EP3824858B1 - Fastening device for interchangeable fastening of a plurality of medical devices in a patient area of a rescue service vehicle - Google Patents

Description

The invention relates to a fastening device for the interchangeable fastening of several medical devices in a hospital room of an emergency service vehicle.

Emergency service vehicles, in particular rescue transport vehicles, ambulance vehicles, emergency ambulances, emergency ambulances and intensive care transport vehicles are known from the prior art, which include a sick room for the transport of at least one patient, in particular at least one emergency patient, which is also used to treat the patient. The sick room is basically designed in the shape of a suitcase/box, with a partition or front wall adjacent to the driver's cab and located at the front in the direction of travel, as well as a rear wall, which in the prior art is usually at least partially formed by a door or a tailgate. Furthermore, the patient transport space has two opposite side walls, which connect the partition with the rear wall, as well as a floor and a ceiling. Furthermore, the sick room usually has a side opening in the form a door with a window. The hospital room is load-bearingly connected to the body of the patient transport vehicle. The sick room is set up in such a way that cabinets and fastening devices for accommodating the medical equipment, such as in particular medical consumables, medications, and other medical dressings and nursing aids, are usually arranged or attached to the majority of the partition wall of the sick room. Furthermore, it is, for example, from the US 10 307 313 B2 known to attach medical products or medical devices to the side walls of the hospital room directly or indirectly via fastening devices, such as so-called standard rails (systems) or airliner rails (systems). From the CA 2 177 948 A1 a support arm for hanging a medical device is known. The support arm includes a carriage attached to an upper portion thereof for displacement along a guide rail. A brake pad is retained in an upper end of the support arm and actuated by a rotatable sleeve disposed on the underside of the support arm, the brake pad being releasably engaged to stop the arm at a desired location along the guide rail. A connecting bracket is rotatably attached to a lower portion of the support arm to secure a device to be supported by the arm.

In the sick room, the patient to be transported or treated is positioned predominantly in the middle of the sick room using a transport couch, with the longitudinal axis of the patient's body extending in the direction of travel. Furthermore, at least one accompanying seat is provided in the sick room for the accompanying or supervising medical staff/carer, with the seat or at least one seat being placed on a side wall and, due to legal regulations, being aligned during the journey in such a way that the medical carer is in the sick room seated facing the direction of travel of the emergency service vehicle and secured to the carer's seat using appropriate seat belts.

A disadvantage of the known state of the art of the interior equipment of emergency service vehicles is that the medical devices or medical products are predominantly attached to the side of the wall of the sick room of the emergency service vehicle and therefore at an angle of approximately 90° relative to the line of sight of the accompanying medical staff. when seated on the accompanying seat when strapped in, are aligned. Due to the aforementioned alignment and the resulting viewing angle, the displays and controls of the medical devices can only be seen to a very limited extent from the sitting position of the medical staff and/or cannot be operated safely or completely (at arm's length). The remaining medical equipment, which is arranged, for example, in the area of the partition wall of the sick room, can only be accessed by the medical staff when the medical supervisor leaves the supervisor's seat, which poses a significant risk to the accompanying medical staff during the journey with the emergency service vehicle and also represents the patient. In particular, for medical interventions during (medical) transport, it is necessary for the emergency service vehicle to stop in order to enable the accompanying medical staff or carers to treat the patient safely, although due to the additional stop, the transport to the actual emergency care facility, such as for example the hospital, is delayed or a safe stop is not always possible immediately and safely.

Based on the aforementioned prior art, the present invention is based on the object of providing an interior for the sick room and in particular a fastening device for several medical devices, which ensures the safety of the accompanying medical staff during the operation of the medical devices in the sick room as well as ergonomics the operation has been significantly improved.

According to the invention, the object is achieved with a fastening device for the interchangeable fastening (with or without tools) of several medical devices in a hospital room of an emergency service vehicle, whereby the fastening device comprises a static storage device and a device support device with at least one support level for fastening a plurality of medical devices, wherein the static storage device extends along a side wall of the sick room and is load-bearingly connected to the structure of the side wall and / or the floor of the sick room, wherein the Device carrier device is pivotally mounted relative to the fastening device about at least a first substantially vertical axis, such that the device carrier device can be swung out from a first starting position, in which the at least one carrier plane runs essentially along the side wall, into at least a second operating position, in which the at least one support plane is aligned obliquely or orthogonally to the side wall.

