JP6494450B2 - Medical container - Google Patents

Description

The present invention relates to a medical container on which a medical device is mounted and can be easily moved.

Patent Document 1 describes a relatively large number of patients when a large number of injuries or illnesses occur urgently in areas where medical facilities are not accessible, such as areas where large-scale disasters occurred, areas where conflicts have started, and remote areas. A mobile hospital system capable of comprehensive examination and medical treatment is disclosed.
This mobile hospital system includes water supply means for supplying water to several container vehicles, power generation means for supplying power, and oil supply means for supplying fuel to the power generation means.

  Patent Document 2 discloses an X-ray CT inspection vehicle in which an X-ray CT apparatus for inspection is mounted on a movable trailer. This technology is intended to be able to move freely and to accurately image and display the state (relative density distribution, structure) inside the cargo.

Although it could not be searched as a patent document, an “outdoor surgery system” has been realized that can be moved to a truck or transport ship with an operating room.

JP 2000-142111 A JP-A-8-127282

  X-ray CT apparatuses capable of confirming the state of an affected area are frequently used when an examination that is a premise of medical treatment is required. Since the X-ray CT apparatus uses X-rays, the shielding performance must be ensured so as not to be exposed to X-rays except for the subject.

Therefore, when it is going to provide the movable installation which mounts an X-ray CT apparatus, it will become a very large installation. The technique disclosed in Patent Document 1 is unlikely to be a technique that takes these points into consideration, and does not seem to exist as an actual product.
If a space as large as a transport ship and a drive facility capable of moving it are provided, it will be possible to provide a movable facility equipped with an X-ray CT apparatus. However, it is not possible to secure the freedom of movement as much as the trailer.
In addition, it is difficult to secure an independent power source for the X-ray CT apparatus due to physical limitations and the techniques disclosed in Patent Documents 1 and 2.

  In addition, in view of ensuring hygiene for the subject and ensuring hygiene for medical personnel caused by the subject, the desire to make the space that can accommodate the X-ray CT apparatus easy to disinfect is medical. Exists in the field. In consideration of such demands, it has been difficult to provide equipment that can be moved by a trailer equipped with an X-ray CT apparatus.

The problem to be solved by the first invention is to provide equipment capable of independently operating an X-ray CT apparatus while ensuring free mobility (transportability).

(First invention)
The first invention includes a CT chamber (21) that can store an X-ray CT apparatus (30), and a power supply chamber (22) that can store a power source necessary to operate the X-ray CT apparatus (30). Pertaining to the container (20) with
An operation chamber (23) for operating the X-ray CT apparatus (30) is located at a position between the power supply chamber (22) and the CT chamber (21), and the operation chamber Between the (23) and the CT chamber (21), there is provided a shielding wall (lead-containing wall 24) capable of shielding X-rays emitted when the X-ray CT apparatus (30) is operated.

(Glossary)
The “container” is an ISO standard marine container called a 40 ft type or a transport container having a larger inner space dimension than the 40 ft type. The “medical container” according to the present invention may be provided as a container that does not store the X-ray CT apparatus (30) in addition to the case where the X-ray CT apparatus (30) is provided as a container previously stored. It is intended to be included in the invention.
The “X-ray CT apparatus” is an apparatus for obtaining an image from X-ray data transmitted through an affected area. In general, analog X-ray data is processed into digital data.
`` Power supply room (22) '' can be selected when installing a generator (40), installing relay equipment that can be connected to an external power source and performing transformation, installing a storage battery, etc. And

(Function)
A power supply (eg generator 40) is installed in the power supply room (22), an X-ray CT apparatus (30) is installed in the CT room (21), and an X-ray CT apparatus (30) is operated in the operation room (23) Install equipment to do this. If electric energy is supplied from the power source (40) to the X-ray CT apparatus (30) and operated, the X-ray CT apparatus (30) can be operated independently.
Since the X-ray CT apparatus (30) can be operated independently, the inspection using the X-ray CT apparatus (30) is possible at the place where the container (20) is transported.

