FR2550262A1 - Container specific to all hospital treatments in medium- and large- scale conflicts and catastrophes. - Google Patents

Abstract

The invention relates to a device enabling a technico-medical assembly to be composed and supplied on site, in a short time period, meeting the needs expressed by the recognition of the conflicts and catastrophes, depending on their scale and on their situation. It consists of a base container having two zones, a technical zone B, providing the operation of the medical portion, and the other, a medical zone A. These zones are separate and separable and they meet the requirements of a real medico-surgical facility. The medical zone has an extendable useful area for responding to problems appropriate to medical treatment in conflicts, catastrophes and population concentrations. The container can be transported by sea, rail, road, aeroplane or helicopter. It can be moved by a device which belongs to it, permitting an installation or a change of position and arrangement without having recourse to a transport vehicle or to a specific lifting means.

Description

DESCRIPTION
The present invention relates to a device intended to implement and receive indifferently all of the medical equipment specific to each of the specialties necessary for a mass rescue action (conflicts, disasters) and to quickly and easily implement these specialties. the provision of lifeguards, in the immediate vicinity of the distress site e
'Traditionally, tents are the shelters used. This solution has many disadvantages in the face of the imperatives expressed by these distresses: very long implementation, aseptic and cleaning impossible, very difficult air conditioning, non-existent internal layout. An advantage of the tent system is its useful volume, specific to the medicine of mass.

 There are also rigid devices in trucks, semi-trailers or containers. They are designed for a single medical specification 3 they present no possibility of adaptation to the unexpected, they are unusable in emergency medicine. They are incompatible with conflict and disaster medicine, eg have no easy access and offer only a paltry volume for mass surgical medical actions.

 They are also dependent on a specific means of transport.

 The dispositib according to the invention makes it possible to remedy the drawbacks set out above by meeting the essential criteria for emergency action.

 - Influx of wounded who cannot be transported without risk.

- Speed
- Mobility
- Flexibility
- Autonomy
The device comprises two containers, which can be connected or assembled together. These two containers each have a separate function,: technical enclosure (B) ensuring the autonomy and operation of the device, medical enclosure (A) with its pre-equipment allowing the operation of basic medical and surgical cells and cells specialized medical annexes.

 The system responds to the imperatives of disasters and conflicts, while offering rational industrialization through its standardization of basic containers.

 The device is made of a panel with the best weight-resistance ratio as well as the best sound and thermal insulation, good resistance to @ibrations. These criteria allow safe transport by sea-air-land.

 The device is equipped with an integrated autonomous means, ensuring the increase in the useful sufficiency of medico-surgical enclosures or related medical functions. This means meets the imperatives posed by the influx of wounded.

 However, this device is also provided with an auxiliary permanent means, allowing the displacements and the maneuvers necessary for the routing and the positioning without having recourse to specific means such as semi-trailer, winch, platform, crane, maneuvering helicopter.

 The device can evolve without modification of principle, towards a "non-biology contamination" solution by the use of an approved air conditioner and aerator N.B.C. In addition, the device can be washed with a jet without problem. It can also receive armor against shrapnel and handgun fire.

The device is described in greater detail with reference to the annexed figures which represent
- figures 1.2.3.

medical unit seen respectively from the front, side, from above, with a deployed position.

 - figures 4.5.6.7.

technical unit seen respectively from the front, from the side, from above.

 - Figure 8 an exploded perspective view of the deployed medical enclosure and mounting of the seal and the electrical and ot fluid equipment.

- figure: 19 details of the auxiliary means of displacement and positioning
--figres 10 to 14 example of use in radio pharmacy lab.

 Figures I3 8 20 example of use in sorting patients, unhooking on reception of the injured, post-operative awakening.

- Figures 21 to 25 example of use on surgery
The unit according to figures 1.2.3. presenting the medical enclosure A comprises a fixed structure (1), a mobile structure for the extension of the unit from a lateral panneam (2), movably mounted on 6 slides (3) arranged horizontally and perpe @ diculairemen to the upper and lower parts of the unit and intended to support the extension closing panels. An access door (4) on the technical enclosure "B" placed in the electrical, fluidic and mechanical connection face (10) to the enclosure "B", two direct access doors on the lateral faces, a partition separating an auxiliary zone (8) with the medical zone, with its direct access (9). This zone (8) receives during transport the closure panels of the expansion.

 The following unit 4.5.6.7. presenting the technical enclosure "B" comprises a fixed structure (11) with an external access door at the end (12), an access door (14) to the medical gas reserve compartment, an access door to the compartment reserved for technical equipment (I3), storage spaces (15), on the opposite side, an access door to the medical enclosure (I6) arranged opposite the port (I2), the front of electrical, fluidic, mechanical connection (I7) to enclosure "A" thus defines an airlock for access to this enclosure "A", (I8) represents a sink.

