IT202100027677A1 - MACHINERY FOR MAKING INJECTIONS - Google Patents

Description

MACHINERY FOR MAKING INJECTIONS

Description

Technical field

[0001] The present invention concerns the sector of aids for nursing and medical operations, and more? in particular, its object is a machine for administering drugs, vaccines and the like to human patients by injection.

State of the art

[0002] How? known, in recent years the needs? of administration of drugs and vaccines by injection? growth significantly.

[0003] In particular, following the SARS CoV-19 virus pandemic? for example, has the need grown? to administer vaccines, in a very narrow interval, to very large groups of patients. Did they come like this? to form vaccination centers where, within a few hours, a very high number of doses of vaccine against the virus are administered.

[0004] One of the major critical issues? of such vaccination centers? linked to the high need for healthcare personnel (doctors, nurses, etc.) necessary to guarantee administration operations in complete safety.

[0005] This personnel requirement has as a consequence the increase in the management costs of the vaccination centers.

[0006] Furthermore, can? Does it happen that, in a given period, there is no availability? of the number of health workers necessary for the optimal requirement of the vaccination center, and therefore can? It happens that the center works at capacity? reduced or forcing the staff on duty to work overtime shifts, with an increase in costs and an increase in the risk of errors on the part of the staff themselves.

[0007] Errors connected to the implementation of an injection can, for example, be linked to the administration of the wrong drug/vaccine, both in quantity and in quantity. than in typology, or even to a technically poorly done administration, for example by making an injection in an unsuitable part of the body or made with an unsteady hand.

[0008] Other errors can be made for example in the exchange of patient names, to whom the wrong drugs/vaccines can therefore be administered.

Summary

[0009] Purpose of the present invention? that of solving problems associated with the administration of drugs/vaccines by injection.

[0010] In particular, an important aim of the present invention is? that of creating a machine to perform injections on human patients, which allows for a reduction in the number of healthcare personnel needed to perform the injection.

[0011] Another important purpose of the present invention? that of creating a machine to perform injections on human patients, which allows to speed up the operations connected to the injection, while maintaining a high standard of safety for the patient.

[0012] Another important purpose of the present invention? that of creating a machine to carry out injections on human patients, which allows us to reduce errors and damage related to injection, such as administration in unsuitable areas of the body, the use of wrong drugs/vaccines, etc.

[0013] These and other purposes, which will be more? clear later, are achieved with a machine for performing subcutaneous injections on human patients, comprising

- a confined environment to accommodate a patient,

- a device for verifying the position assumed, in this confined environment, by at least the part of the patient responsible for receiving an injection,

- an automatic injection device for a medicine, capable of automatically carrying out the injection once the position verification device has verified at least the correct position of the part of the patient to be injected,

- a warehouse of medicines to be administered, suitable to allow the refilling of said automatic injection device.

[0014] The part of the patient responsible for receiving an injection can? be any part of the patient's body suitable for this purpose, such as, typically, the patient's deltoid, buttock, between femur and knee, hip etc.

[0015] For confined environments is it possible? meaning for example a cabin, or a dressing room or box, or a small place, for example to accommodate one or two people maximum, surrounded by walls. For example, the cabin can? include a front wall, two side walls and a possible back wall in which? an access opening to the cabin is provided. For example, the base area of the cabin can? have maximum dimensions within 3 m2.

[0016] According to a preferred embodiment, the device for verifying the position assumed, in the aforementioned confined environment, by at least the part of the patient responsible for receiving an injection, includes an ultrasound sensor in order to verify the position of the blood vessels on the part of the patient scheduled to receive the injection; preferably the ultrasound sensor? of the Doppler ultrasound type, in order to verify heartbeats by monitoring blood flow.

[0017] According to a preferred embodiment, the device for verifying the position assumed, in said confined environment, by at least the part of the patient responsible for receiving an injection, includes a support surface for the part of the patient responsible for receiving the injection or of an area around that part. Preferably, the machine also includes a sensor to control the support of the part of the patient responsible for the injection on said support surface. Preferably, the device for verifying the position assumed by the part of the patient responsible for receiving an injection comprises a box-like body internally defining a compartment equipped with an external operating wall forming said support surface for the part of the patient responsible for receiving the injection, and in which this external operational wall is? at least partially transparent to light. Preferably, the sensor for controlling the support of the part of the patient responsible for the injection on said support surface comprises a brightness sensor. suitable for checking the brightness? inside said compartment of the box-like body. Preferably, in the compartment? there is an ultrasound sensor capable of interacting with the patient through said external operating wall.

