RU2349293C2 - Mobile inhabited medical hemotransfusion complex - Google Patents

Abstract

FIELD: medicine.

SUBSTANCE: invention concerns mobile medical equipment, particularly emergency aid to wounded. Complex is constructed as mobile blood collection complex. Interconnected modules of donor compartment, operation compartment, functional blood transfusion compartment and blood and blood component storage area of transfusion compartment include vibration and shock resistant antiseismic equipment. Equipment kit number enables blood collection from 100-150 donors of emergency reserve in three days time. Additionally mobile blood collection complex includes automated radio control system for rescue and registration of injured people, based on wireless high-speed narrow band multiservice mobile network combined with radio station.

EFFECT: improved blood collection quality, obtaining products of preserved blood and blood component transfusion, storage and transportation, improved conditions of transfusion therapy and prevention of post-transfusion reactions and complications, determination of emergency reserve donor blood group and rhesus in collection compartment, and blood transfusion in field.

10 cl, 1 dwg

Description

The invention relates to the field of medical equipment and can be used at the advanced stages of evacuation of the wounded, in hospitals, hospitals, centers, sanatoriums, clinics for the collection, transfusion and storage of canned blood and its components in the aftermath of disasters, accidents, natural disasters in peaceful emergency time in the field and in the conduct of hostilities in wartime.

Known mobile inhabited complexes, mainly for medical care, in particular a mobile donor point / 1, 2 /, selected as the closest analogues of the claimed complex. The closest in technical essence and selected as a prototype of the mobile complex blood collection PKZK is a mobile inhabited medical complex / 3 /. The main disadvantage of the selected PKZK prototype complex is the absence on its board of a wireless high-speed computer network with Wi-Fi - narrowband and WiMAX-broadband radio access according to IEEE 802.11a / v / g and 802.16е-2007 standards. The prototype does not provide support for the IP protocol for information external communication, video and data transmission, multimedia context in real time, does not include a subscriber and base WiMAX radio stations, points of short-range wireless access of the radio system based on a chip of narrow-band and broadband access to wireless networks according to standards IEEE 802.11a / b / g and 802.16е-2007 with programmable architecture for use both in open spaces with ranges in the first case at distances of 5-400 m, and in the second case at standing 55-75 km and inside the premises. The prototype does not have “global microwave compatibility — 2.4; 3.5; 5.5 GHz - radio access "to the Internet, Wi-Fi - and WiMAX networks with the ability to transfer data about blood and its components, voice and video images at speeds of at least 10 Mbps.

The PKZK prototype used only two-way wired communication between the body and the driver’s cabin during the route using an intercom, the set of which includes two TSU transport loud-speaking devices consisting of an MDM-7 microphone, an audio frequency amplifier, and a ZGDShCh-4 type loudspeaker. The well-known prototype complex has insufficient operational reliability, a relatively small service life, does not provide fast reception and transmission, it has a high-speed data schedule, it does not have wireless network Wi-Fi adapters for computers, devices - short-range radio access points of standards 802. 11a \ in \ g and long-range WiMAX access standard 802.16e-2007.

Significant disadvantages of the prototype are the lack of wireless local computer medical Wi-Fi and WiMAX networks of near narrow-band and long-range broadband access, unreliable protection against unauthorized access, short information storage time, but the main disadvantage of this device is the inability to provide computer-based radio control to save the wounded, their accounting using the wireless operational broadband WiMAX access standard 802.16e-2007 for medical information and its reception and transmission over long distances (up to 50-100 km) from the advanced stages of military medical evacuation to individual health omedo special forces special forces, military field hospitals.

Technology Wireless Fidelity (Wi-Fi) is a technology of fidelity and fidelity of wireless information transmission, which appeared in 1997 in the form of the IEEE 802. 11 standard for wireless local area computer networks, which regulated the operation of equipment at a frequency of 2.4 GHz with speeds of 1 and 2 Mbit / s, 11 Mbit / s - 802.11v. Wireless access points for organizing hot spots - Internet access zones - support 802.11 protocols in versions “b, g” 2.4 (2.4-2.4835) GHz and in version 11a (5.15-5.35; 5.725-5.825) GHz. Protocols 11a, 11g allow you to increase the data transfer rate to 54 Mbps, in the turbo mode - (108-125) Mbps, 11v has a maximum speed of 11 Mbps, in the turbo mode - up to 22 Mbps. Currently, the wireless technology of public Wi-Fi access points, large corporate broadband WiMAX-computer networks, and new telecom operators has gained further distribution and development. In 2005, it was announced that a number of radio communication projects, hot spots, were being implemented in our country, and now it is possible to launch the first broadband WiMAX Internet access in Russia in Nizhny Novgorod using Intel and Comp Tek based on the 802.16 standard. As soon as the promising frequency range of 5.15-5.25 GHz was opened, the Russian company Comp Tek introduced new solutions for the class of broadband radio access based on InfiNet (Revolution) 5000 equipment. It is known that the Moscow company Media Networks (UNITLINE.ru) the international association WiMAX-forum, based on the version of the standard 802.16-2004 technology for broadband wireless access BWA using multiplexing technology with orthogonal frequency division OFDM (OFDM). The Moscow company MediaSet implements in 2007-2008. federal WiMAX radio systems project. It is planned to establish 7 base stations in Moscow, six in the Moscow Region, each of which will serve the whole city. It is also known that certified WiMAX base radios by the Spanish company Cetecom provide connection to each other at a distance of up to 50 km at a data transfer rate of up to 75 Mbps, and subscriber radio stations such as TV adapters must communicate with base stations at a distance of 5 km with a transfer rate of up to 15 Mbps or more.

The objective of the invention is to improve the quality of procurement, preparation, transfusion, storage, transportation of canned blood and its components, improve the conditions for transfusion therapy and prevention of post-transfusion reactions and complications, determine the group and rhesus affiliation of blood donors, rescue the injured and wounded in the field. The task is solved by the PKZK, containing the donor, operating department, mobile blood transfusion department, external kits and providing a throughput capacity of at least 30 donors / h for blood harvesting, at least 4-5 donors / h for plasmapheresis, daily productivity with a 5-hour working at the bottom when blood collection is not less than 75-100 l / day and the number of simultaneously served donors at the temporary blood collection point is 10 people, in the operation department - 4 people. PKZK is equipped with tools, equipment and has a stock of medical expenditures providing blood sampling from at least 200 donors and plasma from 20 donors. The duration of the continuous operation of the mobile department of blood transfusion is 24 hours / day. PKZK has a supply of medical equipment to assist 100 injured per day while working in 2 shifts for 5 days. The functional module of the mobile department of blood transfusion provides transfusiological measures for the wounded and sick in HSV (omedo SpN), the collection, receipt and recording of blood transfusion agents from isoserological standards, and the prevention of post-transfusion reactions and complications. The module for storing blood and its components provides storage and transportation of a stock of blood transfusion funds to the deployment site of the surgical and intensive care unit of HSV (omedo SpN). The implementation of the objectives of the invention is carried out by a mobile inhabited medical complex, which functionally performs the tasks of a mobile complex for blood collection, containing a mobile complex as a part of the donor and surgical departments and a mobile blood transfusion department as part of the functional and blood storage modules with its components of military field hospitals, individual medical units special purpose deployed in field (floating, flying) transportable multifunctional inhabited uniforms cited K5350M vans on the KamAZ-43114 off-road vehicle chassis and KP-4 type on the 2-PN-4M automobile trailer chassis with EA-BE diesel power supply units and KK 4.2.25 type constant volume container bodies on the car chassis KamAZ-43114 and KK 4.2.06 on the chassis of the ChMZAP-8335-2 automobile trailer. The latter contain technical and medical parts, in which donor and operating modules are located and used, functional and blood storage modules with its components, which, together with box bodies and container bodies, deliver to the place of use on board the air, including helicopter external suspension, railway, water - sea and river, sanitary transport. The interconnected module of the donor department, the module of the operating department, the functional module of the blood transfusion department and the module for storing blood and its components of the blood transfusion department include vibration-proof, shock-resistant, seismic shockproof equipment. So, in the medical parts of the modules of the donor and surgery departments, apparatus, instruments and equipment were used for laboratory research by donors of blood type and hemoglobin level, storage of canned blood, its components and freshly frozen plasma, sterilization of a surgical instrument and products, processing of information, protection of it from unauthorized access to and from computer viruses.

The mobile blood preparation complex, which includes the mobile blood preparation complex and the mobile blood transfusion department, additionally contains an automated radio control system for rescue and wounded victims and wounds, based on the wireless high-speed, narrow-band Wi-Fi and broadband WiMAX access standards 802.11 a, b / g, 802.16е-2007, a 5 G multiservice network in the 2.4 GHz, 3.4-3.8 GHz, 5.25-5.35 GHz and 5.725-5.850 GHz frequency bands, connected by radio using a subscriber WiMAX radio stations of the donor module with Azov-the WiMAX radio cell separation blood transfusion functional module as a part of the Department of Anesthesiology and Intensive Care separate medical and special forces military field hospital. A wireless access AGC system with a range of at least 100-110 km includes a construction kit for a wireless backbone channel with a throughput of 2.5 Mbit / s, 10.5 Mbit / s, 20 Mbit / s and 75 Mbit / s, containing a radio relay, a radio router and a terminal node of a point-to-point trunk radio channel. As a wireless multiservice network containing short-range narrow-band radio access points with a range of at least 100 meters and a subscriber WiMAX radio broadband station with a range of at least 10-15 km, we used automated workstations of the head transfusion physician based on a server with a wireless network adapter, feldsher-transfusiologists and laboratory assistants based on portable workstations, including wireless network adapters.

