MBS/RM875/Healthcare Operating Theatre Unit

1. Scope
This specification relates to the provision, installation and commissioning of a
modular operating theatre to be supplied with all the related mechanical & electrical
plant. The facility is to be designed with floor and wall areas to accommodate all of
the plant and equipment set out below in order to afford such space as is compliant
with HASAW regulations and other relevant codes of practice in force. The complete
facility will comprise of an operating theatre, and attendant changing rooms
manufactured and supplied to the following performance specification and an
adjacent plant room to be supplied by the customer.
2. Building Specification

ent
Ceiling height

Roof beams
Floor beams
Floor loading
Roof decking
Wall construction
Internal cladding
External wall finish

Specification
2.85m nominal FFL to underside of ceiling to
operating room
2.7m to the scrub, prep, dirty utility and
anaesthetic areas
400mm deep
300mm deep
7.5kN//m 2 floor to all areas
Warmdeck using proprietary panels
18mm Tulsa T&G CCPTs plywood
Vinyl faced gypsumboard, or Corus CES steel
cladding
Plastisol steel bonded to plywood

All timber and wood-derived products must be from independently verifiable legal and
sustainable sources. A list of assessed certification schemes that currently meet the
Governments requirements can be found at www.forest.net/cpet or:http://www.defra.gov.uk/sustainable/government/advice/public/buying/products/construction/wood
-products.htm

2.1Structural Frame
2.1.1

Roof frame: Shall consist of cold rolled steel beams with cold rolled joists at
max 1 .200m centres. All members to bolted together utilising proprietary
cleats to form a rigid steel frame.

2.1.2

Floor frame: Shall consist of cold rolled steel beams with cold rolled joists
set level to top beams. Main structural members to be bolted together
utilising proprietary cleats to form a rigid steel frame. End beams to be
strengthened to minimise damage when being moved.

2.1.3

The roof and floor frames to be connected together at the extreme four
corners of each module using 100mm x 100mm RHS columns, these being
internal to the fabric of the structure.

2.2

External / Internal walls

Wall panels shall consist of a plastisol steel faced plywood outer skin, an
insulation core of rockwool, and an inner lining of either vinyl faced gypsum board
or hygienic Corus CES steel sheet cladding. The inner lining to depend on the room
schedule and will suit room application.

2.3

Roof
Roof will be a warmdeck (or similar) construction comprising proprietary steel faced
composite panels fixed to and supported by the steel roof frame.

2.4

Ceiling
The ceiling shall consist of a suspended ceiling grid system with either Armstrong
Orcal (or similar) metal pan tiles to hygienic areas or Armstrong Bioguard (or
similar) regular tiles to general areas.

2.5

Floor finishes
Floor finishes shall be 2mm Polysafe, (or similar), non-slip flooring. The operating
room vinyl will also be anti-static. The floor / wall junction shall be formed using a
continuous coved section to allow ease of cleaning. All vinyl joints will be fully
welded to prevent water ingress.

2.6

Doors
External doors shall consist of powder coated aluminium construction and framing
system with 24mm double glazed units, complete with weatherseals.
Internal clinical doors shall be constructed from non-porous reinforced polyester
resin encapsulating a core of expanded PVC or fire resistant insulation. Stainless steel
frame sets and ironmongery will be provided. All other internal doors will be Koto
Veneer (or similar).
The doors into and out of the anaesthetic room shall be provided with door
automation. A digital lock shall be provided to the door leading to the staff
ancillary areas.

2.7

Thermal Insulation
The calculated average 'U' value for external walls, floor and roof excluding any door
and window shall comply with the Building Regulations Part L2A.

2.8

Fire Performance
Roof: External FAA Rating
Walls: Externally and internally class O rating, with 30 or 60 min fire resistance to
suit layout.
Ceiling:- Class O rating

2.9

Finishes - External
2.9.1 External Walls
Plastisol coated steel: Goosewing grey.
2.9.2 External Trim
Fascias and skirting: plastisol Merlin Grey.
2.9.3

Maintenance

External walls, surfaces and trims shall require no maintenance for up to 25 years in
normal conditions, other than for occasional washing down with mild detergents.

2.10

Finishes Internal
2.10.1 Internal Wall
White steel coated to operating theatre, anaesthetic, scrub, dirty utility and
prep.
2.10.2 Ceiling
Armstrong Orcal white steel tiles to the operating theatre, anaesthetic, scrub,
dirty utility and prep. Armstrong Bioguard (or similar) regular tiles coloured to
all other areas.
2.10.3 Floor vinyl
Polyflor range (or similar):- Polysafe 2mm Heavy-duty safety flooring. All
Vinyl fully welded and coved.
2.10.4 Electrical trunking
PVC conduit recessed into walls. All surface trunking where installed to be
white.