With the fastening device according to the invention, it is possible to move the device carrier device with the at least one carrier plane, to which several medical devices can be fastened, from a first position, in which the operating surfaces and / or visible surfaces of the devices are arranged along the side wall of the hospital room, to a second To swing out the operating position, in which the medical devices are also aligned obliquely or orthogonally to the side wall due to the alignment of the carrier plane of the device carrier device, which runs obliquely or orthogonally to the side wall in the operating position. This makes it possible to arrange the plurality of medical devices essentially directly in the line of sight of the medical staff sitting in the accompanying seat. Due to the arrangement of the medical devices in the line of sight of the medical staff, it is possible for the medical staff to directly supervise or view the medical devices, which are mostly display-controlled. With touchscreens, operation by medical staff is significantly improved. In addition, the ergonomics for the supervising medical staff in the sitting position are also significantly improved, as the medical devices are now in the line of sight and in the immediate access area in front of them caring medical staff. The attending medical staff therefore does not have to assume a twisted position in the sitting position to monitor and/or operate the devices. Furthermore, safe accessibility of all medical devices that are arranged on the fastening device according to the invention is made possible for the supervising medical staff in the sitting and buckled position on the supervisor's seat, thereby significantly improving the safety of the medical staff. Forced stops of the emergency service vehicle to carry out the treatment, especially for the operation of the medical devices, can be largely prevented.

According to a further aspect of the invention, the object can be solved with an alternative fastening device for the interchangeable fastening of several medical devices in a hospital compartment of an emergency service vehicle, the fastening device comprising a static storage device and a device carrier device for fastening a plurality of medical devices, the static storage device in arranged in the area of a side wall of the sick room and load-bearingly connected to the structure of the side wall and/or the floor of the sick room, wherein the equipment carrier device is pivotally mounted on the storage device about at least a first substantially vertical axis, such that the device carrier device is attached to the device carrier device medical devices can be moved from a first starting position, in which the operating surfaces of the medical devices run essentially along the side wall, into at least a second operating position, in which the operating surfaces of the attached medical devices run obliquely or orthogonally to the side wall.

The storage device can comprise at least one fastening element, such as in particular a screw, via which the storage device is connected to the structure of the side wall and/or the floor of the hospital room in a load-bearing manner.

According to the invention, it is further provided that the at least one device carrier device comprises at least one panel with a panel surface for fastening at least one medical device, wherein the at least one panel relative to the carrier plane and / or relative to the device carrier device from a first starting position, wherein the panel surface runs parallel to the carrier plane, is designed to be pivotable into at least one second operating position, wherein in the second operating position the panel surface of the at least one carrier panel is aligned obliquely or orthogonally to the carrier plane and / or the device carrier device.

The design of the at least one panel for attaching medical devices enables only one specific panel to be pivoted from the rest position into an operating position, with which the supervising medical staff can only bring the medical devices or medical products into engagement or into the working position depending on the situation are specifically needed to treat the patient due to the current medical situation. In particular, it is possible for the device carrier device to be swung out, for example, at an angle of 45° relative to the rest position and only the specific panels to be swiveled out by 45° relative to the support plane of the device carrier device, thereby enabling the medical staff to work comfortably and clearly in the medical room of the emergency service vehicle.

Particularly preferably, it can be provided that at least one panel is pivotally mounted along at least a second essentially vertical and/or horizontal axis. The first axis of the device carrier device can, for example, be arranged adjacent to the at least one second axis of the panels.

According to a particularly preferred embodiment of the fastening device, it can be provided that the at least one support plane is in the at least one second operating position relative to the first starting position Device carrier device and / or the at least one panel in the at least one second operating position relative to the starting position of the device carrier device includes an angular range of 30°-60°.