The essence of the invention lies in the fact that the mobile complex of blood preparation PKZK is structurally made in the form of a medical device containing modules of the donor and surgical departments, put forward for autonomous operation to remove from HSV, placed in van bodies on the chassis of the car and its trailer, not less than 100 km, and the functional module and the blood storage module with its blood transfusion separation components, located in container bodies, all four modules are paired into a single medical and technical system at the same site as the operational-resuscitation department of the military field hospital or omedo SPN. The transfusiological equipment of the modules of the donor and operating departments carries out the procurement, preparation of drugs, and blood storage, which is sterilely procured from emergency reserve donors from the personnel of military field medical institutions, military units, and the local population, collected in polymer containers and control the stability of the output of target products. Using blood transfusion devices, blood samples are used to conduct biochemical - ALT, total protein, protein fractions; isoserological - blood group, Rh - factor, isoimmune antibodies; virological and bacteriological studies - markers of hepatitis B and C, HIV-1,2, syphilis. PKZK provides for the collection, receipt, recording, storage and issuance for use of blood transfusion agents and isoserological standards - polycyclones, isohemoglutinating serums, anti-rhesus reagents. Not later than 2-5 hours from the time of blood collection, low-speed centrifugation is carried out at 2500-3500 g for 15-20 minutes at a temperature of 20-24 degrees Celsius. As a result, there is a simultaneous separation of blood into plasma, erythrocyte mass and leukotrombosloy. Plasma is frozen no later than 2 hours after centrifugation at a temperature of minus 40-45 degrees Celsius for 30-40 minutes and stored for 12-24 months. The erythrocyte mass is cooled at a temperature of plus 2-4 degrees Celsius and stored until use for 30-40 days. As a result of blood storage, a highly purified sterile freshly frozen plasma and a highly stable erythrocyte mass preparation corresponding to the European Pharmacy Requirements, 2001 are obtained. The mobile inhabited medical blood transfusion complex includes airborne multifunctional, unified van bodies on the chassis of a cross-country vehicle and its trailer, in which diesel power supply units are used , life support systems, lighting with electrical equipment, water supply, air supply tions, heating, ventilation, air-conditioning, temperature control, protection of personnel and technical equipment of the radioactive dust, toxic substances, bacteriological agents, fire-fighting equipment with alarm. The inventive complex is distinguished by the fact that it is structurally made in the form of a mobile blood preparation complex containing blood preparation and blood transfusion departments as part of the Department of Anesthesiology and Resuscitation of a separate medical unit of special purpose Omedo SpN, a military field hospital, and including a mobile complex consisting of a donor and an operating room departments and a mobile department for blood transfusion as part of the functional and blood storage modules with its components in field hospitals, individual hospitals special forces units. The latter are initially placed in field, sea, air transportable multi-functional inhabited unified van-bodies of the K5350M type on the chassis of the KamAZ-43114 all-terrain vehicle and KP-4 type on the chassis of a 2-PN-4M automobile trailer with EA-BE diesel power supply units and bodies -containers of constant volume like KK 4.2.25 on the chassis of the KamAZ-43114 car and KK 4.2.06 on the chassis of the ChMZAP-8335-2 automobile trailer. They contain technical and medical parts in which donor, operating, and functional and blood storage and blood storage modules with its components are located and used, respectively. Secondly, vans and container bodies are delivered to the place of use on board air, including helicopters with external sling, rail, water - sea and river, ambulance. The interconnected module of the donor department, the module of the operating department, the functional module of the blood transfusion department and the module for storing blood and its components of the blood transfusion department include vibration-proof, shock-resistant, seismic shockproof equipment. In the medical parts of the modules of the donor and surgery departments, apparatus, instruments and equipment were used for laboratory research by donors of blood type and hemoglobin level, storage of canned blood, its components and freshly frozen plasma, sterilization of a surgical instrument and products, processing of information, protection against unauthorized access and from computer viruses.

The donor department of the PKZK is a K5350M-type van body on the chassis of a KamAZ 43114 car with a EA-BE diesel engine. The operating department is a KP-4 box van on the chassis of a 2-PN-4M automobile trailer with a EA-BE diesel engine.

The donor department is intended for registration of donors, their medical examination and the issue of donor breakfast before blood sampling; storage and transportation of prepared canned blood and its components; transportation of the visiting team to the workplace and back. The working room of the donor department has two entrance doors - the front without windows, the side with a window, three windows that open and includes electrical equipment with a lighting system, life support and water supply systems, curtains, medical equipment and equipment with fastening and styling equipment, spare parts and accessories.

The operating department is designed for simultaneous blood, plasma or platelet concentrate collection in the field. It allows for simultaneous exfusion of whole blood or plasmapheresis (cytopheresis) operation in four donors; primary fractionation of whole donated blood during its processing into components. Medical furniture and equipment of the operating department are designed to accommodate four donors for operations and the organization of medical staff jobs.

The modules of the donor and operating departments contain two bactericidal wall irradiators of the OBN-150 type or an ozonizer of the OP1-M type with a sterilization chamber, a portable hemoglobinometer such as “Mini Gem-540” or “Mini Gem-523” with auto-calibration and equipment for cuprum-sulfate level determination capillary blood hemoglobin, a blood group determination kit with a Tsoliklon type kit - Rhesus-2, two refrigerators for storing blood type XK-250 "Pozis", a medical freezer like Gemoterm, a mobile portable workstation like Rover Book Discovery FT6 or E415 WR4-M-1800 ESS in a plastic case, medical rack, two passenger double convertible shock-absorbing chairs, three folding tables, a wardrobe for medicines and supplies, a buffet table for a donor breakfast, a buffet counter, a nightstand, a safe, a garbage stand, two hinged shelves, two swivel chairs, a folding seat, a compartment for transporting three medical racks, an amortized platform for the printer. At the same time, apparatuses, instruments and equipment were used for the work of medical staff during simultaneous exfusion of whole donated blood, donor plasmapheresis operation, cytopheresis in 4 donors, primary fractionation of whole donated blood during its processing into components, express-freezing of plasma before putting it into storage, sealing polymer tubes of plastic containers, storing canned blood and its components during transportation, disinfecting the air of the working room to create aseptic conditions th in preparation for operations and during the operations. The operating room module contains an OP1-M type ozonizer or an OBN-150 type bactericidal wall irradiator, a portable centrifuge for plasmapheresis and air-cooled laboratory tests of the TsLPZ-3,5 type; a plasma extractor of the type PEK-3 or EPR-1, EPA-1, a device for balancing glasses of the MAK-1 type, automatic scales for blood donation of the donor type MKD1-0.6; sealer of highways mobile like "Geckon-S" or EZM-01 for manual sealing, express plasma freezer like Gemoterm-Z, 12; two thermocontainers of portable isothermal type KONTRTERM-LIMP-UDEL; operating furniture - four donor chairs, a sterile table, a table for packing canned blood, two tool tables, two hinged shelves, a stand for garbage bags, a nurse's table, four bottle holder racks, a medical crate, three mobile swivel chairs, a shock-absorbed centrifuge platform, ten foam mattresses in plastic covers, as well as pharmacological agents. At the same time, the life support system, water supply system, lighting system with electrical equipment, protective curtains, styling and fastening means, fire equipment, sets of additional equipment for spare, replaceable and mounting parts, tools, devices and materials, tools were used in the technical part of the modules of the donor and operational departments communication between the body and the driver’s cab, and the life support system includes the interacting subsystems of heating, air conditioning, ventilation, air supply and protection of personnel and equipment from radioactive dust, toxic substances, bacteriological agents, and remote sets for the deployment of a temporary blood sampling contain medical racks for 4 donors, a set of mounted devices for racks, kits for simultaneous exfusion and a set of medicines for the first doctor help.

The functional module of the blood transfusion department is intended for immunohematological studies and pre-transfusion preparation of blood components by medical personnel. It provides air disinfection of the staff’s working room to create aseptic conditions, conduct a biological test, conduct blood and donor recipient blood compatibility tests, determine group and rhesus blood donations for recipients and transfused blood component, conduct pre-transfusion preparation of freshly frozen plasma. The module for storing blood and its components is intended for storage and transportation to the place of deployment of the operational-resuscitation department of the ORO HSV, omedo SpN of the stock of blood transfusion funds and the sterilization of its premises.

The functional module contains two bactericidal wall illuminators of the OBN-150 type, a plasma defroster of the RP4-01 type, a laboratory centrifuge of the OPN-3 type, a microscope, two sterilizers with two sterilization boxes KS, a mobile portable workstation of the Rover Book Discovery FT6 or E415 WR4-M type -1800 ESS in a plastic case, etc. The blood storage module includes an OP1-M ozonizer with a sterilization chamber, three HK-250 Pozis refrigerators for storing blood, two Gemoterm 240 medical freezers, four portable CONTERM-LIMP-type thermocontainers OF, transfusion means for transfusion therapy in the wounded (patients) ORI HSV omedo SPN.

The drawing shows a functional block diagram of an automated radio-control system for rescue and registration of the wounded, preparation, storage and blood transfusion on the basis of a multiservice wireless network with Wi-Fi access points of 802.11a, v / g standards, mobile and stationary subscriber and base WiMAX radio stations 802.16e / d-2007 standards.

