RU2304924C2 - Aeromobil assembly of x-ray control consulting room of x-ray diagnostics department - Google Patents

Abstract

FIELD: medicine; medical equipment.

SUBSTANCE: assembly has movable X-ray surgical apparatus that is provided with digital radiography complex. Complex has director's, doctor-radiologist's, radiologist-laboratory assistant workstations. All workstations are integrated in one wireless computer local network connected with wireless and wired computational networks of other consulting rooms and departments. Apparatus has on-wall vertical and multiple position support, provided with C-shaped arc onto movable platform, back wheels control system, and device set with control panel. Range of problems to be solved is widened due to combined composition and application of digital radiographic and wireless information computer equipment.

EFFECT: improved efficiency of diagnosis.

4 cl, 1 dwg

Description

The invention relates to the field of medical equipment and can be used in the army, navy, aviation, used by the medical services of the Armed Forces of the Russian Federation, the Ministry of Emergency Situations of the Russian Federation, the Ministry of Health and Social Development of the Russian Federation to provide emergency radiological diagnostics for victims of natural disasters, accidents and disasters, especially wounded on the battlefield, at sea.

Of the known devices for rescuing the wounded, providing them with emergency diagnostics, the closest in technical essence and combination of essential features to the claimed airmobile complex is the mobile inhabited complex selected as an analogue, mainly for medical care, and a transitional vestibule between the modules of the mobile medical complex / 1 / .

The analog complex contains unified habitable transportable functional modules of constant and variable volume equipped with basic and auxiliary equipment with a doorway in the end wall of the module, docking modules of constant volume with doorways in all four walls, one of which is located in the middle of the side wall, and transitional vestibules, connecting functional modules with docking and docking modules with each other. Functional modules are equipped with constant volume compartments separated from the main room with technological equipment that ensures the normal operation of medical equipment and personnel in the main room. Two doorways are made in one of the side walls of the docking module, offset from the doorway of the opposite side wall, and the tambours are made with variable geometry and are equipped with lifting ramps / 1 /.

The main disadvantages of the complex - analogue are:

1. The absence of an airmobile base mobilization of the military field, naval, and floating and civilian rear complex of the X-ray room of the department of radiation diagnostics of the medical detachment of the special purpose detachment of the Ministry of Emergency Situations and the hospital for emergency diagnostics in the treatment of injuries and injuries of victims in the military and rear units, which is a component part of the laboratory diagnostic module located in container bodies of constant and variable volumes installed on the ground, on board sea and river s vessels, on board the aircraft, on the external load and helicopters equipped with medical supplies, X-ray, fluorography devices, technical means of automation, data, TV and radio.

2. At present, in most garrison military hospitals, the collection, processing, analysis of the received laboratory data of radiation diagnostics and the preparation of reporting documents are carried out mechanically. Despite the availability and ease of use, the mechanical method and the forms of medical accounting and reporting documents used for this have a number of disadvantages, namely: low efficiency in preparing the necessary information, which is associated with the impossibility of obtaining them in a short time from various sources, the complexity and the great complexity of manually extracting the necessary information from the documents of primary medical records, the data of annual reports do not fully reflect the picture of medical and diagnostic work in the department uchevoy diagnostic laboratory and diagnostic module, medical reporting materials do not allow for the analysis of injury and illness of military, calculation of statistical indicators of radiodiagnostics department require the diversion of medical specialists from the performance of direct professional duties. The ever-growing requirements for the forms and methods of managing military medical offices, laboratories and departments of radiation diagnostics of hospitals show that the current system of collecting, processing and analyzing medical records and reports requires revision and improvement.

3. In the departments of radiation diagnostics of MOSN, the hospital does not use equipment and devices for primary and secondary processing, analysis and storage of data about injuries and injuries, automated equipment for radiological and fluorographic diagnostics and urgent decisions for each request from the units of primary military medical and hospital units. Lack of local computer networks of working groups of laboratory specialists, radiation diagnostic departments of basic and specialized hospitals in the field, sea and rear conditions, lack of network control workstations, graphic and video servers, color print servers and scanners, as well as computer laptops, wireless mobile network computers with pen input for doctors. The main drawback of the X-ray and fluorography rooms of the Department of Radiation Diagnostics is the lack of an effective control system connected by wired and radio communication channels to other departments and laboratories, as well as with the automated information-reference system of the Ministry of Health, the hospital, which includes a subsystem for maintaining electronic records of wounded patients.

A known method and device for combining computers into a wireless network and connecting it to a wired network by installing on one of the computers on the local network a wireless network adapter together with a wired adapter and performing some configuration. This method and device for integrating a wireless network with a wired network is much more complicated and requires certain software. Moreover, it is also important that the gain in price will be insignificant.

The simplest, most effective, reliable way and device for its implementation for combining personal computers and laptops into a wireless local area network and connecting this segment to a wired computer network is to create and install a so-called "access point", in English, Wireless Access Point or just Wireless AP . Using a wireless access point allows you to actually have a dedicated network device, the operation of which does not depend on the load of other PC personal computers or on their configuration, which is a big plus. Moreover, it will not be necessary to configure complex software, or fear that the PC will turn off again, and the necessary help desk will not work. Access points usually come into operation configured by default in such a way that they are ready to work almost immediately after connecting to the power supply and the local computer network, and only sometimes it is necessary to make settings that are simple, understandable even to a novice. If the access point only needs to perform only the necessary minimum functions, such as connecting wireless clients, creating a bridge between the wired and wireless segments of the network and providing the ability to encrypt traffic, then one of the most inexpensive known models is quite suitable.

The closest in technical essence to the claimed device is a mobile medical vehicle, adopted by us as a prototype and containing a box body with an air purification and ventilation system, divided by partitions into cabinets with medical equipment installed in them / 2 /. The prototype vehicle contains a mobile X-ray diagnostic complex, including a fluorography unit hardware machine located in a van body mounted on a car chassis, X-ray department medical equipment located in a medical pneumatic facility connected to the van body with a special transition from rubberized fabric, and a power station power station placed in a box body mounted on the chassis of a car trailer. The hardware machine of the complex is divided by an X-ray barrier into a control compartment and a fluorographic cabin, and the fluorographic installation of the hardware machine contains a fluorographic camera, a docking unit, a developing machine. To automate the diagnostic process, a digital X-ray television system is electrically combined with a fluorographic unit, which includes interconnected multi-frame memory blocks of X-ray television images, a portable portable personal computer, an infrared port and a transceiver, a control panel with elements of a digital X-ray television system / 2 /.

The main disadvantage of the prototype is the inability to carry out X-ray diagnostic measures in the provision of qualified and specialized medical care to wounded in wartime and victims of natural disasters, accidents and peacetime disasters in the field and sea conditions. The prototype also lacks automation and rapid receipt of x-rays, since chemical-photographic processing of the x-ray film in the field photo laboratories is carried out using tanks and cuvettes. Processing a single sheet of film, including developing, fixing and washing, takes at least 30 minutes. Given the drying, it is even more. Moreover, the number of simultaneously processed films is small, and the quality of the obtained X-ray diffraction patterns largely depends on the time and temperature conditions of processing. No less significant is the large percentage of marriage during the shooting, which requires repeated research.

