EP2061396A2 - Multimedia, multiservice and connectable mobile assembly for diagnosis, prescriptions, medical checkups and nursing care - Google Patents

Multimedia, multiservice and connectable mobile assembly for diagnosis, prescriptions, medical checkups and nursing care

Info

Publication number
EP2061396A2
EP2061396A2 EP07823458A EP07823458A EP2061396A2 EP 2061396 A2 EP2061396 A2 EP 2061396A2 EP 07823458 A EP07823458 A EP 07823458A EP 07823458 A EP07823458 A EP 07823458A EP 2061396 A2 EP2061396 A2 EP 2061396A2
Authority
EP
European Patent Office
Prior art keywords
assembly according
mobile assembly
mobile
directional
multimedia
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.)
Withdrawn
Application number
EP07823458A
Other languages
German (de)
French (fr)
Inventor
Jacques Cinqualbre
Joseph Puzo
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.)
Individual
Original Assignee
Individual
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
Application filed by Individual filed Critical Individual
Publication of EP2061396A2 publication Critical patent/EP2061396A2/en
Withdrawn legal-status Critical Current

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L2/00—Methods or apparatus for disinfecting or sterilising materials or objects other than foodstuffs or contact lenses; Accessories therefor
    • A61L2/0005—Methods or apparatus for disinfecting or sterilising materials or objects other than foodstuffs or contact lenses; Accessories therefor for pharmaceuticals, biologicals or living parts
    • A61L2/0082—Methods or apparatus for disinfecting or sterilising materials or objects other than foodstuffs or contact lenses; Accessories therefor for pharmaceuticals, biologicals or living parts using chemical substances
    • A61L2/0088—Liquid substances
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B50/00—Containers, covers, furniture or holders specially adapted for surgical or diagnostic appliances or instruments, e.g. sterile covers
    • A61B50/10—Furniture specially adapted for surgical or diagnostic appliances or instruments
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B50/00—Containers, covers, furniture or holders specially adapted for surgical or diagnostic appliances or instruments, e.g. sterile covers
    • A61B50/10—Furniture specially adapted for surgical or diagnostic appliances or instruments
    • A61B50/13—Trolleys, e.g. carts
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/80—Implements for cleaning or washing the skin of surgeons or patients
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/90—Identification means for patients or instruments, e.g. tags
    • A61B90/94—Identification means for patients or instruments, e.g. tags coded with symbols, e.g. text
    • A61B90/96—Identification means for patients or instruments, e.g. tags coded with symbols, e.g. text using barcodes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L2/00—Methods or apparatus for disinfecting or sterilising materials or objects other than foodstuffs or contact lenses; Accessories therefor
    • A61L2/0005—Methods or apparatus for disinfecting or sterilising materials or objects other than foodstuffs or contact lenses; Accessories therefor for pharmaceuticals, biologicals or living parts
    • A61L2/0082—Methods or apparatus for disinfecting or sterilising materials or objects other than foodstuffs or contact lenses; Accessories therefor for pharmaceuticals, biologicals or living parts using chemical substances
    • A61L2/0094—Gaseous substances
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00017—Electrical control of surgical instruments
    • A61B2017/00199—Electrical control of surgical instruments with a console, e.g. a control panel with a display
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00681—Aspects not otherwise provided for
    • A61B2017/00734—Aspects not otherwise provided for battery operated
    • 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
    • A61G12/00—Accommodation for nursing, e.g. in hospitals, not covered by groups A61G1/00 - A61G11/00, e.g. trolleys for transport of medicaments or food; Prescription lists
    • A61G12/001—Trolleys for transport of medicaments, food, linen, nursing supplies

Definitions

  • Multimedia, multiservice and connectable mobile unit for diagnosis, prescriptions, medical monitoring and nursing care
  • the present invention relates to a multi-service and multi-service connectable mobile unit serving as a mobile office for diagnosis, prescriptions, medical monitoring and nursing care. It also provides two other functions on the one hand the traceability of materials, prescriptions and acts and on the other hand the prevention of human-made infections manutransmises.
  • the caregivers, the medical or nursing body use their hands not to carry or use the computer tool, but to greet, examine, move, and especially to prescribe, be it drugs, care or examinations to be carried out, or of course notes. Hospital practice is still largely based on the message written manually in cursive script.
  • the present invention aims to improve the practice of visits, care and medical monitoring of patients inside and outside the hospital by providing a mobile multimedia and multiservice constituting a real information base. , services and care.
  • the invention is able to transmit information captured by its software integrator.
  • This mobile unit integrates structurally a digital writing process immediately transformed into direct electronic input to full transposition with recognition and transformation into print and structured language. This important function has a direct impact on the physical appearance and the ergonomics of the mobile unit according to the invention.
  • the object of the present invention is to provide a global response to this constraint field by integrating into the same concept the creation of a mobile professional office capable of collecting in an integrated manner all the medical and administrative information required and secondly the setting up of a natural interface of order giver integrating the usual daily practice of the actors, while eliminating the vagaries of the copying and the errors or defects of transmission.
  • the mobile assembly according to the invention also ensures perfect traceability with identification of the writing and its author, the time stamp resulting in a true notarization of a single document to lead to this paper support which is further evidence material indisputable often required of a hospital IT service. Moreover, in the event of a breakdown, the care process can continue without major disruption, knowing that no data will be lost, since it can be retrospectively integrated with a trace of the actual time of entry when the system is restarted.
  • Figure 1 is a general perspective view of the movable assembly of the invention
  • Figure 2 is a front view and in section of the movable assembly according to the invention
  • FIG. 3 is a cross-sectional view for the cylindrical body and of a profile for the base and the part upper mobile assembly according to the invention;
  • Figure 4 is a schematic perspective view of the housing of the upper part;
  • Figure 5 is a schematic perspective view of the niches of the mouse housing and that of the housing of the barcode reader;
  • Figure 6 is a side view of the multidirectional rolling base of the mobile assembly according to the invention.
  • Figures 7 to 9 are schematic top views respectively showing the erasure of the keyboard of its housing, its extraction and its output position.
  • the mobile assembly according to the invention is intended to serve as a mobile station for diagnosis, prescription, medical monitoring within a hospital, a clinic or a care unit or the like.
  • It is self-communicating, that is to say that it can send and receive messages and information to or from a network to which it is wirelessly connected for example by a radio link of the type known as WiFi or other directly or through a station or base through which it is connected.
  • a radio link of the type known as WiFi or other directly or through a station or base through which it is connected.
  • It can be connected to a reception station or base to form a common set of groupings collecting and successively processing the information of several mobile assemblies that can come from several different services.
  • the movable assembly 1 is generally composed of a multi - directional directional rolling base 2, a hollow body 3 of generally cylindrical shape supported by this base 2 and in the upper part 4 of the cylindrical body 3 of FIG. an inclined platform 5 forming an inclined working plane 6 to which is added a screen 7 mounted on a hinged support 8, a digital writing instrument 9 and a manual gripping element or conformation for pushing and guiding 10 mobile for example shaped into a ball, allowing it to be pushed, pulled and guided manually by a user.
  • the upper part 4 of the moving assembly 1 is closed by the inclined working plane 5 bounded downwards by a low linear abutment for example of the ruler type 11 to serve as a writing tablet 12 on a computer writing medium 13 giving it the appearance of a lectern.
  • the upper part 4 also includes the hinged support 8 adapted to receive the touch screen 7 or not and various ancillary devices including the writing instrument 9 of the type of digital writing pen and input with automatic recognition of characters by a adapted program.
  • the shape of the body 3 of the moving assembly 1 is cylindrical because it is non-aggressive, self-protective against impacts and minimizes the number of sharp edges and protrusions as well as nests with microorganisms, dust and dirt.
  • the hollow cylindrical body 3 has in its interior several housings passing through its lateral wall which remain open or are closable by a swinging or sliding door or by a pivoting flap.
  • an open niche 14 for a control device known under the name "mouse” 15 also containing a biometric detector-identifier 16 for example by a fingerprint of the future user authorizing after validation the start of operation of the mobile assembly 1.
  • a closable lower technical housing 27 provided in the lower part receiving a separate power supply or a so-called self-power supply in the form of a rechargeable battery 28, a charger 29, a voltage regulator and various organs and apparatus.
  • This technical housing 27 can be divided into several open or closed compartments by partitions of different heights. It is located below an average floor compartment which can be split into several levels by one or more horizontal planes such as 30 and 31 forming support planes at a higher level for various peripherals for example a printer 32 or a scanner 33 or others.
  • This middle floor compartment also has in its upper part a central computer unit 34 connected to or integrated with various peripherals including a reader 35 of different mobile memory media: cards, USB keys, mini-disks and others for example placed on the support 31.
  • a central computer unit 34 connected to or integrated with various peripherals including a reader 35 of different mobile memory media: cards, USB keys, mini-disks and others for example placed on the support 31.
  • the lower technical housing is closed by a lower hinged door 36 perforated or not.
  • the mobile assembly comprises in the upper part a disinfection housing 37 of the hands closed by a pivoting flap 38 when not in use, is provided for a disinfection station 39 housed in a cavity or technical enclosure 40 isolated from the interior volume of the moving assembly and preferably separated from the outside by a flexible wall 41 with an opening 42 for the hands.
