Pathogen free, Ultra clean operation theatre.

Operation theatre – Designed to meet the standards of NABH, WHO, HTM 2025, JCI.

BASE team give serious attention to the following too apart from the temperature control
in an operation theatre.

Air flow pattern in in the OT as well as ancilliary area [ CSD, changerooms, srub] Distribution of
pathogen free / sterile water and removal of used water from the OT Patient and staff entry –
control Sterilization and automatic defumigation of the sterile area

Design of an Operating Theatre HVAC system design for an operating theatre - following key
objectives
To control the concentration of Pathogens

To prevent infiltration of non purified air into the operating theatre

Air flow pattern that carries contaminated air away from the operating table

Comfortable environment for the patient and operating team

Convenient & uninterrupted personal movements inside the OT

Safe Zone creation in OT [ for the safe location of sterile instruments &
Disposables]

Modular Stainless steel OT with Laminarflow OT with Laminar flow + Seamless glass
central hood. reinforced
walls & cieling - antimicrobial non gloss finish
A classic work of Art - Modular OT with PUF Doors - PUF filled, with Aluminium composite
filled or HP laminate panels
panels & Laminar flow

Laminarflow + seamless glass fiber - epoxy Scrub Station with Auto - Manual Taps
coated walls& cieling

Sliding Door - PUF filled & with auto slide

Stainless Steel 304 door with a modular OT
control - hermatically sealed
Microclean Sterilizing Hood, with built in fan filter and air
sterilizer.
The machine draw the air from the Operation Theatre, filter the air
in two stages, sterilize and supply as UNIDIRECTIONAL [
Laminar flow] air flow on the operating table.

One Hood of 4’ x 2’ face area shall cover half of an operating table.

For enhanced coverage with sterile and filtered air, multiple units MICROCLEAN
can be used. STERILIZING HOOD

An easy way of improving the quality of air circulation on the

operating table – ideal solution for conventional Operation Theatre
without major changes in the interiors or air conditioning system.
Application
1 Opthalmic Surgery Single unit suspended above the operation table
2 Gynaec Surgery Single / double unit suspended above the operation table
3 General Surgery Double unit suspended above the operation table
The state of the art – total sterile
facility consisting of

Sterile Air Purification

System

Modular Partitions & Wall

paneling

Modular ceilings

Material Transfer Passbox

Consealed Light Fixtures

Sterile Garment Lockers

Epoxy / PU Flooring OT -with Modular Stainless Steel Wall, Class 100 / ISO 5
Hood, Sterile Passbox (Dynamic) Pendent & Epoxy
Online Air Sterilizers flooring

Fan Filter Units

Defumigation System etc.

BASE group, established in 1995, with proven track record in

Design & Installation of Sterile Cleanrooms for Pharmaceutical
& Biotech Industry, now an active partner in Healthcare Industry, a few stops ahead in Design &
Installation of Sterile facilities for 21 st century operation Theaters. The sterile operation
Theatres and ancilliary sterile areas designed to meet the standards of WHO / NABH / EU.

Modular partitions, wall paneling and ceiling made of sandwiched panels [PUF filled] with
Stainless steel 304/ High pressure Laminate finish, non reactive to all sterilizing solution and
water resistant, The joints devoid of dust or microbial pockets guarantee a perfect sterile zone in
every point inside the Operation Theatre, The coved joints facilitate lowest turbulence to air flow
and easy to clean joints.

The Unidirectional HEPA / ULPA filtered air flow

perfectly remove the contaminated or infected air
from the critical zones within 2 seconds.

The variable frequency drive / Motorizes dampers

allow the surgeon to control the airflow on or above
the operation table to maintain the optimum
conditions of temperature / relative humidity /
particle level and air velocity. The flow direction
adjustable from inside the OT – the surgeon’s
Privilage.

The CLEAN ZONE concept – divides the sterile

operation theatre into two – the clean zone and
infected zone, the conditioned supply air sweep
along the operation zone, moves unidirectional
towards the air return / exhaust module through the
infected zone - a Perfect microbial removal
technology – the latest innovation from BASE.

