Hybrid OR News

The latest news in Hybrid Operating Room Designs, Hybrid Cardiac Cath Lab Equipment, Hybrid Operating Room Construction, Hybrid Operating Room Implementations, Hybrid OR Layouts & other Hybrid O.R. Technologies.


Hybrid Angiography Suite Implementation CASE STUDY: Baptist Cardiac & Vascular Institute - Miami, FL

This case study chronicles Baptist Cardiac & Vascular Institute's implementation of a "Hybrid"  Angiography Suite consisting of  the Philips Allura Xper FD-20 imaging system technology, as well as Skytron Surgical Lighting and Ceiling Boom technology.

For more than a decade, Dr. Barry T. Katzen, Medical Director of Baptist Cardiac and Vascular Institute (BCVI) in Miami, Florida, has pioneered the integration of surgical and interventional procedures. Dr. Katzen and his team continue to show that surgical procedures in an angiographic environment can be accomplished with the same degree of efficiency as in an operating room (OR).

"The specialties of interventional radiology and vascular surgery bring more to each other when we work together," suggests Dr. Katzen. "Procedures that help drive this relationship include aneurysms of the thoracic aorta and abdominal aorta. Having an environment where we can use a surgical option allows us to think out of the box for individualized patient solutions."

In 2008, Philips Healthcare and SKYTRON entered into a collaborative agreement to provide comprehensive, integrated solutions for the cardiovascular environment. Dr. Katzen seized the opportunity to refine the surroundings. Based on a well-coordinated plan from Philips and Skytron, Room Two underwent a significant upgrade aimed at enhancing hybrid functionality.

 Hybrid Operating Room at BVCI features surgical equipment technologies from Skytron and Philips Healthcare

Hybrid Operating Room at BVCI features surgical equipment technologies from Skytron and Philips Healthcare

The enhanced technology includes:

  1. Philips Allura Xper FD20 Imaging System
  2. Philips Allura Xper Imaging Table
  3. Skytron LED Focusable Surgical Lights
  4. Skytron Anesthesia Boom
  5. Skytron Flatscreen Monitors
  6. Skytron Video Integration System

Room to Work & Move

One of the great advantages of the new room design is it's so spacious that we can all operate and function very effectively without being in each other's way. Information can be transferred to the head of the bed—to the anesthesiologist— down to where we're working very easily," explained Dr. James F. Benenati, Medical Director of the Peripheral Vascular Laboratory.

Up and operational, the redesigned room is running smoothly. Surgical lighting and anesthesia boom technologies provided by Skytron not only aid clinicians procedurally, but have helped clear the room - opening the floor for easy access to the patient.

Also, the quality of lighting now meets the tough standards of the surgical team. High intensity LED lights from Skytron can be finely positioned for critical tasks.

Surgical visualization is supported by a multipurpose flat-screen monitor that hangs from a ceiling boom. This new addition assists in two ways. First, it can be positioned to allow the clinicians working on the opposite side of the table to see what's going on fluoroscopically. When that is not required, the monitor is made available to other allied health personnel to chart and track ongoing procedures.

Hybrid Operating Room at BVCI features surgical equipment technologies from Skytron and Philips Healthcare
Hybrid Operating Room at BVCI features surgical equipment technologies from Skytron and Philips Healthcare

A Room That Works

BCVI’s surgical team appreciates the changes made. Katzen believes the upgrade has created a better environment for all involved. A recent experience demonstrated how the teams successfully combined surgical access with an interventional solution. A patient presented with critical narrowing of an artery to the brain and chest, and a narrowing of that same artery in the neck. “It was a very complex situation,” recalls Katzen, “but we combined our skills. The surgeons removed the plaque in the neck with an endarterectomy and we used that same access to go down and stent the chest.”

Installation With Minimal Impact

“We’re a busy lab and taking a room down for a period of time is always an inconvenience,” says Katzen. “The one thing everybody remarked upon was how fast this upgrade was accomplished.” In two and a half weeks, Philips and Skytron, working closely with the implementation team at BCVI, completed the staging and upgrade. The new room reflected the input of interventional radiologists, surgeons and anesthesiologists, with each group helping to define the clinical specifications to make it a multi-disciplinary environment.