The main task of the department of radiation diagnostics in peacetime and wartime is to carry out emergency and effective x-ray and fluorographic examinations of the wounded, injured in wartime and injured in emergency situations of peacetime, to provide them with the first medical, qualified and specialized assistance, resuscitation, therapy to preserve life to the largest number of injured and wounded for their quickest return to duty. To accomplish this task, it is necessary to increase the technical equipment and efficiency of the technical facilities of the departments of radiation diagnostics by creating new, most high-quality systems and complexes.

The technical result of the invention is to increase the efficiency of the department of radiation diagnostics of injured and wounded by increasing the class of simultaneously solved tasks for providing emergency first medical, qualified and specialized assistance to victims in the field, sea, air and stationary conditions through the combined combination and use of digital radiological diagnostic and wireless information computer technicians.

The technical result of the invention is implemented by increasing the automation of the aeromobile complex of the X-ray room of the department of radiation diagnostics by creating and introducing into its composition a wireless computer local area network through the use of high-performance Fi = Wi - equipment with a data transfer rate of at least 50 Kb / s and connecting at least three personal computers of this network for the working group of the Department of Radiation Diagnostics of the Laboratory and Diagnostic Center of the Ministry of Emergency Situations, military field, naval, civil rear mobilization hospital.

The technical result of the invention is achieved by the fact that the medical part of the aeromobile X-ray diagnostic complex of the Department of Radiation Diagnostics contains an aeromobile modular mobile radiographic surgical apparatus, including a digital radiography kit, a database with communication channels, a supply generator with a power of at least 30 kW, an exposure control microprocessor, measuring cameras, two-focus radiator on an x-ray tube with a power of at least 30/50 kW, a system for producing qi background images, including a reader with a cassette loading and unloading machine with a luminescent memory screen replacement unit, a patient and cassette data identification system with a cassette data reading machine, a digital radiological information system based on a hardware-software kit for recording, processing, and transmitting data, printing and archiving images. The kit itself includes workstations of the office of the head, radiologist, x-ray laboratory assistant, combined into a wireless computer local area network connected to wireless and wired computer networks of other rooms and departments, a console for entering patient data, viewing, printing and archiving images, the hard drive does not store less than 1000 images, image recording / reading devices, barcodes. In this case, the main unit has a vertical wall tripod, and the backup unit includes a tripod with a C-shaped tripod on a mobile platform, a rear wheel control system, an instrument rack with a control panel. The workstation of the chief - the network server contains an IEEE 802 network adapter. 11b type Bluetooth 1.1 USB BT02-X for connecting to the front USB norm of the personal computer system unit, the doctor’s and laboratory assistant’s workstations based on the diagnostic workstation and laptop with the corresponding system units, have the same network adapters between which data is transmitted at a frequency of 2.4 GHz, with a speed of at least 50 kilobytes per second, at a distance of at least 10 meters, in combination with a type of wireless access point used in the cabinet network The SMC 2655W is an 802.11b standard that has a range of 100 m and is interconnected with a network adapter such as SMC 2602W connected to an AMD Duron 750 processor on a computer and a network adapter such as SMC 2632W connected to an Intel Pentium 111 Mobile750 processor such as a Dell Latitude C laptop 600. The hardware-software kit for recording, processing, transmitting data, printing, and archiving images also contains uninterruptible power supplies for the console and the reader-digitizer, a keyboard for entering patient data, and the first video monitor with a diagonal of at least 17 inches in. At the same time, the workstation of a radiologist includes a diagnostic workstation — a personal computer with the Windows operating system, a hard drive with a capacity of at least 80 GB, a second high-contrast video monitor with a resolution of at least 1280 × 1024, a diagonal of at least 18 inches, and an image recording / archiving unit on a compact disks. The 802.11b-standard SMC 2655W wireless access point contains a PC Card adapter, a power supply unit, a CD-ROM and a cable for connecting to the wired network segment of another office. The complex additionally includes an aeromobile backup x-ray kit containing a RTS-612 mobile surgical x-ray device , polyposition tripod with a C-shaped arc on a mobile platform, an X-ray power supply device based on a mid-frequency generator and an amplifier for an X-ray image with a digital pa yatyu.

The drawing shows a functional block diagram of the airmobile complex of the X-ray room of the Department of Radiation Diagnostics of MOSN, hospital.

The airmobile complex 1 of the radiology cabinet of the Department of Radiation Diagnostics contains the following elements, blocks and nodes: 2 - a modular mobile radiographic surgical apparatus of the RTS-612 type with a set of digital radiography; 3 - database; 4 - communication channel; 5 - x-ray power device; 6 - microprocessor unit for automatic exposure control; 7 - measuring chambers; 8 - generator control panel; 9 - block automatic shooting; 10 - x-ray emitter; 11 - vertical wall or polyposition C-shaped tripod; 12 - cassette loading unit with a cassette receiver; 13 is a system for obtaining digital x-ray images; 14 - single-cassette reader-digitizer with automatic loading and unloading of cartridges; 15 - information radiological digital system; 16 - hardware-software kit for registration, processing, printing and archiving of x-ray images; 17 - automated workstation AWP cabinet; 18 - AWP of a radiologist; 19 - AWP of an x-ray laboratory assistant; 20 - a console for entering patient data, previewing, printing and archiving images; 21 - write-read device; 22 - barcode reader; 23 - first, 23-1 - second, 23-2 - third uninterruptible power supply; 24 - keyboard; 25 - first, 25-1 - second, 25-2 - third video monitor; 26 - first, 26-1 - second, 26-2 - third power supply of the video monitor; 27 - image amplifier with digital memory; 28 - control and display panel; 29 - instrument rack; 30 - television channel receiver; 31 - recording / archiving unit for images on CDs; 32 - rear wheel control system, 32-1 - mobile platform; 33 - a television camera, 34 - a wireless computer local area network; 35 - network adapter for connecting to a USB port, 35-1 - USB-plug; 36 - first, 36-1 - second, 36-2 - third system unit; 37 - USB port; 37-1 - adapter 2602; 37-2 - adapter 2632; 38 - personal computer - network server 34 of the chief's office; 38-1 - diagnostic workstation of a radiologist; 38-2 - laptop x-ray laboratory assistant; 39 - point of wireless access; 40 - wired computer network; 41 - antenna of the access point; 42 - twisted pair; 43 - PC Card adapter; 44 - access point power supply; 45 - cassette with fluorescent and memory screens; 46 - database management system; 47 - an external database; 48 - Windows - network printer 34; 49 - direct thermal printing printer for x-ray images with a printing unit; 50 - a system for identifying patient data and cassettes 45; 51 - type dosimeter RDK-1.