Furthermore, it can be provided that at least one adjusting device is arranged between the static storage device and the at least one device carrier device and / or between the panel and the device carrier device, via which the pivot angle of the at least one device carrier device and / or the at least one carrier panel can be adjusted and fixed .

The adjusting device has the advantage that the device carrier device or the panel can be secured in the current adjusting or pivoting position against unintentional pivoting. The adjusting device can provide a continuous adjustment and determination of the pivot angle, such that the medical staff can determine the desired position of the device carrier device and the at least one panel for themselves and for the current state.

The actuating device can in particular be a hydraulic cylinder, an electrically actuated spindle drive and/or an electrohydraulically drivable actuator. Alternatively, however, a simple hinge, preferably with several locking positions for adjusting the pivoting angle of the support device or the panels, can also be provided.

Furthermore, it can be provided that at least one carrier device comprises a storage device which is formed between the carrier device and a floor of the interior of a rescue service vehicle. The storage device has the advantage that the support device is supported via the storage device relative to the floor of the interior, whereby the static and dynamic loads can be passed on from the support device to the structure of the interior or the sick room.

The storage device can, for example, comprise at least one pivotable support wheel, which is fastened or formed in the area of the carrier device facing the floor, with a tread of the wheel running over the floor of the hospital room and supporting the carrier device against the floor. It can also be provided that the storage device and in particular the support wheel runs in a guide rail.

According to a further preferred embodiment, at least one equipment support rail, preferably at least one pair of equipment support rails running parallel to one another, can be arranged on the support plane of the at least one equipment support device and/or on the panel.

The provision of device carrier rails or standard rails or similar fastening options for fastening medical devices has the advantage that a large number of different medical devices can be attached flexibly and interchangeably to the device according to the invention or, more precisely, to the device carrier device and/or to the panels . Furthermore, it is made possible for newer medical devices to be used with the device according to the invention and securely attached to it even after several years of use of the device according to the invention. Alternatively and/or additionally, at least one fastening device for load-bearing fastening of the medical devices to the device carrier device and/or the at least one panel can be provided on the carrier level of the at least one device carrier device and/or on the panel.

Furthermore, it can preferably be provided that the static storage device comprises at least one supply device for the medical devices, in particular a fluid connection and/or at least one electrical connection for connecting the medical devices to the emergency service vehicle.

The provision of at least one supply device for the medical devices, in particular a fluid connection or an electrical connection, has the advantage that the medical devices can be connected to the supply of the emergency service vehicle directly at their attachment point, without having to provide long cables or hose routes. This also further improves the safety of medical staff and patients.

Furthermore, it can preferably be provided that the at least one supply device, in particular the at least one fluid connection and/or the at least one electrical connection, is arranged on at least one surface of the storage device, which is designed obliquely or orthogonally to the side wall of the emergency service vehicle.

Due to the oblique or orthogonal alignment of the connections or the supply devices, unintentional separation due to medical personnel bumping into the aforementioned connections is largely prevented.

Furthermore, it can be provided that the at least one equipment carrier device is arranged in a height-adjustable manner relative to the static storage device and/or the at least one panel is arranged in a height-adjustable manner relative to the at least one carrier device.

Due to the height adjustability of the device carrier device and/or the at least one panel, the medical devices can be arranged or aligned at the specific desired operating height of the medical staff. The aforementioned height-adjustable embodiment thus makes it possible to flexibly adjust the device according to the invention to the body size and personal needs of the medical staff and thus further increase the ergonomics and operational safety of the medical devices.

Furthermore, it can preferably be provided that the at least one first and second axes run essentially parallel to one another and preferably the longitudinal axis of the at least one first axis has a defined distance relative to the longitudinal axis of the at least one second axis.

Preferably, a handle element can be formed on the device carrier device and/or the at least one panel; the handle element enables the supervising medical staff to adjust the desired position of the device carrier device and/or the at least one panel manually, hydraulically or electro-hydraulically supported.

Furthermore, it can be provided that at least one locking device is formed on the device carrier device, the locking device interacting with at least one adapted element in the area of the side wall or the floor of the hospital room, via which the device carrier device can be locked in a defined angular position.

