RU227U1 - Mobile medical complex - Google Patents

Abstract

1. A mobile medical complex based on a car, containing a van equipped with life support systems, including ventilation, heating, air conditioning, compartments for undressing and anthropometry, functional diagnostics of the cardiovascular and respiratory systems, at least one compartment for examining patients by a doctor , for example, an ophthalmologist, otolaryngologist, a compartment for examination by the radiation method with the provision of all compartments with medical diagnostic equipment, characterized in that the compartments the urgon is additionally equipped with appropriate means for accommodating patients during their examination by a therapist, surgeon, gynecologist, neuropathologist, urologist, dentist, as well as instruments, equipment and instruments for these specialists. for taking analyzes and performing laboratory clinical and biochemical studies, carrying out endoscopic ultrasound studies, in addition, a personal computer with a printer and software for computer screening and monitoring of medical examinations. 2. The medical complex according to claim 1, characterized in that the compartments are additionally equipped with auxiliary equipment, for example, a stand for bixes, a fume hood, tool tables, lamps, hot cold water tanks, a medicine cabinet, a stand with medical styling, as well as a bicycle ergometer and a pneumotachometer .3. Medical complex 1 and characterized in that on the outside of the van body are fixed containers for collecting and disinfecting the washes in the steam-formalin chamber for sterilization of instruments

Description

MOBILE MEDICAL COMPLEX based on a car

The invention relates to medicine and can be used for mass preventive examinations and in-depth examination of the population in order to identify major non-epidemic diseases, as well as providing emergency and emergency medical care to patients established during the examination. The use of the complex is especially effective for examining the population living away from medical centers.

A well-known mobile clinic of foreign manufacture, which has a dental office, an X-ray room, a room for the manifestation of radiographs, a laboratory, a pharmacy. The clinic is equipped with sanitary-hygienic equipment, air conditioners, and is equipped with a diesel generator for generating electricity. The polyclinic in assembled form is an ordinary trailer with a width of 3.5 m. In the unfolded one - about 9 m wide, 12 m long, the average height inside is 2.3 m. (Industrial catalog of Germany N 25819-84. Hospital Services Group G -MBH). However, for all its advantages, the specified clinic does not have a targeted diagnostic purpose, and also requires time and money to deploy it to its working position.

Known mobile clinic of the company Kiitokori (Finland), including a room for staff, a laboratory, a department of audiometry, a room for a doctor's appointment. The laboratory compartment is equipped with ECG equipment, a refrigerator, a freezer, etc. The mobile clinic is equipped with air conditioning, there is an engine for generating electricity, a container with water and a water heating device. (Industrial catalog 24873-85). However, Kiitokori's mobile clinic covers a relatively narrow, limited area of patient examination.

The closest destination to the 3fS l eHgHy complex is a mobile medical center for medical services (| silt} Tychoski service. (Industrial catalog 7680-86, Italy). This mobile medical center was chosen as a public health service.

Mobile medical center for prf || A car-based illumination service is a facility © UZ; A bite wagon that is divided into compartments. There is a compartment for undressing pacifin rVu Sch tr: pometria, cardiometry, spirometry. Est1GT) Tsek -ffj examination by doctors ophthalmologist, otolaryngologist, a special compartment with an x-ray unit. All compartments are equipped with medical diagnostic equipment. The mobile medical center is equipped with life support systems: ventilation, heating, air conditioning. A mobile medical center allows for preventive care directly at workplaces, in schools, in remote areas, where to this day there is no special medical care.

However, j a mobile medical center, selected as a prototype, compared with the claimed complex has limited possibilities for providing emergency and emergency medical care to patients, it lacks a universal surgical table and a number of diagnostic equipment, and it does not have an energy installation and the car has significantly less patency.

The objective of the proposed complex is to provide an in-depth examination during mass preventive examinations in order to identify the main non-epidemic diseases, as well as providing emergency and emergency medical care during the examination of the population, especially those living far from medical facilities.

The essence of the medical mobile complex (IPC), as a utility model, lies in the placement of a large amount of medical diagnostic equipment in a small van body, which provides for mass in-depth medical examinations using the developed technology.

IPC medical technology uses the MEDMAN (Medical Examination Data Manager) system. The system provides:

- collection of health data by patients themselves with minimal assistance from medical personnel (by screening);

-the development of individual recommendations for the doctor and patient on the necessary medical examinations;

-allocation of risk groups and control of surveys of these groups;

-analysis of the incidence.