The aeromobile modular mobile X-ray surgical apparatus of type 2 RTS-612, including a digital radiography kit, is intended for mass X-ray examination of patients, radiography of the patient's chest, abdomen and limbs with the vertical position of the patient in a direct, lateral projection, as well as in a lateral position. The apparatus 2 uses digital technology for obtaining images with the possibility of computer processing and archiving of images, as well as obtaining solid copies of diagnostic quality on a film that is not sensitive to light - direct thermal printing technology. Apparatus 2 provides the possibility of electronic generation of medical documents containing the obtained images and accompanying textual information (patient data, conclusion, etc.), storage of the generated documents in the database 3 data, as well as the ability to transfer medical images via communication channels 4 in DICOM 3.0 format . The configuration of the apparatus 2 provides the ability to perform digital x-ray images on other devices installed in a hospital or clinic, including aeromobile x-ray machines 2.

As an X-ray power supply device 5, a high-frequency multi-pulse generator with a power of at least 30 kW and a range of anode voltage variation of no worse than 40-150 kW is used; range of variation of mAc, no worse than 40-150 kV. The feed device 5 contains at least 100 organ examination programs with predetermined examination parameters (kV, mAc, filter, focal spot) and a microprocessor-controlled automatic exposure control unit 6 that provides a minimum exposure time of not more than 1 ms.

The feeding device 5 of the apparatus 2 has three measuring chambers 7, a control panel 8 for controlling the generator 5 with the possibility of placement on a wall or a cabinet table, and an automatic recording unit 9 according to 1-3 parameters.

X-ray bifocal emitter 10 monoblock type apparatus 2 is made on one x-ray tube with the number of focal spots in the tube, not less than 2; the diameters of the focal spots are not more than 0.6 and 1.0 mm. The voltage on the x-ray tube is not less than 150 kV, the tube power is not less than 30/50 kW, the heat capacity of the high-speed anode is not less than (safety factor) 600,000 HU or 450,000 J, the type of anode cooling is air.

The apparatus 2 has a vertical wall or multi-position tripod 11 with a cassette-loading unit 12. The height of the central beam above the floor is at least 40-180 cm. Moving the tripod 11 vertically is at least 150 cm. A screening raster with a resolution of at least 60 pl / cm. The system 13 for obtaining digital x-ray images has a single-cassette reader - digitizer 14 with automatic loading and unloading for digitalization. The spatial resolution of digital images is 6-9 pixels / mm. Gradational resolution (grayscale levels) is at least 12 bits (4096 levels).

The information radiological digital system 15 is made in the form of a hardware-software kit 16 for recording, processing, printing, and archiving x-ray images, which has three automated workstations AWP 17, 18, 19: the office of the head, radiologist, and x-ray laboratory assistant, and provides the opportunity their independent simultaneous work at their workplaces 17, 18, 19. The console 20 for inputting patient data, previewing, printing and archiving images has image saving programs the external archive in the format DICOM 3.0 (DICOM Store SCU) in the printing software in DICOM format 3.0 (DICOM Print). The capacity of the hard drive for local storage of images is at least 1000 images. The console 20 includes a CD-writer 21 for recording and reading images in DICOM format, a barcode reader 22 for entering identification data, and means 23 for maintaining digital information in the event of a sudden power outage made as an uninterruptible power supply 23 for the console 20 and reader-digitizer 14. The console 20 also includes a keyboard 24 for input by the laboratory assistant of patient data, a video monitor 25 of type VGA with a diagonal of 17 inches, video monitors 25-1, 25-2 of type VGA with a diagonal of 18 inches, first 26, the second 26-1, 26-2 third video monitors power units 25, 25-1, 25-2.

The complex 1 contains an image amplifier 27 with digital memory, a control and display panel 28, an instrument rack 29 with a television channel receiver 30, an image recording / archiving unit 31 for compact discs, a rear wheel control system 32, a mobile platform 32-1 and a television camera 33.

To deploy a wireless computer LAN 34 of the cabinet, three network adapters 35 of type Bluetooth Billionton USB BT02-X were used to connect to ports connected by USB extension cables 35-1 to the first 36, second 36-1 and third 36-2 system units via USB- ports 37, adapters 37-1 of the personal computer server 38 of the head of the office, diagnostic workstation 38-1 of the radiologist and through adapter 37-2 of the laptop 38-2 of the x-ray laboratory assistant 34. To provide at least 127 wireless connections on the computer LAN 34 at the same time in a complex of 1 to Abineta in parallel, in combination with the operation of network adapters 35 such as Bluetooth 1.1 Billionton USB BT02-X, a point 39 of wireless access standard 802.11v of type SMC 2655 W was used, which is also used to communicate with wired computer networks 40. Point 39 of access is a dark microradio transceiver - gray with two external folding antennas 41 on the sides, with the possibility of rotation and desktop installation. For wall mounting, holes are provided at the bottom of point 39. To work with the wired segment of the computer network 40, the access point 39 is connected using twisted pair 42 through a PC Card adapter 43 of the access point 39 connected to its power supply 44. The diagnostic workstation 38-1 of the radiologist contains a personal computer 38-1 with an operating room Windows system, a hard drive with a capacity of at least 80 GB, a keyboard 24, a high-contrast video monitor 25-1 with a resolution of at least 1280 × 1024, a screen diagonal of at least 18 inches, as well as a 31 CD-writer for recording and archiving images on CD-ROMs in DICOM format.

The main operational characteristics of the apparatus 2 are: cassettes 45 have luminescent and memory screens; power supply - 380/220 V, 50 Hz. An automatic loading and unloading of cassettes 45 is introduced in the reader 14. The productivity or throughput of a single-cassette reader-digitizer 14 for 35 × 43 cm cassettes is at least 45 pcs / hour. The time of appearance of the image on the video monitor 25, 25-1 from the moment of installation of the cassette (feeding into the cassette receiver 12) is not more than 60 seconds.

