TRUMPF Jupiter : Tau2 (Fixed+Mobile)

Tau2 Universal : mobile version

Overview of the most important functions:

* When braked, the table stands on 4 feet;

* The table can be moved sideways with the free-wheel setting;

* In the directional travel setting, one wheel is fixed facing ahead to make it easier to travel in a straight line;

* Successfully designed running gear, the best possible space utilisation and freedom of movement for the feet provide optimal working conditions.

Due to its excellent drive characteristics, Tau2 is mobile and flexible in every situation and also its ideal properties for use in intraoperative diagnosis.

For many complicated surgery positions, the patient can already be positioned optimally on the Tau2 during the induction to the operating theater. In the operating theater, the high level of stability of Tau2 guarantees the same degree of safety as stationary surgical tables. Thanks to an optional carbon table top, the use of modern imaging procedures is possible without restrictions during the surgery.

It is made attractive by its unrestricted functionality and extreme flexibility, even in tight spaces.

* Maximum selection of positioning options, equivalent to the Tau2 system

* Patient weight of up to 225 kg

* Ideal properties for use in intraoperative diagnosis

* Also available as Tau2 Universal Carbon with carbon-fibre operating tabletop.

* Modest space requirements - ideal whenever space is tight

* High stability and outstanding travel characteristics

* Adjustment options and applications equal to the Tau2 system

* Also interchangeability of parts with Tau1 Running gear

The high level of stability and the excellent drive characteristics are important aspects of the Tau2 Universal.

Overview of the most important functions:

* Practitioners in Leiden University (Holland) claim that they have chosen foor Tau1 and Tau3 to replace older variants, where Tau1 is more suited to procedures which involve lying on the back; Tau2 is more suited towards complicated and complex procedures.

* When braked, the table stands on 4 feet;

* The table can be moved sideways with the free-wheel setting; * In the directional travel setting, one wheel is fixed facing ahead to make it easier to travel in a straight line;

* Successfully designed running gear, the best possible space utilisation and freedom of movement for the feet provide optimal working conditions.

Tau2 Universal: The mobile Version of the well-proven Tau2 System

Due to its excellent drive characteristics, Tau2 is mobile and flexible in every situation.

For many complicated surgery positions, the patient can already be positioned optimally on the Tau2 during the induction to the operating theatre. In the operating theatre, the high level of stability of Tau2 guarantees the same degree of safety as stationary surgical tables. Thanks to an optional carbon tabletop, the use of modern imaging procedures is possible without restrictions during the surgery.

System and Universal : The modular OR table family Tau2 covers all fields of application in modern diagnostic and surgical medicine. Equipment, functionality and extendability make it a top-class OR table. Tau2 is available as an exchangeable section system and as a mobile OR table.

The modularity principle. The table top is capable of completely flexible configuration – it may be shortened, lengthened or equipped with special modules. In addition to many other variations, reverse assembly can be realized without any trouble.

Concept. A standardized coupling point system and an electric interface for motor-driven special modules and for the computer-controlled interaction with external systems form the innovative core of the modular conception.

Running gear. The high level of stability and the excellent drive characteristics are important aspects of the Tau2 Universal. Overview of the most important functions:

– When braked, the table stands on 4 feet;

– The table can be moved sideways with the free-wheel setting;

– In the directional travel setting, one wheel is fixed facing ahead to make it easier to travel in a straight line;

– Successfully designed running gear, the best possible space utilization and freedom of movement for the feet provide optimal working conditions.

The special features of the Tau2 Universal. – Final patient positioning for thorax and renal lateral positions, “deckchair” positions and for knee arthroscopy can already be set during the induction to the operating theater.

Patient Transfer Unit :

The Tau2 exchangeable table top system enables the schedule in the operating theater to be organized flexibly thus saving time. The operating theater is not blocked during the induction and recovery of the patients. It is not necessary to reposition the patient, which significantly increases his safety and comfort. The operating table top together with the transporter acts as a patient trolley, thus saving additional investment.

Moreover, eliminating repositioning reduces workload, enabling expensive operating theater time to be used more effectively. The flow of work is rounded off and perfected by the supplementary use of the patient transfer system and its interaction with the exchangeable table top system moreover, transfer unit forms the interface with future transport systems inside the hospital. See section Patient Transfer OT.

Additional features of the Tau2 exchangeable table top system:

– The take over may be performed optionally with either the foot control or the remote control;

– Automatic reset of the table top at the start of its transfer;

– User-friendly table top control unit for motorized adjustment of the table top even during induction and recovery on the transporter;

– No waiting times in the operating theater;

– Greater patient safety;

– Simplified work for the personnel;

– More efficient use of all resources.

