Can advanced elevatoring technology take vertical hospitals to the next level?

Doug King recalls the Odyssey project and ponders vertical transportation in high rise healthcare design.

The second in a series of blog articles on the promise of Vertical Hospital Environments.

It all comes down to elevatoring.

Moving inpatients, outpatients, materials and supplies, visitors and staff within acceptable ranges of performance determines the success of high-rise healthcare projects. Addressing vertical transportation, therefore, is a major challenge for a successful high rise healthcare structure.

The forces of economics have mandated a reduction in elevator shaft size while functionality demands for cab size, performance and ride comfort have increased.  Further refinements in automated guided vehicles and increased pneumatic tube system reliability have resulted in more efficient elevatoring.

As numerous super tall buildings continue to be envisioned and built worldwide, research and development in the elevator industry has advanced to address the needs of moving people through vertically-oriented structures. These developments in elevatoring translate to healthcare projects very nicely.


Recent developments in elevator systems include destination dispatching, the use of predictive technology in  intuitive elevator call systems and various innovations to eliminate the use of counterweights (allowing cabs to be larger). These innovations have not only increased the quality of elevator rides but have sped up the response time and reduced elevator shaft footprint requirements.

Specifically, the new generation of destination dispatching technology allows elevators to be disengaged from the elevator bank concept and individual elevator cab designations. This frees up design options in terms of elevator cab placement, optimizing functionality in a healthcare environment.

Perhaps the coolest technology in elevators is one that has never been widely implemented. In the mid-1990s elevator giant Otis conducted a research project called Odyssey. Otis developed an elevator system that allowed elevator cab occupants to travel both vertically and horizontally within the same cab, with the option to travel vertically again. Sounds futuristic, but Otis invested significantly in research and publicity for this concept (go ahead and Google it or see this Popular Science mention from 1997) even building a “secret” test facility at a major American tourist attraction. The test facility was no “joy ride,” but actually a functioning elevator element in a hotel.


When the construction market slowed in the late ‘90s, Otis put the Odyssey project on hold and switched its focus away from new product development.

One can’t help but think about the prospect of hybrid elevator systems such as Odyssey for the design of vertically-oriented healthcare facilities. Floor space could be freed up for healthcare treatment functions, way-finding from parking garages to outpatient/ambulatory care spaces could be simplified and facilities could offer more flexibility in terms of staff movement. The numerous possibilities are exciting to contemplate. One elevator consultant remarked “They would need to rethink vertical transportation planning metrics”

Advancements such as Odyssey suggest that future innovation in elevator technology will almost certainly have a significant effect on our designs for high-rise hospitals. The elevator industry can take vertical healthcare to the next level.

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