RU2658466C1 - Portable and transportable isolatable robotic evacuation medical module - Google Patents

Abstract

FIELD: medicine.

SUBSTANCE: invention relates to military and civil medicine. In particular invention relates to individual means of transporting a person with the possibility of providing him with qualified medical assistance during transportation and in a specific embodiment is a mobile version of a robotic capsule designed to evacuate a victim in stages from the place of injury or the point of primary care to a specialized medical institution (hospital) with the possibility of isolating the victim (in the case of a dangerous infectious disease) and protecting them from the aggressive influence of the external environment during transportation. Portable self-contained module for supporting vital activity and providing medical assistance during patient evacuation is a volumetric construction, made with possibility of transportation in land, water or air transport, including three blocks connected to each other and placed one under the other, wherein the first upper unit is configured to accommodate diagnostic, medical equipment and life support systems, second middle unit is configured to isolate the patient from the external environment and is provided with self-contained life support means and means for connecting the first unit systems to the patient, and third lower unit is arranged to accommodate devices for providing autonomous operation of the systems of the first and second units, units are equipped with means for connecting life support systems, diagnostic and medical treatment equipment with means of connection to the patient.

EFFECT: invention can be used to rescue and provide assistance to sick, injured or pregnant women in emergency situations of military and peacetime.

31 cl, 34 dwg

Description

Technical field

The invention relates to techniques for military and civilian medicine and can be used to rescue and provide assistance to sick, injured or pregnant women in wartime and peacetime emergency situations. In particular, the invention relates to individual means of transporting a person with the possibility of providing him with qualified medical assistance during transportation and, in a specific embodiment, is a mobile version of a robotic capsule designed to evacuate a victim at the stages from the place of injury or the point of primary medical care to specialized medical institution (hospital) with the possibility of isolated placement of the victim (in the case of differences dangerous infectious disease) and protection from aggressive external environment during transportation.

The inventive module can be equipped with the necessary equipment to enable the usual or robotic implementation of a set of basic functions of providing qualified, including resuscitation and surgical, medical care to a patient, injured or pregnant woman, in particular, equipment that ensures the delivery of a person suffering from all kinds of known emergency conditions, including shock of various origins, thermal, chemical or radiation effects. The inventive module can be equipped with a remote monitoring system carried out by a medical professional, both located directly next to the module, and remotely. The inventive module may further comprise a functional complex for controlled hypothermia and / or "liquid ventilation of the lungs" and / or counterpulsation of the extremities and external heart massage. The inventive module has overall dimensions and weight, allowing you to carry it manually and use on various types of military and civilian land, sea and air transport.

State of the art

The prior art mobile robotic (automated) complex for providing emergency medical care and maintaining human activity using telemetric communication channels (patent for utility model RU 133712 U1), which contains serially connected electrodes for removing electrical biopotentials and electrical impedance, a preliminary amplification unit , a signal encoding unit and a first computing module, an indicator, a keyboard, a storage device, a first access node, from a blood pressure gauge connected to the first computing module, the first access node through the information network is connected to the information storage, processing and visualization node, a second computing module, a second access node, a data exchange node, an infusion pump, an infusion pump setting node, a pulse meter, are first introduced , second and third setters and comparison blocks, the second computing module through the data exchange node connected to the first computing module, and through the second access node with information network, the control input of the infusomat is connected directly to the second computing module, and the parameter settings input is through the infusomat settings node, the outputs of the pulse meters, the first, second and third comparison units are connected to the first computing module, the outputs of the first, second and third controllers are connected to the first inputs the first, second and third comparison blocks, respectively, the second inputs of the second and third comparison blocks are connected to the output of the blood pressure monitor, and the second input of the first block comparison is connected to the output of the pulse meter.

This solution can be used in a mobile resuscitation and medical complex, and provides quick identification of possible pathologies in urgent cases and timely impact on the human body through the introduction of appropriate drugs, which can be placed in the means of transportation of the victims. However, the known complex does not provide for the possibility of its integration without making any design changes to the equipment for transporting the patient in an airtight capsule (module), while ensuring the maintenance of comfortable conditions for the patient in it. In addition, separate vehicles can be equipped with a known module, and when a patient or victim is moved from one mode of transport to another, the treatment / diagnosis process is interrupted. Thus, the known complex does not protect against the external environment, does not provide the possibility of operation of the patient’s life support devices in a continuous mode when transporting it by different modes of transport. In addition, the well-known complex is cumbersome, heavy, its use is difficult to implement in civil transport, in most cases special transport (airplanes, cars) is required for its placement.