Furthering the Hybrid Model

Room Two at BVCI now stands as one of the most advanced Hybrid Angiography Suites in the country. Drs. Katzen and Benenati and their surgical colleagues continue to break new ground in minimally-invasive cardiovascular care. Katzen concludes, "The partnership between Skytron & Philips provides us with the kind of support we need to get the job done."

Baptist Cardiac & Vascular Institute of South Florida - Video Overview:

For more information about this Case Study or the equipment included in this Hybrid Angiography Suite, please CONTACT US.

Skytron & GE Partner to Create First GE Robotic Hybrid Operating Room in USA

  Skytron ceiling mounted Surgical Lights & Surgical Booms working in coordination with the GE Discovery IGS 730 robotic imaging system to create a Hybrid Operating Room

Skytron ceiling mounted Surgical Lights & Surgical Booms working in coordination with the GE Discovery IGS 730 robotic imaging system to create a Hybrid Operating Room

A strategic partnership between SKYTRON and GE Healthcare has resulted in the first installation in the world of the new GE Discovery IGS 730 robotic imaging system for hybrid operating rooms. Surgeons at St. Luke's University Hospital in Bethlehem, Pennsylvania, where this new Hybrid Operating Theater is now installed, also played a large role in the design and development of the new robotic imaging system over the past few years. Through a culmination of many years of development and the coordination of many individuals and organizations, a state-of-the-art surgical environment has come to life.

The new mobile robotic technology of the GE Discovery IGS 730 is a true innovation that will allow surgeons to conduct complex minimally invasive hybrid procedures in a secure setting. With this technology surgeons are able to treat 'high risk' patients unfit for open surgery. It will allow performing complex minimally-invasive endovascular and percutaneous procedures on inoperable patients suffering from cardiovascular pathologies such as ruptured aorta aneurysms, fainting spells or cerebrovascular accidents.

In addition, the majority of patients receiving care in the new hybrid operating suite will have a reduced hospital stay and a quick return to normal activity. In addition, in terms of mobility/patient access and the ergonomics of the operating room, this is a huge step forward.

One of major advantages of this new high-tech environment is that the hybrid operating room allows both open surgery and catheter-based imaging therapies to take place in the same operating room. The hybrid OR enables multiple physicians (surgeons, Interventionalist, nurses, anaesthesiologists, and technicians) to perform a new spectrum of minimally invasive therapies with the goal of ultimately enabling better patient care. These complex minimally-invasive endovascular and percutaneous procedures will allow discharging patients much faster (five days in comparison to an average of 10 days) and reduce patient rehabilitation.

The Discovery IGS 730 is a laser-guided, mobile gantry, a first-of-its kind in interventional imaging. The system is neither floor nor ceiling mounted and enables full patient access, creating an interventional environment without boundaries. It has the mobility of a C-arm with the power and image quality of a fixed system, allowing multiple parking possibilities, while helping maintain sterility for a flexible and secure OR environment. It is intended for oncology (hepatic and bone tumors), neurology (aneurysms and brain tumors), as well as cardiovascular patients (stent appositions). The GE Discovery IGS 730 is the only x-ray angiographic medical imaging system with such mobility in the world.

Skytron ceiling mounted Surgical Lights & Surgical Booms working in coordination with the GE Discovery IGS 730 robotic imaging system to create a Hybrid Operating Room
Skytron ceiling mounted Surgical Lights & Surgical Booms working in coordination with the GE Discovery IGS 730 robotic imaging system to create a Hybrid Operating Room
 S kytron ceiling mounted Surgical Lights & Surgical Booms working in coordination with the GE Discovery IGS 730 robotic imaging system to create a Hybrid Operating Room
Skytron ceiling mounted Surgical Lights & Surgical Booms working in coordination with the GE Discovery IGS 730 robotic imaging system to create a Hybrid Operating Room
 S kytron ceiling mounted Surgical Lights & Surgical Booms working in coordination with the GE Discovery IGS 730 robotic imaging system to create a Hybrid Operating Room
Skytron ceiling mounted Surgical Lights & Surgical Booms working in coordination with the GE Discovery IGS 730 robotic imaging system to create a Hybrid Operating Room

The operating table from GE Healthcare is ergonomically designed to provide easy access to the patient and to surgical tools. Mounted on ceiling mounted booms from Skytron, large HD flat-screen monitors provide doctors immediate access to a patient's records and images. Also mounted from the ceiling are medical gases and medical data integration wiring that runs through additional booms provided by Skytron. 