Database 3 database has an open configuration for the possibility of using the database management system 46, which provides automated database backup with the ability to restore database 3 after serious failures and failures, up to the destruction of disks, for example, MS SQL Server. DB 3 has the ability to connect to the external database 47 according to the ODS protocol, containing information about the insurance policy and insurance company, address, place of work, profession, category of patients, etc. Database 3 provides printing on a Windows printer 48 of network 34, entering and saving in its memory information about patients: name, date of birth, gender, number of the history of the wound (illness), or outpatient card — type, date, time and parameters of the examination, information about the treating doctor, etc. In DB 3, it is possible to sort, filter and quickly search for patients according to the fields of the patient card, according to the description of the image, as well as their combinations. Devices 2 and database 3 allow you to draw up examination protocols for patients with saving images, date and name of the examination, diagnosis and clinical report. At the same time, it is possible to archive examination protocols in database 3, print these protocols and X-ray images on a Windows printer 48 on network 34 and on a printer-thermograph 49. In addition, images from the archive are viewed, including for a certain time period, and also instructions stored in the database of 3 key images for attending physicians and automatic preparation of examination reports for a certain period of time on the basis of an external database of MS SQL 47 and compilation of other types of reports upon request nt in place also based on external MS SQL database 47. The direct thermographic printer X-ray image printer 49 includes a printing unit for printing images, made on the basis of direct thermographic printing and non-liquid processing technologies. It has a spatial resolution of at least 320 pixels per 1 square. inch, image format, at least 35 × 43 cm, and 100 sheets of a light-insensitive film for a thermal printer 49. The package 1 of the complex 1 with all necessary mounting materials, cables and adapters includes a system 50 for identifying patient data and 45 cassettes with fluorescent and memory screens and a dosimeter 51 of the RDK-1 type for measuring the radiation dose by the apparatus 2.

The airborne complex of the x-ray room of the department of radiation diagnostics works as follows. The technical result of the invention is achieved by the fact that the X-ray diagnostic room of the Department of Radiation Diagnostics is equipped with a portable surgical x-ray apparatus 2 of the type RTS-612 with a polyposition C-shaped tripod. It is equipped with a mid-frequency generator 5 and an amplifier 27 of the X-ray image of the URI with digital memory. RTS-612 has a wide range of clinical applications for instrumental intervention, therapy, and x-ray positioning. It allows you to carry out both transillumination-continuous or pulsed, and x-ray images - instant digital or made on film. Operation of the RTS-612 in the operating and reception departments has shown its versatility, diagnostic effectiveness in various areas of the clinic:

traumatology - the diagnosis of damage, the development of tactics for treating injuries, x-ray control during the entire operation and cure,

orthopedics - X-ray control for correction of deformations of the musculoskeletal system;

vascular surgery - control of catheterization of blood vessels during diagnostic, therapeutic and surgical interventions by methods of interventional radiology and antiography;

endoscopy - x-ray diagnosis and control of endoscopic and endosurgical interventions;

urology - control of lithotripsy;

radiology - as part of the complexes planning and conducting radiation therapy, as well as all types of x-ray studies in first-aid posts. In addition to these areas, there is experience in the use of RTS-612 in pediatrics, pulmonology, resuscitation, general surgery, etc. It provides the necessary projection without moving the patient, a clear contrast image at low radiation loads, everyday savings thanks to new technologies, automatic parameter selection and ease of management diagnostic efficiency and breadth of application. The reader-digitizer 14 has a system 50 for identifying patient and cassette data 45, which has automatic reading of identification data from cassette 45. Its overall dimensions are not more than 45 × 70 × 200 cm, and its weight is not more than 210 kg. The digital X-ray image acquisition system 13 ensures compatibility of the used cartridges 45 with the main types of domestic and imported X-ray machines 2 and the possibility of using the used cartridges 45 for examining both the organs of the chest and the organs of the pelvis, limbs, skull of the patient, as well as the possibility of using the 13 s system several x-ray machines.

The delivery set of apparatuses 2 includes cassettes 45 with luminescent memory screens: cassette 35 × 43 cm, one piece, cassette 35 × 35 cm, 1 piece, cassette 18 × 24 cm - 2 pieces. The formats of the 45 x-ray cassettes are from 18 × 24 cm to 35 × 43 cm. The formats of the used cassettes are 45: 35 × 43 cm, 35 × 35 cm, 24 × 35 cm, 18 × 24 cm, 15 × 30 cm. There is a possibility of replacement luminescent memory screens.

The image viewing and processing program provides the following functions: the presence of an intuitive user interface; screen splitting into fragments, not less than 32; compatibility with the DICOM 3.0 format; the presence of a printing program in the format DICOM 3.0 (DICOM Print); the presence of manual changes in brightness and contrast; the presence of the formation of a custom set of brightness and contrast settings; the presence of automatic selection of brightness and contrast, including the selected area; the presence of transformation, positive-negative; the presence of zooming and the presence of displacement and rotation of the image. The program for viewing and processing images has the ability to change the scale, offset and rotation of the image in the print preparation window; the ability to overlay drawings, text notes, markers; measurement capability: linear dimensions, angles, area of the region, mean value and standard deviation of intensity in the region. At the same time, there is special software available for determining and optimizing the radiation dose per 1 image, based on the analysis of densitometric indicators. There is also filtering images, emphasizing borders, smoothing; the ability to manually calibrate images, the availability of a program for maintaining an archive of patients on diabetes and the presence of export / import files in the DICOM format.

The network adapter 35 for USB Bluetooth 1.1 Billionton USBBT02-X has a very small size (59 × 20 × 8) mm. This network adapter belongs to the 3rd class, which means the maximum distance without obstacles is only ten meters, just for the container body in the field. This is enough to carry out most military medical tasks for which Bluetooth is designed, but if we need a longer distance, an access point 39 or a first-class adapter is introduced. In this case, the radius of operation will increase to 100 meters. We need to use Bluetooth to connect three PCs, using not different models of this adapter for this, but stop on one of its models. Bluetooth 35 as a short-range access point is ideal for connecting to a USB hub, laptop or personal computer a PC equipped with front USB ports 37 located on the back of the system unit 36. For a more convenient connection to USB ports 37, a USB extension cable 35-1 is supplied . Bluetooth is not a protocol for wireless local area networks, but in practice, if necessary, there is still such a possibility of implementing a network. It is designed to create a wireless network no more than a USB port 37 for an Ethernet network. Bluetooth is designed to connect peripherals and various devices to a PC, and not to connect a Point-to-Point PC. Today, Bluetooth 1.1 adapters are widespread and work pretty well. They use the 2.4 GHz radio band as wireless LANs built on the IEEE 802.11b standard, but have much lower bandwidth and are not designed to work over long distances. Bluetooth 1.1 will work through one or two walls, despite the transmitters with low radiation power that are used in equipment of this standard. You can install Bluetooth on any PC with a USB port using a small 35 USB network adapter in the form of a key fob. Now some motherboards, various laptops, adjustment PCs of well-known manufacturers already have built-in Bluetooth adapters, as well as cell phones of the upper price category. Now there are already a large number of devices with its support and a lot of software with its support, so the use of the Bluetooth adapter 35 for the PC 38 of the network 34 will be justified. With their help, we can download X-ray images using the built-in camera of the digital radiological system 15 of the main apparatus 2, the television camera 33 and the television channel receiver 30 of the backup apparatus 2, synchronize the PC 38, 38-1 with the digitizer 14 of the digital X-ray image acquisition system 13 and decide others radiological tasks.