  • This is a hand disinfection station for example by blowing or misting. It consists of a plurality of nozzles or openings such as blowing or misting preferably oriented toward the middle part of the enclosure which is a volume 44 left free for the location of the hands above a 45.
  • These nozzles or orifices 43 blow or project each on the hands a gas stream of a biocompatible disinfecting product evaporating or a mist of a biocompatible disinfecting liquid preferably with high evaporation power.
  • This disinfection housing is advantageously provided at the height of the hands of a medium-sized individual, for example in a compartment under the working platform.
  • the body 3 of the moving assembly 1 comprises in the technical housing 27 closed by the perforated or non-perforated gate 32, a slot for the feed battery 28, for example of the gel type, and its specific charger 29 and various other locations for ancillary devices related to the power supply and general operation of the mobile assembly.
  • Other locations are planned on the middle floor. Without limitation, these are the following locations: . a location for the system computer unit 34 of the system and its multi-media reader 35,
  • a location for a wireless communication base 46 for example of the so-called WiFi type.
  • a battery charge LED indicator is attached at this level or, optionally, at any other location deemed more accessible by the moving assembly 1.
  • CPUs of varying types.
  • a microcomputer with reduced space securely stowed and provided with all the desired connectivity including platforms for additional ports (USB, FireWire ..).
  • the cards, or keys of communication can be located at this level. It is at this level, with a window facing, that a small auxiliary printer can be installed, for example 32 intended for minimal documents "sheet-by-sheet", type order, typed "in bed of the patient” and printed in direct.
  • the upper part comprises in the basic version, the following three housings open in a niche and the compartment of the disinfection station 39.
  • the first 21, in transverse slot 22, is used to host the retractable keyboard 23 with keypad, placed on a tablet 24 animated with a kinematic represented by the succession of Figures 7 to 9.
  • the tongue 26 facilitates the gripping for the extraction to the extended position.
  • a niche 14 houses the mouse 15 and its input allows the passage of a user's hand for its manipulation without being visible in its dedicated compartment .
  • the bottom of the niche is lined with a mouse pad or equivalent coating.
  • the digital biometric sensor 16 On the vertical left flank of the niche 14 of the mouse housing, the digital biometric sensor 16 has been fixed, for opening access to the rights of use of the computer system.
  • the cylindrical body 3 of the moving assembly 1 may be composed of two parts 47 and 48 separated by a double line 49 in Figure 1 corresponding to the two walls 50 and 51 visible in the sectional figures. It is thus possible to vary by decreasing or lengthening part of the overall height of the assembly which will have the effect of facilitating the industrialization of certain smaller models.
  • the upper part 4, constituting the working platform 5 ends the cylindrical body 3 obliquely cut that it overflows evenly, which gives it an elliptical shape. Its inclination, its general conformation and its function of reading and writing give it an appearance and use of a lectern.
  • This working platform 5 is limited to a writing tablet 12 limited downwards by a linear transverse abutment for example in slider 11 located immediately above the ball 10 pushing and guiding, to retain the sheets placed on it.
  • a specific compartment 52 is assigned to the digital writing instrument 9 of the digital pen type. This pen is used to write on digital halftone paper that transfers all the elements entered to the computer system, ensuring notarization and timestamping of the document.
  • This specific compartment 52 pen holder is a receiver housing axis parallel to that of the body 3 of the mobile assembly 1, holding the pen in a standing position. It is fixed, invisibly, under the tablet.
  • the articulated foot 8 of the screen 7 In the front part of the working table is placed the articulated foot 8 of the screen 7, tactile or not, allowing its inclination in the sagittal direction.
  • the dimensions of the body 3 of the movable assembly 1 vary according to the demands, but one tries to respect several rules: the dimension of the upper plate makes it possible to place there a sheet of type A3, the height is deliberately higher than that of a work surface to allow you to write comfortably for a person between 1.60 and 1.90 meters tall.
  • the rolling base 2 of I 1 mobile assembly 1 supports its cylindrical hollow body 3 by means of a carrier plate 53 on which it is mounted.
  • This carrier plate 53 serves as an interface to a steerable and multi-orientable rolling base.
  • This carrier plate 53 serves as a frame or is secured to an intermediate support serving as a frame.
  • a directional arm 56 of generally arched shape carried at each of its ends by a wheel or each time by a pair of two twin directional wheels such that 57 and 58 mounted free in rotation and free in directional pivoting.
  • Each caster 57 and 58 or pair of casters is pivotally mounted for example by means of a conventional commercial support, for example a pivoting support 59 and 60 of the ball-bearing pivot type or the like.
  • the arch form of the directional arm 56 allows easy crossing small obstacles or deformations of the rolling plan.
  • the directional arm 56 is preferably flexible.
  • it is made of a suitable flexible and flexible material or material, metal blade, laminated wood or so-called composite material.
  • the wheels or casters fixed in the direction 54 and 55 can be motorized for example by equipping each with a motor or by replacing them with an existing motor-wheel already in commerce, this to assist movement movements and facilitate mobility and the maneuvers of the mobile unit.
  • a motor can be provided at its pivot center so as to make the directional assembly assisted or remotely controllable.
  • the compartment of the middle floor 61 is closed by a swinging or sliding door 62 giving access to the interior volume in which are housed the computer means.
  • the moving assembly 1 is completed by the manual means 10 for pushing and guiding which is an element or a conformation of gripping, pushing and guiding, for example in the form of a recess in the upper platform or of a solid or recessed handle mounted in a high position at the rear of the body of the moving assembly. It may affect as shown in the figures, the shape of a ball is slightly elevated relative to the upper inclined plane 5 of the moving assembly 1 is fixed directly on this plane.
  • the rolling base may include a parking brake, supplemented by a rolling or service brake.
  • the user pushes and guides the moving assembly 1 by one-handed action on this handle 10 for pushing and guiding.
  • the stability is provided by a seat on the four support points made by the wheels and changes of direction and the crossing of obstacles and deformations are particularly easy by the manual constraint on the push and guide handle associated with the flexibility of the directional arm. It also provides a suspension effect to soften the shock and cushion the jolts during maneuvers and crossings.
  • the resultant of this original device is an exceptional mobility which results in the absence of steering wheel or directional circle, replaced by the fixed ball 10 placed on the upper part 4 of the mobile assembly 1 and sufficient to direct the assembly with precision.
  • This pushing-guiding system could, in a motorized version of The movable assembly 1 can be manipulated to trigger the start of electric wheel motors placed on or instead of the two wheels 54 and 55 immobilized in the direction.
  • Various additional and optional equipment is possible to increase the performance and services provided and depending on the particularity of certain applications.
  • loudspeakers may be placed either laterally on the flanks or flush with the upper deck floor.
  • the microphone if it does not belong to the camera, can also be integrated at different levels.
  • a digital or needle watch, with or without a stopwatch function, can be inserted in a highly visible location.
  • another open housing may be placed to contain one or more relevant parameter measuring devices, either digital output and thus direct input into the computer system, or conventional operation.
  • buttons with assignable functionality (selective call, emergency call, special code), switching from one application to another (consultation of the file, writing), reading images, videoconferencing, can be integrated on a vertical pan, next to the user, or on the work tablet.
  • a digital camera will be installed in a suitable compartment.
  • a digital dictation system can be installed.
  • the moving assembly can be motorized using electric motors, in the form of motorized wheel type motor-wheel with batteries adapted for this purpose.
  • the hand disinfection station is in place either laterally at the top or, again, on the line of longer slope near the base of the foot of the screen.
  • hospital variant with hospital logistics functions eg nutritional constraints or psychological support ...
  • retirement home type variant that includes imaging devices or therapeutic tools or measuring devices or instruments: audiometry, optometry .... educational variant serving as a robot for presenting educational exercises.
  • the mobile assembly according to the invention can be adapted to specific uses in places and medical and surgical premises called technical such as operating theaters, technical rooms (catheterization, endoscopy ..), emergency locks, intensive care units and resuscitation. It can for this purpose, be made resistant to electromagnetic radiation and their interference.
  • the mobile unit can be used in cooperation with a docking station, for example in the form of an office, one of whose flanks has a housing receiver for connecting the mobile assembly to the receiving members of the docking station.
  • the moving assembly according to the invention is adapted to be connected to a docking station with which it communicates, book and charge 1 information.
  • the mobile assembly In order to maintain sufficient maneuverability and minimum electrical autonomy, the mobile assembly must each time include a limited number of additional devices so as not to overload it and not to compromise the reliability of the on-board electronics.
  • HIS hospital information system
  • DMP personal medical file
  • Central unit consisting of microcomputers or combination thereof (one to three CPUs).
  • IP / WiFI telephony system IP / WiFI telephony system.
  • Directional ball of thrust and guidance passive or active, and controlling or not the startup of motor-wheels.
  • Lighting diodes for a portion of the moving assembly and ambience and / or environment.
  • Electric motorization of the mobile assembly (motorized wheels motor-wheels) with adapted battery.
  • Imaging devices (ultrasound).
  • Emergency cardiorespiratory therapy equipment of the defibrillator type, for example semi-automatic defibrillator (AED).
  • AED semi-automatic defibrillator

Abstract

Connectable, multimedia and multiservice mobile assembly for diagnosis and medical checkups, characterized in that it is composed of a directional rolling base (2) and of a cylindrical hollow body (3) enclosing electrical power supply means (28, 29), identification means (18), computing means and multimedia communication means as well as a facility (39) for disinfecting the hands and in that it is predisposed for its reception and connection to a docking station. This invention is of particular interest to manufacturers of trolleys intended for hospitals and care units.