The surgeons at St. Luke's are very excited about this new technology that will make for a freer, more flexible work environment due fully mobile technology, unlike older operating rooms with devices fixed to the floor or ceiling.


Video Overview of the Hybrid Operating Room's Design, Development & Clinical Benefits


Image Gallery of the Hybrid Operating Room at St. Luke's University Hospital

A Look Inside the Hybrid Operating Room at St.Vincent Heart Center of Indiana

What do you get when you combine a surgical operating room with a fully equipped Cath Lab? The state-of-the art Hybrid Operating Room (OR) at St.Vincent Heart Center of Indiana. This advanced surgical theater combines technologies from both Skytron and Siemens. The LED surgical lights, the medical gas booms, the equipment carrier booms, and the surgical monitors all came from Skytron. The Zeego imaging system and the imaging table are technologies provided by Siemens Healthcare.

Instead of treating valvular disease either with open-heart surgery, or staging procedures several weeks apart, they can now be accomplished at the same time. And this means lower risk and shorter recovery times for patients requiring bypass surgery.

The Hybrid OR is also ideal for endograft and peripheral vascular procedures among others. But most important, the Hybrid OR provides an ideal setting for St.Vincent Heart Center cardiologists and surgeons to work side-by-side — collaborating for the best outcomes for patients.

Video Tour & Overview of the NEW Hybrid Operating Room

The recent addition of a hybrid operating room has expanded St. Vincent's open heart surgery capabilities. This advanced operating suite allows interventional cardiologists to perform percutaneous coronary interventions in conjunction with surgeons performing open heart procedures.

Sentara Hearts's Hybrid Vascular Operating Room

Sentara  Norfolk General  Hospital has  opened  a  new high-tech  operating room  with  the  latest technology  that  is saving  and  improving lives  of  people  with vascular  disease.   This  Hybrid  Vascular OR  (operating  room) is  the  first  of  its  kind in  southeast  Virginia. Surgeons and Cardiologists at Sentara Heart Hospital are first to begin enrolling and performing trial cases in the AtriCure DEEP AF feasibility trial. The first procedure in the country was performed in a new, state-of-the-art hybrid operating room at Sentara Heart Hospital.

“Hybrid”  simply  means  combining  different  components  together.   That’s  the  concept  for  developing  the Hybrid  Vascular  OR.  Advanced  imaging  equipment  is  combined  with  the technology  used  for  less  invasive vascular  procedures  and  the  surgical technology  required  for  more  invasive, open  surgeries  to  create  one  operating  room  where  vascular  surgeons can  perform  the  full  range  of  vascular treatments  –  from  simple  to  complex.

 Hybrid Vascular Operating Room - Philips Allura FD20 & Skytron LED Surgical Lights

Hybrid Vascular Operating Room - Philips Allura FD20 & Skytron LED Surgical Lights

This  uniquely  designed  operating room  is  much  larger  than  most.    The fully-equipped  sterile  operating room  coupled  with  the  skills  of  the board  certified  fellowship-trained vascular  surgeons  and the  vascular-trained technicians  and  nurses, makes  it  possible  for  a seamless  conversion  from  a  minimally invasive  procedure  to  an  open  surgery, should  the  need  arise. The  Hybrid  Vascular  OR  offers  lifesaving  advantages  for  people  suffering with  vascular  disease.  The hybrid surgical environemnt allows cardiac surgeons to work more collaboratively with cardiologists, in real time, to offer the greatest depth and breadth of cardiac services in one location.

The  Hybrid  Vascular  OR  also allows surgeons  to  perform  less  invasive surgery  for  more  people  who  have complex  vascular  conditions  that can  lead  to  loss  of  circulation,  heart failure  and  even  death,  including:

  • Blockages  or  clots  in  veins  or  arteries
  • Abnormal  narrowing  or  bulging arteries  (thoracic  aortic  aneurysms, abdominal  aortic  aneurysms)

High  resolution  X-ray    and  CT imaging  gives  vascular  surgeons  the ability  to  see  in  unprecedented  detail what  needs  to  be  repaired.

The Hybrid Vascular Operating Room is equipped the latest advanced technologies such as the Philips FD20 CT systems and ceiling mounted LED Surgical Lights and Equipment Booms from Skytron.

