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HOSPITAL/CLEANROOM DIFFUSERS GENERAL PRODUCT OVERVIEW Hospital/Cleanroom Diffusers Nailor provides a complete line of diffusers with industry leading performance and quality features uniquely suited to hospital and cleanroom type applications. Products are constructed from heavy gauge aluminum, corrosion-resistant steel or 304 stainless steel, with 316 stainless steel construction as an available option, to handle the most demanding of applications. E Models 92RPD-2 and 92RPD-2SS Model 92RPDF-2SS Radial Pattern Diffusers Radial Pattern Diffusers with Filters This is Nailor’s standard Radial Pattern Diffuser. The This Radial Pattern Diffuser has a similar appearance to diffusers have been designed to provide low aspiration at the standard model series 92RPD, however, it H O high ventilation rates especially for cleanroom applications. incorporates an extended plenum and a unique frame S The unique design of solid baffles in an intrusive perforated designed to accommodate a Gel Seal HEPA or ULPA P I face can supply large volumes of air at low initial face filter. These high quality filters incorporate a separatorless TA velocities. Available in either a 180°or 90°radial flow pattern. 2" (51) deep media, integral test port and an anodized L / Aluminum – aluminum gel seal frame. C L Models 92RPD-2, 92RPD-1 See page E6 Stainless Steel – E A Stainless Steel – Models 92RPDF-2SS, 92RPDF-1SS See page E16 N Models 92RPD-2SS, 92RPD-1SS See page E8 R O O M D I F F U S E R S Model 92FRP-2AL Models 92CBPRPand 92CBSRP Flush Face Radial Pattern Diffusers Adjustable Radial Pattern Diffusers This diffuser provides an air pattern very similar to the The Radial Pattern Diffuser in this series allows for standard model but incorporates a unique 'Flush Face' adjustment of the air pattern. Nailor offers two distinct appearance. Specially designed internal baffles and a performance styles. One style incorporates adjustable pressure plate produce an excellent radial air pattern that straight blades that run the length of the center while the allows large volumes of air to be supplied at low velocities. other style contains a perforated center. Both types Available in either a 180°or 90°radial flow pattern. include adjustable curved blades for directional control Aluminum – and areavailable in steel or aluminum construction. Models 92FRP-2AL, 92FRP-1AL See page E27 Perforated Center – Steel – Models 92FRP-2, 92FRP-1 See page E27 Models 92CBPRP-AL, 92CBPRP See page E38 Stainless Steel – Straight Blade Center – Models 92FRP-2SS, 92FRP-1SS See page E31 Models 92CBSRP-AL, 92CBSRP See page E38 E3 ADJUSTABLE RADIAL PATTERN DIFFUSERS ADJUSTABLE RADIAL PATTERN DIFFUSERS (cid:129) ADJUSTABLE CURVED BLADES (cid:129) TWO CENTER PANELSTYLES (cid:129) REMOVABLE FACE Perforated Center Panel: 92CBPRP-AL Aluminum 92CBPRP Steel Straight Blade Center Panel: E 92CBSRP-AL Aluminum 92CBSRP Steel S R E S U Models 92CBPRPand 92CBSRP F F I D TheModel Series 92CBRPAdjustable Radial Pattern Diffusershave been designed to provide an adjustable radial air M pattern for delivering high volumes of low velocity air. O O Two sets of individually adjustable curved blade pattern controllers provide field control flexibility and can be set to produce R N custom, effective directional control with minimum resistance and noise generation. The diffusers are available with either A a perforated center panel that ensures a fixed, controlled blow air pattern directly under the diffuser or with an adjustable LE straight blade center panel that allows fine adjustment of the air pattern. Internal air baffles equalize the airflow across the C face of the diffuser. / L A The hemispherical 180° air pattern provides higher volumes with much shorter throws than conventional diffusers. The T diffuser is suitable for pharmaceutical manufacturing, bio-technology research facilities, laboratories, food processing, and I P S other cleanroom applications. O H FEATURES: (cid:129) Architecturally appealing face (cid:129) The center panel on Model Series Material: Extruded aluminum frame design. 