A mobile life support system is known from the prior art (patent for the invention US 5626151), which was developed for intensive care, assessment and treatment of victims geographically close to the place of injury, provision of preoperative and postoperative intensive care during transportation of the victim, as well as in extreme environmental conditions. The mobile intensive care system includes a sealed module (capsule) for transporting a patient with built-in medical equipment adapted for this module, designed for resuscitation and life support. The system allows you to transfer / transport patients in a state of shock and fits into existing evacuation standards. The system includes a base, a stretcher and a canopy, as well as medical equipment, which includes a fan, an oxygen source, an internal environment control unit, a suction unit, many physiological sensors, an intravenous fluid pump, a drug infusion pump, and a defibrillator. Medical equipment is controlled by a computer contained in the database. The monitor displays the parameters of the vital activity of patients. A receiver / transmitter is included in the database for transmitting information and receiving information from a remote health care provider. The system can operate from internal batteries or from an external power source. The canopy may be a hard shell or a soft shell. With the canopy installed, the transported life support system serves as a miniature preoperative waiting area or postoperative recovery station. In addition, with the canopy installed, the internal environmental control unit provides positive overpressure to protect against chemical / biological contamination. The use of a sealed canopy in a mobile life support system with an autonomous working platform allows it to be used in the field or during rescue operations during natural disasters.

However, this analogue has a number of significant disadvantages.

The first of these is that the medical equipment (monitoring systems, drug administration systems) is located below the patient’s location. This means that instrumental monitoring of the patient’s condition, monitoring the operation of medical equipment is not ergonomic for the medical worker, which means that the possibility of a mistake by medical personnel increases.

In addition, the problem is the need for the simultaneous movement of medical systems with the patient, systems for maintaining a comfortable environment for the patient, waste disposal systems, etc. This, in turn, leads to two fatal problems: an unacceptably large weight of the structure and a decrease in the battery life of the complex (2 hours). This time is not enough to deliver the victim to a qualified medical facility.

In addition, the module (capsule) for transporting the patient is characterized by insufficient tightness, the impossibility of reliable isolation of a patient with a dangerous infectious disease. In addition, the known system does not provide the possibility of providing in sterile conditions such types of medical care as changing dressings, simple surgical interventions, such as stopping secondary bleeding; the possibility of creating an environment of “hypotobiological” environment that promotes adequate treatment of the patient, for example, with thermal, chemical and radiation burns, extensive purulent injuries or serious injuries; the possibility of universal use of the complex in most types of civil and military transport. In addition, the well-known system requires the constant presence of qualified medical personnel nearby.

Closest to the claimed is a medical module for maintaining the patient's viability during transportation (application US 2016120723 "PATIENT HOLDING HOSPITAL UNIT, PATIENT TRANSPORTATION SYSTEM AND PATIENT TRANSPORTATION AND LIFE SUPPORT SYSTEM"), including a supporting surface configured to accommodate the patient, a protective shell and life support system. The supporting surface has a container connected to it, which contains elements of the patient’s vital support system: anesthesia equipment, reservoirs and related channels, a perfusion device, an automatic control system, power supply, and power lines. The container also has distribution valves located on the outer surface of the container together with the control interface, as well as gas supply valves and an electrical connector for the power line, which are located in the connecting element, designed to be installed on a basic element, configured to supply gas under pressure to the tanks and electricity to control systems. The patient may be placed in a protective sheath when moving into or out of the operating room. The patient is placed on a supporting surface, which has separate movable parts, pivotally connected to each other, and allowing the patient to be placed in various positions, and also has a connecting element for installation on the base element (for example, a fixed support in the operating room, on which it is installed and fixed supporting surface together with the patient located on it). The system can be equipped with an electric motor to move the module along with the patient.

However, this analogue is characterized by the shortcomings listed in the description of the solution of US Pat. No. 5,626,151. In addition, the solution presented in the application US 2016120723 has a number of significant disadvantages. The main one is that the solution presented in the application US 2016120723 is intended primarily to maintain the viability of the patient when moving him in a hospital to the operating room to perform surgical procedures or from the operating room. The invention in question is not intended for use outside the hospital. In this invention, there are no structural elements for carrying by hand, for installation and fastening in vehicles. In addition, it is characterized by a large weight: batteries, electric motors, fastening systems for use in the operating room, hinged elements of the surgical table are used in the transportation system.