[0018] According to a preferred embodiment, the automatic injection device comprises

- a syringe module including the chamber for the medicine to be injected and a needle operationally connected to the chamber to allow the medicine to arrive from the chamber to the needle,

-a movement device for at least the needle from a first retracted position in which the needle is not in contact with the part of the patient responsible for the injection when the patient is correctly positioned for the injection, to a second advanced position in which the needle? penetrated into the part of the patient responsible for the injection when the patient is correctly positioned for injection.

[0019] According to a preferred embodiment, the movement device for at least the needle defines a movement direction for the needle intersecting a support surface for the part of the patient responsible for the injection; preferably there being a passage for the needle in a wall on which it is defined the support surface. Preferably, the needle is inside the compartment defined by a box-like body an external wall, preferably at least partially transparent to light.

[0020] According to preferred embodiments, the needle is fixed to the chamber, so that the needle and chamber move together using the movement device; preferably the syringe module? a traditional syringe composed of a longitudinal chamber for the medicine, on the bottom of which is is there an open light on a tube to which? fixed the needle, and in which in this longitudinal chamber is it? a piston is provided to push the medicine into the needle.

[0021] According to preferred embodiments, in the chamber of the syringe module? there is a piston pushing the medicine towards the needle, and in which the automatic injection device includes a piston pushing device adapted to push the medicine through the needle to inject the medicine when the needle is inserted into the patient.

[0022] According to preferred embodiments, the automatic injection device includes a system for removing the syringe module used from the injection zone.

[0023] According to preferred embodiments, the magazine of medicines to be administered includes at least one magazine suitable for housing a plurality of of syringe modules parallel to each other and organized to be able to feed, one after the other, the automatic injection device; preferably the loader has a row of syringe modules arranged parallel to each other and side by side according to a feeding direction of the automatic injection device, there being a mover capable of moving said loader from the storage position to the feeding position of the automatic injection device.

[0024] According to preferred embodiments, in the confined environment? there is a device for verifying the presence of the patient, equipped with grip areas for the patient's hands, in which in these areas there are respective sensors to verify the grip by the patient; preferably the device for detecting the patient's presence comprises, in at least one said hand grip area, a heartbeat detection sensor; preferably the device for acknowledging the patient's presence includes a transversal bar placed in front of the area that can be occupied by the patient, on which said gripping areas are provided.

[0025] According to preferred embodiments, in the confined environment? is there a vision sensor placed in front of the area occupied by the patient, to which? associated with an electronic program for recognizing and monitoring the patient's pupils in order to verify the patient's psychophysical state and to verify the position of the pupils in the confined environment.

[0026] According to preferred embodiments, in the confined environment? There is a control camera.

[0027] According to preferred embodiments, in the confined environment? there is a screen, preferably of the touch-screen type, to allow information to be provided in visual form to the patient and to allow interaction with the administration process.

[0028] According to preferred embodiments, in the confined environment? there is an acoustic diffusion system to allow information to be provided in audio form to the patient; preferably? There is a microphone to allow the patient to communicate with the control staff.

[0029] According to preferred embodiments, in the confined environment? There is a height-adjustable stool to allow the patient to sit.

[0030] According to other embodiments, the machinery can? present an automatic sanitizing device for the cabin, for example a nebulization device capable of nebulizing a sanitizing product in the cabin.

[0031] According to other embodiments, the machinery can? present a dispenser of medical sanitizing wipes, which the patient can? use before and after the injection.