The system of automated radio control for rescue and registration of the wounded, preparation, storage and blood transfusion belongs to the field of computer equipment of extreme and military medicine and can be used by medical services to provide emergency assistance to victims and injured in emergency situations using standard wireless narrow-band Wi-Fi access points 802.11a, v / g, and 802.16e / d-2007 broadband WiMAX access to computer multiservice networks of mobile complexes for procurement, storage and blood donation of individual medical special forces Omedo SpN, military field hospitals of medical services of the armies and fronts of the Armed Forces of the Russian Federation.

An analogue in technical essence to the automated radio-control system for rescue, registration of the wounded, preparation, storage and blood transfusion of the claimed PKZK is a device for recording, storing and reading data from electronic personal signs, developed by Datakey Inc. (Burnsville, Minnesota, USA). This device is designed to prevent unauthorized access to such facilities as medical equipment and computer terminals in the army and navy. The device includes a processor, a clock generator, blocks of constant and random access memory, a reading unit, an electronic interface with a serial I / O unit and a data flow control unit. The personal signs of the Data military personnel are hard plastic tags 5 cm long, each of which contains a 64 Kbps EEPROM. They contain the 8048 8-bit microprocessor, which provides more efficient data flow control. The main disadvantages of the known device - the closest analogue - are the limited memory for storing information due to the relatively small (64 Kbit) information capacity of the device, low speed due to the short read time (up to 375 ms), significant duration of data recording and updating (up to 650 ns).

The closest analogue of the automated radio control system for rescuing the wounded, collecting, storing and transfusing the blood of the claimed PKZK, in terms of emergency processing and protecting information from unauthorized access and from computer viruses, is a device for recording and reading information from electronic control devices / 4 /, containing electronic personal characters made in the form of non-volatile electrically erasable EPROMs with parallel erasure and connected through contact elements of communication and an interface with a bl with a serial I / O window connected via a data bus to a central processor connected to a clock generator and via a data bus with a read-only memory block of microcommands and a block of random access memory, and with a printer, modem, hard disk drives and flexible magnetic disks via corresponding interface nodes .

The mobile blood preparation complex and the mobile blood transfusion unit of the mobile blood preparation complex additionally contain an automated control system for automatic control of rescue and wounded victims and wounds, which is based on the wireless high-speed narrow-band and broadband multiservice network type 2 5G in the frequency bands 2.4 GHz, 3 , 4-3.8 GHz, 5.25-5.35 GHz and 5.725-5.850 GHz, connected via a radio channel using a subscriber WiMAX radio station 3 with a basic WiMAX radio station 4 of the mobile module functional module Lenia blood transfusion as part of the Department of Anesthesiology and Intensive Care separate medical and special forces military field hospital. AGC system 1 of wireless narrow-band and broadband access with a range of at least 100 km includes a set of 5 for constructing a wireless backbone channel with a throughput of 2.5 Mbit / s, 10.5 Mbit / s, 20 Mbit / s and 75 Mbit / s, comprising a radio relay 6, a radio router 7, and an end node 8 of a point-to-point backbone radio channel. As a wireless multiservice network 2 containing points 9 of the near narrowband radio access with a range of at least 100 m and a subscriber WiMAX radio station 3 of broadband access with a range of at least 10-15 km, the workstations of 10 chief transfusion physician based on server 11 with a wireless network adapter 12, medical assistants, transfusiologists, a nurse and a laboratory assistant based on portable workstations, laptops, tablet computers 13, including wireless network adapters s 12, all 4 medical offices movable complex blood preform.

The apparatus 14 for recording, editing, reading, storing and displaying the accounting information of the AGC system 1 contains a radio modem 15, which, excluding wires, is structurally made in the form of a front USB port 16, to which a network adapter 17 of the Billionton type USBBT02 is connected using a USB extension cable 16-1 -X - Bluetooth 1.1 at a frequency of 2.4 GHz standard 802. 11v. The system 1 of the automated radio control for rescue of the wounded is made on the basis of the first radio network 18 narrow-band Wi-Fi and broadband WiMAX access and communication, connected by channels of the main and backup wireless access points 9, 9-1 and modules 19 short-range radio standards 802.11, respectively (in / g a) on the carrier frequencies 2.4 GHz and 5.2 GHz with a second local radio network 20 near Wi-Fi and long WiMAX radio access, including interconnected radio channels, the first workstation 10 with the server 11 of the first radio network 18, the second a automated workstation 10 of the client’s first radio network 18 with laptop 13, third automated workstation 10 of the client with tablet computer 13. Moreover, server 11, laptops 13, tablet computers 13 of all workstations 10 of both radio networks 18,20 - for use as the main one, and backup radio communications at a range of at least 10 m, - use the built-in radio modems 15 with USB network radio adapters 17 of the type Billionton USBBT02-X - Bluetooth 1.1, with which they interact with the same radio modem 15 of the type USBBT02-X - Bluetooth 1.1 equipment 14 behind writing, editing, reading, storing and displaying accounting information. Radio networks 18, 20 are interconnected using radio channels of the main and backup Wi-Fi access points 9, 9-1, 25, 25-1, short-range radio access modules 19 of 802.11 standards respectively in / g, and network Wi-Fi radio adapters 12, 12 -1, located on computers 11, 13, 25 workstations 10 of the first radio network 18 narrowband and broadband access. The server 11, the notebook and tablet computers 13 are made with network radio adapters 12, 12-1, respectively, of the PCI Adapter 805416 type and the PC Card 805410 type. Moreover, the first RDS access and communication radio network 18 further includes a set of short-range radio equipment 21 containing radio channels connected via radio channels wireless points 9, 9-1 of 802.11 V / g standards, and 802.11 a wireless short-range access module 19, having built-in and external parabolic or network antennas 22 with connectors for connection, and network radio adapters 12, 12-1, 12-2 of computers 11, 13 workstations 10 users of the first radio network 18 RDS. The set 21 of short-range radio equipment additionally includes a router module 23, access nodes 24 of the power supply of the radio points 9, 9-1 at a distance of at least 100 m from the 220V power outlet. The second local radio network 20 UDS also contains a module 23 of the router, nodes 24 of the power supply of the radio access points 25, one radio modem 15 of the server 13-1 for communication of the network 20 itself with the equipment 14 accounting information and the second radio modem 15 complete with the equipment 14 write, edit, read , storage and display of accounting information. The radio access points 25, 25-1 of the 802.11 V / g standards with built-in antennas 22 of the second access and communication radio network 20 are simultaneously connected to 32 clients of the first radio network 18 of the UDS at a frequency of 2.4 GHz, have data transfer rates of 11, 54, and 125, respectively Mbps at distances of at least 100 m for indoor use, 300-400 m in open space with a radio transmitter output power of at least 18 dBm, and a radio receiver sensitivity of at least 82 dBm. The short-range radio access module 19 with built-in and external diversity antennas 22 of the 802.11a standard has a carrier frequency of 5.2 GHz and operates at the same distances. For all the blocks and modules of the system 1 for the automatic rescue of the wounded, shock-absorbing frames with heating and blowing were manufactured and applied, respectively, in the cold and hot seasons, and all its blocks and modules were installed and fixed on these frames to ensure vibration resistance, shock resistance, seismic shock resistance of the complex equipment. To route and reduce the cycle of the main processor of the first and second radio networks 18, 20, modules 23 of the Router 808054 type are used or as single-chip chipsets 26 of the Air Force OneChip BCM 5350 type, containing the router 27 connected in series with the processor, accelerator, radio access points 25, 25-1 standards 802.11 a / b / g, 4-port Ethernet switch 30 for switching in a Fast Ethernet network and a firewall 31.

To accommodate and operate the system 1 of automated radio rescue of the wounded in box bodies, container bodies and in external territories where there is no 220V mains power, 24 power supply nodes of wireless power points 9, 9-1, 25, 25-1 are used at a distance at least 100 m from the 220V power outlet, which include injectors 32, power dividers 33 connected to access points 9, 25 of the first and second radio networks 18, 20 and the power supply network.

The second local radio network 20 near and far access and communication is deployed using their computers 13, 13-1 workstations 10 equipped with network PCI- and PCMCIA-adapters 12-1, 12-2, respectively, type G-360EE and G-162 EE ZyAir at a frequency of 2.4 GHz, module 19 of the radio access standard 802.11a and containing the main and backup Wi-Fi - points 25, 25-1 of the radio access type Wireless LAN Access Point 8250 and type G-560 E 802.11v / g standards, having 13 channels. At the same time, the integration of the first radio access point 25 into the second radio network 20 is realized thanks to SNMP compatibility and 3Com Network Supervisor software, and for the configuration, diagnostics and monitoring together with the first point 25, the administrator’s wireless control tool type Wireless Infrastructure Device Manager and integrated protocol support DHCP, which allows you to manually assign IP addresses to clients on both radio networks. At the same time, the centralized authorization process uses the additionally introduced 802.11x standard mechanisms on the RADIUS server 11 of the network 20, and the schedule accounting function — determining, estimating the data rate according to the 802.11g standard — is implemented using the RADIUS protocol, which ensures the interaction of both radio networks 18 twenty.

