Classifications

• • F—MECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
  • F24—HEATING; RANGES; VENTILATING
  • F24F—AIR-CONDITIONING; AIR-HUMIDIFICATION; VENTILATION; USE OF AIR CURRENTS FOR SCREENING
  • F24F9/00—Use of air currents for screening, e.g. air curtains
• • 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
  • A61G10/00—Treatment rooms or enclosures for medical purposes
  • A61G10/02—Treatment rooms or enclosures for medical purposes with artificial climate; with means to maintain a desired pressure, e.g. for germ-free rooms

Definitions

• the invention is in the technological field of ventilation devices provided with an air flow diffuser to protect a sensitive area from the entry of external contamination. It relates to devices for decontaminating a gaseous fluid, of the aerological isolator type, that is to say intended to deliver a flow of decontaminated air or extract a flow of contaminated air, this in a portion of space of a room.
• the invention relates specifically to the technological field of aerological isolating devices:
• - comprising a mobile support frame allowing the overall movement of the device (in the movement position) relative to a bearing surface, in particular on the ground, and an air diffuser, (or air diffusion chamber),
• air diffusion chamber is multi-block with variable geometry, that is to say that it comprises at least two rigid plenums (diffusing portions) of air diffusion, mechanically connected together so as to be mobile relative to each other,
• the ambient air in the premises is permanently contaminated with micro-organisms from individuals and the environment (bacteria, viruses, yeasts, molds, etc.).
• the human body is thus surrounded by a considerable number of microorganisms.
• the germs present in the air have a double origin: environmental and human.
• the aerological bio-contaminating vectors of human origin include nasopharyngeal droplets, called Pflugge droplets (emitted during speech, coughing or sneezing), with a diameter generally between 5 and 100 microns. As they settle, the droplets lose their water and decrease in diameter to 0.5 microns, forming condensation nuclei. These are all the more dangerous because they are a concentrate of germs, they stay in the air for a very long time and they can enter the respiratory tract. In hospitals, the airborne flora of human origin is also composed of bacteria from the commensal skin and possibly digestive flora of the surgical, medical and patient teams.
• the environmental aerological bio-contaminant vectors include in particular dust or textile particles covered with microorganisms.
• the airborne flora of the outside air is mainly composed of bacilli, micrococci, staphylococci ... There are also gram-negative bacilli and anaerobic bacteria. Also part of this environmental flora, yeasts and fungi (e.g. aspergillus fumigatus, ). Finally, we find contaminated liquid particles in the air from the disturbance of contaminated water environments (legionellosis, etc.). In the air, the lifespan of bacteria is long enough for them to be considered as potential agents of infection.
• nosocomial infections At the international conference on nosocomial infections in 1970, it was estimated by Brachman that 10 to 20% of endemic nosocomial infections were airborne. Some of these microorganisms colonize the respiratory tract of patients and can, in the most fragile among them, be the cause of nosocomial respiratory infections. In addition, the protection of patients defending themselves badly against infection and / or the practice of invasive acts (i.e. exploration procedures or treatments that penetrate the skin, mucous membranes or into a natural cavity of the organism) can only be envisaged in a controlled microbial aerological environment.
• Aseptic protective isolation aims to avoid contact between an individual and a pathogen. These microorganisms can always be pathogenic (bacillus of tuberculosis %) or potentially pathogenic when it contaminates individuals with weakened immune defenses (bacillus pyocyanic, aspergillus, ). It aims to protect the immunocompromised patient against any contamination of environmental or human origin (from the environment, staff, other patients, visitors, ).
• Isolation room ie within a reduced materialized area, known as an “isolator”, placed inside a larger room.
• - septic (infectious) isolation rooms which are generally kept under negative pressure compared to adjacent premises, to avoid the exfiltration of infectious microorganisms in origin of a patient located in the room
• protective isolation or aseptic isolators which are generally maintained under positive pressure compared to the adjacent rooms, this to avoid the infiltration of infectious organisms and protect a sensitive patient located in the bedroom.
• the invention relates to insulators both positive pressure for aseptic isolation and negative pressure for septic isolation.
• the isolators or “bubbles” located inside a room are generally constituted by an envelope which surrounds either in the case of a septic isolator, an infectious patient, or in the case of an aseptic isolator (or clean room with a flexible wall), a sensitive patient.
• the classic decontamination method consists in introducing a very large amount of air inside the isolation room or into the effective volume of the insulator. The introduction of this quantity of air has the effect of either diluting the contaminated air before discharging it outside in the case of turbulent or "non-unidirectional" systems, or ensuring a repelling "piston effect" contamination to the outside in the case of laminar or "unidirectional” flow systems.
• the air is filtered upstream of the flow in the case of a room or aseptic isolator, and downstream of the flow in the case of a room or septic isolator.
• the equivalent terms will be used interchangeably: diffuser or air diffusion chamber.
• the equivalent terms will also be used interchangeably: air diffusing portion or air diffusing plenum.
• the air diffuser is in one piece (that is to say it comprises a single diffusing portion of air) and orientable.
• a first category of mobile ventilation isolation devices includes devices with mobile monobloc diffusers connected to their base (which includes an air cleaning system) by a flexible duct used for the passage of air.
• US Patent 4,166,350 Watson et al. describes a mobile device on the ground comprising a mobile cabinet on casters equipped with a decontamination means (consisting of an ionizer and an electrostatic precipitator) and a fan.
• a flexible hose is connected to the cabinet and leads to a conical diffuser.
• US Patent 4512245 Goldman describes a local smoke extraction device comprising an air treatment unit connected by a flexible air suction tube to a suction mouth.
• US patent 5129928 Chan et al. describes a portable device for local reduction of the allergen concentration in the air.
• the system comprises a base equipped with a fan, pre-filters, and a flexible air duct opening into a conical diffusion head equipped with a filter.
• US Patent 5,281,246 Ray et al. describes an air purifier intended to extract and filter the fumes. It consists of a cabinet on casters, fitted with filters and fans. A conical deflector is connected to an articulated duct conveying the sucked air towards the treatment cabinet.
• U.S. Patent 5,290,331 Miles et al. describes a cylindrical head for decontaminated air diffusion positioned in a localized region, connected by a flexible air tube to an air ventilation and decontamination system.
• Insulators of this first category a monobloc diffuser connected to an articulated or flexible duct can only be used for air treatment on small areas, because of the mechanical impossibility for their duct to support a large diffuser.
• Patent DE 3639708 Kreyenberg Karl Heinz describes a variant of insulator of this first category constituted by a monobloc diffuser in the shape of a half-torus provided with air diffusion holes and connected by a flexible pipe to a housing including decontamination means and pressurizing air, placed on a movable chassis on the ground. The diffusing torus is placed in an arc above a patient to create an air protective curtain of semi-cylindrical shape.
• a second category of mobile ventilation isolation device comprises devices with a one-piece air diffuser articulated on a mobile chassis.
• US Pat. No. 3,724,172 Wood describes an aseptic isolator with diffuser connected to a movable frame and positioned at the head of the bed or at the side edge of the bed and creating an air flow parallel to the mattress.
• the diffuser In its adaptable version at the head of the bed, the diffuser is fixed to the head of the mattress and can pivot with the latter.
• This device is of satisfactory use because the diffuser is too close to the sensitive area (the patient's head and body) and the horizontal position of the air flow makes it interfere with the patient's pillow and body, creating turbulence.
• US Patent 3385036 Webb describes an insulator with conical diffuser fitted internally with a filter, placed at the end of a bracket mounted on a movable chassis and connected to a fan secured to the chassis by a flexible hose.
• the diffuser is monobloc and tiltable.
• Haslebacher describe an insulator made up of a box including means of decontamination and pressurization of air placed on a mobile chassis on the ground and connected to a monobloc air diffuser by means of '' a flexible articulated pipe. So that the monobloc diffuser is tiltable.
• US patent 5,478,766 Merlin R. Vannier describes an insulator consisting of a movable lower chassis surmounted by a housing provided with a horizontal suction hood, including means for decontamination and pressurization of air, and surmounted by '' a horizontal monobloc diffuser with vertical lower diffusion.
• the diffuser is connected to the housing by an air hose adjustable in height so that the vertical position of the diffuser is adjustable.