92CBPRP has a perforated face with and blades. Aluminum or corrosion- (cid:129) Extruded aluminum frame and 3/16" (5) dia. holes on 1/4" (6) resistant steel backpan and blades. staggered centers (51% free area). equalization baffles depending on (cid:129) Face panel is removable for (cid:129) The center panel on Model Series model selection. cleaning and is secured by 1/4 turn 92CBSRP has an adjustable straight Finish: AW Appliance White baked fasteners. blade pack. enamel finish is standard. Other (cid:129) Safety cables are included as (cid:129) Standard unit designed for both finishes are available. standard and prevent accidental Lay-in T-Bar ceiling systems and dropping of removable face. surface mount applications. (cid:129) 180°hemispherical air pattern. (cid:129) Round inlets for simple duct connection E38 ADJUSTABLE RADIAL PATTERN DIFFUSERS Dimensional Data Model Series 92CBPRP (cid:129) Adjustable Radial Pattern Diffusers (cid:129) Perforated Center Panel ADJUSTABLE CURVED BLADES PERFORATED CENTER PANEL 6) 4" ( 1/ W - E L - 1/4" (6) L - 3 1/2" (89) H O STANDARD D - 1/8" (3) SAFETY EQUALIZATION S P CABLE BAFFLES I 2" (51) TA L 2) / 15 C 6" ( LE A N CEILING MODULE LENGTH L R O O Ceiling Module Sizes Lx W & M Nominal Round Duct Sizes D D I Imperial Modules(inches) 24 x 24 48 x 24 FF L x W U Metric Modules (mm) 600 x 600 1200 x 600 S E 8, 10, R Duct (inches) S 10 12 Size 203, 254, D (mm) 254 305 Type S Surface Mount Detail Type L Lay-in T-Bar Detail CEILING MODULE CEILING MODULE CM - 1/4" (6) CM - 1/4" (6) CEILING OPENING = CM - 2" (51) #8 PAN HEAD S. M. SCREWS E39 ADJUSTABLE RADIAL PATTERN DIFFUSERS Dimensional Data Model Series 92CBSRP (cid:129) Adjustable Radial Pattern Diffusers (cid:129) Straight Blade Center Panel ADJUSTABLE ADJUSTABLE STRAIGHT CURVED BLADES BLADE CENTER PANEL 6) 4" ( 1/ W - E L - 1/4" (6) L - 3 1/2" (89) S R STANDARD D - 1/8" (3) E S SAFETY EQUALIZATION U CABLE BAFFLES F 2" (51) F I D 2) OM 6" (15 O R N CEILING MODULE LENGTH L A LE Ceiling Module Sizes Lx W & C Nominal Round Duct Sizes D / L A T Imperial Modules(inches) 24 x 24 48 x 24 I L x W P Metric Modules (mm) 600 x 600 1200 x 600 S O 8, 10, H Duct (inches) 10 12 Size 203, 254, D (mm) 254 305 Type S Surface Mount Detail Type L Lay-in T-Bar Detail CEILING MODULE CEILING MODULE CM - 1/4" (6) CM - 1/4" (6) CEILING OPENING = CM - 2" (51) #8 PAN HEAD S. M. SCREWS E40 ADJUSTABLE RADIAL PATTERN DIFFUSERS HOW TO SPECIFY OR TO ORDER (Show complete Model Number and Size, unless "Default" is desired). Steel or Aluminum Adjustable Radial Pattern Diffusers – Model Series 92CBRP 92CBPRP-AL - 08 - 24 x 24 - L - AW - — MODEL OPTIONS Perforated Center Panel - None (default) — - Aluminum 92CBPRP-AL - Earthquake Tabs EQT - Steel 92CBPRP FINISH Straight Blade Center Panel - Appliance White (default) AW - Aluminum 92CBSRP-AL - Aluminum AL - Steel 92CBSRP - Special Custom Color SP - Acrylic Appliance White AAW E ROUND INLETSIZE - Acrylic Custom Color ASP 08, 10, 12 (203, 254, 305) FRAME TYPE - Lay-in T-Bar L CEILING MODULE SIZE - Surface Mount S Imperial Modules (inches) (mm) H O - 24 x 24 (610 x 610) S P - 48 x 24 (1219 x 610) I T A Metric Modules (mm) L / - 600 x 600 C L - 1200 x 600 E A N R O Note: O 1. Consult dimensional data as to limitations of model, module and neck size combinations. M D I F SUGGESTED SPECIFICATION: F U Models 92CBPRP-AL, 92CBPRP– Perforated Center Panel S E Furnish and install Nailor Model (select one) 92CBPRP-AL (aluminum backpan, baffles and perforated center) or Model R S 92CBPRP (corrosion-resistant steel backpan, baffles and perforated center) Adjustable Radial Pattern Diffusers with a Perforated Center Panelof the sizes and capacities as shown on the plans and air distribution schedules. The diffusers shall have an extruded aluminum frame and the face panel shall include adjustable extruded aluminum curved blades with a perforated