The package of the first radio access point 25 of the second radio network 20 includes the Site Survey package, which makes it possible to optimize the relative position of several access points 9, 9-1, 25, 25-1 in both networks 18, 20 and determine the required number. At the same time, the first radio access point 25 is equipped with a diversity antenna 22, which increases the coverage area, increases the stability of the connection and supports Power over Ethernet functions with power supply via Ethernet cable of the second local network 20, and the power of the first access point 25 is increased by the wireless access module 19 802.11a standard, while simultaneously solving the problem of increasing the number of clients and distributing the load on the near radio access and communication network, and to optimize the coverage area, external antennas 22 with different coefficients are used gain factors and radiation patterns at a transmission frequency of 5 GHz. For the first point of radio access 25, the clients of desktop and tablet PCs 13 are equipped with 12-1 892.11g PCI network adapters integrated on the P5AD2 3Com motherboard, and notebook PC laptops 13 of the second radio network 20 are equipped with 12-2 3Com 11a / b / type adapters g Wireless PC Card with XJACK Extendable Frame Antenna. Digital multimedia - Wi-Fi network adapters 12-1, 12-2 of computers 13 of the second wireless radio network 20 short-range radio access and communications are performed on Envision 8550W and 8620LW circuit boards for sending multimedia, audio and video data over the first radio network. These adapters 12-1, 12-2 simultaneously support 802.11 a / b / g standards, which allows them to use two radio frequency bands - 2.5 and 5.2 GHz with the possibility of wireless communication via WPA, WPA2 and 802.11i - Wi- Fi Protected Access.

System 1 of the automated radio control for the rescue of the wounded operates on the basis of a wireless high-speed local computer narrowband Wi-Fi and broadband WiMAX access of a multi-service mobile network 2 of a mobile complex of the donor and operational departments and a mobile complex of the blood transfusion department of the PKZK. It includes workstations of 10 doctors and paramedics of the complex, equipped with a server 11 of a wireless high-speed multiservice network 2, ultraportable notepad 13 and a tablet 13 PCs, which have widescreen displays of at least 15 inches, resolutions of at least 1280x768 pixels, Pentium 4 processors Extreme Edition EE with ultra-low voltage, clock frequency of 3.7 GHz, cache memory of the 2nd level at least 2 MB, high-performance system bus with a frequency of at least 1066 MHz. The desktop server 11 of the wireless multiservice network 2 is made in the form of a 64-bit mobile processor such as AMD Turion 64 Mobile, manufactured using 90 nm Siliconon-Insulator technology on the MT-34 crystal model with reduced power consumption-dissipated power of not more than 25 W, clock frequency 3, 7 GHz and a level 2 cache of at least 2 MB and a memory controller built into the processor chip. Server 11 provides a dynamic change in the core voltage and clock frequency depending on the load on the processor, and also reduces the power consumption of the processor when it is idle to a minimum. The Wireless Turbo Multi-Function Access Point 9 is part of the 21 U. Roboties Turbo Wireless Networking wireless communications equipment, operating at 125 Mbps and compatible with 802.11 b / g standards. The access point 9 to the first local computer radio network 18 of the wireless high-speed multiservice network 2 of the PCPC includes an adapter card 28 of the type PCI Adapter 805416, located in the desktop server computer 11 with a function that provides monitoring, search for access point 9, and configuration of the first wireless local network 18, which provides improved performance compared to 802.11g, protection and distributed Internet access. Laptop 13 includes an adapter 29 of type PC Card 805410. Module 23 of a type 808054 router with a routing program in the first radio network 18 is designed to separate a high-speed cable Internet access signal and files between computers 11, 13. The router module 23 combines an Ethernet switch 30 into four ports, the router 27 itself and the firewall 31. The set of 21 wireless communication equipment has sufficient functionality and flexibility to form the basis of the first wireless local computer Terna network 18 complex distributed internet. The power supply unit 24 of the access point of type 9 Power over Ethernet Kit USR 805446 contains a power injector 32 at a distance of 100 m from the nearest power outlet and a power splitter 33 from the nearest power outlet of a 220V power supply. The second wireless computer local Wi-Fi network 20 of the mobile blood transfusion department includes computers 13 with Wi-Fi network adapters 12-1 of network 20, the module 19 of the radio access standard 802.11a, contains the first 25 Wi-Fi point 802.11 v / g and the second 25-1 Wi-Fi point 802.11 V / g with external parabolic or mesh antennas 22 with connection connectors. The AGC system 1 for rescue of wounded with wireless broadband access standard 802.16е-2007 of the donor department and the blood transfusion department PKZK works in combination with a wireless high-speed multiservice network 2 narrow-band and fixed broadband radio access of the operator class, interconnected with the radio complex 2-1 of technical means of long-distance access, reception - data transmission of control, recording, speech and video information such as Vecta Star 3500 manufactured by Cambridge Broadband Ltd. (England). Radio complex 2-1 allows you to transfer data, speech and video images over the air with guaranteed quality of service.

In system 1 of automated radio control of rescue - emergency medical care and registration of the wounded - as a radio complex 2-1 technical means of long-distance access, reception and transmission of control data, voice, and video information, subscriber broadband WiMAX radio stations 3 modules of the donor department and the functional module of the department are used PKZK blood transfusion for interaction with basic broadband WIMAX-radio stations 4 wireless access of the functional module of the blood transfusion department, included to the department of anesthesiology and resuscitation, and the operational-resuscitation department of omedo SpN, HSV. The latter are interconnected and interconnected with the help of sets 5 for constructing a trunk wireless channel of the 802.16е-2007 standard of AGC system 1 with wireless broadband WiMAX access of the standard 802.16е-2007 at 2.4 frequencies; 3.4-3.8; 5.25-5.35; 5.725-5.85 GHz, as well as with wireless computer multi-service WiMAX networks 18, 20 of a PCPC containing radio transmitters 6, radio routers 7 with external parabolic or network antennas 22.

The principle of operation and the method of radio access are based on a survey of the base WiMAX station by 4 subscriber radio stations 3 and the formation of virtual channels. Quality of Service (QoS) is configured for each virtual channel. The transport protocol used is ATM. Qualitatively supported is the transport of information flows of Nx64 kbit / s type (G.703) and E1 (G703 / G704) according to CES. The Vecta Star 3500 type AGC Rescue System works efficiently with no direct line of sight. To suppress interference associated with multipath propagation and multiple re-reflection of radio signals as part of a system 1 station, a frequency non-linear equalizer 34 with a feedback block 35, non-linear RC circuits 36, an FFC direct error correction block 37 and an ARQ / RFQ block 38 are used 5, 6 /.

In the radio complex 2-1 of system 1, the technology of a wireless set of input and output BWS connections of the 802.11n standard is used, which increases the throughput and range of the local computer radio networks LRS 18, 20 of the multiservice network 2 through the simultaneous use of several transceiver antennas 22. Speeding up the work of the LRS 18,20 by introducing BVS technology by adjusting the design of mobile computers 11 and laptops 13 to accommodate a group of antennas 22, it was carried out in the PZK thanks to patents from DELL and Gat eway, as well as the supply of individual INTEL radio modules and platforms. When transmitting and receiving data on the LRS 18, 20, the most troubles are caused by intersymbol interference resulting from the addition of signals that represent different symbols, discrete signal states, and leading to a delay between signals, which may be longer than the transmission duration of one symbol. As a result, it is very difficult to restore a useful radio signal consisting of a sequence of successive symbols with a changed amplitude and phase. To eliminate this main drawback of transmitting information using the BVVS technology of the standards 802.11n, 802.16 e / d-2007, multiplexing with orthogonal frequency division of OFDM channels of LRS is also used.

To eliminate the negative intersymbol interference of the MSI caused by multiple reflection of the signal from natural barriers in the path of its propagation, frequency subchannels whose frequency subcarriers are orthogonal or opposite to each other are called up. Such a circuit diagram provides mutual independence of the channels and creates positive conditions for suppressing negative intersymbol interference. Another disadvantage of the BVVS technology is that for the delivery of useful data to the recipient within the current open model of the HOUSE, a significant amount of service information is required. As a result, the real data transfer rate is lower than theoretically achievable and equal to 54 Mbps with OFDM modulation (OFDM) of 802.11g products. Therefore, to increase the bandwidth of the channels, increase the range and reliability of the connection of devices operating as part of wireless local area networks, technologies such as BVS are used. At the same time, compatibility and unification issues will be resolved after the adoption of the 802.11n specification in 2007. A big drawback is the lack of a unified approach to the implementation of BVS technology among chip developers (ASICs). The maximum theoretical speed between two homogeneous products of the standard 802.11g according to the specification can reach 54 Mbps. However, in practice, for various reasons, this value, as a rule, does not exceed 25 Mbit / s, which is significantly less than the transmission speed over a typical Fast Ethernet local area network. It is this fact that keeps the IT medical service from taking a decisive step towards the LRS, since the gain from switching to Wi-Fi systems is not at all obvious. The slow development of wireless technologies in military field medicine is caused by doubts about the speed of data exchange and the guaranteed security of the transmitted information. The factor of novelty and the lack of IT staff in the medical service staff who are able to regularly maintain the performance of the updated network infrastructure at the proper level cannot be reset. So isn’t it better to leave everything the old way, content with a twisted pair and a lot of outlets installed on all box bodies and container bodies of mobile medical complexes? The new generation of emerging Wi-Fi products is designed to reduce the lag of wireless equipment from traditional network solutions both in terms of data transfer speed and in the field of security and safety of information of broadcast streams. Most products have the abbreviation BVVS in their name, which hides the technology of spatial multiplexing, implemented using an array of spaced antennas connected to the transmitter and receiver. Theoretically and practically proposed BVVS technology allows to increase the channel capacity for data reception and transmission in proportion to the number of active antennas. Of course, no one disputes the relative simplicity of deploying a wireless network infrastructure, and the costs of acquiring and maintaining this equipment are well within the budget of an average user or small organization, not to mention medium-sized enterprises / 6 /.