• Insulators of this second category, with a monobloc diffuser articulated on a movable chassis cannot at the same time have a sufficiently large diffusion surface to horizontally cover a sensitive area of large dimensions (greater for example than that of a hospital bed , i.e. 2.2m x lm approximately) and allow it to be moved through a door (0.8 m wide approximately) of dimensions smaller than that of the sensitive area.
• a third category of mobile insulators includes devices made up of a tent with an interior monolithic diffuser.
• a device of this type with a fixed bar frame is described in GB 1066145 Bunyan John.
• Another device of this type with a fixed frame made of inflatable tubes is described in US Pat. No. 5,832,919 Hyundai Isao et al.
• Insulators of this third category with a tent with a monolithic diffuser have the defect on the one hand of being agonizing for people residing inside, in particular the sick; on the other hand to make access to the interior difficult, in particular for nursing staff, in the case of a patient isolation tent; and finally to require a long installation procedure.
• a fourth category of mobile ventilation isolation device includes variable geometry multi-block air diffuser devices; that is to say comprising several (at least two) plenums (air diffusing portions). This is the closest prior art to the invention.
• a device of this type is described in US patent 3935803 Louis Bush. It is a mobile device for aeraulic isolation of a sensitive area (consisting of a bed), against contaminated airborne aerosols, further having a bi-block diffuser (or air diffusion chamber) (that is to say with two portions of plenums connected) and offering a variable geometry of this air diffuser (that is to say a mobility d 'one of the plenum portions compared to the other).
• This isolation device comprises a console air diffuser, consisting of two rigid air diffusion plenums, mechanically connected together, movable with respect to each other and each having an air diffusing surface below. flat and porous to air.
• a relative movement means constituted by a horizontal axis and means for fixing in horizontal or vertical positions, allows a second rigid downstream mobile movable air plenum located at one end to pivot relative to the other first rigid plenum fixed air diffusion upstream of the diffuser. It also allows this second rigid downstream mobile plenum to be tilted relative to the chassis, in two distinct relative positions.
• the second mobile diffusing surface of the second downstream mobile plenum is horizontal and extends the first diffusing surface of the first fixed rigid upstream plenum linked to the chassis.
• These two diffusing surfaces form only one and are positioned horizontally opposite and at a distance from the ground.
• An air flow passes through the two diffusing surfaces in a substantially vertical air direction covering the sensitive area formed by the bed.
• the surface of the projection on the ground of the second movable downstream diffusing surface is maximum and covers the bed.
• the first diffusing surface of the first upstream plenum and the first upstream plenum are fixed relative to the frame.
• the device also comprises a chassis - vertical cabinet, of width substantially equal to that of the bed, and including physical means for decontaminating the moving air constituted by filters and a means for pressurizing the air constituted by a fan. .
• Aeraulic connection and air circulation means (constituted by this chassis - cabinet) aeraulically connect the fan, the filters and the two rigid air diffusion plenums of the air diffuser, and forcing the air flow to pass through their porous air diffusing surfaces.
• the chassis - mobile support cabinet is mechanically rigidly connected to the first fixed upstream plenum and indirectly to the second mobile downstream mobile plenum of the air diffuser. It rigidly supports the cabinet including the air decontamination filters and the air pressurization fan as well as the entire aeraulic connection.
• the chassis is provided with means for horizontal displacement of the chassis relative to the ground constituted by rollers.
• a first essential characteristic of this device of the prior art is that it comprises a single movable plenum with respect to its movable support chassis-cabinet, the other is fixed.
• this device comprises a single movable plenum with respect to its movable support chassis-cabinet, the other is fixed.
• this device in the folded position, this device according to the prior art has as its smallest dimension its width (width of the plenums). It is therefore in the longitudinal direction, that is to say along the axis of the plenums, that it most easily passes through a door.
• the minimum door width through which the device can be passed is greater than the width of the bed it must protect (i.e. 47 inches, or 120 cm) and equal to the width of its plenums.
• a second defect of this system according to the prior art is that the effective width of the plenums that it can implement is limited by the width of the doors. So that the volume of protection surrounding the patient is itself limited. This is harmful for the comfort of the patient and his protection.
• a second essential feature of this device of the prior art is that its physical air decontamination means are mainly located in the body of its chassis - cabinet and are constituted by filters. Because of this configuration, the size of the chassis - cabinet is very important: width substantially equal to that of the bed 47 inches or 120 cm and depth 30 inches or 76 cm. So that either the frame - cabinet is placed at the foot of the bed and in this case it completely blocks the view of the patient in this direction, inducing a feeling of imprisonment harmful to his comfort.
• a third defect of mobile ventilation systems with variable geometry of a bi-block diffuser and a single mobile plenum is that when they are used to protect beds, the area la more sensitive, and in particular the headboard must be located next to the most closed and vertically bulky area of the device. It will be understood that this considerably hinders the access of medical personnel to this sensitive area, by the headboard (which is the part of the bed which requires the most access by personnel: implantation of tubes, perfusions, disinfection, care. ..). These devices interfere with the work of hospital staff. In addition, the headboard is then the most congested area on the floor and vertically.
• the treatment cabinet uses the entire rear volume of the sensitive area that constitutes the head of the bed. However, the head of the bed is precisely the one where, traditionally, most of the medical technical equipment in the room is positioned (monitoring devices, resuscitation devices, gas delivery devices, etc.). So that these devices disrupt and hinder the operation of technical equipment.
• a fourth defect of mobile ventilation isolation devices with variable geometry of a bi-block diffuser and a single mobile plenum is that it comprises a mobile support carriage with fixed geometry. For reasons of space, the length of the frames of this carriage is much less than that of the overall cantilever diffuser in the open position of use. It will be understood that for this reason, the balance of this device according to the prior art is very precarious in the open position of use.
• a fifth defect of mobile a Vogellic isolation devices with variable geometry of bi-block diffuser and a single mobile plenum is that the different masses (chassis - cabinet %) which constitute the counterweight to the collapse of the device when the cantilever diffuser is in the open position of use, are fixed relative to the center of the support polygon. So that there is no way to counteract the displacement of the center of gravity towards the free end of the device, when the mobile plenum is deployed in the position of use. It will be understood that for this reason, the balance of the device according to the prior art is even more precarious in the open position of use.
• a sixth defect of mobile a Vogellic isolation devices with variable geometry of bi-block diffuser is that the lateral air curtain which it comprises is insufficient to stop penetration into the sensitive area of the bed, droplets of Pfl ⁇ gge emitted during the speech, cough or sneeze of a visitor or a nursing staff. These Pfl ⁇ gge droplets have a diameter generally between 5 and 100 microns and are emitted at very high speed (sometimes close to that of sound). So the air curtain is unable to stop them due to their high kinetic energy. This requires visitors and caregivers to wear a mask in the vicinity of the device, when it protects a highly immunocompromised patient, which is however its main function.
• a seventh defect of mobile ventilation isolation devices with variable geometry of a bi-block diffuser is that the lateral air curtain which it comprises is generally very noisy and consumes energy.
• An eighth defect in mobile aeraulic isolation devices with variable geometry of a bi-block diffuser is linked to its first particularity described above.
• the minimum lateral size of this device, in the movement position is equal to the protection width of the plenums. So that it is not possible to give these plenums a width sufficient to accommodate under the protected surface below the plenums of visitors or caregivers and / or equipment intended to enhance the lives of patients (tables, chair rest or reading, ). Otherwise the device could not pass through the doors.
• the invention relates to a mobile ventilation isolation device with a multi-block air diffusion chamber and with variable geometry, for protecting a sensitive area such as a bed against contaminating airborne aerosols.
• the isolation device is of the type comprising an air diffusion chamber (or diffuser) formed of at least two rigid air diffusion plenums, mechanically connected together so as to be movable one compared to each other.
• Each of the two rigid plenums is delimited by an outer envelope of substantially parallelepiped shape (possibly dihedral) with substantially rectangular section, having a bottom surface diffusing air substantially planar and porous to air, to allow the diffusion of air through.
• the outer envelope of each plenum is provided, at least at a first contact end, with a first end face free of contact (open) substantially perpendicular to the corresponding diffusing surface. This first end face free of contact is surrounded by an annular joint plane called an intermediate one of substantially identical dimensions and geometries for the two rigid plenums.