2.11

Structural design
All units to be designed and manufactured in accordance with relevant British
Standards, Codes of Practice and current Building Regulations.BS 6767 Parts 1 and
2: 1998/9
BSEN 1991-1-1:2002 & -1-7:2004
BSEN 1995-1-1:2004 & A1:2008
BS 5950-1:2000
Additional structural support to be provided to locate the UCV laminar flow canopy,
operating light and medical gas pendants.

2.12

All standard units are designed to meet following loadings:

Roof super load: 0.75kN/m2
Floor super load: To BSEN 1991-1-1:2002 (Deflection designed for 7 .5kN/m2)
(Natural frequency >4Hz)
Wind loading: 0.79kN/m2

3.

B u i l d i n g S e r v i c e s a n d Connecti ons
T h e costing should allow for Mechanical and Electrical connections to the existing
services as appropriate.
Mains cold water supply
Domestic hot water supply LPHW
Mains electrical connection
Drainage
All services supplied by the client will terminate within 1 m of the required
connection points on the theatre facility.
The DX chiller plant shall be integral to the new theatre as will AGSS plant.

4.

Engineering Services

4.1. Air handling

The air-handling unit is to be located in plant room (supplied by others) and
supply/extract ductwork will be taken to serve the various areas in the facility.
Partitions will be fitted as appropriate with pressure relief/stabiliser dampers. Air will be
admitted to the theatre through the use of ceiling supply diffusers.

4.2

4.1.1

The theatre suite will comply, and be installed in accordance with the
requirements of HTM 03/1 as a stand-alone facility.

4.1.2

Assume and cost for a separate extract fan without any heat reclaim
from the extracted air.

4.1.3

Motorised pressure relief dampers shall be provided within the airhandling unit supply and extract ductwork.

4.1.4

Include and cost for foil faced fibreglass ductwork insulation.

Heating Medium shall be LPHW.

The following temperatures have shall be used for the purposes of costing.
Summer:

30C DB/20C WB

Winter: 8C DB/Fully saturated

4.3

DX Cooling
DX cooling is to be provided to serve the air handling unit cooling coil from
multiple condensers located on the roof adjacent to the plant-room.
The coil is to be connected to each condensing unit via systems of
refrigerant pipe-work. Include and cost for foil faced fibreglass pipe
insulation, supplied to comply with building regulation standards to be
applied to pipe-work within the false ceiling and pipe-work enclosures,
insulation to be covered with PIB where installed externally.

4.4

UCV Canopy Specification

A UCV Canopy will be provided to the operating theatre. The canopy is to be
precision manufactured from mild steel, finished powder coated white to
provide a hard durable finish. Fabricated in four separate sections to house
the following
Fans: Direct driven single-phase centrifugal type with curved forward
impeller. Variable speed motors.
Silencers: Large supply and return silencers built into each of the four
modules, incorporating acoustic flame retardant foam panels Class O
fire rating and finished with a PVC membrane.
Pre-filters: Disposable type 50mm thick glass fibre media 95% efficient
to 5 micron.
Main filters: Minipleat glass fibre HEPA type housed in 60mm deep
extruded aluminium frame with protection grids on both sides. Gel seals
system. Efficiency 99.997 to 5 micron.
Diffusers and air grilles: Removable perforated air diffusers manufactured
from mild steel and powder coated brilliant white to match the main
body. Removable type return grilles mounted flush on the underside of
the Ultra Flow Canopy.
Servicing and access requirements: Four quick release panels on
underside of main unit provide simple access to the fans and pre-filters.
Canopy side walls: Clear acrylic panels housed in rigid extruded aluminium

frame, without exposed fastenings. Powder coated white to match unit

4.5

The Ultra Clean Canopy shall be supplied to provide for the following:-

Attribute
Size of clean zone
Minimum supply on high speed
Noise level 1.5m above floor in
centre of clean zone not exceeding
Minimum average down-flow
velocity
Clean zone air changes
Set back down-flow velocity
Set back supply air volume
Set back noise level
Set back clean zone air changes
Filtration standard

Cruciform lighting level

Weight of ultra clean module

4.6

Required Performance
2800 x 2800
3m3/sec
55 dBA
0.38m / s
500 times/hour
0.19m /s
1.5m3/ sec
42 dBA
42 dBA
Pre-filters 80% to Eurovent 4/5 BS 6540
EU3
Main bacteria filters 99.997%
Efficiency to BS 3928 Eurovent 4/4
500 lux inside clean zone
1250 kg

Electrical installation
Power supplies and control wiring to all plant and equipment shall be installed
to BS 7671: 2008 17th Edition.