center panel. The perforated center panel shall have 3/16" (5) dia. holes on 1/4" (6) staggered centers, providing 51% free area. The face shall be attached to the plenum with 1/4 turn fasteners to allow for complete removal and access to the interior for cleaning. All diffusers are to include safety cables to prevent accidental dropping of the removable face. The finish shall be AW Appliance White baked enamel (optional finishes are available). The manufacturer shall provide published performance data for the diffuser, which shall be tested in accordance with ANSI/ASHRAE Standard 70 – 2006. Models 92CBSRP-AL, 92CBSRP– Straight Blade Center Panel Furnish and install Nailor Model (select one) 92CBSRP-AL(aluminum backpan and baffles) or Model 92CBSRP(corrosion- resistant steel backpan and baffles) Adjustable Radial Pattern Diffusers with a Straight Blade Center Panelof the sizes and capacities as shown on the plans and air distribution schedules. The diffusers shall have an extruded aluminum frame and the face panel shall include adjustable extruded aluminum curved blades with an adjustable straight blade center panel. The face shall be attached to the plenum with 1/4 turn fasteners to allow for complete removal and access to the interior for cleaning. All diffusers are to include safety cables to prevent accidental dropping of the removable face. The finish shall be AW Appliance White baked enamel (optional finishes are available). The manufacturer shall provide published performance data for the diffuser, which shall be tested in accordance with ANSI/ASHRAE Standard 70 – 2006. E41 ADJUSTABLE RADIAL PATTERN DIFFUSERS Performance Data Adjustable Radial Pattern Diffusers Models: 92CBPRP, 92CBPRP-AL (cid:129) Perforated Center Panel Module Size Horizontal Throw (ft) Vertical Throw (ft) Airflow Pt Ps and NC 5°(cid:54)T 15°(cid:54)T 5°(cid:54)T 15°(cid:54)T cfm "w.g. "w.g. Inlet Size 100-75-50 100-75-50 100-75-50 100-75-50 200 .037 .017 –– 1 - 3 - 4 1 - 3 - 4 1 - 4 - 6 3 - 6 - 7 24"x 24" 300 .084 .038 23 1 - 4 - 5 1 - 3 - 5 2 - 5 - 7 4 - 7 - 8 8"Inlet 400 .149 .067 33 1 - 5 - 7 1 - 4 - 6 3 - 6 - 8 5 - 8 - 9 300 .045 .026 –– 1 - 5 - 6 2 - 3 - 5 2 - 5 - 7 4 - 6 - 8 24"x 24" 400 .080 .047 21 1 - 5 - 7 2 - 5 - 6 2 - 6 - 8 5 - 7 - 9 10"Inlet 600 .181 .106 35 2 - 6 - 9 5 - 7 - 8 3 - 6 - 9 6 - 8 - 9 400 .068 .035 21 1 - 2 - 4 3 - 4 - 5 3 - 4 - 6 4 - 6 - 7 24"x 48" 600 .154 .079 32 2 - 4 - 5 2 - 5 - 6 4 - 5 - 7 5 - 7 - 8 10"Inlet 800 .274 .140 42 2 - 5 - 7 3 - 6 - 7 5 - 6 - 7 7 - 8 - 9 600 .094 .057 24 2 - 4 - 5 2 - 5 - 6 3 - 5 - 7 4 - 7 - 8 24"x 48" E 800 .165 .100 33 2 - 5 - 7 3 - 5 - 7 3 - 6 - 8 5 - 7 - 9 12"Inlet 1000 .258 .157 41 3 - 5 - 8 4 - 6 - 9 4 - 7 - 9 6 - 8 - 10 Models: 92CBSRP, 92CBSRP-AL (cid:129) Straight Blade Center Panel Module Size Horizontal Throw (ft) Vertical Throw (ft) S Airflow Pt Ps R and cfm "w.g. "w.g. NC 5°(cid:54)T 15°(cid:54)T 5°(cid:54)T 15°(cid:54)T E Inlet Size 100-75-50 100-75-50 100-75-50 100-75-50 S U 200 .035 .015 –– 1 - 2 - 3 1 - 2 - 3 1 - 5 - 7 2 - 6 - 8 F 24"x 24" F 300 .079 .033 22 2 - 3 - 4 2 - 3 - 3 2 - 6 - 7 2 - 7 - 8 I 8"Inlet D 400 .140 .058 32 2 - 3 - 5 2 - 3 - 4 3 - 7 - 8 3 - 8 - 9 M 300 .043 .024 –– 2 - 3 - 4 2 - 3 - 3 2 - 6 - 7 2 - 7 - 8 O 24"x 24" 400 .076 .043 20 2 - 3 - 5 2 - 3 - 4 3 - 7 - 8 3 - 8 - 9 O 10"Inlet 600 .172 .097 34 3 - 4 - 7 3 - 4 - 5 3 - 7 - 9 4 - 9 - 10 R N 400 .064 .031 –– 2 - 4 - 5 3 - 5 - 6 2 - 3 - 5 4 - 6 - 7 A 24"x 48" 600 .144 .069 30 3 - 5 - 6 4 - 6 - 7 2 - 5 - 7 5 - 7 - 8 E 10"Inlet L 800 .256 .122 40 5 - 6 - 7 6 - 7 - 8 3 - 6 - 8 6 - 8 - 9 C / 600 .086 .049 22 3 - 5 - 6 4 - 6 - 7 2 - 6 - 7 5 - 7 - 8 L 24"x 48" A 800 .154 .089 31 5 - 6 - 7 6 - 7 - 8 3 - 6 - 8 6 - 8 - 9 T 12"Inlet 1000 .240 .139 39 6 - 7 - 8 7 - 8 - 9 3 - 7 - 8 5 - 8 - 10 I P S O Performance Notes: H 1. Throw values are given for terminalvelocities of 100, 75 and 50 Horizontal Throw fpm. 2. Vertical throw is the furthest distance below the ceiling where the indicated terminal velocity can be measured. 