• the invention relates specifically to ventilation isolation devices with mobile plenum, that is to say further comprising a means of relative movement of at least one first mobile plenum with respect to the other second mobile plenum, and making it possible to the position one relative to the other in at least two distinct relative positions, one of which is said deployed relative position and the other is said to be folded relative position.
• the first diffusing surface of the first mobile plenum is substantially coplanar and contiguous and substantially in the extension of the second diffusing surface of the second mobile plenum.
• the intermediate joint planes of the mobile plenums are joined together, so that the mobile plenums are hermetically coupled.
• the first diffusing surface of the first mobile plenum is not in line with the diffusing surface of the second mobile plenum.
• the intermediate joint planes of the mobile plenums are separated from one another and uncoupled.
• a mobile plenum ventilation isolation device is of the type provided with at least one physical means for decontaminating the moving air passing through them, as well as at least one means for pressurizing air. It is equipped with aeraulic connection and air circulation means, aeraulically connecting the air pressurization means, the physical means (s) of air decontamination and a second free face of inlet of at least one of the two rigid plenums of the air distribution chamber, forcing the air flow to pass through the diffusing surfaces of porous air, when the plenums are in the deployed position hermetically coupled.
• a ventilation isolation device with movable plenum is of the type placed on a movable support frame, mechanically connected to the two rigid plenums of the air diffusion chamber, to the physical medium (s) of air decontamination, to the means (s) of pressurizing air and to the aeraulic connection means.
• This mobile support frame is provided with means for horizontal movement of the frame relative to the ground.
• a first essential and characteristic feature of a mobile ventilation isolation device according to the invention with respect to mobile plenum systems of the prior art is that, in addition, it comprises at least one complementary means of absolute movement from the group of two rigid plenums with respect to the mobile support frame. So that a mobile ventilation isolation device with mobile plenums according to the invention is easily recognized by the fact that its first rigid plenum and its second rigid air diffusion plenum are both movable relative to the other and relative to the chassis.
• FIGS. 1 to 10a represent a first alternative embodiment of a mobile device (la) for air isolation according to the invention provided:
• Figure 1 is a left view of a mobile ventilation isolation device (la), in the closed position (movement on the ground) when passing a door.
• Figure 2 is a left view of a mobile ventilation isolation device (la), in the open position (fixed use) covering a hospital bed.
• Figure 3a is an upper rear perspective view of a mobile air isolation device (la), (of the single width type of plenums) in the open position
• FIG. 3b is a top rear perspective view of a mobile ventilation isolation device (la), (of the large plenum width type) in the open position (fixed use) covering a hospital bed.
• la mobile ventilation isolation device
• Figure 4 is a front perspective view of a mobile air isolation device
• FIG. 5 is a rear perspective view of a mobile ventilation isolation device (la), in the closed position (movement on the ground).
• Figures 6a and 6b are views from the left and from the rear rear perspective of the diffuser and of a mobile ventilation isolation device (la), in the open position (fixed in use).
• Figure 7 is a front perspective view, in bottom view, of a mobile ventilation isolation device (la), in the open position (fixed use).
• FIG 8 is an exploded rear perspective view of a mobile ventilation isolation device (la), in the open position (stationary for use).
• FIGS. 9a to 9h show, in an upper rear perspective view, the different stages of fitting a mobile ventilation isolation device (la), from a closed position (of movement on the ground) towards the open position ( fixed use):
• FIG 10 is a detail view on the left of a mobile ventilation isolation device (la) showing the arrangement of means for compensating for the effects of gravitation (jacks) on the plenums.
• FIGS. 11 to 20 represent a second alternative embodiment of a mobile device (lb) for air isolation according to the invention provided:
• Figure 11 is a left view of a mobile ventilation isolation device (lb), in the closed position (movement on the ground) when passing a door.
• Figure 12 is a left view of a mobile ventilation isolation device (lb), in the open position (fixed use) covering a hospital bed.
• Figure 13 is an upper rear perspective view of a mobile ventilation isolation device (lb), in the open position (fixed use) covering a hospital bed.
• Figure 14 is a front perspective view of a mobile ventilation isolation device (lb), in the closed position (movement on the ground).
• Figure 15 is a rear perspective view of a mobile ventilation isolation device (lb), in the closed position (movement on the ground).
• Figures 16a and 16b are views from the left and from the upper rear perspective of the diffuser and of a mobile ventilation isolation device (lb), in the open position (fixed in use).
• Figure 17 is a front perspective view, in bottom view, of a mobile ventilation isolation device (lb), in the open position (fixed use).
• Figure 18 is an exploded rear perspective view of a mobile ventilation isolation device (lb), in the open position (stationary for use).
• FIGS 19a to 19h show, in a higher rear perspective view, the different stages of setting up a mobile ventilation isolation device (lb), from a closed position (movement on the ground) to the open position ( fixed use):
• Figure 19a in ground movement mode, overall position of the plenums retracted vertically, with downstream plenum folded against the upstream plenum, feet raised,
• Figure 19g overall advanced position of the plenums horizontally, with the downstream plenum deployed and covering a bed
• Figure 19h in use mode with curtains and covering a bed.
• Figure 20 is a detailed view of the relative axis of rotation of the plenums of a mobile ventilation isolation device (lb).
• FIGS. 21 to 33a show a third alternative embodiment of a mobile ventilation isolation device according to the invention provided with: a means of relative movement of the plenums by rotation about a mobile horizontal axis of relative movement linked to one and the other of the plenums, and of a complementary means of absolute movement of the group of two rigid plenums of the type by horizontal translation of the mobile horizontal axis of relative movement.
• Figure 21 is a left view of a mobile ventilation isolation device (le), in the closed position (movement on the ground) when passing a door.
• Figure 22 is a left view of a mobile ventilation isolation device (le), in the open position (fixed use) covering a hospital bed.
• Figure 23 is a rear perspective view of a mobile ventilation isolation device (le), in the open position covering a hospital bed.
• Figure 24 is a front perspective view of a mobile ventilation isolation device, in the closed position.
• Figure 25 is a rear perspective view of a mobile ventilation isolation device (le), in the closed position.
• FIGS. 26a and 26b are views from the left and in upper front perspective of the diffuser of a mobile ventilation isolation device (le), in the open position with covers removed.
• Figure 27a is a front perspective view of a mobile ventilation isolation device (le), in the closed position, hoods removed.
• Figure 27b is a front perspective view of the hoods alone of a mobile ventilation isolation device (le), in the closed position.
• Figures 28a to 28f show the different phases of setting up a mobile ventilation isolation device (le), from a closed position (called ground movement) to the open position (called fixed use):
• Figure 28a closed position next to a hospital bed, view from the left
• - Figure 28b semi-closed position with axis of rotation of the plenums advanced
• front perspective view
• Figure 28c semi-closed position with axis of rotation of the advanced plenums, and front plenum raised and fixed, front perspective view
• Figure 28e open position with axis of rotation of the plenums advanced, and front and rear plenums raised and fixed, covers closed, in the high position, front perspective view,
• Figure 28f open and high position on a hospital bed, rear perspective view.
• Figure 29a is a detail view in upper front perspective of the means for sliding the axis of rotation of the movable plenums and the means for locking the chassis of the front plenum relative to the chassis.
• Figure 29b is a detailed rear perspective view of the disengageable movable means for securing the movable plenums.
• Figures 30a and 30b are front and partial perspective views from the left of the chassis alone in the closed position.
• Figure 31 is a front perspective view of the chassis alone in the open position.
• Figure 32 is a front perspective view of the chassis in the open position equipped with its plenums, its physical decontamination means, and its ventilation connection means.
• Figure 33a is a rear perspective view of detail, showing the air inlet of the physical decontamination means and the base of the chassis.
• Figure 33b is a block diagram of the internal organization of the physical means of decontamination.
• FIG. 1 to 10a show a mobile ventilation isolation device (la) according to the invention in a first embodiment comprising: a means of relative movement (10) of the plenums (5,6) of the type by sliding in drawer l 'one in the other, - and a complementary means of absolute movement (13) of the group of two plenums (5,6), of the type with rotary axis (13a) horizontal of absolute movement linked to the upper part of the mobile support frame (12) and one upstream (5) of the mobile plenums.