Description

Ensemble mobile multimédias, multiservices et connectable pour le diagnostic, les prescriptions, le suivi médical et les soins infirmiers Multimedia, multiservice and connectable mobile unit for diagnosis, prescriptions, medical monitoring and nursing care
La présente invention se rapporte à un ensemble mobile connectable multimédias et multiservices faisant office de bureau professionnel mobile pour le diagnostic, les prescriptions, le suivi médical et les soins infirmiers. II assure en outre deux autres fonctions d'une part la traçabilité des matériels, des prescriptions et des actes et d'autre part la prévention des infections interhumaines manutransmises.The present invention relates to a multi-service and multi-service connectable mobile unit serving as a mobile office for diagnosis, prescriptions, medical monitoring and nursing care. It also provides two other functions on the one hand the traceability of materials, prescriptions and acts and on the other hand the prevention of human-made infections manutransmises.
Dans les hôpitaux, les cliniques et autres lieux analogues, la tournée de visite des patients hospitalisés est assurée par des infirmières et des médecins, ensemble ou séparément.In hospitals, clinics and similar settings, the inpatient visit is conducted by nurses and physicians, together or separately.
Schématiquement cela consiste à apprécier l'état du patient à ce moment et à le corréler a ses antécédents et aux informations complémentaires recueillies par la batterie de tests biologiques et les résultats d ' examens d ' imagerie médicale à travers d'éventuelles consultations de spécialistes.Schematically this consists in assessing the patient 's condition at this time and correlating it to his antecedents and to the additional information collected by the battery of biological tests and the results of medical imaging examinations through possible consultations of specialists.
En pratique, cette collecte est encore maintenant le plus souvent assurée par les infirmiers et étudiants qui collationnent avec difficulté des informations transmises sur support papier. On imagine les délais, les risques d'erreur, et les redondances qui font perdre un temps précieux aux soignants, généralement en nombre insuffisant.In practice, this collection is still most often done by nurses who collate with difficulty information transmitted on paper. We imagine the delays, the risks of error, and the redundancies that waste precious time for caregivers, usually in insufficient numbers.
Lorsque les résultats sont accessibles via le système d'information hospitalier (SIH), ils le sont sur des postes fixes distants du lit des patients autour duquel s'effectue l'essentiel de cette visite. II faut de multiples allers et retours avec recopiage manuel. Cette méthode s'avère peu satisfaisante, et globalement le système reste sous-utilisé. La portabilité de l ' information a conduit au développement d'un concept de chariot supportant un véritable poste mobile. En effet, les tentatives de transfert sur assistant personnel montrent rapidement leurs limites d'affichage lisible et pratique des données . Les tablettes dites PC ont leurs supporters, en dépit de l'obligation de les porter, de leur encombrement et du risque réel de chutes et d'une lecture individuelle qui ne s ' harmonise pas avec l'esprit collégial de la visite.When the results are accessible via the hospital information system (HIS), they are accessible on fixed positions that are distant from the bed of patients around which most of this visit takes place. It takes multiple trips and returns with manual copying. This method is unsatisfactory, and overall the system remains underutilized. The portability of the information led to the development of a trolley concept supporting a real mobile station. Indeed, personal assistant transfer attempts quickly show their display limits readable and convenient data. Tablettes called PC have their supporters, despite the obligation to wear them, their size and the real risk of falls and an individual reading that does not harmonize with the collegial spirit of the visit.
Les expériences les plus fréquentes sont la mise d'un ordinateur portable sur un chariot sans toutefois répondre à l'objection de manipulation solitaire. De plus, si toutes ces solutions répondent plus ou moins bien à la problématique évoquée, aucune ne résout la deuxième phase de la visite pour réaliser une prescription électronique connectée.The most common experiences are putting a laptop on a cart without responding to the solitary manipulation objection. Moreover, if all these solutions respond more or less well to the problematic mentioned, none solves the second phase of the visit to achieve a connected electronic prescription.
Les soignants, le corps médical ou infirmier, utilisent leurs mains non pas pour porter ou utiliser l'outil informatique, mais pour saluer, examiner, déplacer., et surtout pour prescrire, qu'il s'agisse de médicaments, de soins ou d'examens à réaliser, ou encore de notes de parcours. La pratique hospitalière repose encore largement sur le message écrit manuellement en écriture cursive.The caregivers, the medical or nursing body, use their hands not to carry or use the computer tool, but to greet, examine, move, and especially to prescribe, be it drugs, care or examinations to be carried out, or of course notes. Hospital practice is still largely based on the message written manually in cursive script.
La présente invention a pour but d ' améliorer la pratique des visites, des soins et du suivi médical des patients à l ' intérieur et à l ' extérieur de l'hôpital en proposant un poste mobile multimédias et multiservices constituant une véritable base d'informations, de services et de soins.The present invention aims to improve the practice of visits, care and medical monitoring of patients inside and outside the hospital by providing a mobile multimedia and multiservice constituting a real information base. , services and care.
Ainsi l'invention est à même de transmettre des informations captées par son intégrateur logiciel. Ce poste mobile intègre de façon structurelle un procédé numérique d'écriture immédiatement transformé en saisie électronique directe à transposition intégrale avec reconnaissance et transformation en caractères imprimés et en langage structuré. Cette fonction importante a une incidence directe sur l'aspect physique et l'ergonomie du poste mobile selon l'invention.Thus the invention is able to transmit information captured by its software integrator. This mobile unit integrates structurally a digital writing process immediately transformed into direct electronic input to full transposition with recognition and transformation into print and structured language. This important function has a direct impact on the physical appearance and the ergonomics of the mobile unit according to the invention.
L'objet de la présente invention consiste à apporter une réponse globale à ce champ de contraintes en intégrant dans le même concept la création d'un bureau professionnel mobile apte à recueillir de façon intégrée toutes les informations médicales et administratives voulues et d'autre part la mise en place d'une interface naturelle de donneur d'ordres s ' intégrant à la pratique quotidienne habituelle des acteurs, tout en supprimant les aléas du recopiage et les erreurs ou défauts de transmission.The object of the present invention is to provide a global response to this constraint field by integrating into the same concept the creation of a mobile professional office capable of collecting in an integrated manner all the medical and administrative information required and secondly the setting up of a natural interface of order giver integrating the usual daily practice of the actors, while eliminating the vagaries of the copying and the errors or defects of transmission.
L'ensemble mobile selon l'invention assure aussi une traçabilité parfaite avec identification de l'écriture et de son auteur, l'horodatage aboutissant à une véritable notarisation d'un document unique pour aboutir à ce support papier qui constitue en outre la preuve matérielle incontestable souvent exigée d'un service informatique hospitalier. En outre en cas de panne, le processus de soins peut se poursuivre sans perturbation majeure sachant qu'aucune donnée ne sera informatiquement perdue, puisque intégrable rétrospectivement avec trace de l ' heure réelle de saisie, lors de la remise en marche du système.The mobile assembly according to the invention also ensures perfect traceability with identification of the writing and its author, the time stamp resulting in a true notarization of a single document to lead to this paper support which is further evidence material indisputable often required of a hospital IT service. Moreover, in the event of a breakdown, the care process can continue without major disruption, knowing that no data will be lost, since it can be retrospectively integrated with a trace of the actual time of entry when the system is restarted.
D'autres caractéristiques et avantages de l'invention apparaîtront dans la description qui suit, donnée à titre d'exemple et accompagnée des dessins dans lesquels : . la figure 1 est une vue générale en perspective de l'ensemble mobile selon l'invention; . la figure 2 est une vue mixte de face et en coupe de l'ensemble mobile selon l'invention;Other features and advantages of the invention will appear in the description which follows, given by way of example and accompanied by the drawings in which: Figure 1 is a general perspective view of the movable assembly of the invention; . Figure 2 is a front view and in section of the movable assembly according to the invention;
. la figure 3 est une vue mixte en coupe pour le corps cylindrique et de profil pour la base et la partie supérieure de l'ensemble mobile selon l'invention; . la figure 4 est une vue schématique en perspective des logements de la partie supérieure;. FIG. 3 is a cross-sectional view for the cylindrical body and of a profile for the base and the part upper mobile assembly according to the invention; . Figure 4 is a schematic perspective view of the housing of the upper part;
. la figure 5 est une vue schématique en perspective des niches du logement de souris et celle du logement du lecteur de codes à barres;. Figure 5 is a schematic perspective view of the niches of the mouse housing and that of the housing of the barcode reader;
. la figure 6 est une vue de profil de la base roulante multidirectionnelle de l ' ensemble mobile selon l'invention; . les figures de 7 à 9 sont des vues schématiques de dessus montrant respectivement l'effacement du clavier de son logement, son extraction et sa position de sortie.. Figure 6 is a side view of the multidirectional rolling base of the mobile assembly according to the invention; . Figures 7 to 9 are schematic top views respectively showing the erasure of the keyboard of its housing, its extraction and its output position.
L ' ensemble mobile selon l ' invention est destiné à servir de poste mobile de diagnostic, de prescription, de suivi médical au sein d'un hôpital, d'une clinique ou d'une unité de soins ou analogue.The mobile assembly according to the invention is intended to serve as a mobile station for diagnosis, prescription, medical monitoring within a hospital, a clinic or a care unit or the like.
