EP0025540B1 - Dispositif de support d'appareils médicaux monté pivotant au plafond de la corosserie d'une ambulance - Google Patents

Dispositif de support d'appareils médicaux monté pivotant au plafond de la corosserie d'une ambulance Download PDF

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Publication number
EP0025540B1
EP0025540B1 EP80105171A EP80105171A EP0025540B1 EP 0025540 B1 EP0025540 B1 EP 0025540B1 EP 80105171 A EP80105171 A EP 80105171A EP 80105171 A EP80105171 A EP 80105171A EP 0025540 B1 EP0025540 B1 EP 0025540B1
Authority
EP
European Patent Office
Prior art keywords
container
holding apparatus
accordance
ambulance
roof
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Expired
Application number
EP80105171A
Other languages
German (de)
English (en)
Other versions
EP0025540A1 (fr
Inventor
Ludwig J. C. Lehmann
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Binz GmbH and Co
Original Assignee
Binz GmbH and Co
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Priority claimed from DE19792936858 external-priority patent/DE2936858C2/de
Priority claimed from DE19803003687 external-priority patent/DE3003687C2/de
Application filed by Binz GmbH and Co filed Critical Binz GmbH and Co
Priority to AT80105171T priority Critical patent/ATE5940T1/de
Publication of EP0025540A1 publication Critical patent/EP0025540A1/fr
Application granted granted Critical
Publication of EP0025540B1 publication Critical patent/EP0025540B1/fr
Expired legal-status Critical Current

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G3/00—Ambulance aspects of vehicles; Vehicles with special provisions for transporting patients or disabled persons, or their personal conveyances, e.g. for facilitating access of, or for loading, wheelchairs
    • A61G3/001—Vehicles provided with medical equipment to perform operations or examinations