• a mobile ventilation isolation device (la) according to this first variant of the invention is shown: - in the overall closed position, called ground movement (M) in FIG.
• the mobile ventilation isolation device (la) is to protect in the open position (U) fixed use, a sensitive area (2) constituted in particular by the hospital bed (191), against airborne aerosols (not shown) contaminating, located in the patient's room.
• the bed (191) to protect can be located in a hospital or at home.
• the mobile aeraulic isolation device (la) according to the invention can be used to protect any sensitive area located in particular in industry and not only for medical applications.
• the mobile ventilation isolation device (la) is equipped with a bi-block air diffusion chamber (4), of the variable geometry type.
• the diffusion chamber (4) of the isolation device (la) consists of two rigid air diffusion plenums, one upstream (5) and the other downstream (6), mechanically linked together, and movable relative to each other.
• Each of the two rigid plenums (5,6) is delimited by an outer envelope (5a, 6a) of substantially parallelepiped shape, with rectangular section (5b, 6b) delimiting a hollow interior volume. As shown in FIG.
• each envelope (5a, 6a) of the plenums (5,6) has a lower surface (7,8) diffusing air that is substantially planar and porous to air, to allow the diffusion of air through.
• each envelope (5a, 6a) is provided, in at least one first contact end (5c, 6c), with a first end face free of contact (5e, 6e) substantially perpendicular to the diffusing surface.
• (7,8) corresponding, surrounded by a rectangular annular joint plane called intermediate (5d, 6d), of substantially identical dimensions and geometries for the two rigid plenums (5,6).
• the mobile a Vogellic isolation device (la) is provided with means of relative movement (10) of the first upstream mobile plenum (5) relative to the other second mobile plenum downstream (6). This makes it possible to move and position the plenums (5,6) relative to one another in at least two distinct relative positions.
• the first diffusing surface (7) of the first upstream movable plenum (5) is substantially coplanar and contiguous and substantially in the extension of the second diffusing surface (8) of the second mobile downstream plenum (6).
• the intermediate joint planes (5d, 6d) of the mobile plenums are joined so that the mobile plenums (5,6) are hermetically coupled.
• the first diffusing surface (7) of the first upstream movable plenum (5) is not in the extension of the diffusing surface (8) of the second mobile downstream plenum (6).
• the planes of intermediate joints (5d, 6d) (hidden in the figures) of the mobile plenums are separated from one another and uncoupled.
• the mobile aeraulic isolation device (la) is equipped with physical means for decontamination (20,21,22,23) of the moving air passing through it, as well as a means for pressurizing (25) air, in particular a fan (330).
• Aeraulic connection and air circulation means (30) constituted by a hollow parallelepiped column (331) and an upper distribution box (332) which is linked, aeraulically connect the air pressurization means (25), the physical air decontamination means (20,21,22,23) and a second free inlet face (5f) of the first upstream ( 5) two rigid plenums (5,6) of the air distribution chamber (4).
• the second mobile downstream plenum (6) has a second closed end face (6f).
• the air flow (F) is thus forced to pass through porous air diffusing surfaces (7,8), when the two plenums (5,6) are in the deployed position (OP) and hermetically coupled and that the air pressurizing means (25) are activated.
• the mobile aunterlic isolation device (la) comprises a mobile support frame (12), mechanically connected to the two rigid plenums (5,6) of the air diffusion chamber (4 ), to the physical means for decontamination (20,21,22,23) of the air, by means of pressurizing (25) of air and to the aeraulic connection means (30) constituted by a hollow parallelepiped column (331 ) and the upper distribution box (332).
• the movable support frame (12) is provided with means (described below) for horizontal movement (40) of the frame (12) relative to the ground (15).
• a first essential and characteristic arrangement of the invention appears with reference to FIGS. 1 and 2. It can be seen that the mobile ventilation isolation device (la) comprises a complementary means of absolute movement (13) from the group of two rigid plenums (5 , 6) relative to the support frame (12). It emerges from the kinematic deployment process sketch described in FIGS.
• a second essential and characteristic arrangement of the invention is that this kinematics of deployment of the mobile a Vogellic isolation device (la) by means of the combination of the relative movement means (10) and the absolute movement means (13) allows positioning the movable plenums (5,6) in at least two global positions with respect to the chassis (12).
• the two plenums (5,6) are placed in the relative position of the deployed group (OP) by through the relative movement means (10). So that the first diffusing surface (7) of the first upstream movable plenum (5) is substantially coplanar and contiguous and substantially in the extension of the second diffusing surface (8) of the second movable downstream plenum (6).
• the intermediate joint planes (5d, 6d) located inside the mobile plenums are joined.
• the mobile plenums (5,6) are coupled. This is hidden in the figures. And, as appears in FIG.
• the group of two plenums (5,6), in the deployed relative position (OP) is in combination placed in absolute position (horizontal) apart (AV) relative to the chassis (12) by through the means of absolute movement (13).
• the first mobile diffusing surface (8) of the first upstream mobile plenum (5) and the second surface diffusing mobile (7) of the second mobile downstream plenum (6) are horizontal and positioned opposite and at a distance from the ground (15). As shown in FIG. 2, this has the effect of diffusing the flow of clean air (F) passing through the diffusing surfaces (7,8) in a substantially vertical direction of air (zz ') covering the sensitive zone (2).
• the surface of the projection (PU1) on the ground (15) of the first mobile diffusing surface (7) as well as the surface of the projection (PU2) on the ground (15) of the second diffusing surface (8 ) mobile are of maximum dimensions (LU2, LU1) respectively.
• the two plenums (5,6) are placed in the relative position of the group folded (CL) by the intermediate of the relative movement means (10).
• the first diffusing surface (7) of the first upstream movable plenum (5) is not in the extension of the diffusing surface (8) of the second downstream movable plenum (6).
• the intermediate joint planes (5d, 6d) of the mobile plenums (5,6) are separated from one another and uncoupled. This is hidden in the figures.
• the group of the two plenums in the folded relative position (CL) is in combination placed in the absolute (vertical), retracted (RE) position relative to the chassis (12) by means of the absolute movement means (13).
• the surface of the projection (PMI) on the ground of the first mobile diffusing surface (7) of the first upstream mobile plenum (5) as well as the projection (PM2) on the ground of the second mobile diffusing surface (8) of the second mobile downstream plenum (6) are of minimum dimensions (LM1, LM2) (in this case zero), both much smaller than their maximum dimensions (LU2, LU1) mentioned above.
• the means of relative movement (10) of the rigid plenums (5,6) of the mobile ventilation isolation device (la) ensures relative movement of the two rigid plenums (5,6) relative to each other in at least two distinct relative positions.
• the first diffusing surface (7) of the first mobile (5) is substantially coplanar and contiguous with the second diffusing surface (8) of the second mobile plenum (6).
• a third characteristic of the invention is that, in addition in the relative folded position (CL), appearing in FIG. 1, the first diffusing surface (7) of the first upstream movable plenum (5) is substantially opposite the second diffusing surface ( 8) of the second downstream mobile plenum (6).
• a fourth characteristic feature of recommended implementation of the mobile ventilation isolation device (la) according to the invention consists in that its means of relative movement (10) of the plenums (5,6), appearing in more detail in FIGS. 6a and 7, or constituted by a sliding means (ie) in a drawer.
• a fifth characteristic feature of recommended implementation of the mobile ventilation isolation device (la) according to the invention consists in providing it with complementary sealing means (300) in the folded relative position (CL). These are shown in Figure 6a in the deployed position (OP). However, it is understood that these complementary sealing means (300) come into sealing contact with the first free contact face (5e) situated at the first contact end (5c) of the first rigid upstream plenum (5) when the two rigid plenums ( 5,6) are in the relative folded position (CL) and that the planes of intermediate joints (5d, 6d) (not visible in the figure) of the mobile plenums (5,6) are separated from one another and uncoupled.
• the complementary sealing means (300) of the first free contact face (5e) situated at the first contact end (5c) of the first rigid plenum (5) are constituted by a second rectangular annular seal plane (6g) for closing surrounding the second closed end face (6f) of the second mobile plenum (6).