Il assure en outre deux autres fonctions supplémentaires : d'une part la traçabilité des matériels, des prescriptions et des actes et d'autre part la prévention des infections interhumaines manutransmises .It also provides two additional functions: the traceability of equipment, prescriptions and procedures and the prevention of man-made human infections.
Il est autonome pour sa mobilité, pour son fonctionnement et celui des appareils qu'il porte en raison de son alimentation indépendante électrique intégrée .It is autonomous for its mobility, for its operation and that of the devices it carries because of its integrated independent power supply.
Il est autocommuniquant c'est-à-dire qu'il peut émettre et recevoir des messages et des informations vers ou à partir d'un réseau auquel il est relié sans fil par exemple par une liaison radioélectrique du type connu sous la dénomination WiFi ou autre directement ou à travers une station ou une base à travers laquelle il est connecté.It is self-communicating, that is to say that it can send and receive messages and information to or from a network to which it is wirelessly connected for example by a radio link of the type known as WiFi or other directly or through a station or base through which it is connected.
Il est connectable à une station ou base d'accueil pour former un ensemble commun de groupement recueillant et traitant successivement les informations de plusieurs ensembles mobiles pouvant provenir de plusieurs services différents.It can be connected to a reception station or base to form a common set of groupings collecting and successively processing the information of several mobile assemblies that can come from several different services.
Il se connecte à une station ou base d'accueil pour différents besoins notamment pour des transferts de données et d'informations et le travail d'enregistrement, de configuration et tout autre.It connects to a station or home base for different needs including data and information transfers and registration, configuration and other work.
L ' ensemble mobile 1 selon l ' invention se compose de façon générale, d'une base roulante 2 directionnelle multiorientable, d'un corps creux 3 de forme générale cylindrique supporté par cette base 2 et en partie supérieure 4 du corps cylindrique 3 d'une plate-forme inclinée 5 formant un plan incliné de travail 6 auquel s'ajoute un écran 7 monté sur un support articulé 8, un instrument d'écriture numérique 9 et un élément ou une conformation de prise manuelle pour la poussée et le guidage 10 du mobile par exemple conformé en boule, lui permettant d'être poussé, tiré et guidé manuellement par un utilisateur.The movable assembly 1 according to the invention is generally composed of a multi - directional directional rolling base 2, a hollow body 3 of generally cylindrical shape supported by this base 2 and in the upper part 4 of the cylindrical body 3 of FIG. an inclined platform 5 forming an inclined working plane 6 to which is added a screen 7 mounted on a hinged support 8, a digital writing instrument 9 and a manual gripping element or conformation for pushing and guiding 10 mobile for example shaped into a ball, allowing it to be pushed, pulled and guided manually by a user.
La partie supérieure 4 de l ' ensemble mobile 1 est fermée par le plan incliné de travail 5 limité vers le bas par une butée linéaire basse par exemple du type réglette 11 pour servir de tablette d'écriture 12 sur un support d'écriture informatique 13 lui donnant l'aspect d'un lutrin. La partie supérieure 4 comporte également le support 8 articulé adapté pour recevoir l'écran 7 tactile ou non ainsi que divers dispositifs annexes dont l'instrument d'écriture 9 du type stylo d'écriture numérique et de saisie avec reconnaissance automatique des caractères par un programme adapté.The upper part 4 of the moving assembly 1 is closed by the inclined working plane 5 bounded downwards by a low linear abutment for example of the ruler type 11 to serve as a writing tablet 12 on a computer writing medium 13 giving it the appearance of a lectern. The upper part 4 also includes the hinged support 8 adapted to receive the touch screen 7 or not and various ancillary devices including the writing instrument 9 of the type of digital writing pen and input with automatic recognition of characters by a adapted program.
La forme du corps 3 de l'ensemble mobile 1 est cylindrique car non agressive, auto-protectrice contre les chocs et minimisant le nombre d'arêtes vives et de saillies ainsi que de nids à microorganismes, à poussières et à saletés.The shape of the body 3 of the moving assembly 1 is cylindrical because it is non-aggressive, self-protective against impacts and minimizes the number of sharp edges and protrusions as well as nests with microorganisms, dust and dirt.
Le corps cylindrique creux 3 comporte à son intérieur plusieurs logements traversant sa paroi latérale qui restent ouverts ou sont obturables par une porte battante ou coulissante ou par un volet pivotant. Parmi ces logements on distingue : . une niche ouverte 14 pour un dispositif de commande connu sous la dénomination de "souris" 15 renfermant également un détecteur-identificateur biométrique 16 par exemple par une empreinte digitale du futur utilisateur autorisant après validation la mise en fonctionnement de l ' ensemble mobile 1.The hollow cylindrical body 3 has in its interior several housings passing through its lateral wall which remain open or are closable by a swinging or sliding door or by a pivoting flap. Among these dwellings we distinguish:. an open niche 14 for a control device known under the name "mouse" 15 also containing a biometric detector-identifier 16 for example by a fingerprint of the future user authorizing after validation the start of operation of the mobile assembly 1.
. une cavité ouverte d'identification 17 par support codé, étiquette codée ou autre renfermant un lecteur manuel 18 de cartes et de codes notamment à barres se composant d'une base 19 et d'une poignée 20 mobile de saisie,. an open identification cavity 17 by coded support, coded label or the like containing a manual reader 18 of cards and particularly bar codes consisting of a base 19 and a mobile gripping handle 20,
. un logement plat ouvert 21 à entrée en fente 22 pour un clavier 23 qui repose sur une tablette extractible 24 montée mobile sur un support à glissière(s) 25 lui même pivotant et tiré par une languette de préhension 26 pour assurer une grande liberté de mouvements,. an open flat slot 21 with a slot 22 for a keyboard 23 which rests on an extractable shelf 24 mounted on a sliding support (s) 25 itself pivoted and pulled by a gripping tab 26 to ensure a great freedom of movement ,
. un logement inférieur technique 27 obturable, prévu en partie inférieure recevant une alimentation électrique indépendante ou une alimentation dite auto-électrique sous la forme d'une batterie rechargeable 28, un chargeur 29, un régulateur de tension et divers organes et appareils. Ce logement technique 27 peut être partagé en plusieurs compartiments ouverts ou fermés par des cloisons de différentes hauteurs. Il est situé en dessous d'un compartiment d ' étage moyen qui peut être fractionné en plusieurs niveaux par un ou des plans horizontaux tels que 30 et 31 formant des plans supports à un niveau supérieur pour divers périphériques par exemple une imprimante 32 ou un scanner 33 ou autres.. a closable lower technical housing 27, provided in the lower part receiving a separate power supply or a so-called self-power supply in the form of a rechargeable battery 28, a charger 29, a voltage regulator and various organs and apparatus. This technical housing 27 can be divided into several open or closed compartments by partitions of different heights. It is located below an average floor compartment which can be split into several levels by one or more horizontal planes such as 30 and 31 forming support planes at a higher level for various peripherals for example a printer 32 or a scanner 33 or others.
Ce compartiment d'étage moyen comporte aussi dans sa partie supérieure une unité centrale informatique 34 reliée ou intégrée à divers périphériques dont un lecteur 35 de différents supports de mémoires mobiles: cartes, clés USB, mini-disques et autres par exemple placée sur le support 31.This middle floor compartment also has in its upper part a central computer unit 34 connected to or integrated with various peripherals including a reader 35 of different mobile memory media: cards, USB keys, mini-disks and others for example placed on the support 31.
Le logement technique inférieur est fermé par une porte battante inférieure 36 ajourée ou non.The lower technical housing is closed by a lower hinged door 36 perforated or not.
L ' ensemble mobile comprend en partie supérieure un logement de désinfection 37 des mains fermé par un volet pivotant 38 lorsque non utilisé, est prévu pour un poste de désinfection 39 logé dans une cavité ou enceinte technique 40 isolée du volume intérieur de l ' ensemble mobile et de préférence séparée de l'extérieur par une paroi souple 41 avec une ouverture 42 de passage pour les mains. Il s'agit d'un poste de désinfection des mains par exemple par soufflage ou brumisation. Il se compose d'une pluralité de buses ou d'orifices tels que 43 de soufflage ou de brumisation orientées de préférence vers la partie médiane de l'enceinte qui est un volume 44 laissé libre pour l'emplacement des mains au dessus d'un réceptacle 45. Ces buses ou orifices 43 soufflent ou projettent chacune sur les mains un flux gazeux d'un produit désinfectant biocompatible s 'évaporant ou une brume d'un liquide de désinfection biocompatible de préférence à fort pouvoir d ' évaporation.The mobile assembly comprises in the upper part a disinfection housing 37 of the hands closed by a pivoting flap 38 when not in use, is provided for a disinfection station 39 housed in a cavity or technical enclosure 40 isolated from the interior volume of the moving assembly and preferably separated from the outside by a flexible wall 41 with an opening 42 for the hands. This is a hand disinfection station for example by blowing or misting. It consists of a plurality of nozzles or openings such as blowing or misting preferably oriented toward the middle part of the enclosure which is a volume 44 left free for the location of the hands above a 45. These nozzles or orifices 43 blow or project each on the hands a gas stream of a biocompatible disinfecting product evaporating or a mist of a biocompatible disinfecting liquid preferably with high evaporation power.
