A new £6.4 million dual hybrid endovascular theatre suite at the Manchester Royal Infirmary (MRI), which the Central Manchester University Hospitals NHS Foundation Trust (CMFT) says will ‘transform the treatment of patients undergoing minimally invasive vascular and cardiac procedures’, has recently come into operation. As HEJ editor, Jonathan Baillie, discovered, when he met, a few weeks before its completion, with one of the vascular surgeons who championed it, and the Trust’s associate director for Surgical Services, who wrote the business case, the surgical suite makes the MRI the UK’s first hospital equipped with two adjacent full hybrid theatres utilising a robotic imaging system, with a fully flexible, synchronised operating table.
On its formation in 1752 in a small house in the city centre, Manchester Royal Infirmary (MRI) had 12 beds. Today, the MRI is a large and extremely busy teaching hospital for Manchester University’s Medical School, and a specialist regional centre for kidney and pancreas transplants, haematology, and sickle cell disease. Its Heart Centre is a major regional provider of cardiac services, specialising in cardiothoracic surgery and cardiology, while its Accident & Emergency Department sees around 145,000 patients annually. One of the specialisms the Infirmary has gained a strong reputation for is as a centre for vascular and cardiac services – increasingly being undertaken via endovascular, minimally invasive procedures. The clinical advantages include lower mortality, less blood loss, reduced pain, less scarring, and quicker recovery.
The two new hybrid theatres, and an adjoining, smaller ‘standard’ theatre, have been constructed within space on the second floor of the new hospital development at the MRI, in an area ‘shelled’ as part of the hospital’s Elective Treatment Centre, which was originally earmarked for four ‘traditional’ theatres. The suite’s construction has been masterminded by PFI services provider for the £500 million redevelopment of Central Manchester Hospitals, Lend Lease FM, working closely with medical equipment and infrastructure specialist, Maquet, and its ‘installation partner’, Fulbourn Medical. The latter has fitted out all three theatres, as MD, Nick Woods, says, ‘devoting many hundreds of man hours and specialist expertise to ensuring the creation of a first-class modern theatre facility’.
The two hybrid endovascular theatres feature ‘breakable’ Maquet MAGNUS OR carbon-fibre topped operating tables, Siemens Artis zeego C-arm-mounted interventional imaging systems, and a Maquet TEGRIS theatre management system. The latter ‘interfaces’ with systems such as PACS, HIS, and other patient databases, and can capture highdefinition still and video images from endoscopes, OR light cameras, and room cameras etc. TEGRIS also provides full control of the theatre lighting, pendants, cameras, and monitor screens, allows ‘saving’ of still images and video directly to the Infirmary’s PACS system – enabling surgeons to ‘call up’ earlier patient scans etc. on the Siemens HD theatre monitor screens during procedures, and ‘seamlessly integrates’ surgical safety checklists.
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