• This one is tightly pressed against a second rectangular annular seal plane (5g) closing externally surrounding the first end free contact face (5e) located at the first contact end (5c) of the envelope (5a) of the first rigid plenum (5); this, when the two mobile plenums (5,6) are in the folded relative position (CL).
• This fifth characteristic arrangement makes it possible to use the mobile a Vogellic isolation device (la) according to two geometry of diffusion chamber size, floor space and for different sensitive area surfaces (2).
• FIG. 10a A sixth characteristic arrangement of recommended implementation of the mobile aeraulic isolation device (la) according to the invention appears in FIG. 10a. It consists in providing it with means of compensation (301) for the effects of gravitation (in particular of jacks) on the weight of the mobile plenums (5,6) in their movement relative to the chassis (12). This facilitates deployment operations between absolute retracted position (RE) and separated absolute position (AV).
• These means of compensating (301) for the effects of gravitation are integral both by one of their ends (301a) with one upstream (5) of the two movable plenums and by the other end (301b) of the chassis support (12).
• a seventh characteristic feature of recommended implementation of the mobile ventilation isolation device (la) according to the invention appears in Figure 8. It consists of disposing of the physical decontamination means (20,21,22,23) equipping the mobile device with ventilation isolation (la) opposite a second free entry face (5f) of at least one of the two rigid plenums (5,6), in particular the first upstream plenum (5).
• the physical decontamination means (20,21,22,23) are located in a decontamination box (302) located opposite the second free entry face (5f) of the first rigid plenum (5).
• This decontamination box (302) is mechanically secured and hermetically connected to this second free inlet end (5f) corresponding to the envelope (5a) of the first upstream plenum (5). So that the physical decontamination means (20,21,22,23) are movable vis-à-vis the chassis (12) thanks to the complementary means of absolute movement (13) of the group of two plenums (5,6).
• the decontamination means (20,21,22,23) are pressed and fixed by their rear face on a support plate (336) pierced with air passage recesses. This support plate (336) is itself fixed by its edges to the decontamination box (302).
• FIG. 8 An eighth characteristic arrangement of recommended implementation of the mobile ventilation isolation device (la) according to the invention also appears in FIG. 8.
• a downstream group of damping elements (313b) located downstream of the setting means pressure (25), and formed by a plurality of plates (316a) made of noise absorbing materials.
• the plates are arranged vertically and spaced from each other inside the hollow column (331) of the frame (12).
• the column (331) is closed by two watertight doors (332a, 332b).
• the mobile ventilation isolation device (la) comprises means complementary to absolute movement (13) of the group of two rigid plenums (5,6) constituted by a fixed axis of absolute rotation (13a) fixed by to the chassis (12). It is understood that this arrangement ensures a relative movement of rotation of the physical decontamination means (20,21,22,23) and their box (302) relative to the support frame (12), from front to back, by means complementary to absolute movement (13) of the group of two rigid plenums (5,6) around the axis of absolute rotation (13a), this in their absolute movement between absolute position apart (AV) and absolute position moved back (RE).
• AV absolute position apart
• RE absolute position moved back
• the mobile support frame (12) of the mobile ventilation isolation device (la) comprises at its base a lower fork-shaped mobile carriage (125) (126), consisting of at least two support arms (127, 128) parallel horizontal spaced from each other.
• the support arms (127,128) of the chassis (12) consist of several horizontal portions (131,132,133,134,135,136) connected to each other and movable relative to each other.
• the front movable portions (133) and (136) pivot around a horizontal axis (ajl, aj2) with respect to the rear horizontal portions (131) and (134).
• the portions (132) and 135) are sliding sleeves which participate in blocking the different portions between them.
• the fixed portions (131, 134) of the lower fork (126) of the movable carriage (125) comprise wheels (141, 142, 143, 144) with horizontal axis (Ir) of rotation.
• the portions mobile (133,136) are equipped with support pads (335,336) to improve the balance of the device (la) in the use position (U) as described in Figure 6b.
• An eleventh characteristic arrangement of recommended implementation of the mobile ventilation isolation device (la) is described with particular reference to FIG. 2.
• the mobile ventilation isolation device (la) comprises means (150) for vertical channeling of the flow of air. in use position (U).
• linear hanging supports (310,311) consist of two transparent plastic curtains (151, 152) fixed on linear hanging supports (310,311) integral with the lower part (167) and on the periphery (P) of the diffusing surfaces (7,8) of the plenums (5,6) of the air diffusion chamber (4).
• These linear attachment supports (310, 311) consist of a first portion of linear support (310) integral with the first upstream plenum (5) and a second portion of linear support (311) integral with the second downstream plenum (6). . So that the two linear support portions (310,311) are both movable relative to each other by means of relative movement (10) and both movable relative to the frame (12) by complementary means of absolute movement (13) of the group of two plenums (5,6).
• a plurality of movable attachment rings of the quarter-turn type (310a, 311a) are detachably fixed on the linear support portions (310,311).
• the two curtain (x) (151,152) comprise a plurality of equidistant metal eyelets (310b, 311b) located on their upper edge, each engaged inside the corresponding rings. This allows rapid fixing and dismantling of the two curtains (151,152) on the periphery (P) of the diffusing surfaces (7,8).
• a twelfth advantageous arrangement for implementing the mobile ventilation isolation device (la) is described with reference to FIG. 3a.
• utilities (312) This utility passage hole (312) consists of a substantially oblong metal frame (155b) bearing by its edges on the panel (155a) and clamping a flexible PTFE membrane (312a) provided with cross cutouts (312b) allowing the almost leaktight passage of utility tubes (338) such as: oxygen, vacuum, air, etc.
• a thirteenth advantageous arrangement for implementing the mobile air isolation device (la) consists in that, in addition, the other side faces of the two curtains (151,152) are provided, substantially at mid-height, with deactivable closing holes (340). This allows the passage of objects of small sizes necessary for the care of the patient such as trays, instruments, etc. In the mode of implementation described in FIG. 3a, these are of the “swinging mailbox door” type. They make it possible to maintain the relative overpressure of the isolated area above the sensitive surface (2), during the insertion or removal of objects. It is not necessary to open the curtains.
• a fourteenth advantageous arrangement for implementing the mobile aeraulic isolation device (la) relates to the configuration of its aeraulic means described in FIG. 8.
• the means for pressurizing (25) air and the aeraulic connection means ( 30) and air circulation are located inside a hollow vertical column (331) of the chassis (12), closed by watertight doors (332a, 332b).
• the air intake (342) of the device (la) is located substantially horizontally under and in the lower part (198) of the column (331) for the air connection of the chassis (12) opposite the plane of the sensitive area (2 ) (including the floor (15)).
• a fifteenth advantageous arrangement for implementing the mobile ventilation isolation device (la) is shown in FIG. 8. It consists in equipping the mobile ventilation isolation device (la) with means (313) for silencing the noise carried by the air and produced mainly by means (s) of pressurization (25) of air. These means (313) for silencing the noise are located inside the vertical column (331) of the chassis (12).
• these means (313) for muffling the noise transported by the air consist of two groups of muffling elements (313a, 313b) located inside the vertical column (331) of the chassis (12) one of which (313a) is located upstream and the other (313b) is located downstream of the means (s) for pressurizing air (25).
• the means (313) for silencing the noise transported by the air are preferably by the invention, constituted by plates (316) made of noise absorbing materials.
• a microbiologically neutral material, such as glass wool panels, the two faces and edges of which are wrapped in a PTFE protective film, will advantageously be used for this purpose.
• a provision recommended by the invention consists in that the means (313) for muffling the noise transported by the air are constituted by:
• a sixteenth advantageous arrangement for implementing the mobile air isolation device (la) relates to an industrial embodiment of the lower air-diffusing surface (7,8) of the two mobile plenums (5,6) of the mobile device d ventilation (la) described in Figure 7.
• the lower surface (7,8) diffusing air from the two mobile plenums (5,6) consists of a plurality of plates (318) (substantially rectangular) made of plastic (especially epoxy glass called FR4, usually used in the printed circuit industry) pierced with a multitude of cylindrical holes (318a) distributed uniformly over the surface (318b) of each plate (318 ).