Ce logement de désinfection est avantageusement prévu à hauteur de mains d'un individu de taille moyenne, par exemple dans un compartiment sous la plate-forme 5 de travail.This disinfection housing is advantageously provided at the height of the hands of a medium-sized individual, for example in a compartment under the working platform.
Le corps 3 de l'ensemble mobile 1 comprend dans le logement technique 27 fermé par la porte 36 ajourée ou non de type battante ou coulissante un emplacement pour la batterie d'alimentation 28 par exemple du type gel et son chargeur spécifique 29 et divers autres emplacements pour des dispositifs annexes liés à l ' alimentation et au fonctionnement général de l'ensemble mobile. D'autres emplacements sont prévus à l'étage moyen. De façon non limitative, il s'agit des emplacements suivants : . un emplacement pour l'unité centrale informatique 34 du système et son lecteur 35 multisupports ,The body 3 of the moving assembly 1 comprises in the technical housing 27 closed by the perforated or non-perforated gate 32, a slot for the feed battery 28, for example of the gel type, and its specific charger 29 and various other locations for ancillary devices related to the power supply and general operation of the mobile assembly. Other locations are planned on the middle floor. Without limitation, these are the following locations: . a location for the system computer unit 34 of the system and its multi-media reader 35,
. un emplacement pour une base de communication sans fil 46 par exemple du type dit WiFi.. a location for a wireless communication base 46 for example of the so-called WiFi type.
Un soin tout particulier a été apporté à aérer au maximum et au besoin ventiler l'espace intérieur du logement technique 27 susceptible de subir des élévations thermiques préjudiciables et ceci au besoin par un dispositif de ventilation. Un témoin à diodes de charge de batterie est fixé à ce niveau ou, de façon facultative, à tout autre endroit jugé plus accessible de l'ensemble mobile 1.Particular care has been taken to ventilate as much as possible and if necessary ventilate the interior space of the technical housing 27 likely to undergo harmful heat rises and this if necessary by a ventilation device. A battery charge LED indicator is attached at this level or, optionally, at any other location deemed more accessible by the moving assembly 1.
A titre de variante, on peut prévoir plusieurs unités centrales de types variables. Dans la forme commune il s'agit d'un micro-ordinateur à encombrement réduit solidement arrimé et muni de toute la connectique voulue y compris par des plates-formes pour ports additionnels ( USB, FireWire..). Les cartes, ou clefs de communication peuvent se situer à ce niveau. C'est à ce niveau, avec une fenêtre en regard, que peut être installée une petite imprimante d'appoint par exemple 32 destinée à des documents minimaux « feuille à feuille », type ordonnance, tapée « au lit du malade » et imprimée en direct.Alternatively, one can provide several CPUs of varying types. In the common form it is a microcomputer with reduced space securely stowed and provided with all the desired connectivity including platforms for additional ports (USB, FireWire ..). The cards, or keys of communication can be located at this level. It is at this level, with a window facing, that a small auxiliary printer can be installed, for example 32 intended for minimal documents "sheet-by-sheet", type order, typed "in bed of the patient" and printed in direct.
Comme indiqué, la partie supérieure comprend dans la version de base, les trois logements suivants ouverts en niche ainsi que le compartiment du poste de désinfection 39. Le premier 21, en fente transversale 22, sert à héberger le clavier 23 escamotable avec pavé numérique, posé sur une tablette 24 animée d'une cinématique représentée par la succession des figures 7 à 9. La languette 26 facilite la préhension pour l'extraction vers la position sortie.As indicated, the upper part comprises in the basic version, the following three housings open in a niche and the compartment of the disinfection station 39. The first 21, in transverse slot 22, is used to host the retractable keyboard 23 with keypad, placed on a tablet 24 animated with a kinematic represented by the succession of Figures 7 to 9. The tongue 26 facilitates the gripping for the extraction to the extended position.
A côté, sur la gauche (la position inversée étant possible et un modèle permettant de positionner indifféremment le clavier et la souris par des modules qui s'emboîtent dans l'ensemble mobile), une niche 14 abrite la souris 15 et son entrée permet le passage de la main d'un utilisateur pour sa manipulation sans être visible dans son compartiment dédié. Bien entendu, le fond inférieur de la niche est garni d'un tapis de souris ou d'un revêtement équivalent.At the side, on the left (the inverted position being possible and a model allowing to position indifferently the keyboard and the mouse by modules that fit into the mobile assembly), a niche 14 houses the mouse 15 and its input allows the passage of a user's hand for its manipulation without being visible in its dedicated compartment . Of course, the bottom of the niche is lined with a mouse pad or equivalent coating.
Sur le flanc gauche vertical de la niche 14 du logement de souris, le capteur biométrique digital 16 a été fixé, pour l'ouverture d'accès aux droits d'utilisation du système informatique.On the vertical left flank of the niche 14 of the mouse housing, the digital biometric sensor 16 has been fixed, for opening access to the rights of use of the computer system.
En dessous de la niche 14 du logement de souris 15, un autre logement 17, identique ou proche pour des raisons esthétiques, sert au lecteur 18 de codes-barres, par exemple du type sans fil.Below the niche 14 of the mouse housing 15, another housing 17, identical or close for aesthetic reasons, is used for the barcode reader 18, for example of the wireless type.
Le corps cylindrique 3 de l'ensemble mobile 1 peut être composé de deux parties 47 et 48 séparées par un double trait 49 sur la figure 1 correspondant aux deux parois 50 et 51 visibles sur les figures en coupe. On peut ainsi, faire varier par diminution ou allongement une partie de la hauteur globale de l'ensemble ce qui aura pour conséquence de faciliter l'industrialisation de certains modèles plus petits.The cylindrical body 3 of the moving assembly 1 may be composed of two parts 47 and 48 separated by a double line 49 in Figure 1 corresponding to the two walls 50 and 51 visible in the sectional figures. It is thus possible to vary by decreasing or lengthening part of the overall height of the assembly which will have the effect of facilitating the industrialization of certain smaller models.
Globalement, la partie supérieure 4, constituant la plate-forme de travail 5 termine le corps cylindrique 3 coupé obliquement qu'elle déborde de façon égale, ce qui lui confère de fait une forme d'ellipse. Son inclinaison, sa conformation générale et sa fonction de lecture et d'écriture lui confèrent une apparence et un usage de lutrin. Cette plate-forme de travail 5 se résume à une tablette d'écriture 12 limitée vers le bas par une butée transversale linéaire par exemple en réglette 11 située immédiatement au- dessus de la boule 10 de poussée et de guidage, afin de retenir les feuilles placées dessus. Un compartiment spécifique 52 est affecté à l'instrument d'écriture numérique 9 du type stylo numérique. Ce stylo sert à écrire sur du papier tramé numérique qui transfère tous les éléments saisis vers le système informatique en assurant une notarisation et un horodatage du document. Ce compartiment spécifique 52 porte-stylo est un logement récepteur à axe parallèle à celui du corps 3 de l'ensemble mobile 1, maintenant le stylo en position debout. Il est fixé, de façon invisible, sous la tablette .Overall, the upper part 4, constituting the working platform 5 ends the cylindrical body 3 obliquely cut that it overflows evenly, which gives it an elliptical shape. Its inclination, its general conformation and its function of reading and writing give it an appearance and use of a lectern. This working platform 5 is limited to a writing tablet 12 limited downwards by a linear transverse abutment for example in slider 11 located immediately above the ball 10 pushing and guiding, to retain the sheets placed on it. A specific compartment 52 is assigned to the digital writing instrument 9 of the digital pen type. This pen is used to write on digital halftone paper that transfers all the elements entered to the computer system, ensuring notarization and timestamping of the document. This specific compartment 52 pen holder is a receiver housing axis parallel to that of the body 3 of the mobile assembly 1, holding the pen in a standing position. It is fixed, invisibly, under the tablet.
En partie avant de la tablette de travail est placé le pied 8 articulé de l'écran 7, tactile ou non, autorisant son inclinaison dans le sens sagittal.In the front part of the working table is placed the articulated foot 8 of the screen 7, tactile or not, allowing its inclination in the sagittal direction.
Sur la ligne verticale de plus grande hauteur du corps de l'ensemble mobile, à proximité du pied de l'écran, est situé à mi-hauteur et en face du compartiment informatique une ouverture traversante qui permet à la fois de sortir le fil d'alimentation du chargeur de batterie et la connectique pour relier le micro-ordinateur à un vidéo-projecteur.On the vertical line of greater height of the body of the moving assembly, near the foot of the screen, is located at mid-height and in front of the computer compartment a through opening that allows both to pull out the wire of supply of the battery charger and the connectors to connect the microcomputer to a video projector.
Les dimensions du corps 3 de l'ensemble mobile 1 varient selon les demandes, mais on s'attache à respecter plusieurs règles : la dimension du plateau supérieur permet d'y placer une feuille de type A3, la hauteur est délibérément supérieure à celle d'un plan de travail afin de permettre d'écrire confortablement pour une personne de taille comprise entre 1,60 et 1,90 mètre .The dimensions of the body 3 of the movable assembly 1 vary according to the demands, but one tries to respect several rules: the dimension of the upper plate makes it possible to place there a sheet of type A3, the height is deliberately higher than that of a work surface to allow you to write comfortably for a person between 1.60 and 1.90 meters tall.
