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IAEI - Interview regarding Article 645
1. ITE AND CANCER TREATMENT
Case Study
ITE and Cancer Treatment:
Cutting Edge Technology Working
Together
Photo 1. Mark H. Zangmeister Center by Tim McClintock
C
Mark H. Zangmeister Center
ancer is one of the leading causes of death in
the United States. It is expected that about 1.4 In an effort to consolidate the outpatient treatment cen-
million new cases of cancer will be diagnosed in ters and provide a more patient friendly environment,
2007, according to the American Cancer Society’s Can- MOOH completed construction of a new 109,000
cer Facts and Figures 2007.1 Due to advances in medical square-foot, privately funded, outpatient cancer treat-
technology, however, trends in five-year relative survival ment center in May 2007. The facility, named the Mark
have improved greatly from 50 percent in 1975 to 66 H. Zangmeister Center2 after one of Central Ohio’s most
percent in 2002, according to the study. respected oncology physicians, will be able to accommo-
Mid Ohio Oncology/Hematology (MOOH) located date 16,000 patients in one year and over 60,000 patient
at 3100 Plaza Properties Blvd., in Columbus, Ohio, is visits per year. The center will offer 90 infusion chairs,
one of many treatment centers throughout the country which cancer patients use for chemotherapy treatment;
that has been instrumental in the increase of the surviv- 53 exam rooms; and a diagnostic imaging and radio-
al rate. MOOH, which was established in 1982, offers logical unit. Additionally, two linear accelerators, which
care and treatment for disease management of cancer produce 23 million electron volts each, use radiation to
and blood disorders in and around Central Ohio. Cur- shrink tumors. “Radiation treatment employed today is
rently, MOOH operates four outpatient treatment cen- more precise than in years past, the linear accelerators
ters in Columbus and its suburbs. utilized by the Mark H. Zangmeister Center have on-
18 IAEI NEWS September.October 2007 www.iaei.org
2. ITE AND CANCER TREATMENT
keeping multifaceted information on file. Rendering
this information in electronic format makes it possible
for doctors to have complete patient information right at
their fingertips, whether it is accessing lab results, fielding
a call on the weekend and being able to review needed
information via the internet, or making a referral.
“During the design stages of the center, emphasis was
placed on the migration from a partially integrated net-
working system to a fully integrated networking system
as well as security, with the ability to expand and yet to
preserve the integrity of this system,” said information
technology (IT) manager Andrew Cooper. “Today’s
technology is temporary in that today’s technology is
obsolete tomorrow,” according to Cooper.
Design Challenges and Versatility Faced
The center was faced with challenges early on, such as
being unsure how to proceed with construction of the
data center room, and knowing that the integrity of the
computer network was essential to the overall operation
of the center. Additionally, because versatility is essen-
tial to rapidly developing medical technology, consid-
erations had to include the ability to replace equipment
without an expensive retrofit.
During the initial stages of construction, the design
and layout of the data center room had not been final-
ized. Included in the design, however, were self-con-
tained HVAC systems and a raised floor system. Ralph
Butcher, city of Columbus electrical inspector, suggest-
ed the center explore the option of utilizing NEC 645
as a design option, which would address the concern of
providing a secure environment for the IT equipment,
along with ease of equipment replacement.
board imaging, which ensures precision within millime-
Compliance with NEC 645
ters when treating a cancer patient,” said Glenn Balasky,
It is important to recognize that Article 645 is optional.
executive director for the center.
Article 645 relaxes some of the code requirements, per-
“Treatment of cancer patients over the last 20 years
mitting normally prescriptive installation methods and
has evolved from being an in-patient care procedure
materials to become less strict. Consequently, it is im-
to an outpatient care procedure, as a result of the ad-
portant to note that in order to qualify under Article
vancement in medical technology,” Balasky said. Often,
645; the five conditions set forth in 645.4 must be met:
cancer can be successfully treated with chemotherapy,
• Disconnecting means complying with 645.10 are
radiation and sometimes medication, as opposed to sur-
provided.
gery, according to Balasky.
• An HVAC system is provided that is dedicated for
information technology equipment use, or a common
Information in Electronic Format
In today’s world, the use of computers and electronic HVAC system with fire/smoke dampers is installed.
• Only listed IT equipment is installed.
devices has become widespread and the Mark H. Zang-
• The only occupants that may be admitted are per-
meister Center is no exception. Electronic medical re-
cords have become the backbone of top-quality patient sonnel necessary for the maintenance and functional
care. The complexity of treating a cancer patient means operation of the IT equipment.
September.October 2007 IAEI NEWS 19
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3. ITE AND CANCER TREATMENT
describe applications when certain ad-
ditional requirements are necessary or
when certain exceptions can be made
to provisions found in the previous four
chapters. If the allowances granted by
Article 645 are not needed, installation
in accordance with chapters 1 through
4 is all that is required.
The initial design of the IT equip-
ment room already included a unlim-
ited power supply system, two separate
HVAC systems, a Liebert underfloor
cooling system and in-rack cooling sys-
tem; the equipment to be installed was
listed IT equipment; and access to the
room was limited to IT personnel. An
additional safeguard included in the
design was a 200-kVA optional standby
generator system that is independent of
Photo 2. Linear accelerator which produces 23 million electron volts uses radiation the building’s emergency generator system.
to shrink tumors
By its inherent design and by recognizing that the
• The room is separated from other occupancies by leniencies prescribed by Article 645 would be benefi-
fire-resistant-rated walls, floors, and ceilings with pro- cial, the designers made the logical design choice to
tected openings. proceed with Article 645. Subsequently, the center
Chapters 1 through 4 of the NEC are mandatory, and consulted with American Power Conversion (APC)
chapters 5, 6 and 7 apply to special occupancies, special for design services and proceeded with an Article 645
equipment or other special conditions. These chapters installation. Meeting the requirements prescribed by
Photo 3. An emergency power off (EPO) button complying with the disconnecting
requirements of 645.10 located at the principal exit door. Photo 4. Dedicated underfloor cooling unit is utilized to control ambient conditions.
20 IAEI NEWS September.October 2007 www.iaei.org
4. ITE AND CANCER TREATMENT
Photo 5. 80 KW uninterrupted power supply (UPS) ensures continuity of mission
critical systems.
treatment and support services for cancer patients,
under one roof. “With 14 physicians on staff and
advancements in medical technology, it is with great
hope we can increase the five-year survival rate from
60 percent today, to maybe 70 or 80 percent tomor-
row,” says Balasky.
American Cancer Society. Cancer Facts & Figures 2007. Atlanta:
1
American Cancer Society: 2007
The Mark H. Zangmeister Center is located at 3100 Plaza Properties
2
Blvd., Columbus, Ohio 43219
Photo 6. Listed ITE rack storage system
Tim McClintock is an electrical inspector for Wayne County,
Article 645, the Zangmeister Center has a reliable IT
Ohio. McClintock is certified in the state of Ohio as an electrical
equipment installation that is designed to evolve with
safety inspector, electrical plan examiner and building official.
changing technology. He is also certified with the ICC as a commercial electrical in-
spector, electrical plan examiner and electrical code official. He
is a past president of the Ohio Chapter, IAEI and is currently the
Conclusion
Ohio Chapter secretary/treasurer and Akron Division president.
The Mark H. Zangmeister Center simplifies access McClintock represents the IAEI as an alternate member of NEC
to medical expertise by providing complete testing, Code-Making Panel 12.
September.October 2007 IAEI NEWS 21
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