In addition, in this invention there is no possibility of manipulation with the patient when using a protective shell, because it completely blocks access to the patient’s body, and does not provide the possibility of providing in sterile conditions such types of medical care as dressing changes, simple surgical interventions, such as stopping secondary bleeding; the possibility of creating an environment of “hypotobiological” environment that promotes adequate treatment of the patient, for example, with thermal, chemical and radiation burns, extensive purulent injuries or serious injuries; the possibility of universal use of the complex in most types of civil and military transport.

Also, the composition of the patient’s life support equipment has a clearly defined functional purpose - preoperative preparation of the patient or postoperative recovery. Using other equipment, for example, to monitor the heart rate, stimulate the work of the heart, enter medicinal solutions, etc. not provided. In addition, the known system requires the constant presence of qualified medical personnel near the patient.

Disclosure of invention

The objective of the invention is the development of a multifunctional robotic medical complex that combines both diagnostic and therapeutic functions, ensuring the evacuation of a patient or injured by any means of transport (road, rail, aviation, river, sea, horse-drawn), in any weather (high or low temperature) and other aggressive conditions (chemical, radiation, toxic state) of the external environment, which allows delivering a patient or a victim to a medical institution of one and the same compact, stand-alone protected screen with comfortable conditions artificially created environments in conditions of continuous and of adequate resuscitation or classical robotic surgical care.

The technical result of the invention is the ability to provide qualified medical care to an injured, sick or other person requiring such assistance, through the implementation of diagnostic measures, continuous automated and remote monitoring of the patient's condition, while conducting therapeutic measures and preparing for the provision of versatile medical care in isolation from environmental conditions, as during the movement of the above person and any vehicle in the protected part of the module, and during the manual transportation of part of the module with the injured or sick.

The technical result is achieved due to the design features of a portable stand-alone module to support life and provide medical assistance during the evacuation of a patient, which is a three-dimensional structure made with the possibility of transportation in land, water or air transport, including three blocks interconnected and placed one below the other, while the first upper block is configured to accommodate diagnostic, medical equipment and life support systems ii, the second middle unit is configured to isolate the patient from the external environment and is equipped with means for manual carrying, means of autonomous life support and means for connecting the systems of the first unit to the patient, and the third lower unit is configured to accommodate devices for providing autonomous operation of the systems of the first and second units, at the same time, the blocks are equipped with means for connecting life support systems, diagnostic and therapeutic medical equipment with means for connecting to a patient.

The first block is configured to accommodate telecommunication facilities associated with the connection means; a computer information processing system connected to diagnostic, medical equipment and a life support system, equipped with software that implements data analysis from diagnostic equipment and makes decisions on medical actions and life support actions. As telecommunication means, a computer system can be used with a program for telecommunications with a video surveillance system for the patient and audio communication with him, an information processing system, diagnostic and therapeutic decision support, made with the possibility of remote transmission of visual and telemetric information, while the first and the second blocks are provided with fasteners for accommodating said equipment.

As diagnostic equipment, one or several devices from the above complex can be used: tonometer, photoplethysmograph, electrocardiograph, electroencephalograph, monitor for assessing the depth of anesthesia, capnograph, ultrasound diagnostic device, electronic auscultation and mechanical palpation device, laboratory blood and urine analysis system, monitoring system the effectiveness of the treatment, while the first block is equipped with fastening places to accommodate the mentioned equipment.

The treatment control system is implemented by repeated repeated measurements carried out using the above equipment in manual or automated mode with a computer analysis of the changes in the patient's condition.

As life support systems, one or several devices from the above complex were used: a system for preparing the air medium for the second block, a small-capacity battery, a filtering system for air entering and leaving the first block, a system for creating low or high air pressure in the second block, while the first the unit is provided with fasteners for accommodating said equipment.

One or several devices from the above complex were used as medical equipment: artificial ventilation system, automated drug administration system (infusomats and pumps), hemodialysis system, control elements for an automatic system for performing indirect cardiac massage and counterpulsation, elements for an automatic system for collecting human vital products , washing and secreted fluid or wound, while the first block is equipped with fixing places for To accommodate the equipment mentioned.

As life support systems, the portable stand-alone module may additionally contain instruments for monitoring the parameters of the internal environment of the second block, including temperature, pressure, chemical and radiation composition of the air medium, while the second block is equipped with fastening places to accommodate the mentioned equipment, as well as means for creating controlled the internal environment in the second block, including the creation of low or high pressure, a given temperature, humidity, a given chemical composition of air.