To maintain this system in a mobile medical complex, a personal computer with a printer and appropriate software is provided.

The mobile medical complex on the basis of the car is a van body equipped with life support systems (including ventilation, heating, air conditioning), compartments for undressing, anthropometry, functional, - and iglo.sdiki with ..,. but of the vascular and respiratory systems, according to Extreme Diff§ in one place; for examination of patients by a doctor, for example. he came from a scholar, otol, -. ringologist, compartment for examination with luly methods, providing all compartments with medical treatment | (with diagnostic equipment a;; compartment of the van body are additionally equipped with special

means for accommodating patients during their examination, i-TOM, surgeon, gynecologist, neuropathologist., VZP-Q or, 5g22%; jg5kaiTj3

hom, instruments, equipment and tools for the aforementioned specialists, taking analyzes and performing laboratory, clinical and biochemical studies, carrying out endoscopic and ultrasound studies, as well as a PC with a printer and software for computer screening and monitoring of medical examinations. The mobile medical complex is equipped with auxiliary equipment - a rack for bixes, a fume hood, tool tables, lamps, hot and cold water tanks, medicine cabinets, a rack with

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medical styling, as well as a bicycle ergometer, pneumotachometer. On the outside of the van body are fixed containers for collecting and disinfecting washing water, a steam-formalin chamber for sterilizing the instrument, including bulky, and folding stretchers.

The presence in the mobile medical complex of a PC with software allows the use of the HEDMAN system. A questionnaire for this system was developed by qualified experts from the leading scientific and medical centers of the country. Computer screening contributes to the early detection and formation of risk groups for the main types of non-epidemic diseases.

The MEDMAN system forms risk groups for the following diseases:

-chronic diseases of internal organs, including tumor;

-cardiovascular diseases;

-diabetes;

-specific pulmonary diseases;

disorders of the nervous system.

According to the MEDMAN system, preliminary diagnostics are carried out according to the questionnaire questionnaires embedded in the PC.

The mobile complex is equipped with medical devices and equipment that allow specialists using the MEDMAN system to carry out instrumental in-depth examination of patients. Compared with the prototype, the inventive mobile complex is equipped with a large number of devices that are serviced by various medical specialists. Using the MEDMAN system, a PC with a printer equipped with various programs, a rational set of diagnostic and treatment equipment, a larger number of the population is examined, medical examinations are carried out in more depth, diseases are detected in the early stages, if necessary, registration is carried out and the execution of appointments is monitored.

The layout and placement of the equipment of the medical mobile complex was carried out on the basis of medical technology, a list of specialists and lists of equipment and equipment, as well as on the basis of medical and technical requirements for the IPC, developed by VNIIEF specialists together with medical workers.

When organizing the workplaces of doctors, the fundamental principle was the maximum approximation of the provisions of the specialist, patient, equipment and instruments to the conditions prevailing in inpatient hospitals. At the same time, if possible, the following basic conditions were observed:

sufficient working space was created, allowing the specialist to carry out all the necessary movements and movements in the process of work;

- measures were envisaged to prevent or reduce premature fatigue of specialists, to prevent the occurrence of psychophysiological stress in them, as well as the appearance of erroneous actions.

The scheme of the adopted layout is presented in figures 1,2,3. Fig. 1 shows a view of the internal space of a medical mobile complex - top view, Fig. 2 - view from the left, Fig. 3 - view from the right. Inside the body of the van is equipment, where;