La base roulante 2 de I1 ensemble mobile 1 selon l ' invention supporte son corps creux cylindrique 3 par l'intermédiaire d'un plateau porteur 53 sur lequel il est monté.The rolling base 2 of I 1 mobile assembly 1 according to the invention supports its cylindrical hollow body 3 by means of a carrier plate 53 on which it is mounted.
Ce plateau porteur 53 sert d'interface à une base roulante dirigeable et multiorientable.This carrier plate 53 serves as an interface to a steerable and multi-orientable rolling base.
Ce plateau porteur 53 sert de châssis ou est rendu solidaire d'un support intermédiaire servant de châssis.This carrier plate 53 serves as a frame or is secured to an intermediate support serving as a frame.
Sur le châssis ou directement sur le plateau porteur 53 sont montées à rotation libre deux roues ou roulettes opposées 54 et 55 immobilisées en direction.On the chassis or directly on the carrier plate 53 are mounted free rotation two wheels or opposing rollers 54 and 55 immobilized in the direction.
Au centre du châssis ou du plateau porteur 53 est monté fixe ou pivotant sur sa partie médiane un bras directionnel 56 de forme générale en arche porté à chacune de ses extrémités par une roulette ou à chaque fois par un couple de deux roulettes directionnelles jumelées telles que 57 et 58 monté (e) s libres en rotation et libres en pivotement directionnel.In the center of the chassis or the carrier plate 53 is mounted fixed or pivoting on its middle part a directional arm 56 of generally arched shape carried at each of its ends by a wheel or each time by a pair of two twin directional wheels such that 57 and 58 mounted free in rotation and free in directional pivoting.
Elles autorisent, avec une poussée strictement médiane, une progression rectiligne sans nécessiter de corriger des rotations ou translations.They allow, with a strictly median thrust, a rectilinear progression without needing to correct rotations or translations.
Chaque roulette 57 et 58 ou couple de roulettes est monté (e) libre en pivotement par exemple par l'intermédiaire d'un support classique du commerce par exemple un support pivotant 59 et 60 du type pivot à roulement à billes ou analogue.Each caster 57 and 58 or pair of casters is pivotally mounted for example by means of a conventional commercial support, for example a pivoting support 59 and 60 of the ball-bearing pivot type or the like.
La forme en arche du bras directionnel 56 permet le franchissement aisé des petits obstacles ou des déformations du plan de roulage. Le bras directionnel 56 est de préférence flexible. A cet effet, il est réalisé dans un matériau ou une matière souple et flexible approprié, lame métallique, bois lamellé-collé ou en matière dite composite. Les roues ou roulettes fixes en direction 54 et 55 peuvent être motorisées par exemple en les équipant chacune d'un moteur ou en les remplaçant par un moteur-roue existant déjà dans le commerce, ceci pour assister les mouvements de déplacement et faciliter la mobilité et les manoeuvres de l'ensemble mobile.The arch form of the directional arm 56 allows easy crossing small obstacles or deformations of the rolling plan. The directional arm 56 is preferably flexible. For this purpose, it is made of a suitable flexible and flexible material or material, metal blade, laminated wood or so-called composite material. The wheels or casters fixed in the direction 54 and 55 can be motorized for example by equipping each with a motor or by replacing them with an existing motor-wheel already in commerce, this to assist movement movements and facilitate mobility and the maneuvers of the mobile unit.
Bien entendu, dans le cas d'un bras directionnel pivotant, on peut prévoir un moteur au niveau de son centre de pivotement de manière à rendre l'ensemble directionnel assisté ou commandable à distance.Of course, in the case of a pivoting directional arm, a motor can be provided at its pivot center so as to make the directional assembly assisted or remotely controllable.
Le compartiment de l'étage moyen 61 est fermé par une porte 62 battante ou coulissante donnant accès au volume intérieur dans lequel sont logés les moyens informatiques .The compartment of the middle floor 61 is closed by a swinging or sliding door 62 giving access to the interior volume in which are housed the computer means.
L'ensemble mobile 1 est complété par le moyen manuel 10 de poussée et de guidage qui est un élément ou une conformation de préhension, de poussée et de guidage par exemple sous la forme d'un évidemment dans la plate-forme supérieure ou d'une poignée pleine ou évidée montée en position haute à l ' arrière du corps de l'ensemble mobile. Elle peut affecter comme représenté sur les figures, la forme d'une boule soit légèrement surélevée par rapport au plan incliné supérieur 5 de l'ensemble mobile 1 soit fixée directement sur ce plan.The moving assembly 1 is completed by the manual means 10 for pushing and guiding which is an element or a conformation of gripping, pushing and guiding, for example in the form of a recess in the upper platform or of a solid or recessed handle mounted in a high position at the rear of the body of the moving assembly. It may affect as shown in the figures, the shape of a ball is slightly elevated relative to the upper inclined plane 5 of the moving assembly 1 is fixed directly on this plane.
La base roulante peut comporter un frein de parc, complété par un frein de roulage ou de service.The rolling base may include a parking brake, supplemented by a rolling or service brake.
Dans le fonctionnement manuel, l'utilisateur pousse et guide l'ensemble mobile 1 par action d'une seule main sur cette poignée 10 de poussée et de guidage . Lors du déplacement de l'ensemble mobile 1 selon l'invention, la stabilité est assurée par une assise sur les quatre points d'appui réalisés par les roulettes et les changements de direction et le franchissement des obstacles et déformations s'avèrent particulièrement aisés par la contrainte manuelle sur la poignée de poussée et de guidage associée à la souplesse du bras directionnel. Celui-ci apporte en plus un effet de suspension permettant d'adoucir les chocs et d'amortir les à-coups lors des manoeuvres et des franchissements.In manual operation, the user pushes and guides the moving assembly 1 by one-handed action on this handle 10 for pushing and guiding. During the displacement of the mobile assembly 1 according to the invention, the stability is provided by a seat on the four support points made by the wheels and changes of direction and the crossing of obstacles and deformations are particularly easy by the manual constraint on the push and guide handle associated with the flexibility of the directional arm. It also provides a suspension effect to soften the shock and cushion the jolts during maneuvers and crossings.
La résultante de ce dispositif original est une mobilité exceptionnelle qui se traduit par l'absence de volant ou de cercle directionnel, remplacé par la boule 10 fixe placée sur la partie supérieure 4 de l'ensemble mobile 1 et suffisante pour diriger l'ensemble avec précision. Ce système de poussée- guidage pourrait, dans une version motorisée de 1 ' ensemble mobile 1 être manipulable pour déclencher la mise en route des moteurs-roues électriques placés sur ou à la place des deux roulettes 54 et 55 immobilisées en direction. Divers équipements supplémentaires et optionnels sont possibles pour augmenter les performances et les services rendus et en fonction de la particularité de certaines applications.The resultant of this original device is an exceptional mobility which results in the absence of steering wheel or directional circle, replaced by the fixed ball 10 placed on the upper part 4 of the mobile assembly 1 and sufficient to direct the assembly with precision. This pushing-guiding system could, in a motorized version of The movable assembly 1 can be manipulated to trigger the start of electric wheel motors placed on or instead of the two wheels 54 and 55 immobilized in the direction. Various additional and optional equipment is possible to increase the performance and services provided and depending on the particularity of certain applications.
En fonction du choix du système de visioconférence, des enceintes peuvent être placées soit latéralement sur les flancs soit affleurantes à l'étage du plateau supérieur. Le micro, s'il n'appartient pas à la caméra, peut aussi être intégré à différents niveaux. Une montre digitale ou à aiguilles, avec ou sans fonction chronomètre, peut être insérée à un endroit hautement visible.Depending on the choice of videoconferencing system, loudspeakers may be placed either laterally on the flanks or flush with the upper deck floor. The microphone, if it does not belong to the camera, can also be integrated at different levels. A digital or needle watch, with or without a stopwatch function, can be inserted in a highly visible location.
Facultativement, un autre logement ouvert peut être placé pour contenir un ou plusieurs appareils de mesures de paramètres pertinents, soit à sortie numérique et donc à entrée directe dans le système informatique, soit à fonctionnement conventionnel.Optionally, another open housing may be placed to contain one or more relevant parameter measuring devices, either digital output and thus direct input into the computer system, or conventional operation.
Une pluralité de boutons, à fonctionnalité affectable (appel sélectif, appel d'urgence, code spécial), basculement d'une application vers l'autre (consultation du dossier, écriture), lecture d'images, visioconférences, peut être intégrée sur un pan vertical, en regard de l'utilisateur, ou sur la tablette de travail. Un appareil de photo numérique sera installé dans un compartiment adéquat.A plurality of buttons, with assignable functionality (selective call, emergency call, special code), switching from one application to another (consultation of the file, writing), reading images, videoconferencing, can be integrated on a vertical pan, next to the user, or on the work tablet. A digital camera will be installed in a suitable compartment.
De même un système de dictée numérique pourra être installé.Similarly a digital dictation system can be installed.
Il en est de même pour un système de géolocalisation, par une puce RFID.It is the same for a geolocation system, by an RFID chip.
On rappelle que l ' ensemble mobile peut être motorisé à l'aide de moteurs électriques, sous forme de roulettes motorisées type moteur-roue avec des batteries adaptées à cet usage.It is recalled that the moving assembly can be motorized using electric motors, in the form of motorized wheel type motor-wheel with batteries adapted for this purpose.
Enfin, le poste de désinfection des mains est en place soit latéralement à la partie haute, soit, à nouveau, sur la ligne de plus longue pente proche de la base du pied de l'écran.Finally, the hand disinfection station is in place either laterally at the top or, again, on the line of longer slope near the base of the foot of the screen.