• the lower surface (7,8) diffusing air in plastic material of the two plenums (5,6) is constituted by the combination between: - two frames (321,322) movable relative to the frame (12), substantially rectangular, mechanically and hermetically linked on their periphery (P) to the lower part of the outer envelopes (5a, 6a) of the two plenums (5,6), and provided with a multitude of transverse cross-pieces (321a, 321 b, 322 a, 322 b), - and a plurality of plates (318) (substantially rectangular) made of plastic (especially epoxy glass) pierced with a multitude of cylindrical holes (318a) distributed uniformly.
• An aeraulically decontaminated medical bed (190) according to the invention consists of the combination between:
• the device (la) is mounted on a chassis (12).
• Its air diffuser (4) comprises at least two rigid mobile plenums (5,6) for air diffusion, mechanically connected to each other.
• the mobile ventilation isolation device (la) is put in the use position (U).
• Its plenums (5,6) are in the unfolded relative position (OP) by means of the relative movement means (10) according to which the first diffusing surface (7) of the first mobile (5) is substantially coplanar, contiguous and substantially in the extension of the second diffusing surface (8) of the second mobile plenum (6).
• the group of plenums (5,6) is in an absolute position apart (AV) from the chassis (12) by means of the absolute movement means (13), so that the projection surface of the two plenums substantially covers the surface of the bed, an aeraulically decontaminated medical bed (190) according to the invention is recognized in particular by the fact that its rigid plenums (5,6) are movable relative to each other, and both movable relative to a frame (12) of the mobile air isolation device (la, lb, lc).
• a configuration preferred by the invention of the aeraulically decontaminated bed (190), is remarkable by the fact - that the mobile carriage (12) of the mobile aeraulic isolation device (la) and its decontamination means (20,21,22, 23) are arranged at the foot of the bed (191), - and that the second movable rigid downstream plenum (6) for air diffusion furthest from the carriage (12) is located on the side and above the headboard ( 191).
• Figure 3a describes a mobile ventilation isolation device (la) in the use position (U) whose width of the plenum is substantially equal to that of the bed (191) it protects.
• FIG. 3b A seventeenth advantageous arrangement for implementing the mobile ventilation isolation device (la) is described in FIG. 3b.
• the mobile ventilation isolation device (la) is equipped with plenums the width of which is substantially equal to 1.5 times the width of the bed (191) that it protects.
• FIGS. 11 to 20 represent a mobile aeraulic isolation device (lb) according to the invention in a second variant embodiment comprising:
• a mobile ventilation isolation device (lb) according to this second variant of the invention is shown: - in the overall closed position, called ground movement (M) in Figure 11; - And in the overall open position known as the fixed use (U) covering a hospital medical bed (191) in Figure 12. It can be seen that the ventilation isolation device (lb) according to this second variant is identical. most of the features described above of the ventilation isolation device (la) according to the first variant of the invention.
• FIGS. 13, 14 and 15 An eighteenth advantageous arrangement for implementing the mobile ventilation isolation device (lb) appears in FIGS. 13, 14 and 15.
• Its relative movement means (10) of the plenums (5,6) is constituted by an axis of rotation. relative (l ia) around a hinge connected respectively to each of the first two ends (5c, 6c) of contact of the envelope of the plenums (5,6).
• This hinge constituting the relative axis of rotation (l ia) appears in more detail in FIG. 20. It is understood that the relative axis of rotation (1 la) of the movable plenums (5,6) is itself movable relative to a chassis.
• the mobile aunterlic isolation device (lb) comprises a disengageable movable means of relative securing (17,305,306 ) rigid plenums (5,6) in their relative movement.
• securing elements (305a, 305b, 306a, 306b) integral with the plenums (5,6) and ensuring their blocking in the deployed relative position (OP), so that the mobile plenums (5,6) are coupled rigidly and hermetically and their first and second diffusing surfaces (7,8) are coplanar, and allowing their release for placing in the folded relative position (CL).
• the various securing elements (305a, 305b, 306a, 306b) of this disengageable mobile means of relative securing (17) of the plenums (5,6) are integral with the plenums (5,6), and fully movable relative to the mobile support frame (12) by means of the relative movement means (10) and of the complementary absolute movement means (13).
• the device (lb) also includes a second group of securing elements (303,304) of the first upstream plenum (5) relative to the frame (12). These are intended to block the group of the two plenums (5,6) in the absolute advanced position (AV) as well as the declutching for the purpose of folding into the absolute withdrawn position (RE) during rotation around the axis. horizontal rotary of absolute movement (13a).
• Figures 21 to 33a show a mobile ventilation isolation device (the) according to the invention in a third embodiment comprising: means for relative movement (10) of the plenums (5, 6) of the type by rotation around a movable horizontal axis of relative movement (l ia) linked to one and the other of the plenums (5, 6), and a complementary means of absolute movement (13) of the group of two plenums (5, 6), of the type by horizontal translation of the movable horizontal axis of relative movement.
• a mobile ventilation isolation device (le) according to this second variant of the invention is shown: - in the overall closed position, called ground movement (M) in Figure 21; - And in the overall open position known as the fixed use (U) covering a hospital medical bed (191) in Figure 22.
• the ventilation isolation device (le) comprises a means of relative movement (10) of the plenums consisting of: - two hinges (9a, 9b) integral with two contiguous edges of the plenums (5,6), - and pivots (19a and 19b) appearing in Figure 25 and Figure 29b, (the operation of which will be described in detail below).
• the second movable rigid downstream plenum (6) can be folded relative to the chassis (12), this in at least two distinct relative positions: one said fixed position of use (U) shown in Figure 22 and the other said movement position (M) on the ground (15) shown in Figure 21.
• the two rigid plenums (5,6) are made up of diffusing boxes (71,72,73) delimited by lateral surfaces (51a / b / c / d, 52a / b / c / d, 53a / b / c / d) independent (not directly communicating) in such a way as to delimit two interior volumes (68,69) of disjointed plenums (5,6).
• the downstream plenum (6) is itself made up of two diffusing boxes (as will be described later). This increases the number of lateral surfaces of the downstream plenum (6).
• downstream plenum (6) consisting of its two boxes (72,73) is entirely closed disjoint and not communicating with the upstream plenum (5) itself made up of the box (71).
• This arrangement in multiple boxes recommended by the invention increases the homogeneity of the air flow and allows a modularity of flow adjustment between the different zones.
• the first upstream rigid plenum (5) and the second (6) downstream rigid plenum for air diffusion are both movable and tiltable relative to the chassis (12), this in two distinct relative positions.
• the first mobile diffusing surface (7) of the first upstream plenum (5) and the second diffusing surface (8) of the second downstream plenum (6) are horizontal and positioned opposite and at a distance from the ground (15).
• the air flow (F) passes through the two diffusing surfaces (7,8) in an air direction (zz ') substantially vertical and the whole of which covers the sensitive area ( 2).
• the surface of the projection (PU1) on the ground (15) of the first mobile diffusing surface (7) as well as the surface of the projection (PU2) on the ground (15) of the second mobile diffusing surface (8) are of maximum dimension (LUI, LU2).
• a Vogellic connection (30) and air circulation means aeraulically connect the means for pressurizing (25) air, the physical means for decontamination (20) of air and the two rigid plenums (5). , 6) air diffusion from the air diffuser (4). They force the air flow (F) to pass through porous air diffusing surfaces (7,8).
• a mobile support frame (12) which supports the entire mobile ventilation isolation device (le). It is mechanically connected to the two rigid plenums (5,6) of the air diffuser (4), to the physical means for decontaminating (20) the air, to the means for pressurizing (25) air and to the means air connection (30).
• the relative movement means (10) consists of two axes of rotation (11 a, 1 lb) formed by two hinges (9a, 9b) cooperating with pivots (19a and 19b) appearing in Figure 29b.
• the axis of rotation of the plenums (lia), materialized by the hinges (9a, 9b) allows movement of the rigid plenums (5,6) relative to each other.
• the axis of rotation (11b) relative to the chassis, materialized by the pivots (19a, 19b), allows rotation of the two rigid plenums (5,6) relative to the chassis (12).
• the two axes of rotation (l ia, 11b) of the rigid plenums (5,6) are located horizontally with respect to the ground (15).
• the two rigid plenums (5,6) are folded in hinge around the axis (l ia) of rotation of the plenums , so that the first mobile diffusing surface (7) of the first mobile upstream plenum (5) is opposite and facing the second mobile diffusing surface (8) of the second mobile downstream plenum (6).