As means of connecting life support systems, diagnostic and therapeutic medical equipment with means of connecting to a patient, wires, catheters and hoses were used, including hoses for removing the flushing and excreted fluid or wound, human vital products.

As devices for ensuring the autonomous operation of the systems of the first and second blocks, one or more rechargeable batteries are used.

The first block may additionally be equipped with a lock chamber for the removal of used materials, including dressings.

The first and second blocks are separated by a sealed partition, in which one or more holes are located with the possibility of hermetically placing means for connecting life support systems, diagnostic and medical medical equipment with means for connecting to the patient. In the sealed partition between the first and second blocks there are one or several transparent insulated windows for direct visual observation of the patient, one or more sealed openings with the possibility of their complete isolation for manipulators - gloves made of durable sealed elastic material for medical, diagnostic or auxiliary actions during second block. The second and third blocks can also be separated by a sealed partition, in which one or more holes are located with the possibility of hermetic placement of means for connecting life support systems, diagnostic and therapeutic medical equipment with means for connecting to the patient.

In the walls of at least one block, one or more openings can be located with the possibility of hermetically placing means for connecting life support systems, diagnostic and therapeutic medical equipment with means for connecting to a patient.

The second block can be equipped with a spinal shield with devices for fixing the patient on it in a horizontal position or in a position with a raised head or foot end; means of placement and fastening of isolated manipulators - gloves made of durable, sealed elastic material for medical and diagnostic procedures and care procedures, medical instruments, dressings and care products, a container for storing used materials; CCTV system, microphone and speakers for audio communication, one or more lamps, sensors for monitoring the state of the internal environment, sensors for monitoring the tightness of the second unit.

The third block is made with the possibility of placing life support systems, including equipment for pumping, filtering, heating, cooling the introduced air with the possibility of transferring it sequentially to the first and second blocks, an oxygen generation system, one or more gas cylinders, including with oxygen and nitrous oxide, one or more containers for storing and disinfecting flushing and excreted fluid or wound, human waste products. In the walls of the third block, hatches are made for access to the elements of the equipment placed in it.

In this case, the means of connecting the equipment elements of the first and third blocks are passed through the second block in transit, through channels protected from the internal environment of the second block.

In one embodiment of the invention, the blocks are combined in a single housing made in the form of a hollow parallelepiped with straight or curved side walls, while the housing is equipped with two horizontal partitions spaced in height to form the three mentioned blocks, ensuring the implementation of their functional purpose. A single housing may consist of separate, interconnected elements. Apart from the walls, separate elements are the lower block, partitions between the blocks, and the upper-middle block complex. Partitions can be made removable and equipped with fasteners such as “lock-coupler” or “lock latch”, as well as hermetically connected to the vertical side walls of the housing. The housing can be made of metal, plastic, composite, or made in the form of a rigid frame covered with impervious to gas or liquid fabric or synthetic material. The lower partition between the second and third blocks, from the placement side of the second block, can have an anatomical surface shape that ensures long-term transportation of the patient, and the upper partition between the first and second blocks is a supporting surface for the placement of diagnostic and medical medical equipment.

The portable stand-alone module can be additionally equipped with a removable external protective cover for disposable or reusable use, as well as devices for carrying or transporting it.