The additional locking device enables the fastening device to be securely held in the set pivot position.

Furthermore, it can be particularly preferably provided that the fastening device and/or the at least one panel comprises at least one holding device for the interchangeable fastening of additional equipment modules. The equipment modules can be, for example, container boxes that hold any medical device or material. This makes it possible for the medical staff to put together sets of medical devices and consumables as well as medications that are adapted to the respective treatment purpose (e.g. resuscitation, intubation, etc.), which are to be attached to the device according to the invention in an interchangeable manner via the holding device, so that medical personnel can equip the device according to the invention according to the situation.

The holding device can be formed, for example, via recesses in the panel and/or the support plane of the device according to the invention. It can be provided that the aforementioned recesses are adapted to corresponding fastening elements, which are connected to the additional equipment modules in a load-bearing manner or are formed on them. The additional equipment modules can be attached to the fastening device in an interchangeable manner, for example by pushing, plugging, clicking or similar of the fastening elements into the recess of the fastening device. It can be provided that the equipment modules are secured against unintentional detachment of the equipment modules from the panel and/or the support plane via at least one safety device, such as in particular a locking element, a safety lever or a magnetic lock.

Fig. 1

eine erste perspektivische Ansicht einer ersten bespielhaften Ausführungsform einer erfindungsgemäßen Befestigungsvorrichtung in einer ausgeschwenkten Betriebsposition,

Fig. 2

eine zweite beispielhafte Ausführungsform einer erfindungsgemäßen Befestigungsvorrichtung in einer Ausgangsposition, sowie

Fig. 3

eine beispielhafte perspektivische Darstellung einer erfindungsgemäßen Befestigungsvorrichtung im eingebauten Zustand innerhalb des Krankenraums eines Rettungsdienstfahrzeuges.

Show it:

Fig. 1

a first perspective view of a first exemplary embodiment of a fastening device according to the invention in a swung-out operating position,

Fig. 2

a second exemplary embodiment of a fastening device according to the invention in a starting position, and

Fig. 3

an exemplary perspective view of a fastening device according to the invention in the installed state within the sick room of an emergency service vehicle.

In Fig. 1 is the perspective view of a fastening device 1 for the interchangeable fastening of several medical devices in a hospital room of an emergency service vehicle, wherein the fastening device 1 comprises a static storage device 2 with at least one fastening element (not shown). The static storage device 2 is In the embodiment shown, it is designed as a U-shaped frame element with a first stele 21 and an opposite second stele 22, which are connected to one another via a load-bearing crossbar 23. The steles 21, 22 can be connected to a side wall 311 and/or the floor 312 of the emergency service vehicle 300 in a load-bearing manner via fastening elements (not shown).

The fastening device 1 further comprises a device carrier device 3, which is equipped with several carrier planes 39, which run parallel to one another in the illustrated embodiment, for fastening several medical devices.

Like this one Fig. 1 can be removed, the device carrier device 3 is pivotally mounted relative to the storage device 2 about a first vertical axis 32, in which Fig. 1 the equipment carrier device 3 is shown in a second operating position, in which the carrier plane 31 runs obliquely to the side wall.

Like this too Fig. 1 can be removed, the illustrated fastening device 1 according to the invention has three panels 4, each with a panel surface 41 for fastening at least one medical device and / or at least one equipment module. The panels 4 are relative to the carrier plane 31 and/or relative to the equipment carrier device 3 from a first starting position (not shown), with the panel surface 41 running essentially parallel to the carrier plane 31, into at least a second operating position, as in Fig. 1 shown, designed to be pivotable. In the second operating position, the panel surface 41 of the at least one carrier panel 4 runs obliquely or orthogonally to the carrier plane 31 and/or the equipment carrier device 3. The three panels 4 are pivotally mounted along at least a second essentially vertical axis 42. Like this too Fig. 1 can be removed, the at least one equipment carrier device 3 has a storage device 5, which is between the carrier device 3 and a floor of the Medical compartment of an emergency service vehicle is trained. In the exemplary embodiment shown, the bearing device 6 is formed via a pivotable support wheel, which is arranged on the underside of the equipment carrier device 3 facing the floor.

