ES2882350A1 - Transportable surgical container (Machine-translation by Google Translate, not legally binding) - Google Patents

Abstract

Transportable surgical container. It constitutes a real solution of surgical medical assistance for those rural areas far from hospitals and urban medical centers, also allowing its transport by land, sea, rail or air, and guaranteeing at all times the integrity and security of all its internal medical equipment, where the surgical container (1) has the dimensions of a maritime transport container, comprising: a pre-surgical access zone (10); a sub-sterile intermediate zone (20), arranged after the access zone (10); and a sterile surgical area (30), arranged after the intermediate area (20), and having an operating room; each one of said zones (10, 20, 30) also presenting a surgical floor (40) provided with anti-vibration damping means (41). (Machine-translation by Google Translate, not legally binding)

Description

DESCRIPTION

Transportable surgical container

OBJECT OF THE INVENTION

The present invention belongs to the health sector, and more specifically to mobile and/or transportable medical facilities, centers and modules.

The object of the present invention is a surgical container, which in addition to constituting a real solution for surgical medical assistance for rural areas, allows it to be transported both by land and by sea, rail and air, for direct access to the place of destination, guaranteeing at all times the integrity and security of its internal medical equipment.

BACKGROUND OF THE INVENTION

Currently, modular hospitals are known, based on prefabricated modules of reduced dimensions that can be transported to a site, in which a group of several modules of equal dimensions is contemplated to form a health center or hospital.

Temporary medical centers are also known, installed in areas where a catastrophe or accident has occurred, to reinforce existing local medical centers or, in the worst case, to provide a place of care for patients and/or a location of the victims. In this regard, military and civil authorities may use evacuated buildings or other structures for the establishment of temporary medical facilities, such as field hospitals. However, such field hospitals alone do not provide a functional medical facility, as the medical staff, supplies and health-technical equipment are still fully needed.

Considering the above, it has been detected that the current temporary medical centers still have several drawbacks that can be improved, some of them being the following: - They are not designed or adapted for surgical use, where a high degree of specialization is required, both at the level of technical equipment, insulation, ventilation, and at the level of medical personnel, etc.

- Although they are mobile or transportable, they involve complex transportation of their various modules or components, requiring various vehicles and/or trips to the place of destination, with no integration in this regard.

- The current mobile medical centers do not guarantee the complete integrity, security and maintenance of their internal medical equipment, specifically suffering frequent damage caused by bumps or unwanted friction during transport.

- They present a low efficiency, due to the slowness in the deployment process as well as to the complexity of their installation in the final destination point.

- They require technical equipment and medical personnel that are not available at the time of installing the center, that is, the medical center can be erected and installed in the desired area but the means and adequate personnel are not available.

DESCRIPTION OF THE INVENTION

By means of the present invention, the aforementioned drawbacks are solved by providing a transportable surgical container, which constitutes a real solution of surgical medical care for those rural areas far from hospitals and urban medical centers, also allowing its transport by land, sea, rail or air, and guaranteeing at all times the integrity and safety of all its internal medical equipment thanks mainly to a surgical floor with shock-absorbing capacity, which prevents any damage as a result of possible vibrations, friction or knocks that may occur during the transport of the surgical container of the invention.

In addition, the present invention also stands out for its rapid deployment at the final destination point, where it is only necessary to lower the container from the means of transport (truck, ship, train, etc.), since all the medical services and equipment They are located inside the container itself. Indeed, only electrical connectivity and supplies are necessary, which can even come from portable equipment. themselves, to turn on the surgical container and start operating.

The surgical container of the invention has the dimensions of a shipping container, comprising: a pre-surgical access area (or black area); a sub-sterile intermediate area (or gray area), arranged after the access area; and a sterile surgical zone (or white zone), arranged after the intermediate zone, and which has an operating room. In addition, each of these areas has a surgical floor equipped with anti-vibration damping means, which allows the surgical container to travel long distances without the problems associated with transport.

More preferably, the invention provides a fully equipped operating room inside a 40 foot (12.19 meters long x 2.44 meters wide x 2.59 meters high) shipping container. Generally, the dimensions in European operating rooms are usually 6m x 6m x 3m, but it is also possible to carry it out on the surface of a container such as the one described in the present invention, providing a sufficient surgical surface for a trauma or ophthalmology operating room. , for example.

The 40-foot containers, both the normal height and the "high-cube" (slightly higher, 2.89 m), allow transport by road, rail, air and sea. The existence of a surgical facility within a container provides transport and deployment advantages.

The standardization of energy, air conditioning and the existing elements in it, allow it to reach areas hitherto unthinkable, such as rural areas, areas of natural disasters or areas far from health centers, thus allowing the deployment of quality surgical services, typical of a regional hospital.

As it is an operating room adapted to the dimensions of a container, equipment access or evacuation and cleaning are carried out through the same access. The sterilization of the area will be carried out after each operation, as in any other operating room.