The combination of two 38.38-1 PCs using Bluetooth 35 adapters allows you to see a double image on the screen of each computer, approximately similar to what we see when we connect some kind of Bluetooth device to the PC. It looks beautiful and works quite well, because it is one of the most interesting Windows interfaces. Anyone who uses Internet Explorer to access FTP is already familiar with this style. The Bluetooth Surround window is too difficult to resize, especially if other devices that are available are displayed. The PC 38 operating system sees the Bluetooth 35 connection as a fairly fast serial port, which is about five times faster than a regular COM or Ir-DA infrared port, and, if desired, we can organize a Windows network connection through it. One of the greatest advances brought by Windows 2000 to the Wintel world was the ability to easily combine one or more network protocols and clients to run various network services on arbitrary network interfaces. As soon as the Bluetooth adapter 35 became a type of network interface from the Windows point of view, it immediately became possible to bind to it suitable protocols, for example TCP / IP, or - Client for Microsoft Networks, file and printer access service on computers 38, 38- one.

The speed of such a connection is not high. But when using Bluetooth 35 to create a wireless connection between two or three PCs, the speed will be sufficient so that during normal network operations we do not have to wait long while the Network Environment is updated. Bluetooth 35 allows you to play games with colleagues who are behind the wall without increasing the UDP graph visible in the network 34 of the X-ray room. Now we can install the Bluetooth network adapter 35 as a regular point 39 for wireless access of the local network 34, which can be connected to the wired network 40 of another laboratory and up to seven Bluetooth devices can simultaneously connect to the local network 34 through each such access point using PPP over bluetooth 35.

In fact, Bluetooth 35 is useful in practice for transferring files back and forth, and for synchronizing organizer 14 with PC 38. But if only Bluetooth device 35 will not use a special program, then we will have to work on the good old FTP. One folder on each of the devices participating in the Bluetooth connection is provided for use by another user, and you get access to it in the same way as to any other FTP server. All we need for this is to know the username and password for another device. In our tests, the useful transfer rate between the Billionton 35 adapters was from 40 to 50 kilobytes per second via FTP with a small distance and a low level of interference in the 2.4 GHz band. The theoretical peak throughput of the Bluetooth 35 is 723 kbps, which is 88 kilobytes per second (kilobits = 1000 bits, kilobytes = 1024 bytes of 8 bits). Peak throughput values for different data interfaces are usually the same. Bandwidth actually shows how much data can be transmitted per second. Naturally, the number of bytes sent should equal the number of bytes received. Peak values do not include service data, although a fairly large amount of service information is added during transmission. The protocols also have a lot of redundancy associated with errors that occur in any wireless system and can significantly affect the network bandwidth 34. Thus, 50 kilobytes / s is almost everything that Bluetooth 35 can give. This is quite enough for the military field medical tasks.

When testing, not the best drivers for Widcomm, the Bluetooth adapter 35 were still installed on one of the test PCs 38, 38-1, which perfectly recognized the Bluetooth adapter 35 and fortunately, the Bluetooth software was installed without problems and without a large number of dialog boxes. The software used in conjunction with the Bluetooth 35 adapter can sometimes have a strong negative effect on the work, because the program has a stack of hardware drivers that are hierarchically arranged, and the various Bluetooth stacks must be compatible with each other. The “Bluetooth Environment” interface introduced by the Windows 2000 operating system should always be the same, no matter which Bluetooth 35 stack we use.

Access point 39 is standard 802. 11v SMC 2655W is designed to create wireless computer networks, working as a central device, and to combine wired and wireless segments, working in Infrastructure mode. It is a micro-transceiver with two antennas on the sides, with the possibility of their rotation. Point 39 supports up to 127 wireless connections. The maximum distance at which it is possible to establish a connection is 450 m in open space at a speed of at least 1 Mbps. You can set the connection speed yourself, or you can set it to be detected automatically.

Specifications for Point 39 Wireless Access Point SMC 2655W of standard 802. 11b: carrier frequency - 2.4 GHz, maximum range - 450 m, one Ethernet port, manual determination of data transfer rate, data transfer rate - 1 or 2 or 5.5 Mbps / s or 11 Mbps, the ability to connect a radio channel is available, but there is no connection to an external antenna; for security reasons, there are 64-bit and 128-bit WEP and MAC filtering modes. There are three optical fibers on the front of point 39: Connected / Active, indicating cable connection and data transfer, Reception / Transmission displays the status of wireless connections, and Power, which indicates a power connection. The installed antennas rotate independently of each other, which is especially convenient to ensure maximum signal quality in several planes simultaneously. On the back of the SMC 2655W are located: a power connector, an RJ-45 connector for connecting a twisted pair cable 42. The speed of a wired Ethernet connection can be either 10 or 100 Mbps. The disadvantage of this device is the lack of a connector for connecting a narrow external antenna.

Access point 39 comes with a PC Card adapter 43, power supply 44, CD, and cable for connecting to a wired segment. Installation consists in choosing a location with access to electrical and computer networks and connecting the power and network cable. Configuring SMC 2655W: the access point is configured by default as a DHCP client, therefore, if there is a DHCP server in network 34, it will be ready for operation almost immediately after switching on. However, if it will be necessary to establish a static IP address, then such an opportunity will be here. To configure access point 39, use the utility EZ Connect Wireless AP Manager, which is also supplied. It is compatible with the following operating systems: Windows 98, Me, NT4.0 (SP3 and higher) and Windows 2000. The documentation does not say anything about compatibility with Windows XP. At startup, the utility looks for all access points located in the subnet that the computer on which the utility is running, if there are routers, in the segment to the router. You can use force search, for example, if you connect the access point to the network after starting the utility. All available connection points are displayed by this utility, and we just need to select one of them to proceed to the configuration. You must enter a password. At the first setup, as well as during setup after a reset, the default password is “MiniAP”. The EZ Connect Wireless AP Manager utility has all the basic capabilities for working with access points. With its help, you can configure all device parameters. The default name is set to “MiniAP”, when using one point we can leave it like that, however when using several access points, especially those configured to receive IP parameters via DHCP, we better change the names - this will help to avoid confusion with finding the necessary access point when at the construction site.

At the top of the SMC 2655W settings screen, the device status is displayed: BSS ID, number of connected stations, registered organization, firmware version and encryption enable status. Then you can configure the SSID, by default it is set to "ANY", but in the case when we do not want accidental or intentional connections to our wireless network - we recommend changing the password. But in this case, we will have to do this on all devices connecting to this access point and uncheck the Accept "ANY" SSID check box, so that devices with a network identifier other than ours cannot connect to the network. SSID can be called a kind of password to connect to the network. This parameter is not an encryption key. The next parameter is the channel on which the access point works. It can be omitted if there is only one such device in the network, but to ensure the operation of several access points in intersecting coverage areas, different channels should be indicated on them. Here you can configure it to dynamically obtain network parameters by selecting "Enabled" in the DHCP Client, or "Disabled", and also specify a static IP address. The only thing that slows down the setup process a bit is the “repeated searches” by the access point utility when changing their settings.