Brief description of the drawings

[0032] The invention will come better understood by following the description and the attached drawings, which illustrate an exemplary and non-limiting embodiment of the invention. More? in particular, in the drawing they show:

[0033] Fig. 1 represents a schematic perspective view of a machine according to the invention with a patient inside who must receive a subcutaneous injection;

[0034] Fig.2 represents a schematic perspective view of a portion of the machine according to the invention, without patient:

[0035] Fig. 3 represents a schematic perspective view of a syringe module loader to be used in a machine according to the invention;

[0036] Fig.4 represents a schematic view, in cross section, of a portion of machinery according to the invention, relating to the automatic injection device of a medicine.

Detailed description of embodiments

[0037] With reference to the previously cited figures, a machine according to the invention is indicated as a whole with 10. This machine allows subcutaneous injections to be carried out in an automated manner on human patients. To manage the automation aspect, the machinery includes an electronic management and control apparatus, generically indicated with A, which preferably has a connection (of the cable and/or wireless type - wireless) to a data transmission network, such as for example a local network (e.g. a LAN) and/or a global network (e.g. the Internet).

[0038] This machinery 10 includes a cabin 11 which delimits a confined environment to accommodate a patient, or exceptionally, a person, for example for emergency patient care.

[0039] This cabin 11 includes for example a front wall 12 and two side walls 13, as well as? a floor 14. In front of the front wall ? There is an opening 15 for access to the cabin. As mentioned, the dimensions of the cabin are appropriately contained, for example the base area of the cabin can? have maximum dimensions within 3 m2.

[0040] In this example, the floor 14 of the cabin 11 is raised from the level of the external flooring, so in correspondence with the access opening 15? There is a ramp 16 to facilitate access for disabled people in wheelchairs.

[0041] The cabin 11 has a visual informant 17, operationally associated with the electronic management and control apparatus, preferably placed in the vicinity of the opening 15 (suitably on the outside of the cabin), such as for example a multiple ceiling light. light sources, for example coloured, each of which gives an indication to the patient. For example, a first source V, for example green, indicates the possibility? of access to the cabin, a second R source, for example red, indicates the impossibility? when accessing the cabin (for example because it is occupied or due to some fault, and a third source, for example white B, indicates the presence of connection to the data transmission network.

[0042] Inside cabin 11? There is a stool 18 with adjustable height to allow the patient to sit at the optimal height in order to carry out the injection.

[0043] In the cabin 11, for example on the front wall 12,? there is a screen 19, preferably of the touch-screen type, to allow information to be provided in visual form to the patient and to allow him to interact with the administration process carried out by the machine 10, and which is operationally associated with the electronic management apparatus and control.

[0044] Still in the cabin? There is an acoustic diffusion system 20 (also operationally associated with the electronic management and control apparatus), such as for example one or more speakers, to allow information to be provided in audible form to the patient. Can you? There should also be a microphone (not indicated in the figures) to allow the patient to communicate with the control staff.

[0045] Still inside cabin 11, ? There is a control video camera 21, also operationally connected to the electronic management and control apparatus, which frames the human figure of the patient and traces a geometric profile in order to verify the actual position of the patient in the cabin, and exclude any intrusions other than those foreseen. For example, the video camera 21 scans the profile of the patient inside the cabin and compares the scanned profile with outlines of pre-loaded figures in the electronic management and control apparatus. If the scanned profile does not correspond to one of the pre-loaded shapes, the management and control system communicates to the patient to change position and/or blocks the administration process.

[0046] Furthermore, the control camera 21 operates scans throughout the administration period, so as to verify any unwanted access by third parties and, if so, block the administration process and emit alarm signals/warnings acoustic or visual.

[0047] In cabin 11? there is a device 30 to confirm the presence of the patient, which is also operationally associated with the electronic management and control apparatus. This device 30 ? clearly visible in figure 2 and provides grip zones for the patient's hands in which there are respective sensors 31 to verify grip by the patient. These sensors are able to verify whether the hand? in the gripping area or not.

[0048] For example, this device for verifying the presence of the patient 30 includes a bar 32, preferably transverse, for example horizontal, on which the grip verification sensors 31 are provided in correspondence with the gripping areas of the patient's hands. This bar? positioned in front of the front part 12, under the screen 19. Does it go without saying? whereas in other embodiments, instead of a single bar, there may be two separate handles, one for each hand, on which the grip verification sensors 31 are provided, for example protruding orthogonally from the front wall or the side walls of the cabin .