All the elements present in the surgical container have an IP65 degree of protection against dust and liquids, thus guaranteeing that during the transport of the container all the equipment remains in perfect condition, just as if it were carried out in a hospital building.

In turn, it has been planned that the operating room has all the necessary equipment and systems, perfectly integrated within the surgical container, so no auxiliary external assistance is required, nor does it depend on any external equipment, becoming a totally autonomous and self-sufficient to start being used as soon as the emergency situation requires it.

According to a preferred embodiment, the surgical container additionally has a connection to a generator set and a double electrical connection; cleanable and sterilizable lining with materials and shapes in accordance with CE marking; and surgical information and management system.

Likewise, provision has been made for the surgical container to preferably comprise sliding doors for access and delimitation of each of the areas of the surgical container, thus managing to avoid air currents caused by the movement of conventional doors. In this way, an external room is provided to the operating room with a double lock, to make the entrance to the sterile surgical area according to the hygiene parameters of a surgical area.

As already indicated above, it is known that the surgical and ante-surgical zones are divided into three zones of progressive restriction: black or dirty zone, which is a zone of restriction zone and functions as a protective buffer zone; gray area, which is an area equipped with surgical washing equipment, anesthesia and recovery room; and white or sterile area, which is the restricted area where the operating room is located. In this sense, the organization of access to the surgical container of the invention is complete, having all the required areas (black, grey, white), and with the double lock through the aforementioned sliding doors. More specifically, the opening of said doors is sequential, preventing both doors from opening at the same time.

As already mentioned, the present invention has application in rural areas where the construction of a hospital is unfeasible, where it is difficult to transport patients, disaster areas where it is feasible to have an installation in a few hours with the performance of an operating room complete hospital and in areas well connected by rail or by maritime transport and geographically dispersed.

Some of the main advantages and features obtained by means of the transportable surgical container of the invention should be listed below:

- Rapid deployment of the plug-and-play type (from English “plug-and-play”).

- Antibacterial ventilation system using continuous positive pressure locks, with an overpressure system in “open doors” format to prevent contaminated particles from outside from entering the sterile area (white).

- Compact 50kw power supply system for “plug-and-play” connection, with rapid generation configuration, suitable for connecting to a standard 50kW group and internal consumption of up to 30kW.

- Stabilized online uninterruptible power supply (UPS), 25kW (30kVA) maximum power.

- Integrated Hospital Information System (SIH), with electromedical equipment.

- All the equipment and elements of the surgical container have an IP65 degree of protection against dust and liquids.

- Internet connectivity via satellite antenna and SatDSL connectivity system.

- Maximum power consumption: 30kVA (25kW).

- Civil and military use.

DESCRIPTION OF THE DRAWINGS

To complement the description that is being made and in order to help a better understanding of the characteristics of the invention, according to a preferred example of its practical embodiment, a set of drawings is attached as an integral part of said description. where, by way of illustration and not limitation, the following has been represented:

Figure 1.- Shows a perspective view of a truck transporting the transportable surgical container object of the invention.

Figure 2.- Shows a sectioned side view of the surgical container, according to axis A-A of figure 1, where the interior of the container can be seen.

Figures 3A, 3B.- Show respective views of the interior of the container, specifically of the access area and the sterile area.

Figure 4.- Shows a plan view of the surgical container of the invention.

Figure 5.- Shows a view of the surgical container where a copper mesh can be seen distributed over the walls, ceiling and floor of the surgical container for the evacuation of electrostatic charges.

PREFERRED EMBODIMENT OF THE INVENTION

A preferred embodiment is described below with reference to the figures cited above, without limiting or reducing the scope of protection of the present invention.

Figure 1 shows a truck that has the surgical container (1) of the invention installed, presenting the dimensions of a shipping container for easy and comfortable transport. Specifically, the one in figure 1 is a 40-foot HC ( "high cube") sea container, with dimensions 12.19 m long, 2.44 m wide and 2.89 m high.

As shown in Figure 2, said surgical container (1) comprises:

- a pre-surgical access area (10), or black area;

- an intermediate sub-sterile area (20), or gray area, arranged after the access area (10);

- a sterile surgical area (30), or white area, arranged after the intermediate area (20), where the operating room is located for performing surgical interventions;

- a surgical floor (40) provided with anti-vibration damping means (41), and which is preferably an anti-electrostatic floor, made of self-extinguishing material; Y

- Sliding doors (50) for access and delimitation of each of the areas (10, 20, 30) of the surgical container (1).

In addition, according to the present example of preferred embodiment, the surgical container also has a connection to a generator set and a double electrical connection; cleanable and sterilizable lining with materials and shapes in accordance with CE marking; and surgical information and management system.