(Variation 1 of the first invention)
The first invention is more preferably formed as follows.
That is, in the CT chamber (21), the five surfaces other than the shielding wall (24) are also covered with shielding walls capable of shielding X-rays, and the corners of the inner wall of the CT chamber (21) are covered. Forms a curved surface.
The above-mentioned “curved surface” forms a round having a radius of about 5 to 10 millimeters by, for example, raising the floor material forming the uppermost surface of the floor to a predetermined height of the wall.

(Function)
Since the corners of the inner wall of the CT chamber (21) are not angular and curved, it is easy to clean and dries quickly after cleaning. Therefore, it is easy to suppress the propagation of various bacteria, and can contribute to reducing the cause of infectious diseases.

(Variation 2 of the first invention)
The first invention is more preferably formed as follows.
That is, the X-ray CT apparatus (30) includes a bed (32) on which a subject to be inspected lies and a scanner body (31) that moves relative to the bed (32) in the longitudinal direction. Prepare. The bed (32) and the scanner body (31) are installed so that the longitudinal direction of the bed (32) coincides with the longitudinal direction of the container (20).
As for the “scanner body (31)”, the phrase “moves in the longitudinal direction relative to the bed (32)” is because the bed (32) is the scanner body (31) as in the embodiment described later. The scanner body (31) may move relative to the bed (32), or the scanner body (31) and bed (32) may move relative to each other. is there.

(Function)
The longitudinal direction of the bed (32) is the longest dimension among the members to be stored in the CT chamber (21). By installing this so as to coincide with the longitudinal direction of the container (20), the bed (32) and the scanner body (31) are reasonably arranged. For example, the width dimension of the container (20) is sufficient for the 40 ft type, and there is no need to narrow down options for selecting the container (20) and its transport method.

(Variation 3 of the first invention)
The first invention is more preferably formed as follows.
That is, the operation chamber (23) is provided with an entrance (lateral door 29) for enabling entry into and exiting from the container (20).
An examinee in the X-ray CT apparatus (30) can come and go between the CT room (21) and the operation room (23) on the shielding wall (lead-containing wall 24). A door (lead-containing door 25) and a window (lead-containing glass 26) for allowing the inside of the CT chamber (21) to be seen from the operation chamber (23) are provided.

(Function)
A subject to be inspected by the X-ray CT apparatus (30) and an operator who operates the line CT apparatus (30) enter and exit the container (20) through the doorway (lateral door 29). The inspected person enters and exits the CT room (21) from the operation room (23) using the door (lead door 25).
The operator can visually observe the person inspected in the CT room (21) from the window (leaded glass 26).

(Variation 4 of the first invention)
The variation 3 in the first invention is more preferably formed as follows.
That is, the scanner body (31) is installed so as to be located on the side far from the shielding wall (24).

  When the scanner body (31) is installed on the side far from the shielding wall (24), as a result, the bed (32) is installed at a position close to the shielding wall (24). Become. Therefore, the movement distance when the examinee moves to the CT room (21) to receive the examination from the operation room (23) is shortened.

(Variation 5 of the first invention)
The variation 4 in the first invention is more preferably formed as follows.
That is, the side wall of the container (20) corresponding to the CT chamber (21) is provided with a maintenance door (27) that opens the door to a position corresponding to the scanner body (31).

(Function)
The scanner body (31), which is the largest member in the CT chamber (21), is arranged in a state where there is not much room for the cross-sectional shape perpendicular to the longitudinal direction of the container (20). Therefore, when the X-ray CT apparatus (30) needs to be maintained, maintenance work is difficult.
By providing the maintenance door (27), it was possible to create a state that facilitates maintenance work. Since it is a double door, there is no possibility of interfering with the scanner main body (31), and it is not a sliding door, so the internal space of the CT room (21) is not narrowed.

(Variation 6 of the first invention)
More preferably, the medical container according to the first invention comprises a data transmission device capable of transmitting image data acquired by the X-ray CT apparatus (30) to a remote location.
“Remote location” means being in a location physically separated from the medical container according to the present invention. For example, if there is no doctor in the operation room of the medical container according to the present invention, the hospital where the doctor who can make a diagnosis or the like by looking at the image data acquired by the X-ray CT apparatus (30) is “remote” Become.