The base 4 WiMAX radio stations and subscriber WiMAX radio stations 3 of the Vecta Star 3500 type 2-1 radio complex have a range of carrier radio frequencies of 3.4-3.8 GHz. Typical coverage radius of base station 4 is at least 20-30 km. The maximum estimated range of radio communications is 90 km. Operating frequency band: 14, 7, 3.5, 1, 0.75 MHz is programmatically tuned for each of the 4 sectors of the base station 4. The frequency grid step is 125 kHz, duplexing method: FDD, duplex spacing - 50, 100 MHz Modulation type: QPSK, 16QAM, 64QAM is configured independently for incoming and outgoing information flows, which allows you to organize an asymmetric transmission scheme. Media sharing method: TDMA. ATM transfer rate of about 80% of the speed in the radio channel.

Radio complex 2-1 is certified in Russia - certificate of conformity No. OSM-RD-228. The base WIMAX radio station 4 includes sets of equipment 5 of the main wireless channels of 802.16е-2007 standard, installed in the premises of the blood transfusion department of the constant volume container body of the mobile blood collection complex, and the base radio modules 39 connected to set 5. Set 5 of the radio station 4 contains a switch 40 ATM (STM-1), the controller 41 of the radio modules 39, the hubs 42 streams E1, the cross panel 43 and the power supply 44. The radio modules 39 are connected to the set 5 of the radio station 4 in the premises of the container body with a multi-module optical cable up to 1.5 km long. Each basic radio module 39 supports up to 512 active subscriber WIMAX radio stations 3 and up to 1024 virtual channels. As standard, the base radio module 39 of the base station 4 is equipped with an external antenna 22 with a gain of 12.5 dB and with a coverage sector of 90 degrees.

The subscriber set of the WiMAX radio station 3 of the donor compartment module contains a subscriber radio module 45, a control unit 46 and a subscriber terminal 47 (option), which is connected to a twisted pair control unit 46 up to 50 m long or a multimode optical cable up to 1.5 km long. The control unit 46 has an Ethernet 10/100 BaseT interface.

The primary medical card (form 100) of the wounded, filled out in the PPC, is a legal document indicating the defeat (disease) and giving the right to evacuate the wounded (patient) to the rear, and accompanies him until the outcome of treatment. Form 100 is intended to ensure continuity and consistency in the provision of emergency care to the wounded and sick. The card is filled in manually and entered electronically in a personal badge on those wounded and sick who have been out of order for at least a day, are subject to evacuation or need hospital treatment. The following information is recorded and stored in the primary medical card and the book of registration of the wounded and sick: passport data, date and time of the lesion (disease), time of admission to the PPC, diagnosis, type of lesion, content of the medical care provided, outcome and order of treatment. The blood transfusion and blood-substitute fluids logbook and primary medical card are filled in in the operating room. They reflect information about who received what blood (blood substitute) and in what quantity was transfused into the SCPC, assesses the results of transfusion, indicates the blood type, the name of the institution that prepared the blood, the date and method of blood transfusion. For these purposes, the equipment 14 for recording, editing, reading, storing and displaying accounting information intended for individual and generalized account of the wounded, is implemented in the form of three functionally executed micro-nodes: preparation, editing and recording of data; reading and displaying data on the screen of a television receiver; reading and transmitting data to the printer and radio 15.

The first radio network 18 is intended for general access and short-range radio communications mainly using Wi-Fi technology and is made as a means of providing donor and operating departments for rescue, medical records and evacuation of the wounded to the next stage. In the absence of walls and other barriers between point 9 and test laptop 13, a result of 2.4 megabytes of user data per second can be achieved. This is almost 24 Mbps. Turbo mode increased throughput above 5 megabytes per second. The presence in the network of 18 access points 9 and one laptop 13 with speeds of 24 Mbit / s user data and 54 Mbit / s indicates a fairly large amount of service information. When you add a pair of partitions, the maximum connection speed of 802.11a drops to 36 Mbps. If you install the access point 9 high enough, this helps, since it provides coverage for a sufficiently large container body of variable volume, separated by partitions, but only when installing the antenna under the ceiling. The 802.11a standard performs quite well in speed control, even at very low signal levels. During testing, bandwidth drops to 5-6 megabits per second were not often seen. Nevertheless, the 802.11a standard provides good bandwidth at a distance of at least 60 m, which is typical in field medical conditions, especially when there are many radio interference in the 2.4 GHz band. The 802.11g standard is a ready-made approved standard for the first local radio network 18, which provides a throughput of up to 54 megabits per second when working simultaneously with 802.11v / g equipment. Thus, if it is necessary to create a wireless network 18 where there is a large amount of interference in the 2.4 GHz band, then in this case the standard 802.11a saves. But the 802.11g standard seems to be the ideal solution for many medical networks: backward compatibility, work with 2.4 GHz antennas, high transmission speed. As a module 23 of the router, a system can be used - a single-chip chipset such as Air Force OneChip BCM 5350 from Broadcom Corporation (Irwin, Calif.) With Sentry 5 technology on a single chip. Module 23 allows routing in radio networks 18, 20, switching in Fast Ethernet networks and ensures telecommunication security. The BCM 5350 chipset contains a MIPS 32 processor, a VPN accelerator, a radio access point 25 of 802.11 a / b / g standards, and supports switching in Fast Ethernet networks at 10/100 Mbps speeds. The BCM 5350 supports WPA (Wi-Fi - Protected Access - Wi-Fi Alliance Specification), WPA 2, and 802.11i that conform to the AES (Advanced Encryption Standart) encryption standard. Moreover, in order to transfer functions to other devices in a useful way, to reduce the main processor cycle, the built-in VPN accelerator takes over part of the MIPS 32 processor load, without increasing the price. The BCM 5350 chipset is 70% more efficient than its competitors in data transfer mode, by 80% in reception mode, and by 97% in standby reception, it consumes no more than 4 mA and requires 6 times less modular components of radio networks for its operation.

Using node 24 allows you to set access points 9, 25 at a distance of 100 m from the power source - in box-bodies, PKZK container-bodies and in external territories. Using the node 24, you can place points 25 outside the buildings with thick, 2.4 GHz-tight walls, thereby ensuring the interaction of the external part of the wireless LAN 18 with the second core wireless blood transfusion separation network 20 located inside these walls. Node 24 providing power supply 220V to wireless access points 45 consists of a power injector 32, which combines the power and information component in the Ethernet cable, and a power splitter 33, performing the inverse function. The power supply unit 24 is simple to install and does not require software: the injector 32 is plugged in, the Ethernet cable is connected, at the other end of which a power splitter 33 is connected, to which the wireless access point 25 is connected. The equipment of the power supply unit 24 is compatible with wireless networks 18, 20 of any speed supported by the corresponding access points 25, 25-1. Thus, the 802.11g Wireless Turbo family of Internet access products manufactured by U.S. Robotics is fully compatible with 802.11g and b wireless devices with 54 and 11 Mbps data rates, respectively. Network equipment of this family safely connects at the highest possible speed with an arbitrary combination of wireless devices of 802.11g and 802.11b standards. The second local Wi-Fi network 20 of the LCCC is deployed using computers 13 workstations 10, module 19 near-range radio access 802.11a, kit 21, which contains two Wi-Fi points 25, 25-1 of radio access type Wireless LAN Access Point 8250 from 3Com and Type G-560 EE from ZyXEL Communication 802.11 V / g. The first Wi-Fi point 25 of radio access provides simultaneous connection to a network of 20 over 250 clients via 802.11g at speeds up to 54 Mbps, the second high-speed Wi-Fi point 25-1 - up to 32 clients at speeds up to 125 Mbps. Radio access points 25, 25-1 carry out a stable data exchange for rooms at a distance of at least 100 m, in an open space of 300-400 m with a radio transmitter output power of at least 18 dBm, and a radio receiver sensitivity of 82 dBm. The client part with the second G-560 EE type radio access point 25-1 is represented by a desktop PC 13 AWP 10 and a laptop 13 AWP 10 Wi-Fi networks 20 equipped with network PCI and PCMCIA adapters 12-1 G-360EE and G-, respectively 162 EE ZyAir at a frequency of 2.4 GHz, there are 13 channels in total. Integration of the first point 25 into the second wireless network of the PLCC is possible due to SNMP compatibility and 3Com Network Supervisor software. For configuration, diagnostics, and monitoring, together with point 25, they use the administrator’s wireless management tool such as Wireless Infrastructure Device Manager / 5 /. Built-in support for the DHCP protocol allows you to manually assign IP addresses to clients of networks 18, 20. The centralized authorization process uses the mechanisms of the 802.11x standard on the RADIUS server of the second radio network 20. At the same time, the graph accounting function (determining, evaluating the data transfer rate according to the 802.11g standard) by means of the RADIUS protocol, which ensures the interaction of networks 18, 20. The package of point 25-1 includes the Site Survey package, which makes it possible to optimize the relative position of several access points as part of Tei 18, 20 and determine the desired number. Point 25-1 is equipped with a diversity antenna 22, which increases the coverage area, increases the stability of the connection and supports Power over Ethernet functions with power supply via Ethernet cable of the second local radio network 20. The power of access point 25-1 is increased due to 802.11 wireless access module 19 and, at the same time solving the problem of increasing the number of customers and load balancing on the second radio network 20 of the functional module. To optimize the coverage area, external antennas with different amplification factors and radiation patterns at a transmission frequency of 5 GHz are used. At a data transfer rate of 54 Mbps, the output power of the transmitters of the second access point 25-1 of the G-560 EE type was 13 dBm, and the sensitivity of the receivers was 65 dBm. For encryption with 64-, 128- and 256-bit keys, WEP, WPA AES and WPA-PSK are used. Measurements of the graph in both directions showed that the use of an additional antenna 22 of the ZyAIR EXR-106 type increases the reception confidence by approximately 25% / 5 /. The equipment used demonstrated good interaction both in the line of sight and through two concrete walls of the apartment building. For point 25-1 of radio access, desktop clients were equipped with 892.11g PCI network adapters integrated on ASUSTEK's 3Com P5AD2 type motherboard, and 13 radio networks 20 notebook PCs equipped with 3Com 11a / b / g Wireless PC adapters Card with retractable loop antenna type XJACK / 5 /. In the technical solution of the application, digital multimedia can be used - Wi-Fi network adapters of 12-2 computers 13, made on Envision 8550W and 8620LW boards of Atheros Communications chipsets (Sunnyvale, California) for sending multimedia, audio and video data over a wireless computer local Wi-Fi network 20.