Definitions

  • the invention relates to a lid-like holding device for medical devices for emergency care, which is pivotally fastened to the ceiling of the interior of the body of an operating ambulance and which rests against the ceiling when pivoted upwards, the devices being freely accessible from the vehicle interior when the holding device is pivoted down.
  • a corresponding holding device is known from DE-B-1 251 910 and consists of a press plate having a U-profile, which is welded to an essentially flat cover plate on the open side of its U-profile.
  • the holding device is arranged as a hinged lid on a recess formed on the ceiling of the interior. Hook and securing elements are attached to the pressed sheet with the U-profile forming the inside of the lid, which allow the attachment of an infusion bottle when the holding device is folded down. After the infusion has been carried out, the infusion bottle is removed from the holding device, which is then pivoted upward, so that the hook and fastening elements are accommodated in the recess, which is now covered by the holding device. In this folded-up position, the holding device should not and cannot serve to hold an infusion bottle or the like.
  • this known holding device makes it possible to hold an infusion bottle or the like filled with blood supplies or blood substitute solutions, which is connected to a patient's vein by tubing and cannula for transfusion or infusion, in such a way that it does not interfere when not in use, but on the other hand always at hand is not swinging even if the vehicle is shaken and the cannula does not tear out of the patient's vein.
  • this holding device is unsuitable for the permanent storage of an infusion bottle intended for future emergency use, since the same cannot be accommodated with adequate protection.
  • the infusion bottles u. Like. As well as the infusion set often have to be searched from different places in the vehicle. Overall, the preparations take a certain amount of time and can also contribute to a considerable and undesirable hectic of medical personnel.
  • the object of the invention is to provide a holding device for an operating ambulance which enables protected and nevertheless easily accessible accommodation of the medical devices in emergency use without any time delay and does not restrict the space available for the care personnel.
  • the holding device is designed as a trough-like container in which the medical devices are protected both in the up and in the swung-down state and are ready for use in an emergency or fully connected.
  • the like. are provided so that the devices and infusion containers for emergency use are kept ready in a central location in the immediate vicinity of the patient for immediate use or application.
  • infusion agents are contained in one of the containers, they must be at a temperature of at least 20 ° C when infusing in order to avoid damage to health, in particular shock conditions, for the emergency patients, who as a rule already have a heat deficit, so that the infusions are too cold would mean a significant additional burden.
  • a temperature range of 25 ° C to 35 ° C can be regarded as optimal.
  • a thermostatically controlled heater is arranged in the container, which prevents the infusions from cooling down inadmissible and thus avoids long warm-up times, which would otherwise be necessary, since infusions are only gentle, i.e. with moderate heat, may be heated.
  • a thermostat-controlled heat exchanger can be arranged in the space enclosed by the container, which heat exchanger can be connected to a vehicle's own cooling or air conditioning system for cooling this space.
  • This heat exchanger can preferably be connected to the evaporator or the condenser of the cooling or air conditioning system via a line carrying a heat transport medium, the heat exchanger serving to cool the room in the former case and to heat it in the latter case.
  • the stored blood and infusion solutions are therefore protected against both hypothermia and overheating.
  • the required heating of the container can be designed as an electrical resistance heater with one or more resistance lines, which are placed on an insulating layer, e.g. a plastic film, applied and covered by a cover, e.g. also made of plastic, are protected against damage.
  • the heating lines can be produced by methods known from the manufacture of printed electrical circuits, such as screen printing methods.
  • the container walls and the area of the interior ceiling covering the container in the folded-up state or the part connected to it are designed to be heat-insulating.
  • the container walls and the interior ceiling or the covering part above the container can have a heat-insulating coating, e.g. Made of a solid plastic foam that also acts as a cushion and protects the personnel of the emergency surgery vehicle from injuries.
  • the container can also consist at least partially of a heat-insulating rigid foam.
  • one or two containers 11 and 12 are mounted on the ceiling 10 of the vehicle, which according to FIGS. 2 and 3 are arranged around a hinge device 13, e.g. a sliding joint or pair of sliding joints can be folded down into the room.
  • a hinge device 13 e.g. a sliding joint or pair of sliding joints can be folded down into the room.