(Function)
The image data acquired by the X-ray CT apparatus (30) is transmitted to a remote place by the data transmission apparatus. This makes it possible for a doctor who is physically separated from the medical container according to the present invention to examine the transmitted image data. As a result, the doctor does not have to move to a place where the medical container according to the present invention is located.

(Variation 7 of the first invention)
The variation 6 of the first invention described above is more preferably formed as follows.
That is, the CT room, power supply room, and operation room have an environmental monitoring device that can acquire environmental data such as the temperature and humidity of each room, and at least the temperature in the CT room, power supply room, and operation room can be changed. An air conditioner, and the data transmission device can transmit the environmental data to a remote place.
Here, the “remote location” may be different from the “remote location” of variation 6 or may be the same.

(Function)
The environment monitoring device acquires environmental data such as the temperature and humidity of each room in the CT room, the power supply room, and the operation room. Then, the acquired environmental data is transmitted to a remote place by the data transmission device.
Since the air conditioner can change the temperature in the CT room, power supply room, and operation room, it is possible to communicate the operation instructions of the air conditioner from a remote place or directly operate the air conditioner from a remote place. .

(Variation 8 of the first invention)
The medical container according to the first invention is more preferably provided with an operation data receiving device capable of receiving operation data capable of operating the X-ray CT apparatus (30) from a remote place.
The “remote location” here may be different from the “remote location” of the variation 6 or may be the same.
In addition to the X-ray CT apparatus (30), the “operation data” may include data for operating the above-described air conditioner, generator (40), and the like.

When operation data for operating the X-ray CT apparatus is transmitted from a remote place, the operation data receiving apparatus receives the operation data. Then, the X-ray CT apparatus can be operated from a remote place by the operation data.

According to the first invention, it is possible to provide equipment capable of operating the X-ray CT apparatus independently while ensuring free mobility (transportability).

It is a right view of the container which concerns on embodiment of this invention, and the trailer which loaded the container. It is a left view of the container which concerns on embodiment of this invention, and the trailer which loaded the container. It is a see-through | perspective perspective view of the container which concerns on embodiment of this invention, and the trailer which loaded the container. It is a top view of the container which concerns on embodiment of this invention. It is a front view which shows the scanner main body in the container and X-ray CT apparatus which concern on embodiment of this invention. It is a conceptual diagram which shows the relationship between the container which concerns on embodiment of this invention, and the hospital in a remote place. It is a conceptual diagram which shows the relationship between the container which concerns on embodiment of this invention, and the hospital in a remote place. It is a conceptual diagram which shows the relationship between the container which concerns on embodiment of this invention, and the hospital in a remote place.

Embodiments of the present invention will be described with reference to the drawings. The drawings used here are FIGS. 1 to 8.
As shown in FIGS. 1 and 2, this embodiment is a medical container that can be loaded onto a trailer 10.

As the container 20, an ISO standard marine container called 40ft type was adopted. “40 ft” means that the total length is 40 feet (12.192 meters). The width dimension is 2.438 meters, and the height dimension is about 2.3 meters. If it is this size, transportation on land and sea is possible, and transportation by aircraft and helicopter is also possible.
However, the present invention is not limited to the 40 ft type container.

  As shown in FIG. 3, the container 20 includes a CT chamber 21 that houses an X-ray CT apparatus 30 and a power supply chamber 22 that houses a generator 40 that serves as a power source for various interior devices including the X-ray CT apparatus 30. And an operation chamber 23 at a position sandwiched between the power supply chamber 22 and the CT chamber 21.

In this embodiment, the CT chamber 21 has a length of 5.3 meters, the power chamber 22 has a length of 3.2 meters, and the operation chamber has a length of about 3.55 meters.
It is most reasonable to arrange the operation room 23 between the CT room 21 and the power supply room 22. This is because sound and vibration generated in the power supply chamber 22 can reach the CT chamber 21 due to the presence of the operation chamber 23.

When the container 20 is attached to the trailer 10, the power supply room 22 is located on the driver's seat side (front side) of the trailer, and the CT room 21 is the last. For convenience of explanation, the rearmost surface of the container 20 is a rear surface 20A. On the rear surface 20A, in the case of a 40 ft type container, a double door for loading and unloading luggage to be stored in the internal space is provided as a standard.
Although the X-ray CT apparatus 30 can be carried in from the door described above, it is performed from the maintenance door 27 described later.