• a horizontal sliding means (13) of the axis of rotation (11b) of the plenums (5,6) relative to the chassis (12) equips the device (le). It consists of two horizontal deployable slides (14a, 14b), of the “drawer” type, secured to the chassis (12) and located in its upper part. The two pivots (19a, 19b) slide horizontally by means of rollers, along and between the two slides (14a, 14b).
• the first mobile diffusing surface (7) of the first upstream plenum (5) and the second mobile diffusing surface (8) of the second downstream plenum (6) are horizontal.
• the axes of rotation (l la, l lb) of the rigid plenums (5,6) are in the so-called front position. So that the plenums (5,6) are distant from the so-called rear portion (16) of the chassis (12), the most distant from the center of the sensitive area (2).
• the first mobile diffusing surface (7) of the first upstream mobile plenum (5) is opposite and facing the second mobile diffusing surface (8) of the second plenum downstream mobile (6).
• the two diffusing surfaces (7,8) are vertical.
• the axes of rotation (l la, l lb) of the rigid plenums (5,6) are in the so-called rear position close to the so-called rear portion (16) of the chassis (12). So that the plenums (5,6) are brought closer to the so-called rear portion (16) of the chassis (12) furthest from the center of the sensitive zone (2).
• the device comprises a disengageable mobile means for securing (17) the rigid plenums (5,6) in the aligned position of use (U) so that the first and second diffusing surfaces (7,8) of the two plenums (5,6) are coplanar.
• This disengageable movable securing means (17) is integral with the two lateral portions (31, 32) of the frame, supporting the two plenums and therefore two sliding pivots (19a, 19b). So that the disengageable movable securing means (17) is movable during the horizontal sliding of said axis of rotation (1 lb) of the rigid plenums (5,6) relative to the frame (12).
• the device (the) comprises a disengageable means of locking (18) to the chassis (12) of the frame portion (31) supporting the mobile plenum (5) closest to the portion said rear (16) of the chassis (12), this in the aligned position of use (U).
• the diffusing surface (7) is horizontal and fixed relative to the frame (12).
• the diffusing surface (8) is also fixed in a horizontal position relative to the frame (12).
• a means of assisting the deployment (210) of the plenums (5,6) recommended by the invention. It is constituted by tensioning means, in particular springs (211a, 211b), placed above the plenums (5,6), housed in sheaths (212a, 212b) themselves fixed to their bases and maintained in position by collars (213) on the frames (31,32) of the plenums (5,6).
• the springs (211a, 211b) are tensioned when the device (le) is in the movement position (M), and relaxed in the fixed position of use (U).
• FIG. 30b we see in transparency a means (220) for adjusting the height of the plenums (5,6), recommended by the invention.
• Each of the two lateral vertical posts of the frame (12) is similar.
• Figures 30b and 31 describe the right post (221). It consists of two hollow telescopic uprights (221a, 221b) coaxial, nested one inside the other, and carrying out a vertical translation.
• a jack (222) calibrated in pressure to compensate for the weight of the mobile assembly adjustable in height and a shim (223) integral with the upper upright (221b) ensuring dimensional adjustment of installation of the jack (222) itself integral with the lower upright (221a).
• the uprights (221a, 221b) are adjusted in height at the low level by a position stop (224) and at the high level by the stroke of the jack (222).
• each air duct (101,102,103) is connected (directly or indirectly) by a first end (104,105,106) to one of the physical means of air decontamination (21 , 22,23).
• Each air duct (101,102,103) has a movable portion (111,112,113) relative to the frame (12) .
• each air duct (101,102,103) is connected by a second end (107,108,109) to one of the mobile plenums (5,6).
• the first (5) and the second (6) rigid air diffusion plenums each consist of a group (Gl, G2) of at least one diffuser box (71 , 72,73) closed air distribution.
• the front plenum (5) consists of a diffuser box (71).
• the downstream plenum (6) consists of two boxes (72,73).
• Each closed diffuser box (71,72,73) has a so-called diffusion face (7,8a, 8b), closed by a material wall (81,82,83) that diffuses and is porous to air.
• each box (71,72,73) has another so-called supply face (85,86,87), each provided with a ferrule (91,92,93 ) of air passage.
• the other faces (lateral), (53a / b / c / d, ....) of the boxes (73, ...) are full.
• the diffusing boxes (72,73) of the first rigid plenum (6) are movable relative to the support frame (12), and to the boxes (71) of the second rigid plenum (5), this due to the means of relative movement (10) and to the pivots (19a / b).
• the device (it) comprises three physical means of decontamination (21,22,23) aeraulically independent.
• the ventilation connection means (30) comprise three independent networks of ventilation ducts (101,102,103) each connecting a physical decontamination means (21,22,23) to one of the mobile plenums (5,6).
• the device (it) comprises means (121) for horizontal movement of the physical decontamination means (21,22,23) relative to the support frame (12). These consist of two horizontal sliding rails (122,123) integral with the chassis (12) on which a movable frame (124) slides horizontally.
• the physical decontamination means (21,22,23) are placed and fixed on the mobile frame (124).
• the means (121) for horizontal movement of the physical decontamination means (21,22,23) relative to the support frame (12) have two extreme positions.
• the position of use (U) which appears in Figures 22, 23, 28c, 28d, 31, 32 and 33
• the physical means of decontamination (21,22,23) are moved back relative to the center of gravity (CU) mobile isolation device (le).
• the movement position (M) which appears in Figures 21, 24, 25, 27a, 28a, and 30a
• the physical means of decontamination (21,22,23) are advanced towards the center of gravity (CM) of the mobile isolation device (le). This makes it possible to increase the stability of the device (the) in the use position (U), while reducing the bulk in the movement position (M).
• the movable support frame (12) comprises a lower movable carriage (125) in the form of a fork (126). It consists of two parallel horizontal support arms (127,128) spaced from each other.
• the support arms (127,128) of the chassis (12) consist of several horizontal portions (131, 132, 133, 134, 135, 136) connected together and movable with respect to each other.
• FIGS. 1-10 In the version recommended by the invention, represented in FIGS.
• the movable carriage (125) lower in the fork (126) comprises support arms (127,128) each consisting of several horizontal portions (131, 132, 133, 134, 135, 136) interconnected and sliding with respect to each other, along a horizontal axis (x, x ').
• the lower movable carriage (125) could be provided with a fork (126), with two arms (127,128) each consisting of several horizontal portions (131, 132, 133, 134, 135, 136) connected between them and pivoting with respect to each other along a vertical axis of vertical rotation (z, z ').
• the movable carriage (125) lower in the fork (126) comprises arms (127,128) each of which has horizontal portions (131, 132, 133, 134, 135, 136) comprises at least one wheel (141, 142, 143, 144, 145, 146, 147, 148) with horizontal axis (r, r ') of rotation.
• These axes (r, r ') of rotation of the wheels are preferably pivoting horizontally, to facilitate multidirectional movements of the device (le) on the ground (15) in the movement position (M).
• the mobile ventilation isolation device (le) comprises means (150) for vertical channeling of the air flow, in the use position (U), comprising curtains (151, 152, 153, ..., 156) surrounding the sensitive area (2) on its four sides. It can be seen that the curtains (151,152,153, ..., 156) shown are both - movable relative to the frame (12) during movement between position of use (U) and position of movement (M), because 'They are fixed by their upper part on the periphery of the two frame portions (31, 32) supporting the two plenums (5,6).
• the means (150) for vertical channeling of the air flow consist of curtains (151, 152,153, ..., 156) with reels (161, 162, 163, 164 , 165, 166) whose axes (erl, er2, er3, er4, er5, er6) of the reels are located at the lower part (167) and on the periphery (P) of the plenums (5,6) of the diffuser air.
• the means (150) for vertical channeling of the air flow can consist of sliding curtains on a rail located at the lower part (167) and on the periphery (P) of the plenums (5, 6) of the air diffuser.
• these pipe curtains comprise a plurality of contiguous parallel strips. This facilitates access by the hands of hospital staff to a patient lying on a bed protected by the system (the).
• the means (150) for vertical channeling of the air flow furthermore comprise in combination: - a means of detection (of movement of people and / or increase in contamination), - and a means for activating the level (and / or the relative position with respect to the plenums) of the physical means (150) for vertical channeling of the air flow, this as a function of the measurement state of the detection means.