The built in Defumigation system (with optional

remote control) remove the fumigating gas from the
OT within 120 seconds without loosing the sterility.
Stericlean light fixtures -800 to 3000 lux, CFL /
LED, imported mirror optic reflector and toughened
glass / polycarbonate bottom cover – 100%
leakproof construction
Sterile Corridor [Class 10 000 /ISO7] with
Modular Walls & Epoxy Flooring
Dynamic Passbox & Portable
LAF
[SS 304, class 100 / ISO 5]
Ultraviolet sterilizers with
LAF - in Microbilogy Lab
variable
[Stainless Stell 304]
ON - OFF timer

SERVICES

Design & Installation of Sterile Operation Upgradation of exstiing OT facility to

Theatres. NABH / WHO standards
Stainless Steel equipments - Sterile garment Microbilogy / Sterility / IVF laboratories.
cabinets / Pass box / Bio Safety Cabinets.
Validation of Sterile faciltity sa per WHO /B
NABH

Overview of topics in CDC Guidelines

The Guidelines for Environmental Infection Control in Health Care Facilities is strongly
suggested reading for all facility managers, operating engineers, infection control professionals,
safety officers, and other hospital staff involved with establishing policies for environmental
infection control and tasked with compliance with JCAHO and other relevant public health
requirements. The following is a quick overview of key recommendations made in the
Guidelines:

Air-Handling Systems

 Use AIA guidelines as minimum standards where state or local regulations are not in
place for design and construction of ventilation systems (do not apply retroactively for
existing construction)
 Monitor ventilation systems in accordance with engineers recommendations
 Engineer humidity controls into HVAC systems and monitor controls to ensure adequate
moisture removal
 Prevent dust accumulation by periodically cleaning air-duct grills (when rooms are not
occupied by patients)
  Portable HEPA filter units may be used in patient care areas and construction areas
(provided all internal and external surfaces are cleaned and filter performance is verified)
 Seal windows in buildings with centralized HVAC systems, including protective
environment (PE) areas.
 Develop contingency plan for backup capacity in the event of general power failure with
emphasis on restoration of appropriate air quality and ventilation conditions of airborne
infectious isolation (AII) rooms, PE rooms, operating rooms, emergency departments,
and intensive care units.
 Do not shut down HVAC systems serving patient care areas except for maintenance,
repair, testing, or construction.

Construction, Renovation, Remediation, Repair, And Demolition

 Incorporate mandatory adherence agreements for infection control in construction

contracts with penalties for non-compliance
 Implement infection control measures for external and internal construction activities
including erecting construction barriers to prevent dust from entering patient care areas,
seal off and block return air vents, implement dust control measures on surfaces, and
relocate patients whose rooms are adjacent to work zones (depending on their immune
status, scope of work, etc)
 Use airborne particle sampling as a tool to evaluate barrier integrity (note, no
recommendation is offered regarding routine microbiological air sampling before or
during construction or before or during patient occupancy)
 Commission the HVAC system before occupancy and use with emphasis on ensuring
proper ventilation for operating rooms, AII rooms, and PE areas.

Infection Control and Ventilation Requirements for AII rooms, PE areas, and Operating
Rooms
A detailed set of performance standards including air pressure and flow relative to adjacent
areas, air exchanges per hour, location of supply and exhaust grills, filtration requirements,
recirculation of air, use of anterooms, and the recommendation to routinely keep operating room
doors closed are all addressed via recommendations.

Water Systems

 Controlling the Spread of Waterborne Micro-organisms includes a recommendation to

avoid placing decorative fountains and fish tanks in patient care areas
 Routine Prevention of Waterborne Microbial Contamination within the Distribution
Systems includes recommendations to maintain hot water temperature at the return at the
highest temperature allowable by state regulations or codes, preferably greater or equal to
124 o F and cold water below 68 o F. If temperatures cannot be maintained above 120 o
F, recommendations include periodically increasing the hot water temperature to greater
or equal to 150 o F at point of use or using a chlorine flush through the system. No
recommendation is offered for treating water with chlorine dioxide, heavy-metal ions,
monochloramines, ozone, or UV light
  Procedures for collecting and processing environmental specimens for Legionella are
provided although no recommendation is offered regarding routine culturing of water
systems in health care facilities that do not have patient care areas (i.e. PE or transplant
units) for persons at high risk for Legionella infection
 Recommendations regarding cooling towers include installation of drift eliminators, use
of an effective biocide on a regular basis, and maintenance of towers to manufactures’
recommendations.

Environmental Services
Recommendations include the following areas:

 Cleaning and disinfecting surfaces in patient care areas

 Cleaning spills of blood and body substances
 Regulated medical wastes
 Carpeting and cloth furnishings
 Flowers and plants in patient care areas
 Pest control, and
 Special Pathogens