An outdoor unit 39 of an air conditioner (air conditioner) provided in the CT room 21 is fixed to the rear surface 20A. This is because, even when the container 20 is mounted on the trailer 10, the protrusion of the outdoor unit 39 of the air conditioner (air conditioner) does not cause a problem even if the public road is operated.
However, this outdoor unit 39 is removed and stored inside the container 20 when the medical container 20 according to the present embodiment is transported by a transportation means (for example, a ship) other than the trailer 10.

  The CT chamber 21 and the operation chamber 23 are partitioned by a lead-containing wall 24. This is to block X-ray penetration into the operation chamber 23. The lead-containing wall 24 is provided with a lead-containing door 25 for allowing a patient (inspected person) to enter and exit the CT room 21, and an operator, a doctor, and the like can visually observe the CT room 21. Lead-containing glass 26 is provided.

The power supply room 22 and the operation room 23 are partitioned by a soundproof wall 28 whose sound insulation performance is improved by installing glass wool or the like. This contributes to suppressing the noise generated by the generator 40 from being transmitted to the operation room 23 and the CT room 21 as much as possible.
Further, the power supply room 22 and the operation room 23 are provided with a ventilation fan 50 as shown in FIG. 2, and the CT room 21 is also provided with a ventilation fan although not shown.

The power supply room 22 and the operation room 23 are provided with side doors 29 for carrying devices into the inside of the container 20 and for entering / exiting persons such as patients (inspectors) and doctors.
In addition, a staircase 60 with a landing can be attached and fixed to the side door 29 in the operation room 23 for humans to enter and exit. The staircase 60 can be folded and stored in the container 20, or stored on the roof surface 20B of the container. Therefore, it does not get in the way during transportation, and can be assembled and used after transportation.

  In the present embodiment, the side door 29 is positioned on the left side when the container 20 is installed on the trailer 10. In this embodiment, the vehicle is assumed to be used in Japan, the UK, or the like where the vehicle passes on the left side of the road. If the embodiment is intended to be used in North America, South America, the continent of Europe, etc., the side door 29 is preferably positioned on the right side when the container 20 is installed on the trailer 10.

  In the X-ray CT apparatus 30, the bed 32 and the scanner main body 31 are installed so that the longitudinal direction of the bed 32 on which the patient (inspected person) to be examined lies coincides with the longitudinal direction of the container 20. A system transformer 35 of the X-ray CT apparatus 30 is also installed in the CT room 21.

The scanner main body 31 employs a product having a lateral width of 2070 millimeters (height dimension is 1920 millimeters) so as to fit within the inner dimension of the CT chamber described later.
The bed 32 moves back and forth with respect to the scanner main body 31 by moving a patient (inspected person) lying there along the longitudinal direction in the CT chamber 21. Thereby, the scanner body 31 scans the affected area of the patient.

The operation room 23 is provided with an operation console 34 for operating the X-ray CT apparatus 30, and a desk 33 for making the operation console 34 easy to be confirmed by the operator is provided on the lead-containing wall 24 side. Is installed. The operation console 34 includes a data processing device (computer) that processes X-ray data acquired by the scanner body 31 as a digital image.
A patient (examinee) monitor camera 37 for displaying a patient (examinee) lying on the bed 32 is provided on the CT chamber 21 side of the lead-containing wall 24. In addition, a speaker and a microphone (not shown) are provided in the CT room 21 and the operation room 23 in order to have a conversation between the patient (examinee) and the operator or doctor.

  In the CT chamber 21, the five surfaces other than the shielding wall 24 are also covered with shielding walls capable of shielding X-rays. For example, the inner width of the CT chamber was 2178 millimeters. This is because a lead plate for shielding X-rays is provided.