• Figure 22 represents a bed (190) aeraulically decontaminated, constituted by the combination between: - a hospital bed (191), - and a mobile device for aeraulic isolation (le) as described above.
• a bed (190) aeraulically decontaminated constituted by the combination between: - a hospital bed (191), - and a mobile device for aeraulic isolation (le) as described above.
• the diffusing surfaces (7,8) are coplanar, horizontal and situated opposite and at a distance from the upper part of the bed (191) so as to diffuse an air flow (F) passing through them in an air direction (zz ' ) substantially perpendicular to the mattress (192) of the bed (191).
• the air-decontaminated bed (190) is remarkable by the fact that its rigid plenums (5,6) are delimited by lateral surfaces (51a / b / c / d, 52a / b / c / d, 53a / b / c / d) independent (not directly communicating) so as to delimit at least two interior volumes (68,69) of disjointed plenums.
• the physical means for decontamination (20, 21, 22, 23) of the air have an air intake (194, 195, 196) located at the end of feet (197) of the bed (191) and in its lower part (198).
• This arrangement improves the air flow of the air movements and reduces turbulence.
• the air moves vertically above the bed, rushes vertically below the bed on both sides, then is channeled under the bed towards the air intakes (194,195,196).
• the mobile carriage (12) of the mobile ventilation isolation device (le) and its decontamination means (20,21,22,23) are arranged at the end of the legs (197) of the bed (191).
• the second movable rigid downstream plenum (6) for air diffusion furthest from the carriage (12) is located at the end of the head (199) of the bed (191).
• Figure 33b gives by way of example the recommended schematic configuration of a physical decontamination means (20). It is included inside a rectangular metal casing (200).
• Meadow- coarse filter (201) has the function of blocking large particles, "sheep", textile dust, ... which may be under the bed (191).
• the air then passes through an inlet noise silencer (202) then an electric fan (25), an outlet noise silencer (203) and finally through the air sterilization reactor (204), before reach the outlet ferrule (205) which is connected to one of the air ducts (101) supplying one of the plenums.
• the invention recommends using a sterilization reactor of the type described in US patent application 5,474,600 "biological purification and air filtration apparatus".
• a sterilization reactor of the type described in US patent application 5,474,600 "biological purification and air filtration apparatus”.
• an electrostatic field amplifier device of the type described in French patent application No. FR 99-14899 and an ion emission device of the type described in French patent application No. FR 00-16607 will be used.
• FIGS. 28a to 28f the deployment sequence of the device (le) is described from its position of movement (M) on the ground to its fixed position of use (U).
• the device (le) in the movement position (M) near the hospital bed (191).
• Figure 28b the deployment along the axis (x, x ') of the horizontal portions (131, ..., 136) of the two support arms (127,128) of the chassis (12), the unlocking of the means (171 ) holding the plenums (5,6) in the folded position relative to the frame (12), the horizontal displacement in the front position of the two plenums (5,6) by the two slides (14a, 14b).
• Figure 28c shows the unlocking of the means (172) for holding the plenums (5,6) in the folded position between them, then the rotation of the upstream plenum (5) along the axis (11b) of the pivots (19a, 19b) up to 'at the stop and the blocking of the means (18) relative to the chassis (12), finally placing the decontamination means (21,22,23) in the rear position.
• Figure 28d the rotation of the downstream plenum (6) along the axis (l ia) of the hinges (9a, 9b), cover raised to access the means (175) of manipulation, until it is positioned and blocking by the means (17) relative to the upstream plenum (5).
• Figure 28e the plenums (5,6) reach their elevation of use (U) by unlocking the vertical translation of the uprights (221a, 221b) by the pins (226), the means (176) of handling the chassis facilitates the adjustment to the desired height then the lugs (226) associated with the holes (225) ensure the maintenance in the position of use (U).
• Figure 28f shows the device (the) in the use position (U) provided with the means (150) for channeling the air flow over a bed (190) that is aerated decontaminated.
• ImmunAIR TM a mobile protective isolation device for immunocompromised and / or frail persons
• 640m3 / hour i.e. approximately 210 changes per hour of sterilized air in the 3 m3 of insulator covering the bed.
• a sick room immunocompromised occupying the bed it generates a vertical air flow, also of 640 m3 / hour, ensuring 25 replenishments per hour in the room in sterilized air.
• the device can replace, in hospitals, laminar flow chambers for protective isolation of immunocompromised or weakened patients. It also makes it possible, for an investment approximately 4 times lower and operating costs 5 to 10 times lower, to replace clean rooms with laminar flow to equip with protective isolation: sector hospitals, clinics and functional rehabilitation center for the reception of immunocompromised people. Finally, it allows early repatriation of immunocompromised or aplastic patients at home.
• the applications of the protective isolation device according to the invention relate first of all to hematology services, to aeraulically protect patients in the course of bone marrow allografts and hemopathies inducing deep neutropenia.
• oncology departments it is recommended for patients with particularly rebellious solid tumors and subjected to aggressive chemotherapy or long-term corticosteroid therapy at high doses. It is particularly useful in burn services.
• intensive care units especially for patients undergoing immunosuppressive treatment for transplantation of solid organs and patients requiring transient resuscitation assistance following hemopathies in therapeutic aplasia.
• a first advantage of the mobile aeraulic isolation device with variable geometry of air diffuser and two mobile plenums, according to the invention is that it makes it possible to produce a room with absolute mobile sterility, which can be temporarily installed inside a room. '' a patient room, and foldable according to dimensions which allows it to pass through doors of standard dimensions of approximately 205 cm high and 80cm wide or 81 inches x 31 inches approximately. This makes it possible to use a device according to the invention in home hospitalization applications, in particular for treating immunocompromised patients at their home.
• a second advantage of the device according to the invention is that the effective width of the plenums that it can implement is not limited by the width of the doors through which it must pass. So that the volume of protection surrounding the patient is not itself limited.
• a third advantage of the device according to the invention is to allow the head of the patient to be completely freed and in no way to interfere with the installation of medical technical equipment in the room which is positioned at the head of the bed (monitoring devices, devices resuscitation, gas delivery devices, ...)
• a fourth advantage of the device is to allow greater stability in the position of use.
• a fifth advantage of the device is that its mobile geometry makes it possible to counteract the displacement of the center of gravity towards the free end of the device when the two plenums are joined in the position of use and to increase its stability.
• a sixth advantage of the device is that, thanks to its movable auxiliary curtains, it is possible to improve the air pressure above the bed and to accelerate the evacuation of parasitic contamination.
• a seventh advantage of the device is that its ventilation design makes it less noisy and less energy consuming.
• An eighth advantage is to allow mobility through any door or window and therefore great adaptability from one hospital room to another and / or from one patient's home hospitalized to another. This ensures greater usability and better amortized operational costs.
• a ninth and main advantage of the invention is that the device has, in the folded movement position, much smaller dimensions than those of the devices of the prior art making it possible to cover and protect a bed. This ensures greater mobility.
• the scope of the invention should be considered in relation to the claims below and their legal equivalents, more than by the examples given above.

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• 2001
  • 2001-12-21 FR FR0116851A patent/FR2833844B1/fr not_active Expired - Fee Related
• 2002
  • 2002-10-09 US US10/498,991 patent/US7217186B2/en not_active Expired - Fee Related
  • 2002-10-09 CN CNB028273443A patent/CN100340818C/zh not_active Expired - Fee Related
  • 2002-10-09 KR KR10-2004-7009915A patent/KR20040071244A/ko not_active Application Discontinuation
  • 2002-10-09 JP JP2003556734A patent/JP2005512744A/ja active Pending
  • 2002-10-09 AU AU2002350831A patent/AU2002350831A1/en not_active Abandoned
  • 2002-10-09 EP EP02785534A patent/EP1466126A1/fr not_active Withdrawn
  • 2002-10-09 CA CA002471173A patent/CA2471173A1/fr not_active Abandoned
  • 2002-10-09 WO PCT/FR2002/003436 patent/WO2003056253A1/fr active Application Filing
  • 2002-10-09 BR BR0215246-0A patent/BR0215246A/pt not_active IP Right Cessation

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