[0049] For example, the grip verification sensors 31 can be of a known type, for example of the inductive type, for example providing a rubber grip portion and two metal plates and during the grip of a hand around the bar, in correspondence of the sensor 31, the electrical connection takes place between the two metal plates, thus generating? the grab signal. Conveniently, at least one of the two grip verification sensors can also be a sensor for detecting the patient's heartbeat.

[0050] From a construction point of view, the bar can? be a hollow tube, and the sensors be fixed on the external surface of the tube, with the sensor wiring passing entirely to the latter.

[0051] Preferably, the administration process by injection takes place with both hands gripping the appropriate areas of the bar. If the patient removes a hand from the gripping area, the patient presence detection device detects an anomaly in the administration process and can for example, block it or give an adequate information signal to the patient or to an employee, who can? possibly intervene to help.

[0052] The bar 32 also allows the patient to have support during the injection phase, which can help him to support himself even in the event of sudden ailments that affect his balance.

[0053] In cabin 11? also has a vision sensor 35 (for example a focal vision sensor of the CMOS type with white LEDs, for example of the type known by the commercial name of Osi sense XU,) which is also operationally associated with the electronic management and control apparatus , placed in front of the area occupied by the patient. To such a vision sensor 35 ? associated with an electronic program for recognizing and monitoring the patient's pupils in order to control the patient's psychophysical state and to control the position of the patient's pupils in the cabin.

[0054] The vision sensor 35 allows you to monitor the patient's pupils, to detect his movements and his effective attention. The electronic program for recognizing and monitoring the patient's pupils, of a known type, for example similar to those used to check the state of attention of vehicle drivers, allows us to understand whether the patient in the frame is ? in full clarity? of attention or if your eyelids are closing. In this way ? Is it possible to suspend the administration process by injection if the patient's state of health deteriorates, or just repeat the instructions if there is? It was a decline in his attention.

[0055] Furthermore, during the automated movement phase (as better explained below) of the needle responsible for the injection, the control of the patient's pupils allows the exact position of the same to be determined, i.e. the orientation of the patient's head patient in the cabin, and therefore allows you to know that the patient's face is not directed towards the needle, to guarantee safety for your safety. of the patient. In fact, in the event that the vision sensor does not detect the two pupils, the administration process is interrupted.

[0056] Conveniently, the machinery 10 includes a device 40 for verifying the position assumed, in the cabin 11, by at least the part of the patient responsible for receiving the injection, which is also operationally associated with the electronic management and control apparatus. Preferably, this part responsible for receiving the injection is the patient's deltoid D (right or left, depending on how the machine is structured: in the example of the figures, the patient's right deltoid).

[0057] In the preferred embodiment described in this example, the device 40 for verifying the position assumed by the deltoid includes a box-like body 41, fixed for example to a side wall of the cabin, internally defining a compartment 42 equipped with an external operational wall 43 forming a support surface S for the deltoid (or an area around it). This external wall 43 ? at least partially transparent to light (being for example made of glass, crystal, plexiglass, etc.).

[0058] The device 40 for verifying the position assumed by the patient's deltoid includes a sensor 44 for controlling the support of the deltoid on the external wall 43, which takes the form, for example, of a brightness sensor. suitable for checking the brightness? internal to the compartment 42 of the box-like body 41. In practice, the compartment 42 receives light from the external wall 43 supporting the deltoid. When the deltoid? leaning against this wall, the brightness? within the space it takes on a certain value, which preferably? equal to zero when the deltoid completely covers the external part 43, i.e. it completely obscures the compartment. If the brightness value? ? higher than a preset minimum value (which can also be equal to zero, i.e. no brightness) there? does it mean that the deltoid is not? positioned correctly and therefore the machine does not proceed with the automatic injection (or blocks the automatic advancement of the injection needle in the case of movement of the deltoid with variation in brightness).

