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HT (Hospital Theater) acoustic evaluation

827 Views 13 Replies 9 Participants Last post by  Leigh M
This question may not fit in this forum, however, the work people are doing with their HTs seems to fit closely to what I am trying to achieve.


I have installed lithtotripters in various hospitals here in Thailand. A lithotritper is a device to break a kidney stone using a shock wave. The shock wave is generated by a 20 kV spark in a water cushion. It sounds like a very, very loud starting pistol and is tough to listen to all day as each patient requires about 4,000 shocks at 2 Hz and we do up to 10 patients per day. The operating theaters usually have tiled walls and floor and a gypsum board ceiling so they are an acoustic disaster.


I need to make the rooms as anechoic as possible and but I have few materials to work with here. The top two choices I've found are perforated gypsum board or rock wool with a cloth covering on the walls and acoustic tiles on the ceiling (T bar). The theater does not need to be sterile, but should be washable, so cloth coverings are probably out.


I want to quantify the noise before and after room treatment to see which materials work best. From reading this forum and other sources it seems RT60 would give me a good number to work with.


I have downloaded some software recommended by this forum: TrueRTA, ETF, Room EQ wizard. However, as far as I can see, they won't let me record an impulse from the lithotripter and analyse that. I can see that a sweep will give me impulse information, but then I have to lug an amp and speaker around and anyway, I'm not concerned with low frequencies - or any other frequencies not generated by the lithotripter. High end software such as DSSF3 will do what I want but they're very expensive for a single application.


So any advice on which parameter I should measure and what software I could use would be appreciated. I have a Tecpel 330 soundmeter with analog output, a digital oscilloscope and of course a PC with sound card.
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Research Diaphragmatic absorbers. Since you're only really dealing with one extremely low frequency this is probably the best way to go. This type of absorber can be tuned to the specific frequency you are having problems with.


Typical broadband absorption would need to be quite thick and abundant to have any real effect at 2 Hz.
"at 2 Hz "


"I'm not concerned with low frequencies"



Obviously there is a problem in your specification - 2Hz is a extremely low frequency inaudible unless insanely high dB levels. And a starting pistol is great for an impulse generator as it is a broadband noise.


I suggest you hire a commercial acoustic engineer - who would waste money paying an installer to learn acoustics and research materials on their dime?


There is large HT contingent of DIY - because they have more time than money. Last I looked at the cost of health insurance - hospitals have a lot of money - especially if they can afford specialized machines that we cannot even imagine the price of installation.
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2 Hz isn't audible so it can't be "tough to listen to all day". Obviously a wide frequency spectrum is being produced. It would have to be sampled to know how to treat it.


Beyond that, you have issues like cleanability and other requirements for non-porous surfaces in the environment, making conventional sound treatments impossible.


Try ear plugs.
There are absorptive panels that are "clean room" rated, they are faced with a mylar or tedlar material. These are cleanable and could be used at the ceiling or wall surfaces. They have decent mid-range absorption but poor high frequency, because of the mylar/tedlar covering.


However, in a room of that size, treating it would only reduce the level at head height by 5 dB or less (most likely less). This would probably be considered a small improvement, given the conditions.


As DMF said, wear earplugs or hire a professional acoustical consultant to review the problem in depth. My company would be happy to help....:)
Sorry - I wasn't clear - the 2 Hz means 2 impulses per second - not the frequency of the impulse. I was trying to give the idea of a starting pistol going off every half second.


Hospitals here don't have money and I havn't been able to find any professional accoustic advice so it's pretty much DIY.
Are you really looking for an anechoic chamber (which would reduce sound reflections for people inside the room) or noise isolation (which would reduce the sound level for people outside the room)?


I would have guessed you want the latter? If you want the latter rockwool will help but what you really want is just as much mass on the walls as you can put on (2 or 3 layers of gypsum, etc) with rockwool inside. The wall framing should also be 2x6 staggered stud.


If you really want an anechoic chamber there are absorption solutions that have perforated metal coverings. That would be cleanable. Price may be an issue, though.


Andy K.
I believe DMF and rynberg are correct, you need ear protection. Absorptive paneling might reduce "ringing" that exists in the room, and might reduce fatigue a little though. The acoustic power in the impulse in a highly reflective room will take a long time to decay, and absorptive material would probably be a big help.


It would be useful to record the spectrum of the sound in the room while the lithotripter is in operation. This would tell you where the room ringing modes are, and might be a guide in selecting attenuation materials for the walls and the ceiling.


Would it be possible to carry a portable DAT or other digital recorder in the room and record it? That way you could 'post process' it by playing back the recorded sound through the RTA away from the room.