Going into more detail about the anti-vibration damping means (41) of the surgical floor (40), these preferably have a glass wool coating to damp vibrations during the transport of the surgical container (1) and protect the pipes under it, being a hydraulic damping.

With regard to the operating room of the sterile area (30), this in turn includes:

- surgical lighting means (31);

- a surgical table (32), preferably 2.20 m long, which only admits two positions, at 0° and 180°, to allow free movement of the surgical staff within the operating room;

- a ventilation system (33) with inlet particle filtering and positive pressure;

- an electrical system (34) with isolation and isolation protection for surgical patients, preferably of the plug-and-use type ( "Plug-and-Play", with a compact electrical panel in a single body, and a maximum input power of 50Kw ; Y

- Medical gas circuits.

More specifically, the aforementioned ventilation system (33) has an overpressure system that allows the flow to be increased in the event of opening of any of the sliding doors (50), preventing the entry of particles that could pose a risk of infection, and the proliferation of bacteria by environmental contact, thus guaranteeing the sterility of the sterile zone (30).

The surgical container will be powered from a generator set and a stabilized online uninterruptible power supply (UPS), with a maximum power of 25kW. Everyone the interior elements of the operating room will not exceed a maximum consumption of 15kw. The consumption limit allows a fast and compact generation. Greater powers would mean needing a large generator, unfeasible for rapid deployment.

According to the preferred embodiment shown in figure 5, the surgical floor, the walls, and the ceiling incorporate a copper mesh (60) connected to an external ground, and fixed by means of a conductive glue. In this way, an evacuation of electrostatic charges is ensured, both from the medical personnel and from the furniture of the surgical container.

The construction conditions with the corner and skirting areas are curved, complying with the construction conditions of European operating rooms, so that dirt or bacteria do not accumulate in the corners.

The furniture anchors to the floor are preferably elastic and at the same time robust, provided with rubber plates and aluminum plates with stainless steel screws. The anchors will be covered with a layer of PVC. This design guarantees a vibration attenuation curve and allows the maintenance in perfect condition of the gas circuit pipes, the electrical conduits and the copper mesh for the container ground connections.

Claims (12)

1. - Transportable surgical container (1), which has the dimensions of a maritime transport container, and which includes: - a pre-surgical access zone (10); - an intermediate zone (20) sub-sterile, arranged after the access zone (10); Y - a sterile surgical area (30), arranged after the intermediate area (20), and which has an operating room; each of said zones (10, 20, 30) also presenting a surgical floor (40) provided with anti-vibration damping means (41). 2. - Surgical container (1) transportable according to claim 1, characterized in that the operating room of the sterile area (30) in turn comprises: surgical lighting means (31); a surgical table (32); a ventilation system (33) with inlet particle filtering and positive pressure; an electrical system (34) with isolation and isolation protection to surgical patients; and medical gas circuits. 3. - Transportable surgical container (1) according to claim 1, characterized in that it additionally has a connection to a generator set and a double electrical connection; cleanable and sterilizable lining with materials and shapes in accordance with CE marking; and surgical information and management system. 4. - Transportable surgical container (1) according to claim 1, characterized in that it additionally comprises sliding doors (50) for access and delimitation of each of the areas (10, 20, 30) of the surgical container (1 ). 5. - Surgical container (1) transportable according to claims 2 and 4, characterized in that the ventilation system (33) of the sterile zone (30) has an overpressure system that increases the flow in case of opening of any of the sliding doors (50), preventing the entry of particles that may pose a risk of infection, to guarantee the sterility of said sterile zone (30). 6. - Surgical container (1) transportable according to claim 2, characterized in that the electrical system (34) is of the type connect and use ( "Plug-and-Play', with a compact electrical panel in a single body, and a maximum input power of 50Kw. 7. - Surgical container (1) transportable according to claim 1, characterized in that the surgical floor (40) is an anti-electrostatic floor, self-extinguishing material. 8. - Surgical container (1) transportable according to claim 1, characterized in that the damping means (41) of the surgical floor (40) have a glass wool coating to damp vibrations during the transport of the surgical container ( 1) and protect the pipes under it, being a hydraulic damping. 9. - Surgical container (1) transportable according to claim 1, characterized in that the surgical floor (40), the walls and the ceiling of the surgical container (1) incorporate a copper mesh (60) connected to a socket outer ground, and fixed by conductive glue. 10. - Surgical container (1) transportable according to claim 1, characterized in that all the elements present in the surgical container (1) have a degree of protection IP65 against dust and liquids. 11. - Surgical container (1) transportable according to claim 1, characterized in that it is a 40-foot maritime container, with dimensions 12.19 m long, 2.44 meters wide and 2.59 meters high. 12. - Transportable surgical container (1) according to claim 1, characterized in that it is a 40-foot HC ( "high cube") maritime container, with dimensions 12.19 m long, 2.44 m wide and 2.89m high.