1 - universal operating table (surgical), which, if necessary, can be turned into a gynecological chair without additional funds; 2 - a locker couch with a folding table, where a therapist, a functional diagnostics doctor, an ultrasound doctor can work with patients; endoscopic examinations can be performed on the operating table (1), where a illuminator for endoscopes and electric knives are installed; under the operating table there is also a suction ОХ-10 (СО-4); The following equipment is placed under the couch (2) in the transport position: & 5D-26 ultrasound scanner with sensors for it, Salyut electrocardiograph (2 pcs.), mechanical ventilation apparatus, spirometer, pneumotachometer, laboratory assistant’s ware, emergency bag ( 2 pcs.); 3 - PC type IBM RS / AT / XT-286 with peripherals; 4 - dry heat cabinet for sterilization of instruments; 5 - wash basin; 6 - air conditioning; 7 - heaters; 8 - fume hood fan; 9 - a bicycle ergometer; 10 - centrifuge; 11 - refrigerator; 12 dentist's chair and dental unit, for example, portable; 13 - a rack where laboratory equipment and scales are located, has a sliding table for sampling and conducting work with analyzes; 14 - an instrumental table near the dentist's chair for laying out the instruments of an ENT doctor, an ophthalmologist; 15 - tool table near the operating table for instruments of a surgeon, gynecologist, endoscopist; 16 - tanks with hot (there is a built-in electric heater) and cold water; 1 - door with entrance ladder; 18 - a cabinet where auxiliary household accessories for personnel are placed (iron, electric stove, etc.); 19 - hanger; 20 rack switching, where concentrated management of all life support systems; 21 - household cabinet, which is a locker room for staff; 22 - stadiometer; 23 - fume hood, where under the hood they work with analyzes; 24 - endoscopic equipment: fibrobronchoscope, fibrocolonoscope, fibrogastroscope, diagnostic laparoscope, electric knife; 25 - a rack with bixes, in each bix - a tool kit for a specialist, for example, Bix N 3 - a set of tools for emergency surgical care; 26 bactericidal irradiator; 27, - a safe for storing alcohol and drugs, which should be under strict control; 28 rack with a pharmacy and medical tool; 29 - steam-formalin chamber; 30 - stretcher; 31 - tank for collecting and disinfecting wash water.

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the selection of which was made on the basis of the developed survey methodology, layout of their placement.

The method of forming high-risk groups using a computer transfers in concentrated form the experience of highly qualified experts at the disposal of ordinary practitioners in the form of a computer programJ which gives advice and helps in making a diagnosis.

The system operates in two modes:

- dialogue of the patient with the computer;

- questioning of population groups with subsequent processing of questionnaires on a computer.

The average communication time of a patient with a computer is about 15 minutes. When questioning the efficiency significantly increased. For the attending physician, the MEDMAN system prints recommendations for examining each specific patient, and also gives out signal coupons that allow you to monitor the implementation of the recommended medical examinations. All recommendations and answers to interview questions are stored in a database and can be used both for monitoring a specific patient and for a doctor in order to control the examination using feedback principles. The MEDMAN system is implemented on a personal computer operating in the MZ-DOZ operating system.

Methods of pre-medical selection at risk using an automated expert system can intensify the work of qualified personnel, as preliminary selection is carried out practically without the participation of medical workers on the basis of a computer program.

According to the above medical technology, surveys of several production teams were conducted. As a result, a high detectability of diseases was noted. The effectiveness of the developed methodology is confirmed by comparing the results with the results of periodic medical examinations. This is due to the fact that the computer screening allows you to collect a much more complete history, detail the patient’s complaints and on the basis of this form groups for subsequent in-depth clinical, instrumental and laboratory examinations. The survey program provides for a large amount of instrumental techniques, in addition to Toroi, focusing allows with a large efficiency use diagnostic methods.

A careful selection of tools and devices providing medical methods maintenance, their compact placement in a mobile medical complex, which makes it possible to conduct mass screenings, an in-depth examination and identify at the early stages of the disease with subsequent treatment and monitoring of patients, as well as provide, if necessary , ambulance and emergency medical care - all this allows us to conclude that the proposed medical mobile complex is useful model.

Claims (3)

1. A mobile medical complex based on a car, containing a van equipped with life support systems, including ventilation, heating, air conditioning, compartments for undressing and anthropometry, functional diagnostics of the cardiovascular and respiratory systems, at least one compartment for examination by a doctor , for example, an ophthalmologist, otolaryngologist, a compartment for examination by the radiation method with the provision of all compartments with medical diagnostic equipment, characterized in that the compartments the urgon is additionally equipped with appropriate means for accommodating patients during their examination by a therapist, surgeon, gynecologist, neuropathologist, urologist, dentist, as well as instruments, equipment and instruments for these specialists. for taking analyzes and performing laboratory clinical and biochemical studies, conducting endoscopic ultrasound studies, in addition, a PC with a printer and software for computer screening and monitoring of medical examinations. 2. The medical complex according to claim 1, characterized in that the compartments are additionally equipped with auxiliary equipment, for example, a stand for bixes, an exhaust hood, tool tables, lamps, hot cold water tanks, a medicine cabinet, a stand with medical styling, and a bicycle ergometer , pneumotachometer. 3. The medical complex according to paragraphs. 1 and characterized in that on the outside of the van body are fixed containers for collecting and disinfecting the washes in the steam-formalin chamber for sterilizing the instrument and folding stretchers.