For all devices using radio data transmission, the issue of security becomes extremely important. Agree, it is much more difficult to connect to a wired network in order to collect other people's data. Here it’s enough just to be within the coverage area to make it possible to receive someone else’s signal. Therefore, the only applicable way to solve this problem is WEP - data encryption. There are several options that differ in key length. Of these, the most relevant 64-bit and 128-bit options. You can disable encryption at all if we are not concerned about a security problem, or install one of the possible options if there is something to hide. Access point 39 supports both encryption with a key length of 64 bits, and with 128-bit. Encryption not only complicates the interception of data transmitted in our network, but also the connection of someone else's network equipment to our network. Key setting capabilities are standard. You can choose to automatically generate keys by password or set the keys yourself. The selection is made by a switch with two possible options. The keys or password cannot be saved to a file, they will always have to be entered manually, so they should be remembered for subsequent input on other devices. Security also includes the ability to filter by MAC address, which can be configured through the "Commands / Set Filtering" menu. Filtering can either be turned on or off. When filtering is enabled, it becomes possible to specify a list of MAC addresses with which it is allowed to connect to the access point. There is the possibility of saving the list to a file, and, accordingly, loading from a file, which is very convenient when filtering by MAC addresses at several access points, this saves us from "clogging" the same MAC addresses to all access points separately, we need will do this only once, saving the file, and in other cases we can load the existing list. Thus, an additional introduction to the composition of the computer LAN 34 of the X-ray room of two wireless access points 39, i.e. their duplication, significantly increases the productivity and reliability of maintaining wireless connections and combining wireless 34 and 40 wired segments of computer networks as the department of radiation diagnostics as a whole, and the entire MOSN, the military field hospital.

The department of radiation diagnostics is serviced by personnel - medical and technical personnel. In the X-ray diagnostic and fluorographic offices of the Department of Radiation Diagnostics, the shift work: the office of the chief doctor-radiologist - a soldier, a radiologist - an employee of the RA, a radiologist - a soldier, two radiologists - servants of the RA, two drivers - military personnel. Loading and unloading of the functional units of the department of radiation diagnostics on a motor vehicle using GPU is carried out by a trained crew of 4 people.

The inventive airborne complex of the X-ray diagnostic cabinet of the Department of Radiation Diagnostics (prototype) passed state (military) tests on the basis of a KK 4.3 variable volume container body on a KAMAZ-43114 all-terrain vehicle with a docking module on the basis of a KK 4.2 constant volume container body on a chassis ChMZAP-8335.2 trailer with three transitional vestibules in 660 MOSN with the aim of accepting it to supply the medical service of the Armed Forces of the Russian Federation with positive results. The act was approved by No. VNK / 2 / 4-2004 of July 39. The created prototype of the complex has a high level of performance characteristics and has no analogues in the Armed Forces of the Russian Federation. The Commission considers it possible to recommend an RDK sample for adoption for supply to the medical service of the Armed Forces of the Russian Federation and the organization of mass production.

Testing of 802.11b equipment - access points 39 in conjunction with adapters 37-1, 37-2 SMC 2602W and SMC 2632W operating in the 2.4 GHz band occurred using configuration 1: AMD Duron 750 processor, 256 MB SDRAM, adapter 37 -1 SMC 2602W, operating system Windows 2000 with installed SP3; and configuration 2: a client with a PCMCIA adapter, a Dell Latitude C 600 laptop, an Intel Pentium 111 Mobile 750 processor, 256 MB SDRAM, a 37-2 SMC 2632W adapter, and a Windows XP operating system with SP1 installed. Access point 39 was connected to a wired network 40 to one of the ports 100 of the megabit switch. Testing took place with a fixed bandwidth of 11 Mbit / s and 2 Mbit / s. For testing, the NetIQ Chariot utility was used. To measure throughput, the “throughput” script was run when the amount of data for each transmission changed from 100,000 to 200,000 bytes and a different number of repetitions was set. Test 1: 11 Mbps throughput. We note right away that not all tests were passed the first time, as in the case of testing the same network adapters 37-1, 37-2 without access point 39, in the so-called "Ad-Hoc" mode. This was caused precisely by errors in operation, which caused the adapter to disconnect from access point 39.

First, the wireless bandwidth of the two adapters 37-1, 37-2 through the access point 39 was tested. The resulting average transmission rate was 2396 kbit / s, the minimum was 1024 kbit / s, and the maximum was 2627 kbit / s. We noticed more than twofold short-term decreases in throughput, while they were cyclical in nature and repeated after about 2.5 minutes. As when testing the network adapters 37-1, 37-2, when testing the access point 39, we encountered some problems. So, the adapters 37-1, 37-2, together with which the access point 39 was tested, had the same errors as when testing them in the "Ad-Hoc" mode. The maximum distance was less than declared, when trying to establish a connection at a great distance - the MAC address of the remote device (another access point 39) randomly changed. Connection after a certain period of time could break in this case, the MAC address was indicated as "44 44 44 44 44 44". Further, the connection was restored only after a forced search. Then this was repeated again and again. This, of course, should not be perceived as inoperability. Test 2: they turned on 128-bit encryption and conducted a test without changing other settings. The decrease in the transmission rate with encryption turned on reached 5.5%, that is, it was insignificant. The average speed was approximately 2271.5 kbit / s, the maximum 2322 kbit / s, the minimum 2070 kbit / s. At the same time, we did not notice strong drops in speed, as was the case with encryption disabled. Test 3: The 3rd and 4th tests were performed at a throughput of 2 Mbps. In the third test, encryption was disabled. The results were better: the average speed was 881 kbit / s, the maximum was 1031 kbit / s, and the minimum was 586 kbit / s. The minimum bandwidth was fixed at the beginning of the test. Further, there were no major changes in throughput. Test 4: Bandwidth with encryption enabled: average speed was 872 kbit / s, maximum 1009 kbit / s, minimum 715 kbit / s. The minimum bandwidth was fixed at the beginning of the test. Then there was one decline about 2.5 minutes after the start of the test, there were no more major changes in throughput. As expected, the difference between the bandwidth with encryption turned on and turned off at low speed turned out to be less noticeable than at maximum speed. Test 5: Here we measured the bandwidth from the wireless network segment to the wired. With the following settings: maximum bandwidth 11 Mbps, encryption is disabled. The average speed was 4755 kbit / s, the maximum 1956 kbit / s, the minimum 5228 kbit / s. The minimum bandwidth was fixed at the beginning of the test. Then there was one decline about 3 minutes after the start of the test, no more strong changes in throughput were noticed. Test 6: In this test, unlike the 5th, encryption with a key length of 128 bits was enabled. The average speed was 4729 kbit / s, maximum 1995 kbit / s, minimum 5228 kbit / s. At the same time, a drop in throughput was noticed shortly after the start of the test. Then there were no more such strong falls.

Results: as with testing other equipment, there are pros and cons. So, encryption practically does not affect network performance, since the spread was less than 5%. In many tests, short-term drops in throughput with a period of less than five minutes were noticed.