These adapters support 802.11 a / b / g standards, which allows them to use two radio frequency bands - 2.5 and 5.2 GHz with the possibility of wireless communication using WPA, WPA2 and 802.11i (Wi-Fi Protected Access) protocols.

The official rapid testing of Wi-Fi points 25, 25-1 of the 3Com Wireless LAN Access Point 8250 type of radio access and ZyXEL Communication type G-560EE of the company was conducted by the PC WEEK / RE laboratory at the maximum data transfer rate, which received more than a half-fold increase in performance in turbo mode 11a (speed 108 Mbit / s) for scenario 1 - line of sight, the distance between the access point 25 and the adapter of the computer or laptop is about 1 m, and the operation of points 25, 25-1 for 802.11b / g standards when determining indicator of the total schedule / 5 /. The tested pairs of access points and adapters demonstrated good interaction both in the line of sight and through two concrete walls of the residential building.

Assessing the criterion of "inventive step", it is necessary to draw the following conclusions. The installation of radio access points 9, 9-1, 25, 25-1 made it possible to combine computers, laptops and tablet computers 11, 13 for the first time into medical local radio networks 18, 20 of the PCPC and to connect the wireless segments of these computer networks both among themselves and with wired segments wired networks of other offices. The advantage of using points 9, 9-1, 25, 25-1 in the claimed technical solution is that we have actually allocated network units, the operation of which does not depend on the configuration of a personal computer or on their workload. In this case, you do not need to configure complex software and do not have to fear that this or that computer in Network 2 will turn off again and the necessary technical service will not be started. Moreover, Wi-Fi wireless access points are released configured by default so that they are ready to work almost immediately after connecting to a power supply and local area network 2. If the access point only needs to connect wireless clients, create a bridge between the wired and wireless network segments and If traffic encryption is possible, then only one of its models is quite suitable. In the inventive PKZK, in order to increase its operational reliability and fulfill the essential distinguishing features of the whole task as a whole, the main 9, 25 and reserve 9-1, 25-1 Wi-Fi wireless access points of radio equipment kits 21, short-range radio access and communication modules 19 , dual network radio adapters 12, 12-1, 12-2, 17 of equipment 14 of accounting information, computers 11, 13 and laptops 13, both standard internal and external parabolic or mesh antennas 22 with additional connection sockets, as well as nodes 24 are used forces 9 points of the power supply 25 to access at least 100 m from the nearest outlet.

Moreover, in order to increase operational reliability, vibration resistance, vibration resistance and reduce the deployment time of the PKZK for all its blocks and modules, shock-absorbing frames with heating and blowing in the cold and hot season are manufactured and applied, which are fixed on 10 automated workstations located in the back a van, a container body of a constant volume, and all the blocks and modules of the complex are installed and fixed on these shock-absorbing frames.

The mobile inhabited medical transfusion complex, which functions as a mobile blood collection complex, contains the following radio elements of long-range broadband WiMAX and short-range narrow-band Wi-Fi access of automated radio-rescue system 1 for victims and wounded:

2 - wireless high-speed narrowband Wi-Fi and broadband multi-service WIMAX network; 2-1 - a radio complex of technical means for long-distance access, reception and transmission of control, accounting, speech and video information; 3 - subscriber WIMAX-radio station; 4 - basic WIMAX radio station; 5 - a set of constructing a trunk wireless channel; 6 - radio relay; 7 - radio router WIMAX networks; 8 - terminal node of the radio link channel point-to-point; 9 - point near narrowband Wi-Fi radio access; 10 - workstations; 11 - server; 12 - wireless network Wi-Fi adapter; 12-1 - network PCI and PCMCIA adapters; 12-2 - adapters of type 3Com 11a / b / g Wireless PC Card with extendable loop antenna of type XJACK; 13 - portable workstation, laptop, tablet computer; 14 - equipment for recording, editing, reading, storage and display of accounting information; 15 - radio modem; 16 - front USB port; 16-1 - USB extension cable; 17 - a network adapter such as Billionton USBBT02-X - Bluetooth 1.1; 18 - the first Wi-Fi narrowband access and communications network; 19 - module near Wi-Fi radio access standard 802.11a; 20 - the second Wi-Fi radio network near radio access; 21 - a set of radio equipment near Wi-Fi connection; 22 - built-in and external diversity antennas; 23 — router module; 24 - site power power radio points 9 short-range access; 25, 25-1 - the first and second Wi-Fi radio access point of the second local Wi-Fi radio network; 26 - chipset type Air Force OneChip BCM 5350; 27 - the actual router with a processor, accelerator, radio access point 25; 28 - adapter card type PCI Adapter 805416; 29 - adapter type PC Card 805410; 30 - Ethernet switch for four ports; 31 - firewall; 32 - power injector at a distance of 100 m from the nearest electrical outlet; 33 - power splitter from the nearest electrical outlet 220V; 34 - frequency non-linear equalizer; 35 - feedback block; 36 - nonlinear RC circuits; 37 - block direct error correction; 38 - block automatic request for the repetition of radio signals; 39 - base radio base station; 40 - ATM switch (STM-1); 41 - controller radio modules; 42 - stream concentrator; 43 - cross panel with a multi-module optical cable; 44 - power supply; 45 - subscriber radio module; 46 - control unit; 47 - terminal.

Thus, the technical solution of the invention is to reduce the mortality rate of the wounded and injured by increasing the efficiency of blood procurement, transfusion and storage by maximizing the reduction in the readiness of the PACC for use, improving the quality of work and mobility of the blood procurement departments, improving living conditions during transportation and work in the field conditions of the visiting team, the possibility of going to the blood preparation both in full force and on a single car, its operation in a full car ohmnosti, continuous operation of the complex’s equipment from an industrial power supply network or from two electric units with a capacity of 6.6 kW each, three-phase alternating current voltage of 380/220 V, frequency of 50 Hz, improvement of storage conditions, transportation and emergency delivery of blood, its uniform elements and frozen plasma for the wounded using Wi-Fi radio networks 18, 20 according to the IEEE 802.11a standard, a / g wireless multiservice WiMAX network 2 supports broadband wireless access according to the IEEE 802.16e-2007 standard. In this case, the interaction of points 9, 25 of Wi-Fi radio access is provided using portals and distribution subsystems of mobile communication of transmitted and received blood transfusion data (portals and subsystems of data distribution are not shown in the drawing) of the first 18 and second 20 Wi-Fi radio networks that are part of multi-service wireless WiMAX network 2. The inventive step is enhanced by the functions of radio modems 15 and equipment 14 for recording, editing, reading, storing and displaying accounting information that allow the implementation of l transmitting and receiving medical credentials of each wounded person wirelessly to a distance of at least 10 m in the memory of their personal electronic signs - primary medical records in form 100 by writing-reading-storing-displaying on the screens of PCs 11.13 and television receivers of information 14 about the medical assistance provided to the wounded in the PKZK. So, the efficiency of emergency medical care at the advanced stages of medical evacuation is being improved thanks to system 1 of automated computerized radio control for rescue, taking into account the wounded and injured in the PKZK in combination with the operation of the radio complexes 2-1 of the PKZK itself, medical companies of motorized rifle regiments, omedo SPN and HSV. This is done by increasing the speed, speed of reception and transmission (schedule) of data, operational reliability and wireless authorized near Wi-Fi and long-distance radio access. The scientific and technical effect is achieved by reducing the duration of the write-update-read-display-reception-transmission of medical data for control-accounting, speech and video information, increase memory, durability of write-read cycles, data storage time, work resource, protection against unauthorized access and the use of 802.11a / b / g / wireless network Wi-Fi devices. The novelty and inventive step of the mobile blood collection complex is determined by the fact that it additionally contains and uses the system 1 of automated radio control for rescue, taking into account the wounded, the process of preparation, transfusion and storage of blood, made on the basis of a wireless high-speed multiservice network 2 in the frequency ranges 2.4, 3 , 4-3.8, 5.25-5.35 GHz and 5.725-5.850 GHz, connected via the radio channel of the radio complex 2-1 using a subscription WiMAX radio station 3 of the donor module with the base WiMAX radio station 4 of the functional module a mobile complex of the blood transfusion department of a separate medical unit for special purposes and a military field hospital with a range of up to 50-60 km. AGC system 1 of wireless narrow-band and broadband access includes set 5 for constructing a trunk wireless channel with a throughput of 2.5 Mbit / s, 10.5 Mbit / s, 20 Mbit / s and 75 Mbit / s. As a wireless multiservice network 2 of the mobile blood collection complex, automated workstations 10 of the head of the PKZK transfusiologist based on server 11, computers 13 paramedic transfusiologists and laboratory assistants based on portable computer workstations were used. As a basis for the version of the standard 802.16-2007 technologies for broadband wireless access, the claimed SCLC uses orthogonal frequency division multiplexing technology OFDM (OFDM) with 256 subcarrier frequencies. Dividing the main radio channel by means of orthogonal multiplexing into many subchannels allows increasing throughput up to 75 Mbps due to parallel data transmission. Moreover, the use of OFDM allows you to work with reflected radio signals in the field of indirect visibility, in shadow areas. With a standard number of 256 carrier frequencies, simultaneous operation with eight subscribers is provided. The radius of one such station is at least 45-50 km.