3. (cid:54)T is the cooling temperature differential between supply and room air. w o hr 4. NC (Noise Criteria) values based on 10 dB room absorption, re al T 10-12 watts. Dash (–) in space indicates an NC level of less than Vertic 20. 5. Data derived from tests were conducted in accordance with ANSI/ASHRAE Standard 70 - 2006. E42 HOSPITAL/CLEANROOM DIFFUSERS ENGINEERING OPERATING ROOM and mortality among hospitalized patients. There are many emerging trends in the healthcare environment AIR DISTRIBUTION: which are contributing to this. One such trend is the evolution of treatment resistant bacteria. The most ENGINEERING GUIDELINES common cause of SSI is a bacteria called Staphylococcus aureus accounting for approximately INTRODUCTION 20% of cases. Before the 1950's it was treated effectively In the United States there are approximately 46.5 million with penicillin, however it developed a resistance to surgical procedures performed each year (1996 Data penicillin and doctors had to switch to methicillin. By the published November 1998 by CDC/National Center for 1970's it had developed a resistance to methicillin Health Statistics). An analysis of 1.16 million surgical causing a switch to vancomycin. In the last few years the procedures reported 29.4 thousand (2.54%) Surgical Site first strains resistant to vancomycin have been detected Infections (SSI's) (Data Summary from January 1992 – and doctors and researchers are now actively searching June 2001 CDC/National Nosocomial Infections for a new alternative treatment and are implementing Surveillance System Report published August 2001). new guidelines for its prevention and control. It is While 2.54% may appear to be a relatively small and important to note that as various pathogens develop acceptable incidence of surgical site infection we must resistance to standard treatment, some much faster than consider a broader scope and allow some assumptions Staphylococcus aureus, the doses and types of E to fully understand its true implications and effect on our medication get stronger. However as this occurs the lives and those around us. When we look at the total resulting side effects, treatment time and costs also number of procedures itself we must realize that in 1996 increase. the United States population was approximately 264 Another emerging trend in healthcare is the increased million people. Therefore, there is an overall average of numbers of immunocompromised patients and immune H 17.6% percent of Americans (1 in every 5.7 people) that suppressing treatments. This includes an increased O S have some kind of surgical procedure performed each number of patients who are elderly and/or have a wide P year. If we further expand this and assume the average variety of chronic, debilitating or immunocompromising ITA lifespan to be 75 years we see that the average person underlying diseases. Examples of this include increasing L / will have 13.2 surgical procedures performed in their numbers of HIV/AIDS patients, tuberculosis patients and C lifetime. With a 2.54% average incidence of infection cancer patients undergoing chemotherapy. There are LE A each time, this means that over a lifetime at current rates also increased numbers of prosthetic implant, bone N the average American actually has a 28.8% chance (1 in marrow transplant and organ transplant operations R every 3.5 people) of getting a surgical site infection. performed where the immune system is intentionally O O A 1992 analysis showed that each SSI resulted in an suppressed. Also, the hospital environment itself is M additional 7.3 postoperative hospital days adding $3,152 changing with shorter stays for most procedures and D in extra charges. With almost 1.2 million incidences of increased numbers of outpatient or ambulatory surgeries IF SSI each year that adds up to a truly staggering figure of being performed. The result is that actual hospitalized FU over 3.7 billion dollars each year. For the case of a typical patients are less healthy now than