Healthcare environments

Operating Theatre Environmental Verification

Filter leakage, recovery, visual airflow assessment and protection-level measurement supporting initial acceptance and periodic verification of operating theatres, where required by the applicable healthcare standard.

Sectional diagram of an operating theatre with a unidirectional-flow filter ceiling over the operating table, low-level return openings, and four marked verification activities: filter leakage testing, recovery-time measurement, visual airflow testing and degree-of-protection measurement
The four measurement activities Topas identifies for operating-theatre verification, mapped onto a unidirectional-flow theatre

Governing references

DIN 1946-4Ventilation in buildings and rooms of health care ISO 14644-3Test methods shared with cleanroom work — filter leakage, recovery and airflow SWKI VA105-01Regional operating-theatre verification context 

These are regional or project-specific references and are not automatically Indian statutory requirements. The applicable scope for an Indian facility is set by national and state regulation, accreditation requirements and the project specification.

Activity 01

Installed ceiling filter integrity

The ceiling filter array of a unidirectional-flow theatre is an installed filter system in exactly the sense the cleanroom method addresses: media, frame, gasket or gel seal, mounting arrangement and accessible housing interfaces, all of which can allow local leakage that the filter element alone would not.

The measurement chain is the same one used for a cleanroom ceiling — a challenge aerosol upstream, a diluted upstream reference measurement, and a systematic downstream scan with a rectangular isokinetic probe matched to the particle-counter flow.

Full filter-integrity method →
Installed filter integrity measurement architecture showing challenge-aerosol generation, a sampled upstream branch through dilution to a reference particle counter, and downstream scanning of the filter face
The same measurement chain applied to a theatre ceiling filter array.
Conceptual plot of airborne particle concentration against time showing the challenge increase, the decay after the challenge is stopped, and the interval until concentration re-enters the specified condition band
Conceptual recovery profile — illustrative, not measured data.
Activity 02

Recovery performance measurement

A controlled particle challenge is introduced and the decay of particle concentration is measured to characterise how the theatre returns toward its specified condition. The result belongs to the specific room, its ventilation system and the challenge used; it is not a transferable figure.

01Establish initial condition
02Introduce challenge
03Stop the challenge
04Measure decay
05Determine behaviour

Technologies: an ATM 228 challenge-aerosol generator and a CPA 341 particle counter, with the result recorded and evaluated in software.

Activity 03

Airflow visualisation and outflow assessment

In a unidirectional-flow theatre, the question the fog answers is whether the displacement flow actually reaches the protected zone intact. Fog makes visible where flow separates around the surgical light head, around suspended equipment and around the surgical team; where the boundary of the unidirectional field actually lies; and how air behaves at the transition to the surrounding room.

This is a qualitative observation method. It is the natural first test because it tells you where to look, but it does not produce a velocity value and does not replace quantitative measurement where the applicable standard specifies one.

Sectional diagram of an operating theatre showing unidirectional downflow from the ceiling filter array over the protected zone and operating table, with low-level return openings on both side walls
Unidirectional field, protected zone and return path — the geometry the fog test makes observable.
Topas CFG 291 portable condensation fog generator with spot probe used for operating-theatre airflow visualisation
CFG 291 — dense, highly visible, stationary fog with low-pulse output.

Fog-generation quality and flow-disturbance control

A pulsing or turbulent fog source introduces its own disturbance into the field being assessed. The CFG 291 combines optimised fluid guidance with a purpose-built evaporator to produce a uniform, low-pulse output, and the spot probe places the fog precisely where the observation is needed.

View the CFG 291 →
Activity 04

Protected-zone degree-of-protection measurement

Protection-level measurement asks a different question from classification. It does not ask how clean the room is; it asks how effectively the protected zone is being shielded from the air around it.

A test aerosol is released at the periphery, outside the protected zone. One measurement is taken there as the reference, and a second inside the protected zone. The protective effect is derived from the relationship between the two, in the manner and against the acceptance criterion set by the governing requirement.

