H Series - Surgical Rooms Air Conditioning

H Series - Surgical Rooms Air Conditioning

H Series - Surgical Rooms Air Conditioning

The air conditioning system

for surgical rooms must
assure a High Air Quality;
to get it the following
six goals must be
achieved.

H Series - Surgical Rooms Air Conditioning

First goal

Second goal

Third goal

Fourth goal

Elimination or Elimination of Elimination of Reduction of

minimization bacteriological bacteriological batteriological
of chemical
contamination contamination contamination
contamination coming from
due to the
coming from
due to the
the external
surgical team
the
anestetical gas environement
or to the
surrounding
environments patient himself

Fifth goal

Sixth goal

Guaranty a
good level
of control of
temperature
and humidity

Obtain the
first 5 goals
guarantiing
the maximum
energy saving

H Series - Surgical Rooms Air Conditioning

First goal
Elimination or
minimization
of chemical
contamination
due to the
anestetical gas

Chemical contamination
cant be filtered.
The only solution
is the dilution with a
great quantity of fresh air.
The fresh air quantity
depends from the local
Norms

H Series - Surgical Rooms Air Conditioning

First goal
Technical
considerations

The fresh air flow must be

constant in time even if the
filters become dirty and
therefore raise their
pressure drop.

H Series - Surgical Rooms Air Conditioning

Supply fan section

with F9 filter

Constant air flow to

the surgical room

H Series - Surgical Rooms Air Conditioning

Second goal
Elimination of
bacteriological
contamination
coming from
the external
environement

The bacteriological
contamination coming from
outside is eliminated
through the absolute filters
to be fitted at the end of the
supply ducts: H13 for
general surgery, and H14
for orthopedics and more
delicate operations.

H Series - Surgical Rooms Air Conditioning

Third goal
Elimination of
bacteriological
contamination
coming from the
surrounding
environments

The batteriological
contamination coming from
the surrounding
environments is eliminated
by mantaining the room is
overpressure respect to
them.

H Series - Surgical Rooms Air Conditioning

Third goal
Elimination of
bacteriological
contamination
coming from the
surrounding
environments

To mantain an environment
in over/underpressure in
respect to a reference one it
is sufficient to extract more
or less air than the one
supplied in.

H Series - Surgical Rooms Air Conditioning

Fourth goal
Reduction of
batteriological
contamination due
to the surgical team
or to the patient
himself

The endogenous
batteriological pollution
from the patient or from the
surgical team is eliminated
by filtering with absolute
filters as frequently as
possible the treated air.

H Series - Surgical Rooms Air Conditioning

How is it done?
Fifth goal
Guaranty a good
level
of control of
temperature and
humidity

With treatment sections that

guaranty the high quantity of
fresh air throught thermodynamic
components both for the control
of humidity and temperature with
a strong and modulating capacity
control. Even in the case of direct
expansion units the frigorific
capacity is modulated by an
inverter on the compessor.

H Series - Surgical Rooms Air Conditioning

Sixth goal
Obtain the first 5
goals guarantiing
the maximum
energy saving

How is it done? Raising

as much as possible the
air re-circulation,
obviously in respect to
the local Standard
concerning the fresh air
flow.

H Series - Surgical Rooms Air Conditioning

How is it done?

Sixth goal
Obtain the first 5
goals guarantiing
the maximum
energy saving

Night Stand-by of the units,

activable from the presence
feelers, BMS, hour timetables or
manualy:
Reducion of the capacity by 1/3 of
the nominal one, external one
Mantaining the overpressure
Raising the dead range from 0,3
to 10

H Series - Surgical Rooms Air Conditioning

Direct expansion
surgical room air
conditioner
MODEL OHA 3600
AIR FLOW:
3.600 m3/h
Cooling capacity
40 kW

H Series - Surgical Rooms Air Conditioning

Chilled water
surgical room air
conditioner
MODEL
OHU 6800 HR
AIR FLOW:
6.800 m3/h
Cooling capacity
60 kW

H Series - Surgical Rooms Air Conditioning

Chiller water
surgical room air
conditioner with
post-cooling
MODEL
OHU 6800 HR PC
AIR FLOW:
6.800 m3/h
Cooling capacity
60 + 30 kW

H Series - Surgical Rooms Air Conditioning

Double fan for

supplying and
expelling air
for the maximum
functionment
security.
(Accessory)

Installation with one unit each surgical room

Installation with one unit for more surgical rooms

Installation for diagnostic by images

H Series - Surgical Rooms Air Conditioning

Air Distribution
in Surgical
Rooms

Surgical Rooms Air Distribution

Turbulent air distribution: generic surgery

Air quality class according ISO 14644: ISO7
Air in the room: 15/20 Vol/h

Surgical Rooms Air Distribution

Unidirectional air distribution system: specialistic surgery

Air quality class according ISO 14644: ISO5
Air flow in the aseptic zone only: 250 Vol/h