Brief Description of the Drawings

The invention is illustrated by drawings and photographs, where in FIG. 1 shows a diagram of the mutual arrangement of the first, second and third blocks of the module; FIG. 2 - border partition between the first and second blocks of the module; FIG. 3 - arrangement of devices on the partition (lower surface of the first block of the module); FIG. 4 - arrangement of devices on the partition on the upper surface of the second module block, on which the equipment of the second block is fixed; FIG. 5 is a module layout showing the relative position of the first and second module blocks; FIG. 6 is a diagram of the interaction of diagnostic equipment located in the first block with sensors located in the second block; FIG. 7 is a diagram of the interaction of medical equipment located in the first block with a patient in the second block; FIG. 8 is a diagram of the use of manipulators - gloves made of durable, sealed, elastic material located in the first block with instruments and the patient in the second block; FIG. 9 - a model of the module which shows the location of the patient in the second block - view 1; FIG. 10 is a mock-up of a module that shows the location of medical and diagnostic equipment located in the first block, manipulators - gloves made of durable, sealed elastic material, the patient and equipment located in the second block; FIG. 11 is a module layout showing the location of the patient in the second block - view 2; FIG. 12 is a diagram of creating a controlled internal environment; FIG. 13 - a special "spinal" shield; FIG. 14 - spinal shield with a patient fixed (fixed) on it in a horizontal position; FIG. 15 - spinal shield with a fixed (fixed) patient on it with a raised head end; FIG. 16 - spinal shield with a fixed (fixed) patient on it with a raised leg end; FIG. 17 is an embodiment of a fastener system for securing a module; FIG. 18 - placement of devices (equipment) in the third block; FIG. 19 is a variant of a separate layout of the first block; FIG. 20 is a variant of the layout with a single complex of the cover and side walls of the first block; FIG. 21 is a variant of the layout with a single complex of side walls of the first block; FIG. 22 is a variant of a separate arrangement of the second block; FIG. 23 is a variant of the layout with a single complex of partitions between the first and second block and the side walls of the second block; FIG. 24 is a variant of the layout with a single complex of partitions between the second and third block and the side walls of the second block; FIG. 25 - fasteners (such as "lock-coupler", "lock latch") to create a tight connection; FIG. 26 is a diagram of a module transportation; FIG. 27 is a diagram of information flows and a control system for module equipment; FIG. 28 is a diagram showing the elimination of vital products of a patient and other types of discharge; FIG. 29 is a diagram of creating a comfortable controlled internal environment; FIG. 30 is a diagram of transit through a second block of wires and pipelines; FIG. 31 is a power supply diagram of a module; FIG. 32 is a layout diagram of hatches on the side walls of the module for access to the connecting connectors; FIG. 33 is a diagram of separately moving the first and second blocks separately from the third during loading and unloading of the module; in FIG. 34 is an example of a specific implementation of the claimed medical module.

The implementation of the invention

Below is a more detailed description of the claimed invention, which does not limit the scope of the claimed claims, but only demonstrates the possibility of carrying out the invention with the achievement of the claimed technical result. The present invention may be subjected to various changes and modifications understood by one of ordinary skill in the art upon reading the description. For example, the nomenclature of the used diagnostic and medical medical equipment, the robotic complex and communication systems, devices for ensuring the autonomous operation of the listed equipment, etc. can be changed.

The possibility of implementing the invention in various embodiments is clearly shown in the drawings. In particular, in FIG. 1. shows the relative position of the first, second and third blocks of the claimed medical module: 1-first (upper) block; 2 - second (middle) block; 3 - the third (lower) block. In this case, the first upper unit is configured to accommodate diagnostic and therapeutic medical equipment, a robotic complex and communication systems, and an air preparation system for the second unit. The second block 2, located under the first, is made strictly isolated from the external environment, with the possibility of placing a patient in it. The third block 3, located under the second, is made with the possibility of placing devices to ensure autonomous operation of diagnostic, medical medical equipment, as well as life support systems. All three blocks are equipped with means for connecting individual elements of the above equipment located in different blocks and the ability to connect them to a patient for medical manipulations.

In FIG. 2 shows a boundary wall between the first and second blocks. It serves as a supporting surface for the placement of diagnostic and medical medical equipment of the robotic complex and communication systems mounted on its both horizontal surfaces, which are, respectively, the lower surface of the first block and the upper surface of the second: 4 - a partition between the first and second module; 5 - the lower surface of the first block on which the equipment of the first block is located; 6 - the upper surface of the second block, on which the equipment of the second block is fixed. In FIG. 3 shows a variant of the arrangement of devices on the partition 4 (on the lower surface of the first block), as well as the implementation and location of individual structural elements: 7 - encephalograph; 8 - transparent insulated window for direct visual observation of the patient; 9 - openings for manipulators - gloves made of durable airtight elastic material; 10 - computer information processing system; 11 - a gateway for the delivery and removal of tools and consumables; 12 - rechargeable battery of small capacity; 13 - system of additional air preparation; 14 - suction to remove liquid discharge; 15 - diagnostic monitor; 16 - medicines for infusion; 17 - ultrasound apparatus for monitoring the condition of the fetus; 18 - laboratory; 19 - infusion pump and apparatus for hemodialysis; 20 - infusomat; 21 - channels for pipelines and cables; 22 - ventilator.

In FIG. 4 shows an arrangement of devices on the partition 4 on the upper surface 6 of the second block of the medical module, on which the equipment of the second block is fixed. 23 - lighting lamps; 24 - video camera; 25 - audio speakers; 26 - microphone; 27 - electronic phonendoscope; 28 - ultrasound probe of the fetus; 29 — ultrasound probe; 30 — tactile mechanoreceptor sensor; 31 - defibrillator; 32 - control system of pulsation and blood circulation; 33 - care products; 34 - dressings; 35 - medical instruments; 36 - consumables.