Recount : MetroHealth Medical Center Clevland :"Non-Operative" OR Time (Theory into Practice)

There's no question about it: While your facility's operating rooms represent a vital resource for patient care and revenue, they also represent the greatest potential for lost income and lost time. Delays ranging from unforeseen complications to inefficient processes have far-reaching implications. When time is lost in the OR the downside goes well beyond financial. Lost time translates into longer hours, delayed procedures, fatigued staff, frustrated patients and families—and can ultimately affect the quality of care your facility provides its patients.

While the objective is to increase efficiency the questions remain:

- How do you increase efficiency without creating a larger burden than your staff is already shouldering?

- How do you increase efficiency and make sure corners aren’t being cut when it comes to providing quality care?

This was the backdrop for a study conducted by Medical Systems and Twin Peaks, a Boston-based medical consulting firm. The study was carried out at the Critical Care Pavilion, the OR department of the MetroHealth Medical Center in Cleveland, OH, under the direction of surgeon in chief Mark Malangoni, MD, FACS.

Pilot program tests theory :

The consulting team placed the entire OR organization on the test bench and systematically looked for potential areas of improvement. The preliminary conclusion: new efficiencies could help costly OR time to be better utilized. Furthermore, by focusing on "non-operative" time--defined as room turnover time plus anesthesia induction and emergence--improvements could be derived outside the realm of the actual surgical procedure. This would allow for improved efficiencies while maintaining a high level of quality care.

The next step, putting the preliminary conclusions to the test, involved a strategy to exploit technical options and to systemize processes. Two of the 17 ORs were reorganized as pilot rooms for the test. The balance of the ORs would serve as a control group. The only limit put in place in the pilot rooms concerned case duration. Eligible procedures were determined to be those that were 2 hours or less in duration. The sequence of shorter procedures provided the greatest incidences of non-operative time during the course of a given day.

One aspect of reducing non-operative time involved the development of processes to reduce all non-surgical tasks in the OR and to minimize non-clinical interruptions. Before the day of surgery, patients are seen for a preoperative assessment to ensure they have had a history , physical and appropriate lab tests. Operative permits are scanned into the hospital’s computer system to avoid delays related to misplaced paperwork. Orders are placed for prophylactic antibiotics, anticoagulants and other medications so they are available when the patient arrives in the OR. The objective is to ensure all organizational questions are clarified and all patient data is collected prior to the patient arriving in the OR.

Technology allows parallel workflows

Another significant aspect of the test called for many workflows to be put in parallel. At almost all US hospitals anesthesia induction, surgery and recovery occur consecutively—all in the OR. This means surgical teams and patients must endure delays and unnecessary waiting, as procedures are completed one by one. In the MetroHealth pilot program, induction, surgery and recovery occurred simultaneously for different cases, as opposed to being done consecutively. Using the Patient Transfer OT (left in above slide) which provides “one nurse, one button, no lifting” patient transference, the patient is transferred from his or her hospital bed to a Tau2 surgical table top. The patient and surgical table top are moved by means of a manual trolley system to an anesthesia area where the patient is prepared for surgery. While nurses are preparing for the case the patient is wheeled into the OR. The table top is docked to the Tau2 column in a simple procedure that takes just moments. The patient is induced and surgery is able to begin. As soon as the bandage is applied, room cleanup begins.

The patient still on the Tau2 table top is moved from the OR for emergence. Simultaneously, the next patient has already been moved into induction and will be ready as soon as the OR is prepared.

Conclusions indicate significant promise

(see right slide : Shuttle transporter contributing to the efficiency) According to results confirmed by Dr. Malangoni, non-operative time was significantly less in the test rooms. Target non-operative times of 35 minutes were regularly achieved and the results demonstrate that a coordinated multidisciplinary process redesign can reduce non-operative time by 30%. In cases when non-operative times were not within the 35 minute target, process-related delays were identified as contributing factors in 70% of those cases. This indicates further improvements are likely as non-clinical processes are fine-tuned. “We embarked on this project to improve patient satisfaction, and we have been able to do a better job of getting patients in at the scheduled time,” Malangoni says. “It’s also been a surgeon satisfier because they are getting their cases done more quickly.” On the topic of maintaining the quality of care offered, Dr, Malangoni says, “We have continued to emphasize patient safety, and we have found we can continue to do that while reducing time.” Since the conclusion of the pilot program the same processes and technologies are being rolled out for additional rooms at MetroHealth. Facilities interested in exploring the possibilities offered by these and other.