Commercial building medical equipment
Photo: Tom Harris. Upgrades to medical equipment and systems and improvements to building systems are the current focus in the healthcare market. Healthcare consolidation contributes to this trend. Alerts could be sent to surgical recovery nurses every four hours to ensure that patients receive pain medication on time.VIDEO ON THE TOPIC: ★【Hospital, Medical equipment, ward equipment, Hospital beds,Hospital design,Treatment room CAD Desi
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- Medical Equipment Importers In Thailand
- 2019 Healthcare Giants Report: The ‘smart hospital’ is on the horizon
- Physician Office Medical Supplies, Equipment and Support
- Medical Offices for Sale
- The Preferred Partner in Implant and Instrument Production
- Five Trends to Watch in the Medical Device Industry
- The Nuances of Leasing Medical Office Space
- International BIOTRONIK Contacts
- Adapting commercial spaces for outpatients
Medical Equipment Importers In Thailand
HFM Daily offers blog coverage by the award-winning HFM editorial team and links to in-depth information on health care design, construction, engineering, environmental services, operations and technology. A current trend in the health care industry is a move away from further expansion in downtowns and moving toward less densely populated areas such as urban neighborhoods and suburban settings, which are locations that provide better access for patients easier, less costly commutes and lower development costs.
In many cases, this means new construction. However, many health care organizations are investigating further cost reductions by eschewing new construction in favor of renovating existing commercial and retail buildings into medical office buildings, wellness centers, outpatient clinics and other health care facilities. Renovating can, under the right conditions, cost less than new construction. The exterior skin and structure may be retained as is, or at least lightly rehabilitated.
Existing systems, such as HVAC, plumbing, fire protection and electrical, may require upgrades but not outright replacement. Designers of these buildings use moderate weights and equipment requirements to size basic structural members and services delivered to a typical commercial or retail building. In health care, however, nothing is normal or moderate. Under this one tent rests — among many other building types — hospitals, imaging centers, outpatient clinics, orthopedic therapy clinics, wellness centers and outpatient surgical suites.
Each has different and specific patient access and equipment needs. Health care functions can impose such great demands on all existing systems that complete replacement is many times the only option. For example, consider the difference between a wellness center and a clinic where medical tests are performed. Both fall under the health care umbrella but have very different needs. The wellness center might work well within an existing commercial building. Its primary load is people — patients and staff — and a very light equipment weight.
Standard commercial HVAC and electrical systems likely have the requisite capacity to serve this level of use, with little renovation needed. Contrast those needs with that of a clinic. Instead of a basic HVAC system consisting of ducted supply and plenum return, both supply and return air must be separately ducted.
Most commercial buildings use plenum returns where there is no return duct; return air flows through the plenum back to the HVAC unit. It is possible the ceiling space of a commercial space may not have the physical room to accommodate both. Clearly, health care facility types must be individually understood before an existing building can be considered for repurposing. Developers and organizations that are considering reusing and repurposing existing built stock will do well to carefully consider a number of factors before they take the plunge.
As a first step in determining feasibility, review the code implications of converting an existing building to a health care space. Code requirements can have an enormous impact on the feasibility and cost of this conversion.
The IBC allows health care uses in a business or commercial occupancy, provided that patients are given medical care on an outpatient basis less than 24 hours and that they are not rendered incapable of self-preservation by the services rendered.
In other words, a local anesthetic is fine as long as patients can exit the building on their own in an emergency; general anesthesia cannot be performed in a business or commercial occupancy and must be shifted to an institutional use. Because this change of use has major cost implications, conversions of commercial buildings to health care buildings are typically focused on outpatient care.
It is important to note that even an outpatient clinic in a renovated commercial building requires careful attention with respect to meeting code. For instance, ducted HVAC return air systems are required, whereas most commercial buildings likely use a return air plenum. Be sure to carefully weigh the additional investment in cost and plenum space for a ducted return. The basic weight of some typical health care equipment may be much greater than a typical office building was designed to support, triggering reinforcement of the structural frame.
Health care facilities with imaging equipment may pose the biggest challenge for a commercial building structure. Some imaging equipment generates vibrations that must be isolated from other parts of the building, while other such equipment may be especially sensitive to vibration and therefore require special isolation designed to protect it from vibrations generated by adjacent traffic, footfalls and other equipment.
Analysis of the existing structural frame should not only consider new medical equipment, but also new HVAC and electrical equipment that may be required to serve the new building use. Upgrading roof-mounted HVAC systems may trigger major upgrades to the roof structure itself.
Although heavy, electrical gear has traditionally been relegated to the lowest floor, many health care organizations are learning lessons from super storms and hurricanes, and are designing their new health care buildings for environmental hardening.