[0059] Advantageously, the device 40 for verifying the position assumed by the deltoid includes an ultrasound sensor 45 which allows verifying the position of the blood vessels on the part intended to receive the injection. Conveniently, the ultrasound sensor ? of the Doppler ultrasound type, in order to verify heartbeats by monitoring blood flow. For safety reasons, the heartbeats can be compared with the heartbeats detected by the grip verification sensors 31 located on the grip bar 32 and, in case of mismatch between the detections, the injection process is interrupted.

[0060] The operation of the ultrasound sensor 45? ultrasonic and does not require contact with the part to be examined. Conveniently, the ultrasound sensor 45 ? inside the compartment 42 and interacts with the deltoid through the external operating wall 43.

[0061] The machinery 10 also includes a device 60 for automatic injection of a medicine, capable of automatically carrying out the injection once the device 40 for verifying the position of the deltoid has verified its correct positioning.

[0062] For example, the automatic injection device 60 ? schematized in figure 4 and is equipped with a syringe module 61 which in turn includes a chamber 62 for the medicine to be injected and a needle 63 operatively connected with the chamber to allow the arrival of the medicine from the chamber to the needle. Preferably, in this example such syringe module 61? a syringe with a structure of an approximately traditional type, i.e. the chamber 62 has a longitudinal development and on its bottom there is is there an open light on a sleeve appendix to which? the needle 63 is fixed (chamber and needle are thus integral), and in which in the longitudinal chamber 62 is a piston 64 is provided to push the medicine into the needle 63 and out of the syringe.

[0063] The syringe module 61 ? substantially inside the compartment 42 (except for part of the needle during the injection phase). The automatic injection device 60 includes a movement device 65 for the syringe module 61 from a first retracted position, provided within the compartment 42, in which the needle 63 is not in contact with, or not? entered the patient's deltoid when the latter is correctly positioned for the injection (i.e. the deltoid is resting on the support surface defined by the external operating wall 43), to a second advanced position in which the needle 63 (in dashed lines in this position, in figure 3) is penetrated the deltoid (with the patient correctly positioned as just specified).

[0064] The movement of the syringe module 61 occurs along a movement direction a small hole 66 is provided for the needle to pass from inside to outside the compartment 42.

[0065] Conveniently, the movement device 65 for the syringe module 61 provides, in the compartment 42, a guide lane 67 for the syringe module 61 which defines the movement direction , to the second advanced position, corresponding to the needle inserted into the patient's deltoid. Movement means, for example an electromechanical or pneumatic translation actuator, not highlighted in the figures, allow the syringe module to be moved in an automated manner (i.e. controlled by the electronic management and control apparatus) along the guide lane 67.

[0066] Conveniently, the automatic injection device 60 provides a device (not shown in the figures) for pushing the piston 64 of the syringe module 61, which allows the medicine to be pushed through the needle to inject the medicine when the needle is inserted into the patient.

[0067] Once ? once the injection has occurred, the syringe module 61 just used is removed from the automatic injection device 60 by means of a system 68 for removing the used syringe module from the injection area. For example, this system can provide a drop hatch created for example at the beginning of the driving lane, and capable of opening on command towards a container of exhausted syringe modules, when the handling device 65 moves the syringe module from the second advanced position towards the first retracted position.

[0068] The machinery 10 also includes a warehouse 70 of medicines to be administered, operationally associated with the electronic management and control apparatus of the machinery, suitable for allowing the recharging of the automatic injection device, for example placed on a lateral side of the cabin 11 .

[0069] Preferably, the medicines are stored in the warehouse inside the respective syringe modules.

[0070] Conveniently, this warehouse 10 can? be refrigerated, to allow medicines to be kept at the correct temperature.

[0071] There are means for loading the syringe modules from the magazine to the automatic injection device 60.

[0072] For example, in the warehouse there are loader modules 71, each housing a plurality? of syringe modules 61, parallel to each other and organized to be able to feed, one after the other, the automatic injection device 60.

[0073] For example, a magazine 71 has a containment jacket 72 configured to house a row of syringe modules 61 arranged parallel to each other and side by side according to a feeding direction Y of the automatic injection device 60. By means of an automated mover (not shown in the figures) the entire magazine (sleeve 72 and syringe modules 61) is moved in the feed direction Y from the magazine position to the feed position of the automatic injection device 60. Here, the first syringe module in the row ? ready to be moved in the guide lane 67 in the compartment 42. Once this first syringe module is been used, the next syringe module? moved to the position of the first syringe module, thus allowing it? movement in the driving lane 67 to carry out another injection. When a charger? finished, it is replaced with another magazine from the warehouse.