  • the articulation device lies within a bulge 28 of the vehicle ceiling 10, which is closed off at the bottom by the container 11 or 12 and has a slide 13a which is articulated on the ceiling 10 and can be pushed in a guide 13b on the container 11 (or 12) is guided and its pivoting movements are damped by a correspondingly designed pair of links 13c or the end positions thereof can be locked by the same.
  • the containers 11 and 12 are trough-shaped, their interior 19 together with the open bulge 28 in the folded-up position forming a space 40 which is sufficient for the attachment of the medical devices.
  • the tub space 19 is preferably larger than the space of the bulge 28.
  • Leather or rubber bands or the like can be provided in the containers 11 and 12 for additional fixing of the devices.
  • the trough-like containers 11 and 12 can have a foamed and padded layer 14 on the outside in order to avoid injuries to the container or to persons.
  • This layer 14 can be used together with a corresponding layer 14 ', which is arranged on the bulge 28, for heat insulation of the room 40.
  • a completely connected blood container 15 and an infusion bag 16 are mounted on hooks 17 with an infusion set (not shown).
  • an electric heater 41 is provided, which is powered by the vehicle electrical system and is operated by means of a thermostat 42, e.g. a thermostat-controlled switch is turned on or off. This switch can switch on the heating if the temperature in room 40 drops below 27 ° C and switch off again if a value of 30 ° C is exceeded.
  • the heater 41 is preferably arranged within the bulge 28, so that no movable electrical lines are required are such.
  • a corresponding heater can alternatively or additionally be arranged on the inside of the container 11. The same applies to the thermostat 42.
  • a heat exchanger 50 can be arranged, preferably likewise inside the bulge 28, which cools the room 40 above a temperature of approximately 33 ° C. based on a signal generated by the thermostat 42 for cooling the room 40 - or air conditioning of the vehicle can be connected. As soon as the temperature in the room 40 falls below a value of 30 ° C. again, for example, the heat exchanger 50 is uncoupled from the cooling or air conditioning system.
  • the heat exchanger 50 can be used both for heating the room 19 and for cooling it, as will be explained with reference to FIG. 8.
  • the heat exchanger 50 is optionally connected to a heat exchanger 54 or a heat exchanger 55 via lines 51, 52 carrying a heat transfer medium and a valve 53 controlled by the thermostat 42. In the position of the valve 53 shown, the heat transfer medium is conveyed by means of a pump 56 from the heat exchanger 54 to the heat exchanger 50 and from there back to the heat exchanger 54.
  • the heat transfer medium circulates between the heat exchanger 50 and the heat exchanger 55.
  • An in-vehicle air conditioning or cooling system has a heat pump 57 in which a heat pump medium is compressed in a known manner by means of a compressor 58, then passed through a condenser 59 and then expanded through a reducing valve 60 and into a vaporizer with reduced pressure and correspondingly reduced temperature 61 arrives, from where it is again taken up by the compressor 58.
  • the condenser 59 has a temperature that is higher than the ambient temperature
  • the evaporator 61 has a temperature that is lower than the ambient temperature.
  • the heat exchanger 50 Due to the thermally conductive connection of the evaporator 61 to the heat exchanger 54, the latter can be cooled accordingly, while the heat exchanger 55 can be heated accordingly due to its thermally conductive connection to the condenser 59.
  • the heat exchanger 50 can thus be kept at a temperature below the ambient temperature or at a temperature above the ambient temperature, so that cooling or heating of the space 40 by means of the heat exchanger 50 is possible.
  • the container 12 contains a breathing mask 22, a breathing mask 23 with a breathing bag, a children's breathing mask 24 and an automatic breathing apparatus 25 (as it is on the market, for example, under the trademark “Medumat”).
  • the oxygen supply takes place via a hose-like line 26, which leads to the breathing machine 25 and is laid through openings in the vehicle ceiling or behind the paneling of the vehicle and emerges from the ceiling within the fold-down container.
  • the bottle that supplies the oxygen is located at another suitable location in the vehicle.
  • the hose-like line 27 is used for suction via the breathing machine 25.
  • the containers 11 or 12 When the containers 11 or 12 are not in use, they are folded onto the ceiling 10 and do not, or at most only slightly, hinder the attending doctor or medic. When the container is folded down, the devices housed in it are immediately fully accessible to the attending physician.
  • the containers in the vehicle e.g. an ambulance, on both sides of a handrail provided there.
  • the holding rod can be interrupted at the point of use of only one container.
  • the hinges of the containers are advantageously located on their rear side, so that when installed, the internals (devices) can be operated from the front, ie from the supervisor's seat.
  • the distribution of the devices to the containers can also be provided in a different way.
  • FIG. 5 and 6 show an example of an arrangement of the containers 11 and 12 on the vehicle ceiling, the containers in FIG. 6 being assumed to be folded down.
  • a cable from the EKG device 30 to the electrode 21 is designated.
  • 31 are oxygen bottles for supplying the hose-like line 26.
  • Each container advantageously has a handle.