During Hurricane Sandy, for example, hundreds of buildings failed when storm surge water knocked out power by flooding electrical vaults in basements or on first floors. In response, a new rehabilitation hospital sitting on the Boston-area waterfront has anticipated the effects of similar storms and rising sea levels by locating all major electrical and HVAC systems on the top level.
Some medical and imaging equipment are very large in size and cannot be broken down into smaller modules. In many cases it may be attractive to simply place these kinds of extreme weight loads to the existing ground floor or to a basement level, but first question whether or not that flies in the face of providing an efficient workflow for staff and a streamlined patient experience.
Instead of focusing on convenience from a construction standpoint, consider what is the best setup for delivering health care.
This may require restructuring portions of the building to create the correct size openings. Mechanical and electrical systems in health care facilities are as varied as the health care field itself. In general, a typical commercial office or retail building provides far less air and far lower amounts of power than required for even basic health care needs.
Beyond simple quantities, some medical equipment requires three-phase power, or power in voltages not commonly found in office buildings. This will directly affect panel boards and power transformation. Main electrical rooms designed for commercial applications may be undersized for the new requirements. Expanding these in an existing building can be difficult because they often are surrounded by other fixed uses, so make sure to delineate possible routes throughout the building for new power risers.
Return air ducts may tax available plenum space above the ceiling. Humidity and temperature control can be more demanding and precise in a health care application.
Where an office system was designed with a simple zoning configuration, a system renovated for health care has to provide air to exam rooms, storage rooms, equipment spaces and waiting areas, all with varying demands. Even though many commercial office buildings are designed in accordance with modern accessibility codes, converting to a medical use will force additional upgrades designed to provide better access for patients. Some local jurisdictions may require an elevator cab accommodating a stretcher, even in the case of an outpatient clinic, however, typical elevators in a commercial office building are not sized for stretcher access.
A patient could become impaired as a result of a procedure, and stretcher access becomes critical. Finding the available room for adding a new elevator shaft or even just expanding an existing one can be difficult.
Beyond emergency planning, access planning should focus on the basic needs of many visiting patients who may be ambulatory but with some difficulty. Instead of swinging doors, patients in wheelchairs or those using walkers are best served by automatic sliding doors, with a generous overhead canopy to shelter them from the elements. Evaluate outdoor paving surfaces for smoothness, slope, uniformity of jointing and durability.
Visibility to the entrance and its lighting also should be taken into consideration. These are all ways to ease the patient transition from car and walkway into the building. Obviously the type of existing building chosen will have a large impact on the cost to renovate that building into a health care use. Organizations must decide between two distinct existing building types: a multistory office building, or a one-story retail building. One-story retail structures are interesting because there appears to be a growing supply of them, as small strip shopping centers are replaced by more contemporary retail centers.
These can be relatively easy to convert because their configuration allows for easy accommodation of new services, being that they typically have more overhead height than in a multistory office building. Housing all functions on one level simplifies access. This configuration does, however, complicate some important issues.
Vibration isolation may be more difficult because a slab-on-grade construction may more easily transmit vibrations from nearby streets. The existing roof structure may be extremely light, requiring more substantial upgrades. Multistory office buildings, on the other hand, have the advantage of compactness. Their typically smaller footprints, when compared to a one-story retail building, means that patients are walking less once they are on the floor.
Creating spaces for multiple tenants also is simplified, whereas this can be difficult in a one-story retail building. While renovating existing commercial and retail buildings into health care facilities is worth considering, an organized and informed approach to selecting from the existing stock and planning for the renovations will yield better returns for all involved — users and developers alike.
For more insight on how health systems are repurposing commercial facilities and to learn other health care-related construction trends, read the results of the Hospital Construction Survey. Daniel P. For more information email dperruzzi mp-architects. HFM Daily HFM Daily offers blog coverage by the award-winning HFM editorial team and links to in-depth information on health care design, construction, engineering, environmental services, operations and technology. Web Exclusives: Planning. Related Articles Mountain Park Health Center opens new outpatient clinic in reused space New medical clinic supports patient care at a site designed for community interaction.
Patient tower designed for adaptability and future growth Baptist Medical Center South's new patient tower was designed using an insight-driven approach. Market for outpatient health care facilities stays strong for now Survey shows continuing development of medical office buildings and other outpatient facilities.
2019 Healthcare Giants Report: The ‘smart hospital’ is on the horizon
With the continuous improvement of living standards, consumers are paying more attention to the quality of medical treatment, which opens new business opportunities for medical device companies in China. It is therefore critical to work with an experienced partner that understands the complexity of the market. Having been operating in China for more than years, HTDK has developed a deep understanding of the market and has rich practical experience.
