It’s
lunchtime and across the hospital foyer doctors and nurses are hurrying to eat,
patients are wandering around in back-less gowns gripping IV poles and white-coated
staff are wielding trolleys of biological samples. I find Cees where he said he
would meet in the central hall and introduce myself. Cees is a Dutch engineer
with over 30 years of experience working with pneumatic tubes (currently at
Swisslog). He has offered to give me a tour of the hospital’s
pneumatic tube system, which he is currently working on. I have to thank Ilona
from Swisslog for setting this meeting up, a connection made after we started
corresponding about casino systems.
Cees
is intrigued as to why I am blogging about pneumatic tubes and we soon enter
into an animated discussion, as we make our way down a hospital corridor, of
their many fascinations. He tells me that the system has now been closed at the
hospital for almost two weeks while they have been doing some checks and
updating the system (replacing circuitory boards, changing diverters, adding
further maintenance stations and software updates). As a result the hospital has
had to hire eight people during the day, five in the evening and four at night
to transport blood and other tissues around the hospital. At a substantial
cost. Pneumatic tubes it seems, saves this hospital a lot of money when they
are in use.
Soon
we veer off the busy corridors and stairwells into the loud hum of the service
room on the 4
th floor (close to the laboratory on the 5
th).
Whoosh, a capsule whizzes by overhead. We head over to the pneumatic tube
system blowers, which wheeze and spin. A few more capsules arrive and are sent
out again. 1200 – 1400 a day Cees tells me, when the system is fully
operational, which is a lot for a relatively small system. We meet some other
members of the repair team and together we head off to the cafeteria where we
drink Coca Colas with our names on them and eat sandwiches. The team once
worked together for Coca Cola, designing a system which would deliver drinks to
customers at the front of stores by a tube (straight from the sky, Gods Must be
Crazy style). The system was never rolled out on a large scale but a proto-type
was installed in Copenhagen airport. You can watch the video of them installing
the system
here.
Over
lunch we talk about how different hospitals use pneumatic tube systems differently.
In some places there are few repairs needed, in others many. Mostly related to
human error. They laugh over the story of a nursing student who was told to
send some documents by pneumatic tube and put them straight into the system,
without a capsule. Breakdowns can happen at any time, the engineers are on
call. Their job is also to do preventive maintenance, which is why they are in the
hospital. They are using a well-fitted-out capsule which tests g-forces, speed
and shake, all factors which might disrupt the samples being carried. This
special capsule replaces the samples of blood which were previously used to
test the system, a problematic practice as Cees pointed out: not only expensive
but ethically complicated considering the circumstances of donation.
After
lunch we head back to the service room to see how the checks are going. There
is a little storeroom out the back, stacked with capsules and sending and
receiving stations. Cees shows me how they are updating the circuit boards,
which now need to store a lot more information as tracking becomes more widely
used. Everything he says needs to be traced, just in case there is “an
incident”: not only where the capsule is but also what is in the capsule and
who is sending it too. Barcodes are crucial in the tracing and one of the ways
in which pneumatic tube systems are changing.
We
talk for a while longer and Cees tells me a wonderful story about how engineers
use the skill of listening to sound (one of my
current research projects), what he called a “professional madness” in his field. If a
capsule gets stuck Cees says, you can hear a particular sound, a sisssssss and
you know where the blockage is. He had a colleague with a particularly “good
ear”. During his visits to hospitals he would have his head cocked, listening
for abnormalities in the system. The hospital staff wondered if he had escaped
from the psychiatric unit. Things have changed now and the systems are more
insulated, hidden away out of earshot.
Our
tour is at an end and once again I am amazed and how this system continually
adapts in each location and time period. Cees comments that he thought the
industry might be finished with the invention of the fax machine, but here they
still are. Pneumatic tube systems continually adjust to the market, changing it
in the process. The need for this technology does not seem to be abating. Most
new hospitals of a certain size have pneumatic tube systems installed. These
systems need continual maintenance and repair, all happening in the service
rooms and behind the walls of busy hospitals, the only sign of these systems in
place being during moments of breakdown or stoppage, when the white-coated
casual staff appear, wielding their rumbling trolleys with samples through the
corridors.
Image
my own.