In FIG. 5, the module layout shows the relative position of the first and second module blocks.

The first block contains diagnostic equipment (monitors) for monitoring blood pressure, pulse parameters, electrocardiography, electroencephalography, electronic auscultation and mechanical palpation, external respiration, capnography, oxygen saturation, ultrasound monitoring of the patient, injured or fetus of a pregnant woman, laboratory monitoring the state of blood and urine and fastening places for their fastening. The specified equipment is connected to the sensors of the patient located in the second block through one or more holes with the possibility of their complete isolation. They are located in a sealed partition between the first and second blocks. In FIG. 6 shows a diagram of the interaction of diagnostic equipment located in the first block with sensors located in the second block.

In the first block, medical equipment can also be located: artificial lung ventilation (IVL) system, automated drug administration system (infusomats and pumps), controls for an automatic system for the implementation of indirect heart massage and counterpulsation, a set of medicines, elements of an automatic system for collecting human vital products , washing and secreted fluid or wound and securing places for it. The specified equipment is connected by pipelines (catheter (catheters) for administering drugs, a hose (s)) for administering the respiratory mixture (from the mechanical ventilation apparatus) to a patient in the second unit through one or more openings with the possibility of their complete isolation. They are located in the partition between the first and second blocks.

The excretion of human waste products, flushing and excreted fluid or wound can be carried out in a container located in the third block through a pipeline led through one or more sealed openings with the possibility of their complete isolation. For the specified equipment and pipelines, corresponding fixing devices are provided in the module case. In FIG. 7 is a diagram of the interaction of medical equipment located in the first block with a patient in the second block.

The first block also contains a computer system with a complex of video surveillance of the patient and audio communication, a complex of support for the adoption of diagnostic and therapeutic decisions, the ability to remotely transmit visual and telemetric information. The specified equipment is connected to the sensors located in the second block through one or more holes with the possibility of their complete isolation. They are located in a sealed partition between the first and second blocks.

A computer system in the framework of the present invention is understood to mean any device or group of interconnected or adjacent devices, one or more of which, acting in accordance with the program, carries out automated processing of data (including medical) coming from adjacent systems (including life support systems ), operator (medical worker), remote consultants. A computer system monitors the operation of related systems, manages them, constantly records (logs) the status of related systems, interacts with remote resources (including workstations and databases). Technically, a computer system is a personal computer (which includes a monitor, motherboard, processor, RAM, hard disk, keyboard, speakers, power supply, ports, video and sound cards, and other elements), installed program modules, a camera microphone.

The first block also contains diagnostic instruments for monitoring the state of the internal environment of the second block (temperature, pressure, chemical and radiation composition of the air), elements of a system for creating low or high air pressure, and elements for filtering the air entering and leaving the first block. The specified equipment is connected by cables with sensors located in the second block, or by pipelines for air exchange through one or more holes with the possibility of their complete isolation. They are located in the partition between the first and second blocks. For the specified equipment and pipelines, appropriate fixing devices are provided in the module case.

Between the first and second blocks there are one or several transparent isolated windows for direct visual observation of the patient, manipulators through one or more openings with the possibility of their complete isolation, for therapeutic, diagnostic or auxiliary actions in the second block, a lock chamber for removing used materials, such as dressings. In FIG. 8 shows a diagram of the use of manipulators located in the first block with instruments and a patient located in the second block. 37 - manipulators - gloves made of durable airtight elastic material.

In FIG. 9, the layout of the module shows the location of the medical and diagnostic equipment located in the first block, manipulators - gloves made of durable, sealed elastic material, the patient and equipment located in the second block. 38 - a partition between the second and third block.

In the first block there is a small battery with a fastener system, one or more sealed openings with the possibility of their complete isolation for insertion into the first block of the electric cable from the third block or from the external environment.

Pipes (hoses) are introduced into the first block through one or several sealed openings with the possibility of their complete isolation for introducing unchanged, purified, cooled, heated air from the third block or from the environment; oxygen and other gases from the third block or from the external environment. The purified air is discharged into the external environment through a valve or through a third unit.