On décrira ci-après quelques variantes. On distingue une variante à corps raccourci dont le nombre d'appareils et d'équipement est réduit. Cette variante dans une version allégée pourra servir de table de chevet pour le patient.Some variants will be described below. There is a shortened body variant whose number of devices and equipment is reduced. This variant in a lighter version can be used as a bedside table for the patient.
D'autres exemples de variantes du type simplifiées sont énumérées ci-dessous.Other examples of simplified type variants are listed below.
. variante hospitalière à fonctions de logistique hospitalière par exemple de contraintes nutritionnelles ou de soutien psychologique.... hospital variant with hospital logistics functions eg nutritional constraints or psychological support ...
. variante au domicile du patient comportant diverses fonctionnalités domestiques: commandes d'appareils, sécurité anti-effraction, fonction télévision, borne interactive .... variant in the home of the patient with various domestic features: device controls, burglar-proof security, TV function, interactive terminal ...
. variante type maison de retraite qui comporte des appareils d'imagerie ou des outils thérapeutiques ou des appareils ou instruments de mesure : audiométrie , optométrie ... . variante éducative servant de robot de présentation d'exercices éducatifs.. retirement home type variant that includes imaging devices or therapeutic tools or measuring devices or instruments: audiometry, optometry .... educational variant serving as a robot for presenting educational exercises.
L ' ensemble mobile selon l ' invention peut être adapté à des usages spécifiques dans des lieux et locaux médicaux et chirurgicaux dits techniques tels que blocs opératoires, salles techniques (cathétérisme, endoscopie..), sas d'urgence, unités de soins intensifs et de réanimation. Il peut à cet effet, être réalisé résistant aux rayonnements électromagnétiques et à leurs interférences . L'ensemble mobile peut être utilisé en coopération avec une station d'accueil par exemple en forme de bureau dont un des flancs présente un logement récepteur pour le branchement de l'ensemble mobile aux organes récepteurs de la station d'accueil.The mobile assembly according to the invention can be adapted to specific uses in places and medical and surgical premises called technical such as operating theaters, technical rooms (catheterization, endoscopy ..), emergency locks, intensive care units and resuscitation. It can for this purpose, be made resistant to electromagnetic radiation and their interference. The mobile unit can be used in cooperation with a docking station, for example in the form of an office, one of whose flanks has a housing receiver for connecting the mobile assembly to the receiving members of the docking station.
L'ensemble mobile selon l'invention est prévu pour être connecté à une station d'accueil avec laquelle il communique, livre et se charge d1 informations .The moving assembly according to the invention is adapted to be connected to a docking station with which it communicates, book and charge 1 information.
Pour conserver une maniabilité suffisante et une autonomie électrique minimale indispensable, 1 ' ensemble mobile doit comporter à chaque fois un nombre de dispositifs annexes limités afin de ne pas le surcharger et de ne pas compromettre la fiabilité de l ' électronique embarquée .In order to maintain sufficient maneuverability and minimum electrical autonomy, the mobile assembly must each time include a limited number of additional devices so as not to overload it and not to compromise the reliability of the on-board electronics.
Ce choix conduit à limiter dans une configuration donnée les fonctionnalités à, d'une part l'acquisition de résultats constituant le dossier du patient et d'autre part à l'émission d'ordres concernant les soins, les décisions thérapeutiques et les demandes d'examens complémentaires et/ou de consultations spécialisées. Un micro-ordinateur conventionnel suffit, complété par un lecteur de codes à barres et une mini-imprimante pour éditer "au lit du malade" une ordonnance de sortie sans chercher à dépasser cet objectif limité. Un poste de désinfection manuelle intégré fait partie de la configuration de base.This choice leads to limiting in a given configuration the functionalities to, on the one hand, the acquisition of results constituting the patient's file and, on the other hand, to the issuing of orders concerning the care, the therapeutic decisions and the requests for treatment. complementary examinations and / or specialized consultations. A conventional microcomputer is sufficient, supplemented by a barcode reader and a mini-printer to edit "at the bedside" an order of exit without seeking to exceed this limited objective. An integrated manual disinfection station is part of the basic configuration.
Toutes les autres fonctions bureautiques seront confiées à une base ou station d'accueil de forme adaptée présentant un logement pour recevoir l'ensemble mobile et des prises techniques pour sa connexion.All other office functions will be entrusted to a base or docking station of suitable form having a housing for receiving the mobile assembly and technical outlets for its connection.
Pour des raisons de clarté et de suffisance dans la description, on rappellera ci-après les fonctions de l'ensemble mobile d'hôpital selon l ' invention. II s'agit des fonctions suivantes.For the sake of clarity and sufficiency in the description, reference will be made below to the functions of the mobile hospital assembly according to the invention. These are the following functions.
. La lecture de toutes les données patients à partir du SIH (système d'information hospitalier) ou du DMP (dossier médical personnel) .. Reading of all patient data from the hospital information system (HIS) or DMP (personal medical file).
. La prescription connectée et la prise de rendez vous.. The connected prescription and making appointments.
. La tenue du dossier médical et du dossier infirmier au jour le jour.. Keeping the medical file and the nursing file on a daily basis.
. La traçabilité des décisions, actes, produits consommables et matériels avec l'enregistrement de la réalisation des actes.. The traceability of the decisions, acts, consumables and materials with the recording of the realization of the acts.
. Le contact avec l'ensemble de la filière de soins du patient considéré au sein et en dehors de l'institution.. The contact with the whole care chain of the patient considered within and outside the institution.
. Le renseignement de la base de données patients/ unité de soins/ institutions en vue d'un possible piochage de données ultérieur, à visée scientifique, sanitaire ou économique via l ' interconnection avec les bases de données relationnelles et autres logiciels appropriés.. Intelligence from the patient / health unit / institution database for possible subsequent data retrieval for scientific, health or economic purposes via interconnection with relational databases and other appropriate software.
. La prévention des infections manu-portées par le personnel soignant. . Les fonctions d'éclairage (de l'ensemble mobile lui-même, et à partir de l'ensemble mobile) de stockage et ou de rangement.. Prevention of hand-borne infections by caregivers. . The lighting functions (of the mobile assembly itself, and from the mobile assembly) of storage and or storage.
. La lecture des données d'imagerie ou de biologie. . La fonction thérapeutique directe par outil incorporé (défibrillateur) .. Reading of imaging or biology data. . Direct therapeutic function by embedded tool (defibrillator).
On y ajoute la description rapide des principaux composants.A quick description of the main components is added.
. Base roulante directionnelle avec frein en option pour une mobilité d'une main.. Directional rolling base with optional brake for one hand mobility.
. Alimentation électrique indépendante avec une autonomie suffisante (minimum 12 heures) respectant les contraintes d'environnement sanitaire / hospitalier et de flexibilité pour alimentation de 12-20 volts à 220 volts. Recharge par chargeur spécifique ou par induction en option.. Independent power supply with sufficient autonomy (minimum 12 hours) respecting the sanitary / hospital environment constraints and flexibility for power supply from 12-20 volts to 220 volts. Charging by specific charger or optional induction.
. Plates-formes électriques d'alimentation, USB, FireWire.... Power supply platforms, USB, FireWire ...
. Imprimante connectée, incluse ou déportée.. Printer connected, included or remote.
. Scanner connecté, inclus ou déporté.. Scanner connected, included or remote.
. Unité(s) centrale(s) composée(s) de micro- ordinateurs ou de combinaison de ceux-ci (une à trois unités centrales ) .. Central unit (s) consisting of microcomputers or combination thereof (one to three CPUs).
. Système de téléphonie IP/WiFI.. IP / WiFI telephony system.
. Lecteur de code barre sans fil.. Wireless barcode reader.
. Identification biométrique personnelle. . Identification positionnelle RFID.. Personal biometric identification. . RFID positional identification.
. Système de dictée vocale numérique avec reconnaissance vocale.. Digital voice dictation system with voice recognition.
. Micro (à correction de décalage son/image) autonome ou intégré. . Enceintes acoustiques intégrées.. Stand-alone or integrated microphone (with sound / picture offset correction). . Built-in acoustic speakers.
. Boule directionnelle de poussée et de guidage passive ou active, et commandant ou non la mise en route de moteurs-roues.. Directional ball of thrust and guidance passive or active, and controlling or not the startup of motor-wheels.
. Clavier compact escamotable et non apparent.. Compact keyboard retractable and not apparent.
. Souris confinée dans une niche appropriée non visible.. Mouse confined in an appropriate niche not visible.
. Plan incliné de travail fixe ou escamotable, avec réglette de retenue. . Ecran avec ou sans fonction tactile, intégrant éventuellement la caméra et les enceintes.. Fixed or retractable working inclined plane, with retaining strip. . Screen with or without touch function, possibly integrating the camera and speakers.
. Appareil de photo numérique et/ou caméra reliée à internet connecté ( s ) .. Digital camera and / or connected internet camera (s).
. Stylo(s) numérique(s) avec papier communiquant .. Digital pen (s) with communicating paper.
. Diodes d'éclairage d'une partie de l'ensemble mobile et d'ambiance et /ou d'environnement.. Lighting diodes for a portion of the moving assembly and ambience and / or environment.
. Montre digitale .. Digital watch.