In the exemplary embodiment shown, two device support rails 8 running parallel to one another are provided on the panels 4 for fastening the medical devices and/or the equipment modules. However, according to the invention, additional fastening devices can also be provided in the area of the panels 4 or the support levels 31.

The Fig. 2 shows the fastening device 1 according to the invention in the first starting position, the fastening device 1 according to the invention essentially as in Fig. 1 is designed, but in the embodiment according to Fig. 2 In addition, in the area of the static storage device 2 and, as shown, for example on the first stele 21, several supply devices 7 for the medical devices, in particular a fluid connection 71 and several electrical connections 72 for connecting the medical devices to the emergency service vehicle, are provided. Like this too Fig. 2 can be removed, the first axis 32 and the second axis 42 in the illustrated embodiment of the devices according to the invention run essentially parallel to one another and the longitudinal axis 321 of the at least one first axis has a defined distance D relative to the longitudinal axis 421 of the at least one second axis.

Like this too Fig. 2 can be removed, several grip elements 33, 43 are formed on both the panels 4 and the device carrier device 3. Like this in particular Fig. 2 As can be seen, a locking device is formed on the device carrier device, the locking device having at least one adapted element (not shown) in the area of the side wall or the floor of the hospital room, whereby the equipment carrier device 3 can be locked in a defined angular position, such as in particular the starting position, and is secured against unintentional swinging out or pivoting.

The Figure 3 shows a further exemplary embodiment of a fastening device 1 according to the invention in the installed state in a sick room 301 of an emergency service vehicle 300. In the exemplary embodiment shown, the fastening device 1 is load-bearingly connected to the structure of the side wall 311 and to the floor 312 of the sick room 301. The static storage device 2 extends along the side wall 311 of the sick room 301. In the illustrated embodiment of the fastening device 1 according to the invention, this has an equipment carrier device 3, which is pivotally mounted relative to the static storage device 2 about a first vertical axis 32, such that the Device carrier device 3 with the device carrier plane 31 can be swung out from a first starting position, in which the at least one carrier plane 31 runs essentially along the side wall 311, into at least a second operating position, in which the at least one carrier plane 31 runs obliquely or orthogonally to the side wall 311. Like this too Fig. 3 can be removed, the sick room 301 has a double-wing tailgate or tailgate 313. In the middle of the sick room 301, a storage device 314 is arranged for storing and fastening a transport couch. Furthermore, the sick room 301 has a seat 315 for the accompanying or supervising medical staff, the seat 315 being placed in the area of the side wall 311 and, due to the legal requirements, being aligned in such a way that the medical supervisor in the sick room 301 is facing the direction of travel 302 of the emergency service vehicle 300 sits. The seat 315 for the medical staff is arranged directly next to the storage device 314 for the patient's transport couch, such that the medical staff can directly treat or act on the patient even in a sitting state. The fastening device according to the invention 1 is arranged in the area of the side wall 311 in the direction of travel of the emergency service vehicle 300 in front of the seat 315, such that when the carrier device 3 is swung out into the second operating position via the vertical axis 32, the device carrier level 31 or the panels 4 with the panel surfaces 41 for attaching the several medical devices 100 are arranged directly in the field of vision and intervention of the medical staff in a sitting state. The fastening device according to the invention thus enables the accompanying medical personnel to operate the medical devices 100, which are arranged via the fastening device 1 according to the invention, also in a seated and buckled state.

