Feature | September 21, 2011| Dave Fornell

Mobile C-Arm Hybrid OR Solutions

The space needed and costs involved to create a hybrid operating room (OR) for a specific speciality may not be feasible, especially at mid-sized hospitals. This was the case at Middlesex Hospital in Middletown, Conn., where the facility wanted to increase procedural volume, but needed to upgrade its operating rooms. Joe Coatti, M.D., FACS, senior vascular surgeon, said the hospital had to contend with small rooms and low ceilings while balancing the needs of several specialties that planned to use a hybrid room for vascular, endovascular, laparoscopic and endoscopic procedures. In addition, he said procedures could be fatiguing due to the use of a fixed table requiring a lot of maneuvering of the C-arm. The location of fixed position monitors also caused difficulty in seeing small details over a distance.


Coatti said surgical cut-downs are sometimes needed for endovascular work, due to the 19-21 French-sized devices involved. So an operating room was needed instead of a cath lab. He previously used an older OEC 9800 C-arm system to perform endovascular abdominal aortic aneurysm repairs, but when he began performing occlusive vascular procedures, he needed a better angiographic imaging system. The hospital evaluated other systems, but decided on a GE OEC 9900 mobile C-arm, which can be moved out of the way to make room for laparoscopic and endoscopic procedures.


“To dump a million bucks into a system for me just to do vascular work was not very palatable. But, with this system, different specialties can perform other procedures,” Coatti said.


The hospital had to upgrade its ORs using existing space, and at the time had small, 400-square-foot ORs. Coatti said a nurses’ lounge was moved to enable a build-out of three 600-square-foot ORs. The hybrid OR uses a floating Steris table, which allows greater freedom in patient positioning, rather that repositioning the C-arm. To contend with the lower ceiling height, the hospital installed a Nu Boom ceiling-mount system to suspend numerous monitors and other equipment. The booms allow equipment not in use to be swung out of the way to create more space. It also allows monitors to be positioned anywhere around the patient table.


“I can bring the monitor right in front of me for really good visualization of the procedures,” Coatti said.

Related Content

AATS 2016, tricuspid regurgitation, post mitral valve repair, Tirone E. David, atrial fibrillation
News | Structural Heart| May 16, 2016
At the 96th American Association for Thoracic Surgery (AATS) Annual Meeting, investigators presented the results of a...
aortic valve reconstruction, surgery, PinnacleHealth, Pennsylvania
News | Cardiovascular Surgery| May 04, 2016
Three PinnacleHealth patients recently underwent a new procedure for aortic valve reconstruction using the patients'...
CABG, bypass surgery, heart failure, NHLBI study
News | Cardiovascular Surgery| April 25, 2016
Scientists have found that a greater number of patients with coronary artery disease may benefit from coronary artery...
post-operative atrial fibrillation, AFib, heart rate, rhythm control, ACC.16
News | Atrial Fibrillation| April 20, 2016
In the first large randomized trial to directly compare two approaches to preventing atrial fibrillation following...
CABG, mitral valve repair, ischemic mitral regurgitation, IMR, study, ACC 2016
News | Structural Heart| April 11, 2016
Just-released two-year follow-up data comparing coronary-artery bypass grafting (CABG) with combined CABG and mitral-...
minimally invasive mitral valve repair, mini-MVR, comparison study, conventional surgery, University of Virginia
News | Cardiovascular Surgery| March 31, 2016
Patients undergoing minimally invasive mitral valve repair or replacement (mini-MVR) have similar outcomes as patients...
Bryan Tyo, Baylor University Medical Center, bridge to transplant, Total Artificial Heart
News | Artificial Heart| March 18, 2016
A surgical team at Baylor University Medical Center at Dallas successfully performed a heart transplant on a patient...
Siemens, FDA approval, Cios mobile C-arms, Connect, Fusion, Select

Cios Fusion image courtesy of Siemens Healthcare

Technology | Mobile C-Arms| March 14, 2016
Siemens Healthcare announced the U.S. Food and Drug Administration (FDA) has cleared three brand-new system models in...
Gore, Viabahn Endoprosthesis with heparin bioactive surface, new 7.5 cm length
Technology | Stent Grafts| March 04, 2016
W. L. Gore & Associates (Gore) announced the availability of a new 7.5 cm length of the Gore Viabahn Endoprosthesis...
stroke risk, cardiovascular surgery vs stenting, CREST trial, UAB, NEJM
News | Stroke| February 22, 2016
Investigators for the Carotid Revascularization Endarterectomy versus Stenting Trial (CREST) found stenting and surgery...
Overlay Init