Although not shown in detail, the corner of the inner wall of the CT chamber 21 is manufactured to form a curved surface. Specifically, flooring made of synthetic resin with excellent antibacterial and antifungal properties, chemical resistance, impact resistance, and dynamic load resistance from the floor surface to the wall surface is started up for about 1 meter. A curved surface (with a radius of about 5 to 10 millimeters) is formed at the corner.
For this reason, the corners of the inner wall of the CT chamber 21 are not angular but curved. Therefore, it is easy to clean and dries quickly after cleaning. Therefore, it is easy to suppress the propagation of various bacteria, contributing to reducing the cause of infectious diseases.

  According to the present embodiment, the power supply room 22 includes the generator 40, the X-ray CT apparatus 30 is installed in the CT room 21, and the operation console 34 for operating the X-ray CT apparatus 30 in the operation room 23. Is installed. By supplying electric energy from the generator 40 to the X-ray CT apparatus 30 and operating it, the X-ray CT apparatus 30 can be operated independently without relying on an external power source.

Since the X-ray CT apparatus 30 can be operated independently without relying on an external power source, the inspection using the X-ray CT apparatus 30 can be performed at the place where the container 20 is transported. For example, it can be transported by sea or land to a disaster area or conflict zone, or can be transported by air.
In addition, the generator 40 mentioned above employ | adopts what was provided with the power generation performance with a certain amount of surplus power even if the X-ray CT apparatus 30 and the air conditioner of each room were operated. For this reason, electricity can also be supplied to the outside of the container 20 according to the present embodiment.

  As shown in FIG. 3, the scanner main body 31 is installed so as to be positioned on the side far from the shielding wall 24 when the scanner main body 31 is stopped. Therefore, the bed 32 is installed at a position close to the shielding wall 24. As a result, the person to be inspected can be rationally arranged so that the movement distance when moving to the CT room 21 to receive the examination from the operation room 23 is short.

  As shown in FIGS. 3 and 4, a maintenance door 27 is provided on the side wall of the container 20 corresponding to the CT chamber 21 so as to open the door to a position corresponding to when the scanner body 31 is stopped. As a result, it was possible to create a state in which maintenance work of the equipment installed in the CT room 21 was easy. Since it is a double door opening, there is no possibility of interfering with the scanner main body 31, and since it is not a sliding door structure, the internal space of the CT chamber 21 is not narrowed.

  6 to 8 are conceptual diagrams showing what data is exchanged between the medical container 20 and a remote place (hospital) physically separated from the container 20. .

The scanner main body 31 in the X-ray CT apparatus 30 acquires the X-ray data of the affected part of the patient, and the digital image data is created by the data processing apparatus that is a part of the operation console 34. The same.
FIG. 6 shows a state in which the digital image data is transmitted to a remote hospital via a data transmission device and a public communication network. The transmitted digital image data is received by the data receiving device in the hospital and output to the image output device in the hospital.

  A doctor in a hospital away from the container 20 can make a medical examination by looking at the digital image data of the affected part of the patient output to the image output device. As a result, the doctor does not have to move to a place where the container 20 is located.

In FIG. 7, in addition to the data transmission device and the data reception device shown in FIG. 6, a doctor in the hospital and an operator of the X-ray CT apparatus 30 in the container 20 communicate with each other through a telephone line. It shows a state.
The data transmission device and the data reception device have a situation in which the transmission speed becomes extremely slow due to the congestion of the public communication network and the capacity of the digital image data to be transmitted. In addition, there may be a situation in which a doctor who has seen digital image data output from the image output apparatus wants to request another digital image data.

  In order to respond quickly to such a situation, it is most accurate and fast for the doctor and the operator to have a direct conversation. In such a case, it is desirable to make a telephone call using a telephone line different from the public communication network used when transmitting digital image data. For this reason, a telephone that can be called on a telephone line different from the public communication network is secured in the container and the hospital.

  In FIG. 8, the CT room, the power supply room, and the operation room shown in FIG. 3 and the like are equipped with an environment monitoring device that can acquire environmental data such as the temperature and humidity of each room, and the CT room, the power supply room, and the operation room. Each room is equipped with an air conditioner (air conditioner), and various devices in a container including the air conditioner can be remotely operated.