ever before. S E operating room we find that the average time for a The best way to treat an infection is to stop it from R S procedure is about 2.1 hours. As most operating rooms occurring in the first place. are available for eight hours a day, this results in There is very little information available as to the effects approximately 3 operations per day per room. This works of operating room ventilation alone on the rates of SSI's. out to 750 procedures per year resulting in an average of Many studies have been done, however, they typically 19 cases of SSI per year with an extra annual cost of involve several different factors and only specific types of $60,000 per operating room. operations, therefore not allowing broad application of When we examine the nature of these surgical site their results. One such study involved the use of infections we find that approximately two thirds are ultraclean air (HEPA filtered) supplied through laminar confined to the incision, and one third involved organs or flow ceiling diffusers. This multicenter study examined spaces accessed during the operation (deep SSI's). Data 8,000 total hip and knee replacements and found that the is not available on the total number of deaths each year rate of deep SSI's decreased from 3.4% to 1.6% when caused by SSI, however when patients with SSI died, ultraclean air was used. While this is a dramatic decrease 77% of the deaths were reported to be related to the we cannot assume that all procedures will show similar infection and the majority (93%) were serious infections results, as different procedures and patient groups have involving organs or spaces accessed during the different susceptibility to airborne infections and many operation (deep SSI's) (the mortality rate is currently other factors could easily confound the results. The estimated to be between 1 and 3%, or 12,000 – 36,000 outcome of this, which is somewhat surprising with the people per year). studies available, is that most medical literature does not Despite continuing advances in medical science surgical fully endorse the use of, or even recommend the site infections remain a substantial cause of morbidity implementation of so called specialty ventilation systems. E99 HOSPITAL/CLEANROOM DIFFUSERS ENGINEERING It is truly incredible to note that our standard desktop very large compared to the work area, however this computers are manufactured in an environment with air requires very high airflow rates typically in the range of much cleaner than that in which we are operated on. 50 – 400 ACH (refer to Figure 1). One such test with We must now ask ourselves how we can apply sound ventilation rates exceeding 60 ACH, HEPAfiltration and engineering principles in the design of the operating with the surgical team wearing special clothing resulted room HVAC system to reduce the incidence of infection in extremely low concentrations of microbial particles while providing our clients with a practical, efficient and 0.057 cfu/ft3(2 cfu/m3) (cfu = colony forming units). Much cost effective design solution. higher concentrations, 2.8 cfu/ft3 (100 cfu/m3), considered by many to be unacceptable, have been SYSTEM SELECTION measured at 15 – 17 ACH. Many factors will influence these measurements (refer to System Testing section Selecting the proper air distribution system for the below). Objects and heat dissipation from people and modern operating room can be a very confusing process. lamps, and door openings/closings can disturb the flow There are a wide variety of sources of conflicting field. The laminar airflow itself will tend to coalesce into a information, studies and papers on the subject. Over the much smaller cross sectional area as it leaves the past 50 years there have been many attempts to justify diffusers or ceiling. This results in a much smaller area of particular systems and many manufacturers have made coverage than generally anticipated. The general idea is claims as to the suitability and superiority