Surgical Rooms Air Distribution

Air distribution in Surgical Rooms can be made in two

different ways, according to the requested Air Quality
Class:
Air quality
Class

Necessary
Air Flow

Terminal
Filter

Distribution

Generic
Surgery

ISO 7

20 Ac/h

H13

Turbulent

Specific
Surgery

ISO 5

250 Ac/h

H14

Unidirectional

Surgical Rooms Air Distribution

ADVANTAGES ISO 5
1) Best possible protection for the patient
2) Dynamic Overpressure of the Aseptic Nucleus
3) Faster Recovery Time of the room
4) Best comfort for the Surgical Team
5) Best Flexibility

Surgical Rooms Air Distribution

Surgical Rooms Air Distribution

Surgical Rooms Air Distribution

DIN 1946-4 (Germany)

Turbulent Index required < 5%
Turbulent Index obtained 2%

VDI 2167 (Switzerland)

Protection required > class 4.0
Protection obtained class 4.4

Surgical Rooms Air Distribution

Surgical Rooms Air Distribution

Surgical Rooms Air Distribution

Surgical Rooms Air Distribution

Installation
without local
recirculation

Surgical Rooms Air Distribution

Installation
With local
recirculation

Surgical Rooms Air Distribution

Surgical Rooms Air Distribution

Comparison between USA and European Standards

Reference for EC is made to CEN/TC 156/WG 18 Draft: "Ventilation of operating suites" and for USA to ASHRAE
Handbook 2015:"Healthcare facilities"

Generic surgical rooms: Rooms class A

Filtration stages
Unidirectional (laminar) ceiling
Air filters inside the unit
Final air filter
Air flows and pressures
Total air flow
Minimum outdoor air flow
Minimum total ACH
Pressure relationship to adaicent rooms
Thermoigrometric conditions
Temperature:
if something different is not requested by the surgeons
Humidity:
if something different is not requested by the surgeons
AHU mechanical characteristics:
Mechanical stability of the AHU frame
Air tightness of the AHU frame
Filters by pass leakages
Thermal insulation of the frame
Commissioning tests
Particulate test: at rest
Recovery time: 100 to 1

European Community
CEN/TC 156/WG 18

United States
ASHRAE Handbook

No: turbolent air distrib.

H 13

No: turbolent air distrib.

MERV 7 (G4) + MERV 14 (F8)
H 13

2.000 m3/h
1.000 m3/h
total 20 ACH
Positive: 10 - 15 Pa

2.000 m3/h
4 ACH
total 20 ACH
Positive: 5 - 10 Pa

20 - 24C

20 - 23C

20 - 60%

20 - 60%

Class D2 according to EN 1886

Class L2 according to EN 1886
Table 7 according to EN 1886
Class T3 according to EN 1886

NA
NA
NA
NA

ISO 14644/3: ISO 7

ISO 14644/3

NA
NA

F7 + F9

Comparison between USA and European Standards

Reference for EC is made to CEN/TC 156/WG 18 Draft: "Ventilation of operating suites" and for USA to ASHRAE
Handbook 2015:"Healthcare facilities"

Specialistic surgical rooms

(orthopedics, neurosurgery and cardiosurgery): Rooms B and C

Filtration stages
Unidirectional (laminar) ceiling
Air filters inside the unit
Final air filter
Air flows and pressures
Air speed from the ceiling
Total air flow
Minimum outdoor air flow
Minimum total ACH
Pressure relationship to adaicent rooms
Thermoigrometric conditions
Temperature:
If something different is not requested by the surgeons
Humidity:
If something different is not requested by the surgeons
AHU mechanical characteristics:
Mechanical stability of the AHU frame
Air tightness of the AHU frame
Filters by pass leakages
Thermal insulation of the frame
Commissioning tests
Particulate test: at rest
Recovery time: 100 to 1

European Community
CEN/TC 156/WG 18

United States
ASHRAE Handbook

Yes: minimum 3,2 meters x 3,2

F7 + F9
H 14

Yes: minimum 2,4 meters x 1,8

MERV 7 (G4) + MERV 14 (F8)
H 14

0,2 - 0,4 meters/sec

7.400 m3/h
1.000 m3/h
total 65 ACH
Positive: 10 - 15 Pa

0,13 - 0,18 meters/sec

2.500 m3/h
4 ACH
total 25 ACH
Positive: 5 - 10 Pa

20 - 24C

20 - 23C

20 - 60%

20 - 60%

Class D2 according to EN 1886

Class L2 according to EN 1886
Table 7 according to EN 1886
Class T3 according to EN 1886

NA
NA
NA
NA

ISO 14644/3: ISO 5

ISO 14644/3

ISO 14644/3: ISO 5

NA

Thank you