard for the patient’s personalbelongings.


Infusion- and syringe pumps Monitoring (hemodynamic)

Fluid bags


Endotracheal suction

PDMS


Solution 4

Agila column tube/Movita column


General plann

ing

1. INFUSION SIDE

Arm system 750 + 750 mm and an Agilacolumn tube 1500 mm. LED down light in thecolumn. 2 CVP poles with holder for 8 fluidbags in total. Lift arm system with VESAadapter and keyboard holder. Shelf with dra-wer for disposables. Several standard railsmounted on the column.

2. MONITORING SIDE

Arm system 750 + 750 mm and a Movitacolumn 1250. LED down light in the column.The cable duct is integrated in the front sideof the column. Arm system 300 x 300 mmwith slide adapter. 1 CVP pole for 4 additio-nal fluid bags. Arm system 200 x 200 mmwith pole adapter. Several standard railsmounted on the column.


Infusion- and syringe pumps PDMS

Fluid bags


Monitoring (hemodynamic) Fluid bags



Solution 5

Movita head/Movita head


General plann

ing

1. INFUSION SIDE

Arm system 500 + 750 mm and an Movitahead with an rack 1B. 2 CVP poles with holderfor 8 fluid bags in total. Shelf with drawer fordisposables. Several standard rails mountedon the column.

2. MONITORING SIDE

Arm system 750 + 500 mm and a Movitahead with an rack 1B. 2 x arm system 200 x 200 mm with VESA adapter. 1 CVPpole for 4 additional fluid bags. Arm system200 x 200 mm with pole adapter.


Infusion- and syringe pumps

Fluid bags


Monitoring (hemodynamic) Fluid bags

Endotracheal suction Detachable control screen of ventilation device


Solution 6

GeminaDUO


General plann

ing

1. INFUSION SIDE (MIDDLE)

Up and down light integrated in the column.1 CVP pole for each bed with holder for 8 fluidbags in total. Lift arm system with VESAadapter and keyboard holder. Shelf with 2 drawers for disposables. Several standardrails mounted on the column. Cable manage-ment along the column.

2. MONITORING SIDE

(LEFT AND RIGHT)

Up and down light integrated in the column.Arm system 300 x 300 mm with slide adapter.Arm system 300 x 300 mm with pole adapter. Shelf with drawer for personal things.



Fluid bags

PDMS




Solution 7

GeminaDUO


General plann

ing

1. INFUSION AND MONITORING SIDE IN

THE MIDDLE OF TWO INCUBATORS

Up and down light integrated in the column.1 CVP pole for each bed with holder for 8 fluidbags in total. Lift arm system with VESAadapter and keyboard holder. Shelf with 2 drawers for disposables. Several standardrails mounted on the column. Cable manage-ment along the column.



Fluid bags



Examination light

PLANNING DOCUMENTS FOR NC 64 |

PLANNING DOCUMENTS FOR NC | CONTACT | 65

CENTRAL CONTACT FOR PROJECTING

AND TECHNICAL PLANNING:

Marco PatzerProject Engineer+49 451 882 [email protected]

Sebastian RahnProject Engineer+49 451 882 [email protected]

Contact

For planners and architects:

More information: www.draeger.com

WEB:

www.draeger.com/planning

Subject to change.Not all products are available in all parts of the world.

PLANNING DOCUMENTS FOR NC66 |

PLANNING DOCUMENTS FOR NC | 67

NOTES

90 68 99

8 | 1411-1| Com

munications & Sales M

arketing| AW | LE | Printed in G

ermany | Chlorine-free –

environm

entally com

patible| Subject to

modifications

| © 2014 Drägerwerk AG & Co. KGaA

CORPORATE HEADQUARTERSDrägerwerk AG & Co. KGaAMoislinger Allee 53–5523558 Lübeck, Germany

www.draeger.com

Manufacturer:Dräger Medical GmbH Moislinger Allee 53–5523558 Lübeck, Germany

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REGION EUROPE SOUTHDräger Médical S.A.S. Parc de Haute Technologie d’Antony 225, rue Georges Besse92182 Antony Cedex, FranceTel +33 1 46 11 56 00Fax +33 1 40 96 97 [email protected]

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As of August 2015:Dräger Medical GmbH changes to Drägerwerk AG & Co. KGaA.

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