If you need to provide access to LAN 34 for 3 compactly located wireless clients, then the three above - one configuration 1 and two configurations 2 of computer equipment will be enough. Although the troubles seen during testing worsen the overall picture, they can be attributed to incompatibility with the used adapters 37-1, 37-2 SMC 2602W and SMC 2632W of the same manufacturer or the adapters 37-1, 37-2 with the used drivers, when testing which were noticed the same errors. Using such equipment allows you to create a wireless LAN 34 with all its advantages and disadvantages. Advantages: the absence of wires, without which the creation of a computer network 34 was previously considered impossible, and the emergence of freedom of movement. Disadvantages: higher cost in comparison with wired equipment, the ability to intercept the signal and lower speed. The use of such equipment when creating networks that do not require bandwidth in places where cabling is impossible or not justified, as well as if it is necessary to create the possibility of airmobile free movement in some territory, is especially relevant.

Polyposition tripod 11 of apparatus 2 is made in the form of a mobile platform 32-1 with a C-shaped arc, which completely covers the surgical field. Five degrees of freedom of the tripod 11 allow you to smoothly and effortlessly position the x-ray bifocal emitter 10, the receiver 30 of the television channel and two monitors 25-1, 25-2 to study the desired anatomical region. The free movement of the arc of the tripod 11 provides unhindered access to the study area without changing the position of the wounded or sick. The universal well-balanced C-shaped arc of the apparatus 2 is positioned with high accuracy and is securely fixed in a convenient position. The apparatus 2 is easily moved around the working room due to the freely rotating front wheel and the rear wheel control system 32. The apparatus 2, having a two-focus emitter 10 of a monoblock type, provides operation in the modes of transmission, film and digital radiography. The use of apparatus 2 in the mode of fluoroscopy (pulsfluoro) allows you to reduce the dose to the patient and medical personnel by tens of times. The RTS-612 provides high image quality at low radiation loads due to the capabilities of the following components: a mid-frequency generator 10 with a uniform spectral composition of x-ray radiation, URI 27 with three working fields, a television camera 33 on a PMZ matrix, corrective optics, real-time video processes with noise suppressor and a unit for compensating for uneven signal across the image field. Electron-optical magnification in the amplifier 27 when switching fields provides increased recognition of parts. This supports automatic circular collimation on the field of the amplifier 27 of the x-ray image. Three degrees of noise reduction provides high image quality for stationary, inactive and fast-moving objects at low radiation loads. Mirror image (top-bottom, left-right) and rotation at an arbitrary angle allow you to get an image of any organ anatomically correct in the standard position without moving the patient. The image is reproduced both in negative and in positive, the possibility of introducing captions into the image is provided, the last x-ray is always saved, and if necessary, up to 3000 frames can be recorded in RAM. The dose rate at the input of the amplifier 27 of the x-ray image is set automatically, regardless of compensation and the position of the patient during the study. Two monitors 25-1, 25-2, mounted on the instrument rack 29, allow, without interfering with the examination process, on one of them to display on the screen of the other monitor 25-2 an image from digital memory. At the same time, information on the magnitude of the current and voltage of the X-ray source generator 10 is displayed. On the control and display panel 28, touch keys and information displays are concentrated to switch the functional modes of apparatus 2: fluoroscopy, film radiography, digital radiography, and pulsed fluoroscopy. The voltage and current of the x-ray tube of the generator 10 are set automatically or manually. In the X-ray mode, automation is used for individual organs. The touch keys of the control panel 28 listen to the slightest touch and are reliably locked from being pressed with the whole palm, which eliminates unauthorized operation. The smooth surface of the touchpad 28 makes it easier to comply with clinical hygiene. For radiography of the necessary organ, it is enough to indicate on the panel 28 the number of this organ in accordance with the indexing on the control panel 28, the rest will be done by automation. The inclusion of x-ray two-focus emitter 10 monoblock type is made from the control panel 28 or foot pedal. Apparatus 2 provides a transition to filmless technology for obtaining radiography and helps to reduce the current costs of the department of radiation diagnostics due to the following factors: performing X-ray diagnostics without a darkroom and equipment for viewing radiographs, taking a picture without using consumables (film, photoreagents), high throughput, reducing time conducting research, maintaining a digital archive of radiographs, working with radiographs on a local computer network 34. Economy The purity and high performance of the RTS-612 makes it possible to recoup the cost of its acquisition in the period from 9 to 12 months with the rational use of apparatus 2 in the X-ray diagnostic office. In order to ensure reliable functioning in the working position, the transportation of the X-ray apparatus 2 is carried out on a depreciation platform 32-1, which is a structure consisting of upper and lower frames made of longitudinal and transverse steel beams and a rubber shock absorber installed between them in the form of six shock absorbing elements . The lower frame of the platform 32-1 is bolted to the embedded elements in the floor of the container body. The elements of the shock absorber are bolted to it, to which, in turn, the upper frame of the depreciation platform 32-1 is attached. The X-ray apparatus 2, in the transport position, the polyposition tripod 11 with the C-shaped arc is lowered to its lowest position, is rolled onto the shock-absorbing platform 32-1 to the stops, and then secured to the shock-absorbing platform 32-1 using a mounting frame. To roll up the RTS-612, a ramp is provided, which is mounted on a depreciation platform 32-1. In order to weightless the wheels of the apparatus 2, under its mobile platform 32-1 are lifts, which are beams of steel profiles with lifting screw jacks, which raise the apparatus 2 by 5-10 mm. The lifts are fixed on a cushioning platform 32-1. The mounting frame with the lower part presses the RTS-612 frame to the lifts, and with the upper part fastens the C-shaped arc in two places, thus securing the apparatus 2 during transportation. The mounting frame, in turn, is mounted on studs in the oval holes of the cushioning platform. Additionally, the apparatus 2 is fixed with two straps to the upper part of the depreciation platform 32-1. Stand 29 for monitors 25-1, 25-2 in the transport position is located in the central part of the container body also on the depreciation platform, which is a structure consisting of upper and lower frames of longitudinal and transverse steel beams and a rubber shock absorber installed between them in the form three depreciation elements. Rack 29 for monitors 25-1, 25-2 is installed on the cushioning platform and is attracted to it by 4 belts with ratchets, providing tension to the belts. Technical characteristics of the RTS-612 type 2 apparatus: tripod 11 has a focal length of 900 mm, vertical movement of 450 mm, rotation about the vertical axis + -15 degrees, horizontal movement 200 mm, rotation in the vertical plane + -180 degrees, orbital rotation -90 / +25 degrees, the radius of the C-shaped arc is 480 mm, the overall dimensions of the tripod 11 - 1749 × 778 × 1699 mm; the amplifier 27 of the x-ray image has: the dimensions of the working fields 215/160/120 mm, a resolution of 1.2 / 1.6 / 2.0 mm - 1, a threshold contrast of 2%, geometric distortion of not more than 4%, a dynamic range of more than 100, U-turn of a television camera 14: + -90 degrees.