Claims (14)

1. A fastening device (1) for an interchangeable fastening of a plurality of medical devices (100) in a patient area (301) of an ambulance (300), comprising:

   - a static bearing device (2); as well as

   - an equipment support device (3) with at least one support plane (31) for fastening a plurality of medical devices (100);

   - the static bearing device (2) extending along a sidewall (311) of the patient area (301) and being connected to the structure of the side wall (311) and/or the floor (312) of the patient area (301) in a load-bearing manner,

   - the equipment support device (3) being pivotably supported relative to the bearing device (2) about a first substantially vertical axis (32), such that the equipment support device (3) can be pivoted out from a first initial position, in which the at least one support plane (31) extends substantially along the sidewall (311), to at least a second operating position, in which the at least one support plane (31) extends obliquely or orthogonally to the sidewall (311),

   characterized in that
   the at least one equipment support device (3) comprises at least one panel (4) with a panel surface (41) for fastening a plurality of medical devices (100), the at least one panel (4) is configured to be pivoted out relative to the support plane (31) and/or relative to the equipment support device (3) from a first initial position, in which the panel surface (41) extends substantially parallel to the support plane (31), to at least one second operating position, in which second operating position the panel surface (41) of the at least one support panel (4) extends obliquely or orthogonally to the support plane (31) and/or the equipment support device (3).
2. The fastening device (1) according to claim 1, wherein the at least one panel (4) is pivotally supported along at least one second substantially vertically and/or horizontally extending axis (42).
3. The fastening device (1) according to one of the preceding claims, wherein, in the second operating position, the at least one support plane (31) encloses an angle relative to the first initial position of the equipment support device (3) and/or, in the at least one second operating position, the at least one panel (4) encloses an angle relative to the initial position of the equipment support device (3), the angle range being from 30° to 60°.
4. The fastening device (1) according to one of the preceding claims, wherein at least one adjustment device (5) is arranged between the static bearing device (2) and the at least one equipment support device (3) and/or between the panel (4) and the equipment support device (3), via which adjustment device the pivot angle of the at least one equipment support device (3) and/or the at least one panel (4) can be set and fixed.
5. The fastening device (1) according to one of the preceding claims, wherein the at least one equipment support device (3) comprises a bearing device (5) formed between the equipment support device (3) and a floor (312) of the patient area (301) of the ambulance (300).
6. The fastening device (1) according to one of the preceding claims, wherein at least one device support rail (8), preferably at least a pair of mutually parallel device support rails (8), is arranged on the support plane (31) of the at least one equipment support device (3) and/or on the panel (4).
7. The fastening device (1) according to one of the preceding claims, wherein the static bearing device (2) comprises at least one supply device (7) for the medical devices (100), in particular at least one fluid connection (71) and/or at least one electrical connection (72) for connection of the medical devices (100) to the ambulance (300).
8. The fastening device (1) according to one of the preceding claims, wherein the at least one supply device (7), in particular the at least one fluid connection (71) and/or the at least one electrical connection (72), is arranged on at least one surface of the bearing device (2) that is designed to be oblique or orthogonal with respect to the sidewall (311) of the ambulance.
9. The fastening device (1) according to one of the preceding claims, wherein the at least one equipment support device (3) is arranged to be height-adjustable with respect to the static bearing device (2) and/or the at least one panel (4) is arranged to be height-adjustable with respect to the at least one equipment support device (3).
10. The fastening device (1) according to one of the preceding claims, wherein the at least one first and second axis (32, 42) extend substantially parallel to each other and preferably the longitudinal axis (321) of the at least one first axis (32) has a defined distance (D) from the longitudinal axis (421) of the at least one second axis (42).
11. The fastening device (1) according to one of the preceding claims, wherein a handle element (33, 34) is formed on the equipment support device (3) and/or the at least one panel (4).
12. The fastening device (1) according to one of the preceding claims, wherein at least one locking device (9) is formed on the equipment support device (3) and wherein the locking device (9) cooperates with at least one adapted element in the region of the sidewall (311) or the floor (312) of the patient area (301), by which the equipment support device (3) can be locked in a defined angular position.
13. The fastening device (1) according to one of the preceding claims, wherein the equipment support device (3) and/or the at least one panel (4) comprises at least one holding device for the interchangeable fastening of additional equipment modules.
14. A patient area (301) of an ambulance (300) comprising:

    - a front end wall;

    - a rear wall;

    - two opposite sidewalls (311);

    - a floor (312); and

    - a ceiling; as well as

    - at least one fastening device (1) for the interchangeable fastening of a plurality of medical devices (100) according to one of claims 1 to 13.

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