Landscapes

  • Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Devices That Are Associated With Refrigeration Equipment (AREA)
  • Medical Preparation Storing Or Oral Administration Devices (AREA)
  • Infusion, Injection, And Reservoir Apparatuses (AREA)
  • Air-Conditioning For Vehicles (AREA)

Claims (15)

1. Dispositif formant couvercle, pour la réception d'appareils médicaux (15, 16, 20 à 25) d'assistance d'urgence, fixé de manière pivotante au plafond (10) de l'intérieur d'une ambulance pour opérations et appliqué au plafond (10) quand il est rabattu vers le haut, les appareils (15, 16, 20 à 25) étant librement accessibles de l'intérieur du véhicule quand le dispositif de réception est rabattu vers le bas, caractérisé en ce que le dispositif de réception est un récipient (11, 12) en forme de coque, dans lequel les appareils médicaux (15, 16, 20 à 25) quand il est rabattu aussi bien vers le haut que vers le bas, sont protégés et sont rangés prêts pour une intervention d'urgence et complètement branchés.
2. Dispositif de réception suivant la revendication 1, caractérisé en ce qu'il est prévu à l'intérieur du véhicule au moins deux récipients (11, 12) (figures 5, 6), dont l'un (11) contient des flacons ou ballons de perfusion (15, 16), et l'autre (12), des appareils respiratoires (22 à 25) avec masque respiratoire et accessoires.
3. Dispositif de réception suivant une des revendications 1 et 2, caractérisé en ce que les tuyaux souples (26, 27), câbles ou conduites analogues nécessaires aux appareils (20 à 25) traversent le plafond du véhicule (10) - de préférence à double paroi - pour atteindre les appareils qui sont à l'intérieur du ou des récipient(s) (12).
4. Dispositif de réception suivant une des revendications 1 à 3, caractérisé en ce que le récipient (11, 12) comporte, sur sa face extérieure, une couche (14) de mousse artificielle ou de rembourrage.
5. Dispositif de réception suivant une des revendications 1 à 4, caractérisé en ce que l'articulation (13) de chaque récipient (11,12) est une articulation coulissante ayant un coulisseau (13a), qui coulisse d'une manière limitée dans une glissière (13b) fixée sur le récipient (11, 12), de sorte que ce dernier (11, 12), spécialement quand on le rabat vers le haut de sa position pendante dans sa position approximativement horizontale au plafond du véhicule, peut exécuter un déplacement approximativement parallèle à sa longueur, en référence à l'articulation (13).
6. Dispositif de réception suivant une des revendications 1 à 5, caractérisé en ce qu'on prévoit dans le plafond (10) du véhicule un renforcement (28) correspondant à chaque récipient (11, 12) et formant, en combinaison avec l'intérieur (19) - en forme de coque - du récipient (11, 12), un espace (40) pour le logement et la fixation des appareils médicaux (15, 16, 20 à 25) placés dans le récipient (11, 12).
7. Dispositif de réception suivant la revendication 6, caractérisé en ce que la profondeur du récipient (11,12) en forme de coque est plus grande que celle du renforcement (28) qui est au plafond (101 du véhicule.
8. Dispositif de réception suivant une des revendications 1 à 7, caractérisé en ce qu'à l'intérieur de l'espace (40) entouré par le récipient (11) quand il est rabattu vers le haut, est disposé un chauffage (41, 50) commandé par thermostat (42) pour tenir au chaud les récipients de perfusion (15, 16).
9. Dispositif de réception suivant la revendication 8, caractérisé en ce que, dans l'espace (40) entouré par le récipient (11), est disposé un échangeur thermique (50) commandé par thermostat, qui peut se raccorder à une installation de climatisation ou de refroidissement (pompe à chaleur 57) pour le refroidissement de cet espace (40).
10. Dispositif de réception suivant la revendication 9, caractérisé en ce que l'échangeur thermique (50) peut être relié au choix, par l'intermédiaire de conduites (51, 52) de transport d'un fluide caloriporteur, soit à l'évaporateur (61) soit au condenseur (59) de l'installation de refroidissement ou de climatisation (pompe à chaleur 57).
11. Dispositif de réception suivant une des revendications 8 à 10, caractérisé en ce qu'à l'intérieur de l'espace (40) entouré par le récipient (11) quand ce dernier est rabattu vers le haut, est disposé un chauffage électrique (41) à résistances.
12. Dispositif de réception suivant la revendication 11, caractérisé en ce que les résistances chauffantes (46) du chauffage électrique (41) sont disposées sur une couche (43) électriquement isolante et possèdent un revêtement (47) les protégeant contre des détériorations mécaniques.
13. Dispositif de réception suivant une des revendications 8 à 12, caractérisé en ce que les parois du récipient (11) et de la zone du toit du véhicule (renforcement 28) recouvrant le récipient (11) quand ce dernier est rabattu vers le haut possèdent une enduction (14, 14') thermiquement isolante, par exemple en une mousse de matière plastique.
14. Dispositif de réception suivant une des revendications 8 à 13, caractérisé en ce que le récipient (11) est constitué au moins partiellement en une mousse dure isolant thermiquement.
EP80105171A 1979-09-12 1980-08-30 Dispositif de support d'appareils médicaux monté pivotant au plafond de la corosserie d'une ambulance Expired EP0025540B1 (fr)

Priority Applications (1)

Application Number Priority Date Filing Date Title
AT80105171T ATE5940T1 (de) 1979-09-12 1980-08-30 An der decke des innenraumes der karosserie eines operations-krankenfahrzeuges schwenkbar befestigte haltevorrichtung fuer aerztliche geraete.