of their E to cover the patient and surgical staff, however, the particular system with little or no consensus on the airflow can coalesce on as much as a 45° angle in from subject of whether a specialty system should exist at all. the ceiling depending on temperature. The result is that While some authorities believe clean air systems are not for a 6 ft x 6 ft (2 m x 2 m) clean zone containing the table necessary, recent testing and various studies have and surgical staff, the actual area of the diffusers at the shown a reduction in infection rates and, as far as we are S aware, no studies have shown, and common sense ceiling may be 18 ft x 18 ft (6 m x 6 m) for proper R containment (refer to Figures 2 and 3). Methods to E would agree, that supplying clean or ultra clean air in a S improve the containment of the laminar airflow at U directed fashion within the operating room is in any way F reduced volumes include the use of hanging curtains and F detrimental to the patient. The modern hospital DI environment is rapidly changing; with the increased ceiling hung deflecting walls or partitions, most of which M numbers of elderly and/or immunocompromised patients are not popular with surgeons and OR personnel (refer O and new treatment resistant diseases, the prevention of to Figure 4). Care must be taken to select and layout the O diffusers with as little space between them as possible, infection is becoming more important than ever. When R N one considers the financial costs associated with to reduce the induction of contaminated room air into the A airstream and to avoid stagnant or low velocity areas that surgical site infections due to increased hospital stays, E L treatments, and potential litigation, not to mention will trap contaminants. Selecting a complete vertical C / increased mortality rates, it seems obvious that if the laminar flow system requires precise knowledge of the AL system prevents even one infection over its lifetime it is expected loads and the resultant temperature differential T between the supply air and the space temperature. With I well worth the minor cost associated with it (especially to P S that one patient). It is also important to note that a laminar flow from the ceiling the air velocity will be very O dependent on the temperature of the air. During cooling, H standard Steri-System module generally costs much less the center portion will actually accelerate due to the than the operating table itself, while providing much mass effect of the cold air. Therefore the velocity on the greater benefit to the patient. patient can be substantially higher than the actual outlet The major source of microbiological particles in the velocity. Excessive air velocity on the wound site can operating room is from the surgical staff and is cause a drying effect on the wound (tissue) and lead to proportional to the number of people moving about in the possible complications. Also hypothermia can be caused room. Therefore the goal of any system has to be the due to the evaporative cooling effect. isolation of the patient from the microbiological particles There are no specific recommendations for this type of produced by the surgical team and the support staff in system as very few people agree on the specifics for the operating room. testing and the results are also affected by the total area TYPES OF SYSTEMS of the diffusers, total air volume, the distance between them (2 diffusers side by side will throw the air further) There are three basic types of specialty systems: and the temperature differential. If the temperature differential is very small, <10°F (6°C), and the area of the VERTICAL LAMINAR FLOW diffuser is relatively large with little or no spaces between Probably the oldest and most common type in use today, the diffusers, accurate results in predicting the airflow it consists of an array of laminar flow diffusers or panels velocity can be attained. Refer to ASHRAE Applications located over the operating room table. It