. Motorisation électrique de l'ensemble mobile (galets motorisés type moteur-roues) avec batterie adaptée.. Electric motorization of the mobile assembly (motorized wheels motor-wheels) with adapted battery.
. Téléguidage radio ou autre de l'ensemble mobile .. Remote control radio or other of the set mobile.
. Poste de désinfection des mains .. Hand disinfection station.
. Appareils de mesures et d'imagerie.. Measuring and imaging devices.
. Appareils d'imagerie (échographie) .. Imaging devices (ultrasound).
. Appareillage thérapeutique cardiorespiratoire d'urgence de type défibrillateur par exemple défibrillateur semi-automatique (DSA) . . Emergency cardiorespiratory therapy equipment of the defibrillator type, for example semi-automatic defibrillator (AED).

Claims

REVENDICATIONS
1. Ensemble mobile multimédias et multiservices pour le diagnostic et le suivi médical caractérisé en ce qu'il se compose d'une base roulante directionnelle et d'un corps creux renfermant des moyens d'alimentation électrique, des moyens d'identification, des moyens informatiques et des moyens de communication multimédias ainsi qu'un poste de désinfection des mains, en ce qu'il est prédisposé pour sa réception et son branchement à une station d'accueil, et en ce qu'il comporte sur sa face supérieure un plan incliné formant pupitre.1. Multimedia and multi-service mobile assembly for diagnosis and medical monitoring, characterized in that it consists of a directional rolling base and a hollow body enclosing electrical supply means, identification means, means computer and multimedia communication means and a hand disinfection station, in that it is predisposed for its reception and its connection to a docking station, and in that it comprises on its upper surface a plan inclined forming desk.
2. Ensemble mobile selon la revendication 1 caractérisé en ce que le corps cylindrique comporte une partie supérieure en plan incliné formant une plateforme de travail.2. Mobile assembly according to claim 1 characterized in that the cylindrical body comprises an upper part in inclined plane forming a working platform.
3. Ensemble mobile selon la revendication 1 caractérisé en ce que la plate-forme de travail présente un emplacement d'écriture sur un support papier, cet emplacement étant délimité vers le bas par une butée linéaire .3. Mobile assembly according to claim 1 characterized in that the work platform has a writing location on a paper support, this location being delimited downwards by a linear stop.
4. Ensemble mobile selon la revendication 1 caractérisé en ce que la plate-forme de travail comporte un écran dont le pied est situé en partie supérieure avant du plan incliné.4. Mobile assembly according to claim 1 characterized in that the work platform comprises a screen whose foot is located in the upper front of the inclined plane.
5. Ensemble mobile selon la revendication 1 caractérisé en ce que la plate-forme de travail comporte un logement pour un instrument d'écriture5. Mobile assembly according to claim 1 characterized in that the work platform comprises a housing for a writing instrument
6. Ensemble mobile selon la revendication 1 caractérisé en ce que l ' instrument d ' écriture est un stylo numérique.6. Mobile assembly according to claim 1 characterized in that the writing instrument is a digital pen.
7. Ensemble mobile selon la revendication 1 caractérisé en ce que le corps cylindrique comprend plusieurs étages à plusieurs niches et plusieurs logements .7. Mobile assembly according to claim 1 characterized in that the cylindrical body comprises several floors with several niches and several dwellings.
8. Ensemble mobile selon la revendication 1 caractérisé en ce que l'une des niches renferme un manipulateur appelé souris.Mobile assembly according to claim 1 characterized in that one of the niches contains a manipulator called a mouse.
9. Ensemble mobile selon la revendication 1 caractérisé en ce que l'une des niches comporte un moyen d'identification biométrique.9. Mobile assembly according to claim 1 characterized in that one of the niches comprises a biometric identification means.
10. Ensemble mobile selon la revendication 1 caractérisé en ce que l'étage inférieur est un étage multicompartiments et multiemplacements qui renferme des moyens d'alimentation électrique sous la forme d'une batterie et son chargeur.10. Mobile assembly according to claim 1 characterized in that the lower stage is a multi-compartment and multi-location stage which contains power supply means in the form of a battery and its charger.
11. Ensemble mobile selon la revendication 1 caractérisé en ce qu'un logement (37) fermé par un volet pivotant (38) renferme le poste de désinfection des mains (39) dans une cavité ou enceinte technique (40) isolée du volume intérieur de l'ensemble mobile et de préférence séparée de l ' extérieur par une paroi souple (41) avec une ouverture (42) de passage pour les mains .11. A mobile assembly according to claim 1 characterized in that a housing (37) closed by a pivoting flap (38) encloses the hand disinfection station (39) in a cavity or technical chamber (40) isolated from the interior volume of the movable assembly and preferably separated from the outside by a flexible wall (41) with a passage opening (42) for the hands.
12. Ensemble mobile selon la revendication précédente caractérisé en ce que le poste de désinfection des mains (39) est un poste de désinfection des mains par soufflage ou brumisation qui se compose d'une pluralité de buses ou d'orifices (43) de soufflage ou de brumisation orientées de préférence vers la partie médiane de l'enceinte laissée libre pour l'emplacement des mains au dessus d'un réceptacle 45, ces buses ou orifices (43) soufflant ou projetant chacune sur les mains un flux gazeux d'un produit désinfectant biocompatible s 'évaporant ou une brume d'un liquide de désinfection biocompatible.12. Mobile assembly according to the preceding claim characterized in that the hand disinfection station (39) is a hand disinfection station by blowing or misting which consists of a plurality of nozzles or openings (43) blowing or misting oriented preferably towards the middle part of the enclosure left free for the location of the hands above a receptacle 45, these nozzles or orifices (43) blowing or projecting each on the hands a gas stream of a a biocompatible disinfecting product that evaporates or a mist of a biocompatible disinfecting liquid.
13. Ensemble mobile selon la revendication 1 caractérisé en ce qu'il comprend en partie inférieure en dessous du plateau porteur (53) une base roulante dirigeable et multiorientable (2) qui se compose d'une interface, de deux roulettes fixes en direction, d'un bras directionnel monté au centre du plateau porteur et de deux roulettes montées libres en pivotement, une à chacune des extrémités du bras directionnel (56).13. Mobile assembly according to claim 1 characterized in that it comprises in the lower part below the carrier plate (53) a steerable and multi-portable rolling base (2) which consists of an interface, two wheels fixed in direction, a directional arm mounted in the center of the carrier plate and two wheels mounted free pivoting, one to each of the ends of the directional arm (56).
14. Ensemble mobile selon la revendication 13 caractérisé en ce que le bras directionnel (56) est fixe. 14. Mobile assembly according to claim 13 characterized in that the directional arm (56) is fixed.
15. Ensemble mobile selon la revendication 12 caractérisé en ce que le bras directionnel (56) est pivotant .15. Mobile assembly according to claim 12 characterized in that the directional arm (56) is pivotable.
16. Ensemble mobile selon la revendication 14 caractérisé en ce que le bras directionnel (56) est fixe et flexible.16. Movable assembly according to claim 14 characterized in that the directional arm (56) is fixed and flexible.
17. Ensemble mobile selon l'une des revendications précédentes 13 à 16 caractérisé en ce que le bras directionnel (56) présente une forme générale en arche. 17. Movable assembly according to one of the preceding claims 13 to 16 characterized in that the directional arm (56) has a generally arch form.
18. Ensemble mobile selon la revendication 13 caractérisé en ce que le plateau porteur (53) est remplacé par un châssis.18. Mobile assembly according to claim 13 characterized in that the carrier plate (53) is replaced by a frame.
19. Ensemble mobile selon la revendication 13 caractérisé en ce que le plateau porteur (53) est complété par un châssis.19. Mobile assembly according to claim 13 characterized in that the carrier plate (53) is completed by a frame.
20. Ensemble mobile selon la revendication 13 caractérisé en ce que les roues fixes en direction sont motorisées .20. Mobile assembly according to claim 13 characterized in that the fixed wheels in the direction are motorized.
21. Ensemble mobile selon la revendication précédente caractérisé en ce que les roues fixes en direction sont des moteurs-roues.21. Mobile assembly according to the preceding claim characterized in that the fixed wheels in the direction are wheel motors.
22. Ensemble mobile selon la revendication 1 caractérisé en ce qu'il comporte des moyens adaptés pour sa réception dans un logement et sa connexion à une station d'accueil pour des transferts de données et d'informations et le travail d'enregistrement et de configuration. 22. Mobile assembly according to claim 1 characterized in that it comprises means adapted for its reception in a housing and its connection to a docking station for transfers of data and information and the work of recording and recording. configuration.
EP07823458A 2006-08-30 2007-08-30 Multimedia, multiservice and connectable mobile assembly for diagnosis, prescriptions, medical checkups and nursing care Withdrawn EP2061396A2 (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
FR0607618A FR2905263B1 (en) 2006-08-30 2006-08-30 MULTIMEDIA, MULTISERVICE AND CONNECTABLE MOBILE ASSEMBLY FOR DIAGNOSIS, PRESCRIPTIONS, MEDICAL MONITORING AND NURSING.
PCT/FR2007/001413 WO2008025901A2 (en) 2006-08-30 2007-08-30 Multimedia, multiservice and connectable mobile assembly for diagnosis, prescriptions, medical checkups and nursing care

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EP2061396A2 true EP2061396A2 (en) 2009-05-27

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EP (1) EP2061396A2 (en)
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