The listed equipment can be presented both in a standard form, and in a specially made general case with a common small capacity battery. The latter option allows you to significantly reduce the weight of the listed medical equipment. Standard equipment makes it easy to replace a faulty device with a similar or more modern device.

The second block is designed to accommodate the patient. In FIG. 10, the layout of the module shows the location of the medical and diagnostic equipment located in the first block, manipulators - gloves made of durable, sealed elastic material, the patient and equipment located in the second block. In FIG. 11, the layout of the module shows the location of the patient in the second block. The block is made completely isolated from the external environment with the possibility of creating a controlled internal environment, in particular, low or high pressure and a given temperature, humidity, chemical composition of the air. The block is located directly below the first block and is separated from it by a sealed horizontal partition with a transparent insulated “window”. In FIG. 12 is a diagram of creating a controlled internal environment: 39 — a system for additional purification of air entering the first unit; 40 - system of additional purification of air discharged into the external environment; 41 - a system for introducing air into the second block; 42 - a system for removing air from the second block.

In the second block there are fastening places for a special (“spinal”) shield (Fig. 13). 43 - spinal shield with devices for fixing (fixing) on it the patient in a horizontal position FIG. 14, in the raised head position of FIG. 15 or with the foot end of FIG. 16. The lower partition of the second block, designed to accommodate the patient on it, may have an anatomical surface shape, convenient for its long transportation.

In the second block, sensors and pipelines (catheters and hoses) are placed at special fastening points for connecting to the diagnostic medical equipment located in the first block, in particular: equipment for monitoring blood pressure, pulse parameters, electrocardiography, electroencephalography, and apparatus for determining the function external respiration, capnography, blood oxygen saturation, ultrasound monitoring of the patient, injured or fetus of a pregnant woman, electronic phonendoscope , Apparatus for the mechanical palpation.

In the second block, sensors and pipelines (catheters and hoses) are placed at special fastening points for connecting to the medical medical equipment located in the first block, in particular: the artificial lung ventilation system, the automated drug administration system, the automatic indirect heart massage system and counterpulsations, defibrillator, probe for nutrition, elements of an automatic system for collecting human vital products, flushing and excreted fluid or wound detachable.

In the second block, on special mounting places, a video surveillance system, microphones and speakers for audio communication, one or more lamps are placed.

In the second block, at special fastening places, sensors for monitoring the internal environment (temperature and blood pressure), and sensors for monitoring the tightness of the second block are placed.

Manipulators located in the second block are designed for medical and diagnostic procedures and care procedures. There, on the fastening places are medical instruments, dressings and care products, a container for storing used materials.

The third block is designed to accommodate the life support system and ensure the autonomy of the module. It is located under the second block and is separated from it by a sealed horizontal partition, equipped with a special fastener system that allows you to fix the module in any type of civil or military transport. Fig 17.

In the third block, fasteners are equipped with a rectifier, one or several high-capacity batteries sufficient for autonomous operation of the module for up to 6 hours, electric cables for connecting to equipment located in all three blocks of the module.

In the third block, also at fastening places, there is an equipment for pumping, filtering, heating, cooling, and transferring the introduced air in series to the first and second blocks.

In the third block, also at the fastening places, there is an oxygen generation system, one or more gas cylinders (oxygen, nitrous oxide, etc.), a pipeline for transferring gases in series to the first and second blocks. In FIG. 18 shows an embodiment of placing the listed equipment in the third block. 44 - rectifier; 45 - battery; 46 - gas cylinders; 47 - heater air mixture; 48 - air conditioning; 49 - air purification system; 50 - a system for introducing drugs into the air; 51 - air injection system; 52 - stock of medicines; 53 - stock of spent funds; 54 - oxygen generator; 55 - container for collecting fluid.

In the third block, one or more containers for storing and disinfecting the flushing and excreted fluid or wound, human vital products can be located on the fastening places. Liquids come from the first block through a pipeline introduced into the third block through one or more sealed openings with the possibility of their complete isolation.

In addition, one or more sealed openings are located in the third block with the possibility of their complete isolation for insertion into the third block and removal of the electric cable and gas pipelines from the third block to the first block.

The case of a portable stand-alone module can be made in the form of a hollow parallelepiped with various options for the geometry of the external contours (straight, curved, arched, difficult to curved), while in one embodiment, the module is equipped with two horizontal partitions with a “tier” or “floor” arrangement spaced in height with the formation of the three mentioned blocks, ensuring the implementation of their functional purpose, while the blocks border each other by means of the said partitions. The upper partitions of the first and second blocks, one or both, can be made removable.