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Physician Office Medical Supplies, Equipment and Support
HFM Daily offers blog coverage by the award-winning HFM editorial team and links to in-depth information on health care design, construction, engineering, environmental services, operations and technology. A current trend in the health care industry is a move away from further expansion in downtowns and moving toward less densely populated areas such as urban neighborhoods and suburban settings, which are locations that provide better access for patients easier, less costly commutes and lower development costs. In many cases, this means new construction. However, many health care organizations are investigating further cost reductions by eschewing new construction in favor of renovating existing commercial and retail buildings into medical office buildings, wellness centers, outpatient clinics and other health care facilities. Renovating can, under the right conditions, cost less than new construction. The exterior skin and structure may be retained as is, or at least lightly rehabilitated. Existing systems, such as HVAC, plumbing, fire protection and electrical, may require upgrades but not outright replacement. Designers of these buildings use moderate weights and equipment requirements to size basic structural members and services delivered to a typical commercial or retail building.
Medical Offices for Sale
The medical device manufacturing industry produces equipment designed to diagnose and treat patients within global healthcare systems. Medical devices range from simple tongue depressors and bandages, to complex programmable pacemakers and sophisticated imaging systems. Major product categories include surgical implants and instruments, medical supplies, electro-medical equipment, in-vitro diagnostic equipment and reagents, irradiation apparatuses, and dental goods. The following outlines five structural factors and trends that influence demand and supply of medical devices and related procedures.
However, the competition for new patients is increasingly steering physician practices to non-hospital campus properties as they seek more conveniently accessible locations for their patient base. This trend is evident in the increased development of smaller suburban medical office projects and urgent care clinics you see in any significant metropolitan community. Furthermore it is increasingly common to see healthcare providers take space in smaller community retail centers near hospital campuses.
The Preferred Partner in Implant and Instrument Production
Retrofitting outdated energy-guzzling lighting components with green energy-saving alternatives is a process that promotes sustainability and offers significant benefits for businesses, contractors, and the community at large. Not only can retrofitting improve the overall quality and functionality of light, it also can make spaces safer, easier and less costly to maintain, and more comfortable to inhabit. From lighting technology to retrofit financial analysis, Lighting Retrofit and Relighting evaluates the latest lighting system types, then demonstrates how to apply them for the greatest functional and cost-saving benefit. This book:.
Able Medical Devices creates partnerships based on anticipating customer requirements and delivering precision-machined surgical implants and instruments. Decades of experience are leveraged into a scalable, value-added process that works with customers in an effort to understand and meet customer needs while adhering to regulatory standards and driving down costs. This scalable approach to production increases speed to market and ensures the best possible quality. We are a growth driven enterprise and recognize that speed to market is critical for the mutual success of our partnerships. Katie has over a decade of experience working within the medical device industry. Katie also brings over 20 years of customer service experience to the ABLE team, having served both internal and external customers throughout her career in other key capacities within the accounting, real estate, and retail industries.
Five Trends to Watch in the Medical Device Industry
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In addition to this, the rising number of surgeries and improving healthcare conditions in the country is also anticipated to augment the consumables market. With the Philippine Health Insurance Corp. This will allow the private healthcare sector to collaborate with public counterparts in providing improved services to Filipinos which would impact the overall sales of the medical devices in positive manner. Increase Demand for Imaging and Diagnostic Equipments: Rising prevalence of chronic diseases such as diabetes, cardiovascular diseases and cancer requires effective diagnostic equipments in the hospitals for accurate results thereby, boosting the market for imaging and diagnostic equipments.
The Nuances of Leasing Medical Office Space
This transformative textbook, first of its kind to incorporate engineering principles into medical education and practice, will be a useful tool for physicians, medical students, biomedical engineers, biomedical engineering students, and healthcare executives. The central approach of the proposed textbook is to provide principles of engineering as applied to medicine and guide the medical students and physicians in achieving the goal of solving medical problems by engineering principles and methodologies. The textbook contains a variety of teaching techniques including class lectures, small group discussions, group projects, and individual projects, with the goals of not just helping students and professionals to understand the principles and methods of engineering, but also guiding students and professionals to develop real-life solutions.
International BIOTRONIK Contacts
We are a team of planners and professionals who offer a shared passion for improving the lives of others through our work. Founded in , we were among the pioneers who gave rise to medical equipment planning as an industry. More than four decades later, we continue to propel advancements in the planning process that will positively impact our clients, projects and communities for years to come.
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Adapting commercial spaces for outpatients
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