Unlike the 802.11a / b / g Wi-Fi wireless access point, the IEEE 802.16e-2007 broadband WiMAX mobility standard has real alternatives in the form of promising High-Speed Downlink Packet Access (HSDPA) technologies - high-speed data packet access over radio communication channels or Evolution Data Only (EV-DO) - real-time data conversion. The basis of WiMAX systems based on a broadband wireless access chip is Intel Pro / Wireless 5116 microcircuits made in the PBGA housing on dual-processor AWP 946E-S cores with a broadband interface for a wide range of programmable architecture WiMAX devices with Triple Play VoIP capability - voice telephony, video and data transmission over distances. The claimed PZZK and transfusiological therapy provides an increase in the effectiveness of emergency medical care at the advanced stages of medical evacuation due to computer-based rescue radio control, taking into account the wounded and injured by increasing speed, data reception / transmission (traffic) data, operational reliability and wireless authorized near Wi-Fi and long-distance broadband WiMAX access by reducing the duration of recording-update-read-display-receive-transmit medical their control-accounting data, speech, graphic and video information, increased memory, durability of write-read cycles, data storage time, working life, protection against unauthorized access and the use of wireless network Wi-Fi devices of 802.11a / b / g / standards, mobile and stationary subscriber and base WiMAX radio stations of the standards 802.16e / d - 2007. Thus, the inventive SCPC using a multi-service wireless network 2 based on the radio kits of emergency short-range and long-distance communications of standards 802.11a / b / g /, 802.16e / d -2007 at the provision of medical care to victims, meets the criteria of the invention of "novelty." A comparison of the proposed solution with other technical solutions shows that the use of wireless network Wi-Fi devices of 802.11a / b / g / standards, mobile and stationary subscriber and base WiMAX radio stations of 802.16e / d standards are known. However, when they are introduced into the claimed multiservice wireless network and its radio-control system for rescue, accounting and emergency medical care for the injured, and this connection with the other elements of the PPC circuit, these devices and radio stations exhibit new properties.

The proposed technical solution increases the speed, speed of data reception and transmission, wireless access and increases the operational reliability of recording, editing, reading, displaying and registering credentials during the radio control of the rescue of wounded medical personnel of the PKZK of individual medical units of special purpose, military field hospitals. This allows us to conclude that the technical solution meets the criteria of the invention "significant differences", "industrial applicability" and "inventive step".

Information sources

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Claims (10)