Topas associates protection-grade operating-theatre measurement, in its ADD 536 documentation, with DIN 1946-4 and SWKI VA105-01, both regional references applied where the project or the local regulation calls for them. The same documentation also cites VDI 2167 Part 1, which has since been withdrawn — current project requirements should be established from the applicable healthcare ventilation standard and the project specification rather than from that sheet.

Schematic of protection-level measurement showing a unidirectional supply field over a defined protected zone, a peripheral test-aerosol source, a reference measurement outside the zone and a paired measurement inside it
No acceptance criterion is shown; it is defined by the governing requirement.
Protection-measurement configuration

The Topas ADD 536 is the aerosol distribution and dilution system used for protection-grade measurement in operating theatres where the applicable healthcare test method requires it. Its configuration follows the protected-zone geometry, measurement positions and acceptance method defined for the project.

Standards

Standards applicability and regional context

Operating-theatre ventilation verification is governed regionally. The references below are the ones most often cited in this field internationally.

Reference roles depend on the healthcare project, jurisdiction and room-performance specification.
ReferenceEdition / statusContext
DIN 1946-4 2018-09 + A1:2025-11Current published reference Operating-room and health-care ventilation verification where applicable
SWKI VA105-01 Current published reference Swiss and regional operating-theatre verification context where applicable
ISO 14644 / ISO 14644-3 2019 (Edition 2)Current published reference General cleanroom and controlled-environment context, and test-method context for filter leakage, recovery and airflow

Scroll the table horizontally →

Regional scope

These are regional and project-specific references. They are not automatically Indian statutory requirements. The applicable verification scope, method and acceptance criteria for an Indian healthcare facility are set by the applicable national and state regulation, the accreditation requirements that apply to the facility, and the project specification.

Reference designation

The Topas cleanroom test equipment documentation lists this healthcare ventilation reference as “EN 1946-4” while quoting the title associated with DIN 1946-4 (ventilation and air conditioning — ventilation in buildings and rooms of health care). Confirm the exact designation and edition applicable to the project before citing it on a project document.

Standards applicability
Regional scopeHealthcare ventilation requirements vary by country, project and facility specification. DIN, VDI and SWKI references are regional or project-specific and should not automatically be treated as Indian statutory requirements.
ISO 14644-3does not by itself define operating-theatre acceptance criteria.
Measurement technologies

Verification measurement technologies

Each verification activity uses a different combination of challenge source, measurement and sampling. The table maps that; the products below are the items themselves.

Mapping of each verification activity to the measurement technologies that support it.
ActivityChallenge / sourceMeasurementSampling
Filter leakageATM 228 challenge aerosolCPA 341 upstream reference and downstream detection, with DIL 544 dilution on the sampled branchSYS 529 rectangular isokinetic probe
RecoveryATM 228 challenge aerosolCPA 341 concentration decayDirect sampling at the defined location
Airflow visualisationCFG 291 condensation fogVisual observation and recordingNot applicable — qualitative method
Degree of protectionTest aerosol at the peripheryPaired particle measurement inside and outside the protected zonePositions set by the governing requirement

Scroll the table horizontally →

View all products for this application →
Verification software & configured systems

Verification software and configured systems

These supporting technologies are specified against the verification method, interfaces and protected-zone geometry required for the project.

Software

OPQWin

OPQWin supports Topas operating-theatre measurement and evaluation workflows. Software scope, interfaces and version are confirmed against the required verification method before project specification.

It is not generic cleanroom software. CRQWin is the separate application for cleanroom qualification, classification, filter-integrity and recovery evaluation, and the two should not be substituted for one another.

CRQWin in the filter-integrity chain →
Configured measurement system

ADD 536

Aerosol distribution and dilution system for protection-grade measurement in operating theatres, where the applicable healthcare test method requires it. Configured against the project and the measurement positions set by the governing requirement.

Discuss a project requirement →

Operating-theatre verification system configuration

Share the theatre ventilation concept, the ceiling filter arrangement, the verification activities the applicable standard requires and the reporting the facility needs.