Applications Claiming Priority (4)

Application Number Priority Date Filing Date Title
DE2936858 1979-09-12
DE19792936858 DE2936858C2 (de) 1979-09-12 1979-09-12 Karosserie eines Operations-Krankenfahrzeuges oder ähnlichen Fahrzeugs mit einer Vorrichtung zur Aufnahme ärztlicher Geräte"
DE19803003687 DE3003687C2 (de) 1980-02-01 1980-02-01 Karosserie eines Operations-Krankenfahrzeuges o.dgl.
DE3003687 1980-02-01

Publications (2)

Publication Number Publication Date
EP0025540A1 EP0025540A1 (fr) 1981-03-25
EP0025540B1 true EP0025540B1 (fr) 1984-01-25

Family

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Family Applications (1)

Application Number Title Priority Date Filing Date
EP80105171A Expired EP0025540B1 (fr) 1979-09-12 1980-08-30 Dispositif de support d'appareils médicaux monté pivotant au plafond de la corosserie d'une ambulance

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Country Link
US (1) US4339146A (fr)
EP (1) EP0025540B1 (fr)
CA (1) CA1146613A (fr)

Families Citing this family (13)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5012880A (en) * 1990-05-14 1991-05-07 Abner Jerry L Mini-ambulance
US5497968A (en) * 1994-10-05 1996-03-12 Vancouver Island Helicopters Ltd. Emergency response equipment securing system and accessories
GB2349711B (en) * 1996-05-18 2000-12-27 Carnation Designs Ltd Motor vehicle management system
US5775758A (en) * 1996-05-20 1998-07-07 Eberspacher; Charles H. Portable emergency care facility
US6039377A (en) * 1996-05-20 2000-03-21 Eberspacher; Charles H. Portable emergency care facility
US5730410A (en) * 1996-06-10 1998-03-24 Archambault; Marc-Antoine Ceiling mounted displaceable support arm for suspending a device
EP1070494A1 (fr) * 1999-07-23 2001-01-24 Bollanti Veicoli Sanitari s.r.l. Ambulance pour premier secours équipée d'une chambre pour soins médicaux urgents apte à des traitements de patients
ES2163987A1 (es) * 1999-07-30 2002-02-01 Sola Antoni Fernandez Cabina para ambulancia, en especial para ambulancia medicalizada.
US6527075B1 (en) * 2000-11-08 2003-03-04 Mallinckrodt Inc. Vehicle incorporating gas storage vessel comprising a polymeric container system for pressurized fluids
US7143960B2 (en) * 2001-03-14 2006-12-05 3M Innovative Properties Company Liquid sample reservoir suitable for use with a spraying apparatus
WO2008063871A2 (fr) 2006-11-13 2008-05-29 Edward Lewis Sartin Véhicule de réponse d'urgence
CN103182122B (zh) * 2011-12-30 2016-03-02 北京谊安医疗系统股份有限公司 用于固定急救型呼吸机的锁定装置
US9186288B2 (en) 2012-10-30 2015-11-17 Aces Holdings, Llc Frame system for stretchered persons

Citations (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4154237A (en) * 1977-12-27 1979-05-15 Boeing Commercial Airplane Company Passenger emergency oxygen mask drop zone extender

Family Cites Families (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE1233980B (de) * 1963-12-21 1967-02-09 Binz & Co Operations- und Behandlungswagen
DE1251910B (fr) * 1964-07-31
US3505830A (en) * 1969-03-11 1970-04-14 Gus A Koerner Box refrigerated by vehicle air conditioning
DE7020796U (de) * 1969-06-03 1970-09-03 Fiat Spa Krankenwagen.
US4020986A (en) * 1975-05-02 1977-05-03 Mcatee James L Console caddy
DE2655022A1 (de) * 1976-12-04 1978-06-15 Bruno Kuemmerle Proviantklimaeinrichtung fuer fahrzeuge
FR2393568A1 (fr) * 1977-06-10 1979-01-05 Trigano Cie Internale Andre Unite sanitaire mobile
DE2740305A1 (de) * 1977-09-07 1979-03-15 Weinsberg Karosseriewerke Rettungswagen fuer kleinstkinder, insbesondere neugeborene
US4273374A (en) * 1979-01-03 1981-06-16 Portman Stanley J Anchoring device for intravenous bottle holder

Patent Citations (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4154237A (en) * 1977-12-27 1979-05-15 Boeing Commercial Airplane Company Passenger emergency oxygen mask drop zone extender

Also Published As

Publication number Publication date
CA1146613A (fr) 1983-05-17
EP0025540A1 (fr) 1981-03-25
US4339146A (en) 1982-07-13

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