The DEEP AF trial, which received approval from the Food and Drug Administration in September 2010, is designed to evaluate the safety and efficacy of a dual epicardial/endocardial procedure (DEEP), or hybrid procedure, to treat atrial fibrillation patients with persistent and long-standing persistent atrial fibrillation. Sentara Heart Hospital is one of only six national centers awarded participation in this pivotal trial. Other medical centers included are Stanford Medical Center, Vanderbilt Heart Institute, University of Virginia, Texas Heart and Baylor.

Southside Hospital in NY Opens Hybrid OR Suite with Help from Skytron

Southside Hospital in Bay Shore recently opened a new $7 million hybrid operating room that will handle the most complex cases, adding to the hospital's growing roster of cardiac services. 

This Hybrid Operating Room incorporates the Siemens Zeego floor-mounted Angiography system with ceiling mounted equipment booms and surgical lights from SKYTRON.

This advanced surgical theater also combines a series of cameras that allows for teleconferencing so that a specialist can see whats happening and assist from anywhere in the world. The camera and video integration system is the Hybrid-II OR Integration system by SKYTRON. 

The Zeego by Siemens system provides real-time three-dimensional imaging -- the equivalent of an instantaneous computed tomography (CT) scan, which aids physicians in their diagnoses and treatment of cardiac, vascular and thoracic disease.

Southside has further enhanced its cardiac capabilities with the opening of this state-of-the-art hybrid operating room (OR). The hybrid OR allows complex cases, which may require a combination of procedures from multiple specialists, to be completed in a single operating room.

The hybrid OR consists of a full complement of equipment that equals or exceeds a cardiac catheterization lab and general operating room combined. The hybrid name reflects the ability to use the room as an interventional suite, operating room, or both. Any conceivable procedure can be performed here which is a benefit to both physician and patient. The ability to integrate the services of cardiac surgery, vascular surgery, complex endovascular trauma and interventional cardiology will provide unique opportunities for multiple physicians to collaborate in the care of our patients.

Percutaneous aortic valve replacement - one of the procedures commonly performed in hybrid ORs - is an example of how the model works. If needed, the room can immediately shift into a fully equipped cardiac operating room so cardiac surgery can be performed. The patient does not need to be moved to a separate operating room and any issues can be addressed immediately. For physicians, the hybrid OR is the latest advanced technology which allows for improved imaging, greater clinical options and better quality care for complex cases.

Hybrid Lab in Oklahoma Pioneers TAVR Procedure with Skytron & Philips Equipment

The Oklahoma Heart Institute at Hillcrest Medical Center opened the first and only dedicated hybrid cardiac cath lab in the region in May 2012. This hybrid lab allows for seamless integration of a traditional catheterization lab and cardiac operating room to provide multidisciplinary, collaborative care. Physicians can perform advanced procedures that would otherwise not be possible.

The Hybrid Lab wasn't designed with state-of-the-art equipment from Skytron and Philips.

On Wednesday, May 2, a team of Oklahoma Heart Institute (OHI) physicians performed the first successful transcatheter aortic valve replacement (TAVR) in Tulsa.

TAVR is a minimally invasive, life-saving procedure for patients with aortic stenosis who would be considered too high a risk for traditional open heart procedures.

Aortic stenosis affects the aortic valve. In late stages of the disease, the valve does not properly open and close, causing the heart to work harder to push blood through the calcified aortic valve. Eventually, the heart's muscles weaken, increasing the patient's risk of heart failure and death.

During this groundbreaking procedure, the Edwards SAPIEN Transcatheter Heart Valve, approved by the U.S. Food and Drug Administration (FDA) in November 2011, was used to replace the patient's failing heart valve through catheters placed in the femoral (groin) artery.

The transcatheter aortic valve replacement was performed in Oklahoma Heart Institute’s newly constructed hybrid cardiac catherization lab, designed especially for performing complex heart procedures.

"Oklahoma Heart Institute has joined an elite group of hospitals offering the TAVR procedure," said Dr. Kamran Muhammad. "At OHI, our mission is to provide cutting-edge, high-quality cardiovascular care to our patients and TAVR is another example of our commitment to this mission."

 Hybrid Surgical Lab Nurses and Surgical Specialist

Hybrid Surgical Lab Nurses and Surgical Specialist

OHI is the first hospital in Tulsa, and the second in Oklahoma, to offer TAVR. For more information on transcatheter aortic valve replacement, visit www.edwards.com. To learn more about Oklahoma Heart Institute, please visit www.oklahomaheart.com.