[0074] Conveniently, the machine 10 can? present an automatic sanitizing device for the cabin, not shown in the figures, such as for example a nebulization device suitable for nebulising a sanitizing product in the cabin.

[0075] Conveniently, the machine 10 can? also present a dispenser of medical sanitizing wipes, also not shown in the figures, which the patient can use? use before and after the injection.

[0076] The method of administering the medicinal product by subcutaneous injection can therefore foresee the following phases.

[0077] The machine signals the patient, for example by turning on the green light V of the visual informant 17 located above the access to the cabin, that the machine is ready to be used.

[0078] The patient enters the cabin 11 and the machine provides usage information (and/or requests information from the patient) given via the screen/or via the acoustic speakers.

[0079] Possibly the patient adjusts the height of the stool present in the cabin.

[0080] The patient squeezes the gripping areas of the support bar with his hands. And does the deltoid rest against the contact surface defined by the external operational wall of the box-like body from which it will emerge? the injection needle.

[0081] The machine checks the patient's heartbeat using the sensors on the support bar and using Doppler echo. If the data coincides, the administration process continues.

[0082] In the meantime, the video camera 21 scans the patient's figure and compares it with its own pre-loaded templates, as previously described, interrupting the process if it detects something anomalous with respect to what is foreseen by the electronic control program.

[0083] Furthermore, the machine continuously monitors, or according to a pre-established time interval, the psycho-physical state of the patient by controlling his pupils, as described further below. above in relation to sensor 35. If the machinery does not detect anything abnormal, the process is not interrupted.

[0084] The echo-doppler 45 verifies that the deltoid area that will be subjected to the injection? usable for injection. Otherwise the machine asks the patient to move the deltoid slightly in order to identify the most suitable for injection. In this case? is not possible, the process is blocked.

[0085] If all the checks are positive, the machinery controls the movement of a syringe module with the medicine from the retracted area to the advanced area in which the needle comes out of the external part of the compartment entering the patient's deltoid and the medicine is administered.

[0086] Once all the medicine has been injected, the syringe module is moved towards the collection area for used syringe modules. Then the patient leaves the cabin.

[0087] ? It is understood that what has been illustrated represents only possible non-limiting embodiments of the invention, which can vary in shapes and arrangements without departing from the scope of the concept underlying the invention. The possible presence of reference numbers in the attached claims has the sole purpose of facilitating reading in the light of the preceding description and the attached drawings and does not limit their scope of protection in any way.

Claims (19)