If you found a peak in the spectrum (which should be the point at which the room is ringing at), you could use this information to find which material would give the best RT60 attenuation. I'm sure the panels and roof tiles you are using probably have this information available. This way, you could get an idea of where to start.


I doubt you need attenuation at low frequencies (walls on alternate studs, etc.) Most of your problems will be at much higher frequencies. The spectrum of this type of pulse is very wide, and the energy at the low end of the spectrum (100 Hz) is a small percentage of the total spectrum (probably 10 KHz or so). It is the 'room peaking' caused by ringing that you are hearing.


Hope this gives a few ideas,


Bob Smith
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If indeed it is as loud as a starter pistol - there is a reason you always see the race starter wearing headphones. They are painfully loud. No treatment in the world will mitigate the direct sound that is destroying peoples ears - it will only remove the annoying ringing after the impulse. You could build an anechoic chamber - and the pistol sound will initially be just as loud. Surely the hospital can afford to set out some disposable ear plugs right by the disposable gloves.


Problem solved.


While you certainly can treat the room after the earplugs to remove the further annoying decay sounds - you really do need a acoustical consultant that works worldwide. You need someone that knows the materials available in your country approved for use in hospitals (for example acoustical tiles do not work because of the porous surface that can hide germs that cannot be cleaned). Even if you think there is something that might work based on the use of the rooms - there will be commercial healthcare codes - and the whole bidding and procedural acquistion processes that must be followed.. Many of the large acoustical engineering firms do work worldwide - and you can probably find one that has even a portfolio in the hospital market. They might be able to work remotely if you are capable of taking measures they need. - but would probably prefer to fly in with their own gear - maybe even cheaper than paying their consultant fee to go back and forth remotely teaching you how to take measures needed. Interestingly a high voltage spark is the same thing used as a broadband impulse tester by some acousticians - rather than using a starter pistol!


But any consultant that works on the room without addressing the hearing protection issue that remains is not worth the money. I would suspect in the US there would likely be a OSHA violation here for repeated sound exposure - even if the peak is not beyond the threshold of pain and just into the annoying threshold - there are rules that limit how much per day an operator is allowed to hear.


Asking this forum is going to get answers about woodstud and gypsum construction and fiberglass - which I doubt is used at all in your country - and certainly not in commercial construction and not at all in hospitals!
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Quote:
Originally Posted by krasmuzik
You need someone that knows the materials available in your country approved for use in hospitals (for example acoustical tiles do not work because of the porous surface that can hide germs that cannot be cleaned). Even if you think there is something that might work based on the use of the rooms - there will be commercial healthcare codes - and the whole bidding and procedural acquistion processes that must be followed.. Many of the large acoustical engineering firms do work worldwide - and you can probably find one that has even a portfolio in the hospital market. They might be able to work remotely if you are capable of taking measures they need. - but would probably prefer to fly in with their own gear - maybe even cheaper than paying their consultant fee to go back and forth remotely teaching you how to take measures needed.
Hi Leigh,


I think Kevin is right.


Here's a firm in Kuala Lumpur, Malasia that has done acoustic wall insulation for a Lithotripsy room at Pantai Medical Center.

ISTIQ


Good luck.


Larry
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OK Larry - how in the world (literally!) did you find that referral? google?
Also, why not simply contact the manufacturer for some guidance and possibly see what the American Inst. of Ultrasonic Medicine has to say about this?
Quote:
Originally Posted by krasmuzik
OK Larry - how in the world (literally!) did you find that referral? google?
Hi Kevin,


Yes, I googled "lithotripsy soundproofing". The first response yielded the asian noise control company a few hundred miles from Bangkok, Thailand.


Larry
Thanks for the link Larry - don't know how I missed it.


In response to some other posts:

- The lithotripter manufacturer is quite clueless about room treatments - surprisingly. I have been to their R&D center and they have a small room for testing the machines with open foam triangles glued to the walls. Dark, ugly and dirty.

- We have a budget for the treatment room that is a fraction of what some of you guys spend on your Home Theaters... This is not the US. Lithotripsy costs $50 vs. $7,000 in the US.

- We use ear protection. Ear plugs work best but are tough to wear all day. Also, we have to communicate within the room so we have to take off the protection some of the time.

- I am installing a perforated gypsum wall next week at one center. The product is called gyptone and has a "Practical absorbtion coefficient" of 60 - 80% at higher frequencies.

- I will do some before and after tests using the lithotripter as a sound source. I am planning to use a laptop, USB soundcard and soundmeter for the measurement.


Any suggestions on (cheap) software to do spectral analysis and to compute a RT60 value from an external impulse or recorded .wav file?
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