1. Mobile inhabited medical blood transfusion complex, including air-mobile multi-functional, unified van bodies on the chassis of an all-terrain vehicle and its trailer, which use diesel power supply units, life support systems, lighting with electrical equipment, water supply, air supply, heating, ventilation, air conditioning, temperature control protection of personnel and technical equipment from radioactive dust, toxic substances, bacteriological agents, fire equipment with an alarm system, characterized in that it is structurally made in the form of a mobile complex for blood collection, containing a mobile complex as a part of the donor and operation departments and a mobile department for blood preparation and transfusion as part of the functional and blood storage modules with its components as part of the mobile department of anesthesiology and resuscitation of a separate medical unit for special purposes, military field hospitals, while the interconnected module of the donor department, module about of the surgical department, the functional module of the blood transfusion department and the blood storage module and its components of the blood transfusion department of the mobile blood preparation complex include vibration-proof, shockproof, seismic shockproof equipment, and apparatuses, instruments and equipment for laboratory research at donors are used in the medical parts of the modules of the donor and operation departments blood group and hemoglobin level, storage of canned blood, its components and freshly frozen plasma, simultaneous about taking blood, plasma or platelet concentrate, conducting simultaneous exfusion of whole blood, plasmapheresis or cytophoresis from four donors, primary fractionation of whole donated blood during its processing into components, sterilization of a surgical instrument and products, processing of information, protecting it from unauthorized access and from computer viruses, while the mobile blood preparation complex and the mobile blood transfusion unit additionally contain an automated radio control system I am preparing, storing, blood transfusion, rescue and registration of the wounded, which includes and is based on the wireless high-speed narrow-band Wi-Fi radio access standard 802.11a / b / g and broadband WIMAX radio access standard 802.16e / d computer network in the ranges frequencies 2.4, 3.4-3.8, 5.25-5.35 and 5.725-5.850 GHz, containing a subscriber radio station, a radio base station of a functional module, a wireless broadband access system with a range of at least 100 km, including a construction kit trunk wireless a channel with a bandwidth of 2.5 Mbit / s, 10.5 Mbit / s, 20 Mbit / s and 75 Mbit / s, containing a radio relay, a radio router and an end node of a point-to-point backbone radio channel, while as a wireless local narrow-band computer IEEE 802.11 standard networks in versions “a, b, g”, containing short-range narrow-band radio access points with a range of at least 100 m, interconnected by radio channel with a subscriber broadband access station with a range of at least 10-15 km, automated work was used The place of the head of the complex of a transfusion doctor on the basis of a server with a wireless network adapter, a transfusion doctor and laboratory assistant on the basis of portable workstations, including wireless network adapters of the above four medical departments of the mobile blood collection complex, while the wireless local narrowband network additionally contains Wi-Fi -points, 802.11a / b / g wireless access module of a Wi-Fi short-range radio equipment kit that interacts with Wi-Fi network adapters of computers, contains A router module consisting of a four-port Ethernet switch, a router, a firewall, and power supply nodes of Wi-Fi access points at a distance of up to 100 m from the nearest 220 V socket, including injectors, power dividers connected to Wi -Fi-access, and the power network of the complex, with wireless access points for organizing hot spots- “access zones” to the Internet supporting 802.11 protocols in versions “b, g” 2.4 (2.4-2.4835) GHz and version 11a - (5.15-5.35; 5.725-5.825) GHz, On, 11g protocols increase the data transfer rate to 54 Mbps, in the turbo mode (108-125) Mbps, protocol 11b has a maximum speed of 11 Mbps, in the turbo mode to 22 Mbit / s, while the automated radio control system for the rescue of the wounded is made on the basis of the first narrow-band access and communication radio network connected by the channels of the main and backup wireless access points and short-range radio access modules of 802.11 standards, respectively (a, g, a) at 2.4 carrier frequencies and 5.2 GHz with a second short-range local radio network stupa, including interconnected radio channels, the first automated workstation with the server of the first radio network, the second automated workstation of the client of the first radio network with the workstation, the third automated workstation of the client with the workstation or tablet computer, the server, computers of all workstations of both radio networks for use as both primary and backup radio communications at a range of at least 10 m, include built-in radio modems with network USB radio adapters 17 Billionton USBBT02- X - Bluetooth 1.1, with which they interact with the same USBBT02-X - Bluetooth 1.1 radio modem of equipment for recording, editing, reading, storing and displaying accounting information, while both radio networks are interconnected using radio channels of the main and backup Wi-Fi access points, short-range radio access modules of 802.11 standards, respectively b / g, and network Wi-Fi radio adapters, located on computers of workstations of the first narrow-band access radio network, made on standard network radio adapters 12 PQ Adapter 805416 servers with te and PC Card 805410 workstations-computers, while the first local narrow-band access and communication radio network additionally includes a short-range radio equipment kit containing 802.1b / g wireless points connected via radio channels, and an 802.11a standard wireless short-range module with built-in and external parabolic or network antennas with connectors for connection, and network radio adapters of computers of workstations of users of the first narrow-band access radio network, and The short-range radio equipment kit includes a router module, power supply units for radio access points at a distance of at least 100 m from a 220 V power outlet, and the second local near radio access and communication network also contains a router module, power supply units for radio access points, one radio modem for the network itself and a second radio modem complete with equipment for recording, editing, reading, storing and displaying accounting information, while the radio access points are Andart 802.11b / g with integrated antennas of the second local radio network of near radio access and communication are simultaneously connected to 32 clients of the first radio network of narrow-band access at a frequency of 2.4 GHz, have data transfer speeds of 11, 54 and 125 Mbps, respectively, at a distance of at least 100 m for indoor use, 300-400 m in open space with a radio transmitter output power of at least 18 dBm, a radio receiver sensitivity of at least 82 dBm, and the near radio access module with built-in and external spaced antennas of 802.11a standard has a carrier h It has a frequency of 5.2 GHz and operates at the same distances, and the second local short-range radio access and communication radio network is deployed using computer-based workstations equipped with network PCI and PCMCIA adapters G-360EE and G-162 EE ZyAir, respectively, at frequency 2 , 4 GHz, 802.11a standard radio access module and containing the primary and backup Wi-Fi wireless access points Wireless LAN Access Point 8250 and G-560 EE 802.11b / g standards with 13 channels. 2. The mobile complex according to claim 1, characterized in that the modules of the donor and surgical departments contain two bactericidal wall irradiators or an ozonizer with a sterilization chamber, a portable hemoglobinometer with auto-calibration and equipment for cuprum sulfate determination of capillary blood hemoglobin level, a kit for determining the blood group , mobile portable workstations in plastic cases, a printer on an amortized platform, devices for simultaneous exfusion of whole donated blood, donor operations plasmapheresis, cytophoresis in 4 donors, primary fractionation of whole donated blood during its processing into components, express-freezing of plasma before storing it, sealing polymer tubes of plastic containers, storing canned blood and its components during transportation, disinfecting the air of the working room for creating aseptic conditions during preparation for operations and during operations, a centrifuge for plasmapheresis and laboratory studies with air cooling; plasma extractor, device for balancing glasses, automatic scales for blood donation of a donor; Mobile line sealing machine for manual sealing, express plasma freezer; two portable insulated thermal containers, while in the technical part of the modules of the donor and surgical departments, functional and blood storage modules with its components, the life support system, water supply system, lighting system with electrical equipment were used as part of the mobile department of anesthesiology and intensive care, and the life support system includes interacting heating subsystems , conditioning, ventilation, air supply, thermal regulation and protection of personnel and equipment from radioactive dust, toxic substances, bacteriological agents. 3. The mobile complex according to claim 1, characterized in that on board a wireless high-speed computer network is used, with the ability to transmit data about blood and its components, voice and video images with speeds of at least 10 Mbit / s, at least 70 Mbit / s via Wi-Fi-narrowband and WIMAX-broadband points of near-field wireless radio access of a Wi-Fi radio system on a chip and radio access using subscriber and base WIMAX radio stations, to wireless networks according to IEEE 802.11a / b / g and 802.16е-2007 standards, programmable architecture for application ak in open spaces with a range in the first case at distances of 5-400 m, and in the second case at a distance of at least 75 km, and inside the premises of vans and containers, support for protocols of IP-information external communication, video and data transmission, multimedia real-time text. 4. The mobile complex according to claim 1, characterized in that the integration of the first radio access point into the second radio network 20 is realized due to SNMP compatibility and 3Com Network Supervisor software, and for the configuration, diagnostics and monitoring, the administrator’s wireless control tool is introduced along with the first point Wireless Infrastructure Device Manager and built-in DHCP support, which allows you to manually assign IP addresses to clients of both radio networks, while the centralized authorization process additionally uses implemented mechanisms of 802, 11x standard on the RADIUS server of the network, while the traffic accounting function: determining, estimating the data transfer rate according to the 802.11g standard, is implemented using the RADIUS protocol, due to which the interaction of both radio networks is provided, moreover, the delivery of the first radio access point of the second radio network The Site Survey package is included, which makes it possible to optimize the relative position of several access points in both networks and determine the required number, while the first radio access point is equipped this antenna, which increases the coverage area, increases the stability of the connection and supports Power over Ethernet functions with power supply via the Ethernet cable of the second local network, and the power of the first access point is increased by the 802.11a wireless access module, while simultaneously solving the tasks of increasing the number of clients and load distribution on the near radio access and communication network, and to optimize the coverage area use external antennas with different amplification factors and radiation patterns at the frequency of 5 GHz, and for the first radio access point, workstation clients are equipped with 892.11g RSL network adapters integrated on the P5AD2 3Com motherboard, and second radio network workstations are equipped with 3Com lla / b / g Wireless PC Card adapters with an XJACK retractable loop antenna, digital multimedia Wi-Fi adapters of computers of the second short-range radio access and communication wireless network are made on Envision 8550W and 8620LW chipset chipsets for sending multimedia, audio and video data over the first radio network, and these adapters are simultaneously supported They live up to 802.11a / b / g standards, which allows them to use two radio frequency ranges of 2.5 and 5.2 GHz with the possibility of wireless communication using the WPA, WPA2 and 802.11i protocols - Wi-Fi Protected Access, while all computers are narrow-band local Wi-Fi networks contain standard Billionton USBBT02-X - Bluetooth 1.1 network adapters as a backup radio link with a Wi-Fi short-range radio equipment with a range of at least 10 m, while its modem is designed as a radio modem equipped with a front USB port to which the Bil network adapter is connected using a USB extension cable lionton USBBT02-X - Bluetooth 1.1 at a frequency of 2.4 GHz of the standard 802.11v. 5. The mobile complex according to claim 1, characterized in that as a module of a router that performs the functions of a four-port Ethernet switch, a Wi-Fi network router itself, a firewall, the system used is Broadcom Corporation Air Force OneChip BCM 5350 single-chip chipset (Irwin, California) with Sentry 5 technology on a single chip, and the router module provides routing on the radio network, switching on the Fast Ethernet network and provides telecommunication security, while the BCM 5350 chipset contains the MIPS 32 processor, VPN accelerator, and a radio access point 802.11a / b / g standards and supports fast Ethernet switching at 10/100 Mbps, the BCM 5350 chipset supports WPA protocols - Wi-Fi-Protected Access specification of the Wi-Fi-Alliance, WPA 2 and 802.11i compliant with AES Advanced Encryption Standart. 6. The mobile complex according to claim 1, characterized in that in the technical part of the modules of the donor and operational departments protective curtains, styling and fastening means, fire equipment, sets of additional equipment, spare, replaceable and mounting parts, tools, devices and materials are used, means of communication between the body and the driver's cab. 7. The mobile complex according to claim 1, characterized in that it contains operating furniture - four donor chairs, a sterile table, a table for packaging canned blood, two tool tables, two hanging shelves, a stand for garbage bags, a nurse table, four racks bottle holder, honey-packing box, three mobile swivel chairs, a shock-absorbed centrifuge platform, ten foam mattresses in plastic covers, as well as pharmacological agents; medical rack, two passenger double convertible shock-absorbing chairs, three folding tables, a wardrobe for clothes and medicines, a buffet table for a donor breakfast, a shelf buffet, a bedside table safe, two hanging shelves, two swivel chairs, a folding seat, a compartment for transporting three medical racks. 8. The mobile complex according to claim 1, characterized in that the remote sets for the deployment of a temporary blood sampling contain medical racks for 4 donors, a set of attachments for shelving, kits for simultaneous exfusion and a set of medications for first aid. 9. The mobile complex according to claim 1, characterized in that in order to increase operational reliability, vibration resistance, vibration resistance and reduce the deployment time of the complex for all its blocks and modules, damping frames with heating and blowing in the cold and hot season are made and applied, which are fixed at workstations located in transportable multifunctional inhabited unified body-vans K5350M on the chassis of a cross-country vehicle KamA3-43114 and KP-4 on a chassis of a car 2-PN-4M mobile trailer with diesel power supply units of the EA-BE type and constant-volume container bodies KK 4.2.25 on the chassis of the KamA3-43114 car and KK 4.2.06 on the chassis of the ChMZAP-8335-2 automobile trailer, and these depreciation frames are installed and fixed all the blocks and modules of the complex. 10. The mobile complex according to claim 1, characterized in that the automated radio-control system for the blood preparation and storage is made on the basis of a 5 G wireless high-speed broadband multi-service network, and is connected via a radio channel to a WiMAX radio base station of a wireless broadband access system with a range of up to 50 60 km of the functional module of the mobile complex of the blood transfusion department, while the wireless broadband access system includes a kit for constructing a wireless backbone channel with a bandwidth of 2.5 Mbit / s, 105 Mbit / s, 20 Mbit / s and 75 Mbit / s, and the basis of the version of the standard 802.16-2007 technologies for broadband wireless access in complex was used multiplexing technology with orthogonal frequency division OFDM with 256 subcarrier frequencies and dividing the main radio channel by orthogonal multiplexing into many subchannels, which allows throughput to increase throughput up to 75 Mbit / s due to parallel data transmission; moreover, using OFDM allows working with with indirect radio signals in the field of indirect visibility, in shadow zones, with a standard number of 256 subcarriers, simultaneous operation with eight subscribers is ensured and the radius of one such station is at least 45-50 km, moreover, the IEEE 802.16e-2007 standard for the broadband WIMAX mobility network used: high-speed access of data packets via radio transmission channels or Evolution Data Only (EV-DO) -transformation in real time, while the basis of a broadband WIMAX system based on a broadband wireless chip single access are Intel Pro / Wireless 5116 microcircuits made in PBGA housing on dual-processor AWP 946E-S cores with a broadband interface for a wide range of WIMAX devices with programmable architecture with Triple Play VoIP capability - voice telephony, video and data transmission over distances.