has been used Handbook for more information. extensively in orthopedic and other very critical areas. This system works very well if the supply diffuser area is E100 HOSPITAL/CLEANROOM DIFFUSERS ENGINEERING VERTICAL LAMINAR FLOW WITH AIR CURTAIN HORIZONTAL LAMINAR FLOW This system consists of two or more laminar flow Recommended by various manufacturers as an diffusers located over the operating room table alternative to the systems above, however, there are surrounded by a low velocity air curtain created by a problems associated with maintaining laminar airflow special slot diffuser (refer to Figure 5). The air curtain is across the entire room, especially on cooling (refer to directed outwards, thus isolating the operating table from Figure 6). Also the air moves across contaminated induced room air. Typically, two thirds of the supply personnel and equipment before reaching the patient, airflow is directed through the perimeter curtain and the resulting in localized areas of turbulent flow and low remaining one third directed through the laminar flow velocity recirculation zones, thus possibly increasing the diffusers over the operating table. This is a very good risk of infection. Larger amounts of both particles and alternative to the above systems as it allows for lower air bacteria have been detected with horizontal laminar flow volumes to be utilized (15 – 50 ACH) while still systems at the same airflow as vertical laminar flow maintaining clean laminar airflow within the curtain. The systems. Almost all literature recommends a ceiling number of air changes within the curtain is significantly mounted air distribution system, not horizontal, for use in increased over that for the entire room (refer to Table 1). operating rooms. With lower air exchange rates commonly being specified Horizontal laminar flow systems, while very common in it becomes the system of choice for most operating room protective environment rooms and industrial or E applications. A vertical laminar flow with air curtain pharmaceutical applications, do not lend themselves well system is also much more friendly to design as it to a typical operating room theatre and therefore should provides only one third of its air volume through the only be evaluated for very specific reasons. center panels, which are usually uniformly spaced within There are actually several other types of systems and the air curtain and over the operating table. This allows the prediction of much more accurate estimates of throw approaches that have been used such as displacement H ventilation (floor to ceiling), conventional mixing, air jets O velocity as the manufacturer’s standard data can be used S with corrections for temperature and spacing. The Nailor and exhaust walls. These systems, while they do all have P I some merit, are generally not recognized or proven to be T Steri-System Operating Room Air Distribution System is A an example of this type of system which has incorporated as effective. L / the most modern design concepts into a tried and proven C L product resulting in the industry’s most advanced E A engineered system. N R O O M D I F F U S E R S FIGURE 1: Complete Laminar Flow Ceiling System. Excellent protection of the patient from all sources of contaminants. Requires very high air volumes. E101 HOSPITAL/CLEANROOM DIFFUSERS ENGINEERING E S R FIGURE 2: E S Large Area Laminar Flow Ceiling System. Very good protection of the patient from all sources of contaminants. U F Requires high air volumes. F I D M O O R N A E L C / L A T I P S O H FIGURE 3: Small Area Laminar Flow System. Marginal protection of the patient from contaminants. Physical movement of personnel can disrupt flow field. Requires low to moderate air volumes. E102

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airstream and to avoid stagnant or low velocity areas that will trap contaminants. 1000 and 2000 Hz octave band center frequencies. As a result we
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