MACHINERY FOR MAKING INJECTIONS Claims 1. Machine for making injections into human patients, comprising - a confined environment to accommodate a patient, - a device for verifying the position assumed, in said confined environment, by at least the part of the patient responsible for receiving an injection, - an automatic injection device for a medicine, capable of automatically carrying out the injection once said position verification device has verified at least the correct position of the part of the patient to be injected, - a warehouse of medicines to be administered, suitable to allow the refilling of said automatic injection device. 2. Machine according to claim 1, in which said device for verifying the position assumed, in said confined environment, by at least the part of the patient intended to receive an injection, includes an ultrasound sensor for the purpose of verifying the position of the blood vessels on the part of the patient responsible for receiving the injection; preferably said ultrasound sensor being of the ultrasound Doppler type, so as to verify the heartbeats by monitoring the blood flow. 3. Machinery according to claim 1 or 2, in which said device for verifying the position assumed, in said confined environment, by at least the part of the patient responsible for receiving an injection, includes a support surface for the part of the patient responsible for receiving the injection ?injection or an area around said part; preferably said machinery comprising a sensor to control the support of the part of the patient responsible for the injection on said support surface. 4. Machinery according to claim 3, in which said device for verifying the position assumed by the part of the patient responsible for receiving an injection, comprises a box-like body internally defining a compartment equipped with an external operating wall forming said support surface for the part of the patient intended to receive the injection, and in which said external operating wall is at least partially transparent to light. 5. Machinery according to claims 2 and 4, wherein said ultrasound sensor is? inside said compartment and ? suitable for interacting with the patient through said external operating wall; preferably said sensor for controlling the support of the part of the patient responsible for the injection on said support surface comprises a brightness sensor? suitable for checking the brightness? inside said compartment of the box-like body. 6. Machinery according to one or more? of the previous claims, wherein said automatic injection device comprises - a syringe module including the chamber for the medicine to be injected and a needle operationally connected to said chamber to allow the medicine to arrive from the chamber to the needle, - a movement device for at least said needle from a first retracted position in which said needle is not in contact with the part of the patient responsible for the injection when the patient is correctly positioned for the injection, to a second advanced position in which said needle is penetrated into the part of the patient responsible for the injection when the patient is correctly positioned for injection. 7. Machinery according to claims 3 and 6, wherein said movement device for at least said needle defines a movement direction for said needle intersecting said support surface for the part of the patient responsible for the injection; preferably there being a passage for said needle in the wall on which? defined said support surface; preferably said needle ? inside the box compartment. 8. Machinery according to claim 6 or 7, wherein said needle is? fixed to said chamber so that needle and chamber move integrally by means of said movement device; preferably called syringe module? a traditional syringe composed of a longitudinal chamber for the medicine, on the bottom of which is is there an open light on a tube to which? the needle is fixed, and in which in said longitudinal chamber it is a piston is provided to push the medicine into the needle. 9. Machinery according to one or more? of claims 6 to 8, wherein in said chamber? there is a piston for pushing the medicine towards the needle, said automatic injection device comprising a pushing device for said piston suitable for pushing the medicine through the needle to inject the medicine when the needle is inserted into the patient. 10. Machinery according to one or more? of claims 6 to 9, wherein said automatic injection device comprises a system for removing the syringe module used from the injection zone. 11. Machinery according to one or more? of claims 6 to 10, wherein said magazine of medicines to be administered comprises at least one magazine suitable for housing a plurality of of said syringe modules parallel to each other and organized to be able to feed, one after the other, said automatic injection device; preferably said loader presenting a row of syringe modules arranged parallel to each other and side by side according to a feeding direction of the automatic injection device, there being a mover capable of moving said loader from the storage position to the feeding position of the automatic injection device. 12. Machinery according to one or more? of the previous claims, in which said confined environment is? a cabin, preferably comprising at least one front wall, two side walls and an access opening to the cabin; preferably the base area of said cabin has maximum dimensions within 3 m2. 13. Machinery according to one or more? of the previous claims, in which in said confined environment? there is a device for verifying the presence of the patient, equipped with grip zones for the patient's hands, in which in said zones there are respective sensors to verify the grip by the patient; preferably said device for detecting the patient's presence comprises, in at least one said hand grip area, a heartbeat detection sensor; preferably said device for verifying the presence of the patient comprises a grip bar placed in front or laterally of the area occupied by the patient, on which said grip zones are provided. 14. Machinery according to one or more? of the previous claims, in which in said confined environment? is there a vision sensor placed in front of the area occupied by the patient, to which? associated with an electronic program for recognizing and monitoring the patient's pupils in order to verify the patient's psychophysical state and to verify the position of the pupils in the confined environment. 15. Machinery according to one or more? of the previous claims, in which in said confined environment? There is a control camera. 16. Machinery according to one or more? of the previous claims, in which in said confined environment? There is a screen, preferably of the touchscreen type, to allow information to be provided in visual form to the patient and to allow interaction with the administration process. 17. Machinery according to one or more? of the previous claims, in which in said confined environment? there is an acoustic diffusion system to allow information to be provided in audio form to the patient; preferably with a microphone present to allow the patient to communicate with the control staff. 18. Machinery according to one or more? of the previous claims, in which in said confined environment? There is a height-adjustable stool to allow the patient to sit. 19. Machinery according to one or more? of the previous claims, comprising one or more? of the following: a) an automatic sanitizing device for the cabin, preferably a nebulizing device capable of nebulising a sanitizing product in the cabin, b) a dispenser of medical sanitizing wipes.