The implementation of the extension according to FIG. 8 is obtained by pulling the mobile structure (2) by 1 through the 6 slides (3) which bring it into position g these slides are of the na type.
roller "in three sections of one meter of extension and they are designed and mounted so as not to present any unevenness of their upper parts, in the pulled position.

 Are placed, first, the 6 sill panels (21) on the bottom gluisers (3) by means of fasteners (28), embedded by rotation of a half-turn.

 Secondly, the 6 ceiling panels are fitted with their integrated lighting, connected to ducts (25) of the side panels (20). These 6 panels are fixed to the upper runners (3d by means of rapid locks (28), fitted by half-turn rotation.

 Third, the 12 side panels (28) are attached to the edges: floor and roof panels by quick, fixed fasteners (28) identical. Each panel is fitted with an identical t-chemical-electricity-medical gas sheath (25) with sockets ensuring interconnection and distribution.

 Fourth, the structure (2) by means of quick, recessed fasteners (28) ensures tightening of everything on the edges of the floor, side and roof panels ensuring the tightness of the extension by setting compression of the O-rings (29 which surround the perimeter of each panel.

 1 - "B" is made integral with "A" and the cables and sheaths (22) are coiled in the space reserved for this purpose in "B" (24) and connected to the sockets (26) embedded in "A" .

 2 - "B" is located near "A" and connected only by the targets and sheaths (22).

 The parts "A" and "B" are fixed to each other by conventional fasteners (23) with inverted pitch, provided in the two structures.

An O-ring (27) seals "A" and "B".

 The implementation of the displacement and operating means according to FIG. 9 is carried out by inflating simultaneously via a compressed air bottle (32) and connection ducts (33), lifting cushions ( 31) carried over, permanently fixed in the "AB" structures (figure 9) at the corners of the "AD" enclosures.

 The inflated lifting cushions (31) allow the positioning of the rolling devices (34) in the mechanical devices (35) provided in the structures. The figur. 9A shows the cushions in the rest position, soli @ areas of the unit driven into a housing lower than its base.

 Another use is to keep the enclosures "A" and "B" out of rising water, by means of the same lifting cushions.

Figures 10 to X4 show in the enclosures "A" and "B" the layout on application - pharmacy lab, showing that it can be carried out without modification of the standard basic cells
Figures 15 to 20 show in the enclosures "A" and "B" the arrangement in application - tri-stripping, mont @ ant that this can be achieved without modification of the basic base cells
FIGS. 21 to 25 show in the enclosures "A" and "B" the arrangement, showing that it can be performed in a surgical device without modification of the standard base cells,

Claims (5)

 I) Autonomous and mobile devices, intended to allow all authorities responsible for conflicts, disasters or concentrations of populations to quickly implement the resources corresponding to the specifications of the distress of the building and to meet the essential criteria of emergency action characterized in that they consist of containers t'A "and" B "connectable or assembled; a structure wA" intended to receive any medical and surgical equipment or its ancillary functions, and provided with extension means side and a container "B" constituting a technical enclosure ensuring the autonomy and operation of the device. These containers are provided with openings (4-16) for communication on the junction faces (I0-I7).  2) Devices according to claims 1, careetérisés in that the lateral extension means of the dctive surface of the medical enclosure of the container "A" are constituted by 6 horizontal panels (2I) lower, fixed on the slides (3) low , 6 upper horizontal panels (I9) fixed on the upper rails with their integrated lighting and 6 right and left panels fixed on the previous panels and equipped with electrical and medical gas ducts. The fasteners of all the panels are of the "quick attach" type, quarter-turn, captive (28). All of the panels are lined with an O-ring seal ensuring the tightness of the recons-titled assembly.  3) Devices according to claim 1 characterized in that the enclosure "B" comprises a fixed structure (Ir with an external access door (I2), an access door (I4) to the medical gas compartment, a door d 'access (13) to the technical equipment compartment for storage (15), a communication door (16) opposite the door (I2) with the enclosure "A".  4) Devices according to claims 2 and 3 characterized in that the enclosure "B" has a recess (24) on the connection face (I0) receiving the electrical targets and the sheaths (22) which can either be @ connected to the sockets flush-mounted (26i of enclosure "A" without "A" and "B" being integral, or being connected to the recessed mime sockets (26), the enclosures "A" and "B" both assembled by the quick fasteners ( 23).  5) Devices according to any one of the claims characterized in that they have the auxiliary means for lifting and mobilizing the enclosures "A" and "B" by means of incorporated lifting cushions and auxiliary undercarriages intended for palli @ r to the absence of any means or of translation as well as to shutting off the rise in water from the enclosures "A" and "B".