  The environmental data acquired by the environmental monitoring device is transmitted to the hospital in the same manner as the digital image data. In FIG. 8, the digital image data is transmitted through a data transmission device for transmitting data. However, the data transmission device is different from the data transmission device (for example, built in an environmental monitoring device). It is good also as transmitting via a data wireless transmitter.

Although the patient monitor camera 37 has been described with reference to FIG. 4, the moving image data and audio data acquired by the patient monitor camera 37 are output to an image output device of a hospital at a remote location. Furthermore, a microphone is installed in the hospital, and the microphone can output voice data picked up by the microphone to a speaker provided in the CT room of the container.
It is assumed that the patient monitor camera 37 and the microphone include a data wireless transmitter.

  By providing such a configuration, a patient who has entered the CT room and a doctor in a remote hospital can communicate with each other. Of course, an operator in the operation room can ensure communication with the patient monitor camera 37 and the speaker.

  In FIG. 8, an operation data transmission device for transmitting operation data for operating an air conditioner, a scanner main body, a data processing device, a data transmission device and the like provided in a container is provided on the hospital side. In addition, the container side has an operation data receiving device for receiving the operation data transmitted by the operation data transmitting device and sending the operation data to the air conditioner, the scanner body, the data processing device, and the data transmitting device. ing.

For example, when environmental data is output and checked by the hospital, or when a request is received from a patient via a patient monitor camera, operation data to change the temperature setting by the air conditioner in the CT room is transmitted. And the temperature in the CT room can be controlled.
Also, in order to output the digital image data desired by the doctor on the hospital side, operation data for operating any or all of the scanner body, the data processing device, and the data transmission device is transmitted to obtain the desired digital image data. You can also.

It has applicability in container manufacturing, container transportation, medical equipment manufacturing, medical equipment maintenance, medical equipment and trailer rental.

DESCRIPTION OF SYMBOLS 10; Trailer 20; Container (40ft type) 20A; Rear surface 20B; Roof surface 21; CT room 22; Power supply room 23; Operation room 24; Lead wall 25; Lead door 26; Soundproof wall 29; side door 30; X-ray CT apparatus 31; scanner body 32; bed 33; console desk 34; operation console (data processing apparatus) 35; system transformer 37; patient monitor camera 39; Machine 50; Ventilation fan 60; Retrofit staircase

Claims (7)

A container having a CT chamber capable of storing an X-ray CT apparatus, and a power supply chamber capable of storing a power source necessary for operating the X-ray CT apparatus,
An operation chamber for operating the X-ray CT apparatus is located at a position between the power supply chamber and the CT chamber,
Between the operation room and the CT room, a shielding wall capable of shielding X-rays emitted when the X-ray CT apparatus is activated ,
A data transmission device capable of transmitting image data acquired by the X-ray CT apparatus to a remote location;
In the CT room, power supply room and operation room, an environmental monitoring device capable of acquiring environmental data such as temperature and humidity of each room;
An air conditioner capable of changing at least the air temperature in the CT room, power supply room and operation room ,
The data transmission device is a medical container capable of transmitting the environmental data to a remote place .   The medical container according to claim 1, wherein the CT chamber is covered with a shielding wall capable of X-ray shielding, and a corner of an inner wall of the CT chamber forms a curved surface. The X-ray CT apparatus includes a bed on which a subject to be inspected lies, and a scanner body that moves in the longitudinal direction relative to the bed,
The medical container according to claim 1 or 2, wherein the bed and the scanner main body are installed so that the longitudinal direction of the bed coincides with the longitudinal direction of the container. The operation room is provided with an entrance to enable entry into and exit from the container,
The shielding wall includes a door that allows an examinee in the X-ray CT apparatus to move between the CT room and the operation room, and from the operation room to the CT room. The medical container according to any one of claims 1 to 3, further comprising a window for enabling visual observation. The medical container according to claim 4, wherein the scanner body is installed so as to be positioned on a side far from the shielding wall. The medical container according to claim 5, wherein a side wall corresponding to the CT room in the container is provided with a maintenance door that opens a double door to a position corresponding to the scanner body. The medical container according to any one of claims 1 to 6 , further comprising an operation data receiving device capable of receiving operation data capable of operating the X-ray CT apparatus from a remote place.