4.6.1.

Distribution
Three phase type b distribution boards and main panel board. Electrical
wiring shall be supplied in twin and earth within recessed plastic or metal
conduit.

4.6.2.

IPS / UPS
Bender (or similar) IPS and UPS systems shall be provided and located in the
plant-room.

4.6.3.

Voice / Data Installation Containment shall be provided.

4.6.4.

Lighting
Recessed IP54 sealed Fluorescent fittings to all areas, generally prismatic
controlled, cat 2 and dimmable to theatres.

4.6.5.

Emergency lighting
3 hour Conversions to general lighting with exit signs to escape doors and
external bulkhead fittings to escape doors. Local test key switches to all
emergency fittings.

4.6.6.

Theatre Light
A Brandon Galaxy Ultra 53 Operating lamp (or similar) shall be provided as

standard.
4.6.7.

Fire Alarm
Stand alone GENT addressable system comprising of heat /smoke detectors
to all areas and sounders to 75dB. Wiring in FP200 within the structure and
within high impact mini-trunking. Connection to the existing system will be
provided by others.

4.6.8. Surgeons Control Panel

The operating theatre facility shall be provided with a Brandon) (or
similar) SCP to incorporate the following;Air Sampling duct
Analogue Time of day clock
Digital elapsed time clock
Elapsed time clock controls
Temperature indicator
Humidity indicator
Ventilation normal indicator
Battery in use indicator
Ventilation high speed indicator
Ventilation set back indicator
Ventilation dirty filter indicator
Mains socket outlet
General lighting switches
Ventilation on / set-back switch
Operating lamp controls
Twin frame X-ray viewer
Temperature controller
Humidity controller
Medical gas pressure indicators
4.7

Medical Gases
The entire medical gas installation shall be supplied in accordance with
HTM 02/01 and Regulation C11 requirements. The theatre shall be
supplied with two medical gas pendants:

4.8

Anaesthetists Pendant incorporating

1 No Oxygen Outlet
1 No Nitrous Oxide Outlet
2 No Vacuum
1 No 4-Bar Medical Air
1 No 7-Bar Medical Air
1No AGSS
4No Twin socket outlets

4.9

Surgeons Pendant incorporating:

1 No Oxygen Outlet
1 No Nitrous Oxide Outlet
2No Vacuum
1 No 4-Bar Medical Air
1 No 7-Bar Medical Air
1No AGSS
4No SS

4.10

Medical alarms and emergency AVSU valves shall be included.

4.11

The anaesthetic room will incorporate wall trunked mounted services for:
1No Oxygen
1No Vacuum
1No AGSS

4.12 Hot and Cold Water Services

All pipe-work shall be copper, joints will be either compression or capillary solder
joints.
Each item of equipment shall be fitted with a ball type valve for isolation.
A return pipe shall be connected all hot tap outlets to ensure hot water is readily
available to all draw off points.
All concealed pipe-work and pipe-work in the roof space and in the plant room will be
insulated with foil faced glass fibre or pre-formed expanded foam thermal insulation
to building regulation standards as Class O Armaflex, to the thickness to comply with all
relevant regulations and specifications.
On completion all hot and cold water systems will be chlorinated to BS 6700.
4.13 Sanitary ware
Bidders to include for the supply and installation of all sanitaryware as follows:Male staff changing: 1 No. Male shower unit + 1 No. w/c with wash-hand basin
Female staff changing: 1 No.1 Female shower unit + 1 No. w/c with wash hand
basin
Patient change room 1 No. shower + 1 No. w/c with wash hand basin
All shower units to be electric units.
Integrated plumbing systems will be used on all sanitary ware.
4.14 Soil and Waste Systems
The sanitary pipework system would be installed utilising a system of plastic
pipework with solvent welded fittings all in accordance with statutory and public health
requirements.
Intumescent fire collars will be installed on 50mm pipe and greater, where crossing
building fire compartment walls.

5. Commissioning and Cleaning

The whole facility shall be deep cleaned - duct access will be incorporated nominally
every two metres to allow this.
The facility shall be fully commissioned and set to work, inclusive of all balancing and
witnessed testing.