Medical furniture of the X-ray diagnostic room 1 is designed to accommodate the wounded (injured) during research, the organization of jobs for medical personnel, the organization of a locker room, the installation of certain items and sets of medical equipment, equipment in the working and transport positions. It includes a universal table, reception desk, 4 shelves, 3 stools, a metal cabinet for medicines of the “A” list, a wardrobe, a couch and a packing bag. A universal table consists of a table panel, a base and a stand. Its height can be infinitely adjustable, providing the necessary convenience to medical staff. The table panel is made transparent. The panel is adjusted by rotating the handle located on the head of the table. The height of the table panel is set with the foot using the hydraulic pedal. The base of the table consists of a frame including a longitudinal beam with two transverse beams and four self-orientating wheels equipped with braking devices. Thanks to the oversized wheels, the table can be easily moved, including with the patient. The base, stand and panel of the table are covered with stainless steel casings. All surfaces of the table are easily accessible, which simplifies its cleaning and disinfection. The table is attached in transport position to the floor panel in the central part of the container body with straps that are attached to the mounting sockets in the floor. At the same time, the belts are evenly stretched, which leads to the table being pushed to the floor and prevents its lateral displacement during transport operations. After fixing the universal table to the floor, its wheels are fixed from rotation and braked. The patient registrar table has a plastic-coated worktop. During operation, it is located to the left of the main entrance door, and in the transport position it is also attached to the floor panel in the central part of the body using straps that are attached to the mounting slots in the floor.

Structurally, the Department of Radiation Diagnostics includes X-ray and fluorography (not considered in this application) cabinets designed on the basis of variable-volume and constant-volume container bodies and equipped with medical equipment and equipment that ensure their functional purpose. The X-ray diagnostic room 1 is made on the basis of a container body of variable volume KK4.3.00 4 (base part), which has a transformable body that can be folded out and folded with a change in internal volume, which allows it to be delivered to the place of deployment on regular vehicles and provides sufficient space to organize a working room in it for carrying out X-ray diagnostic studies. The X-ray diagnostic room 1 has an internal working room-inhabited compartment and an aggregate compartment separated from it, designed to accommodate the equipment of the functional systems of the container body. His working room has three entrance doors - one rear main and two side, and eight non-opening windows. It has the following main functional systems and equipment: electrical equipment with a lighting system, a life support system, a water supply system, protective curtains, medical equipment and equipment, laying means, fastening and installation equipment for medical equipment, fire equipment with fire alarms, a set of additional, auxiliary equipment , spare, replaceable and mounting parts, tools, fixtures, materials (set of spare parts).

So, the technical result of the invention is to increase the efficiency of diagnosis of injured and wounded using the airmobile complex of the X-ray room of the Department of Radiation Diagnostics of the Ministry of Health, military field hospital by increasing the class of simultaneously solved tasks to provide emergency first medical, qualified and specialized assistance to victims in the field, sea, air and stationary conditions due to the combined combination and use of digital radio-x-ray diagnostic and wireless information computer technology.

Information sources

1. Mobile inhabited complex, mainly for medical care, and a transitional vestibule between the modules of the mobile medical complex. - Patent RU 2197580 C1. - 7 Е04В 1/343. - CJSC Scientific and Production Enterprise Project-Technique. - Kardashenko M.Z., Ukhov V.N., Fedorov H.F., Mukhanov S.A. - 01.27.2003, Bull. No. 3. - Application 2001118609 / 03 of July 6, 2001.

2. E.G. Zhilyaev, A. M. Litvinov, A. A. Silyuk and others. - Mobile medical vehicle. - Patent for invention No. 2135142 dated 08/27/1999, according to the application No. 96109492 dated 05/07/96 - GNII EMFMPT MO RF. - M., FIPS ROSPATENT. - 1999.

Claims (4)

1. A mobile medical vehicle containing a body equipped with life support systems, air purification, ventilation and medical equipment, characterized in that the vehicle is structurally made in the form of a complex of an X-ray room of the department of radiation diagnostics, which contains a unified habitable transportable functional module of the body of the container container volume with a doorway in the end wall of the module, docking modules of constant volume with doorways in four walls, one of which is located in the middle of the side wall, and transitional vestibules connecting the functional module with the docking and docking modules with each other, and the functional module is equipped with a constant-volume compartment separated from the main room with technological equipment, a modular mobile radiographic surgical device, including a set digital radiography, a database with communication channels, a power supply-generator with a power of at least 30 kW, a microprocessor control exposure, measuring chambers, a two-focus x-ray tube emitter with a power of at least 30/50 kW, a digital image acquisition system including a reader with a cassette loading and unloading machine with a luminescent memory screen replacement unit, a patient data identification system and cassettes with a data reading machine with cassettes, information radiological digital system based on a hardware-software kit for registration, processing, data transfer, printing and image archiving moreover, the kit itself includes workstations of the head of the office, radiologist, x-ray laboratory assistant, combined into a wireless computer local area network connected to the computer networks of other rooms and departments, a unit for entering patient data, viewing, printing and archiving images, at least a storage hard drive 1000 images, image recording / reading devices, barcodes, while the X-ray apparatus has vertical wall and polyposition with a C-shaped arc tripods on a mobile platform, system mu rear wheel control, instrument rack with a control panel, while the server of the head workstation network contains an IEEE 802 standard network adapter. 11b for connecting to the system unit port of a personal computer, laptop, doctor’s and laboratory assistant’s workstations have the same network adapters between which the radio broadcasts data at a frequency of 2.4 GHz, with a speed of at least 50 kilobytes per second, at a distance of at least 10 m, in combination with a wireless access point of standard 802 used in the cabinet network. 11b, interconnected with its network adapter connected to the processor of the computer of the radiologist, and with a network adapter connected to the processor of the laptop laboratory. 2. The vehicle according to claim 1, characterized in that the hardware-software kit for registering, processing, transmitting data, printing and archiving images contains uninterruptible power supplies for the data input unit and the digitizer reader, a keyboard for patient data input, a first video monitor, moreover, the workstation of a radiologist includes as a computer a diagnostic workstation having a hard drive with a capacity of at least 80 GB, a second high-contrast video monitor with a diagonal of at least 18 inches and an archiving unit copying images onto CDs. 3. The vehicle according to claim 1, characterized in that the wireless access point standard 802. 11b wireless computer local area network contains a network adapter, power supply, CD-ROM and cable for connecting to a wired network segment of another office. 4. The vehicle according to claim 1, characterized in that it additionally includes a backup x-ray kit containing a portable surgical x-ray apparatus of the RTS-612 type, a polyposition tripod with a C-shaped arc on a mobile platform, an x-ray feeding device including a mid-frequency digital memory generator and amplifier.