Partitions can have both the character of a horizontal plane, and have a constant tight connection with vertical side walls and hermetically connect to a block located above or below. In FIG. 19 shows an embodiment of a separate arrangement of the first block. 56 - cover of the first block; 57 - side walls of the first block. In FIG. 20 is a variant of the layout with a single complex of the cover and side walls of the first block. In FIG. 21. presents a variant of the layout with a single complex of side walls of the first block, FIG. 22 is a variant of a separate arrangement of the second block. 58 - side walls of the second block; 59 is a partition between the second and third block. In FIG. 23. shows an arrangement with a single partition complex between the first and second block and the side walls of the second block, FIG. 24 is a variant of the layout with a single complex of partitions between the second and third block and the side walls of the second block.

To create the tightness of the joints, special fasteners (such as “lock-coupler”, “lock latch”) can be used. In FIG. 25 presents their image.

The case of a portable stand-alone module can be a three-dimensional structure, which can be made of various materials (metal, plastic, composite), or a rigid frame covered with a fabric or synthetic material impermeable to gas or liquid. It may include a removable external protective cover, disposable or reusable.

The portable stand-alone module has devices for carrying it (handles, handles) and transportation (wheels, trolley). In FIG. 26 is a diagram of a module transportation. 60 - retractable handles; 61 - wheels.

Possible options for the overall dimensions of the module: length - from 1400 to 2200 mm, width - from 400 to 900 mm, total height - from 600 to 1200 mm. The overall dimensions of the module are determined by a specific task - placing it in a certain type of transport. For example, in an airplane, the module can be accommodated in regular places for a medical stretcher in the place of the retracted passenger seats. In different types of aircraft, the dimensions of this site are original. The functionality of the module does not depend on its size. Net weight - up to 100 to 250 kg. The weight of the module depends on the set of equipment and the material of which the structure is made.

The combined first and second blocks during loading and unloading of the patient can move separately from the third block and carry out full-fledged autonomous treatment - the maximum length is from 1400 to 2200 mm, the maximum width is from 400 to 900 mm, the total height is from 400 to 800 mm. Net weight - from 50 to 150 kg.

The following systems are implemented in a portable stand-alone module in "open" or stand-alone mode: the patient’s current state is diagnosed, a range of therapeutic measures is implemented, the treatment is dynamically monitored using robotic and remote control, the patient’s vital products and other types of discharge are removed, isolated comfortable internal environment for the patient with patient protection from aggressive external environment and protection approx rusting from infection from the patient. In FIG. 27 is a diagram of information flows and a module control system. 62 - data from the diagnostic sensors of the patient; 63 - data transfer to a computer information processing system; 64 - transfer of commands to the medical complex; 65 - implementation of robotic assistance; 66 - data from sensors monitoring the state of the isolated internal environment of the second block; 67 - data from video cameras and microphones; 68 - life support system management; 69 - transmission of telemetric data to an external communication system; 70 - data transfer to medical personnel or a remote consultant; 71 - transfer of commands from a remote consultant or a health worker located near the complex to the communication unit; 72 - management of treatment and the state of the isolated environment of the second block; 73 - external communication system; 74 - a computer (or tablet) of medical personnel or a remote consultant.

Diagnostics of the patient’s current state is carried out as follows: the patient in the second unit is connected in particular: sensors for monitoring blood pressure, pulse parameters, electrocardiography, electroencephalography, an apparatus for determining the function of external respiration, capnography, oxygen saturation, ultrasound monitoring the state of the fetus of a pregnant woman, an electronic phonendoscope, an apparatus for mechanical palpation, video surveillance sensors and audio communications, a catheter for taking blood and urine. The listed sensors are wired or wirelessly connected to control devices located in the first unit.

In the first block, the patient’s current state is diagnosed using diagnostic equipment to control blood pressure, pulse parameters, electrocardiography, electroencephalography, electronic auscultation and mechanical palpation, respiratory function, capnography, oxygen saturation, ultrasound monitoring of the fetus of a pregnant woman, laboratory control blood and urine conditions.

All survey results are processed by a computer using decision support algorithms and remote transmission of telemetry data to a specialist.

The complex of therapeutic measures is implemented in the module as follows. The patient is placed in the second block on a special (“spinal”) shield with devices for fixing (fixing). Catheters and hoses are connected to it for supplying to medical medical equipment located in the first unit, in particular: a mechanical ventilation system, a system for the automated administration of drugs, an automatic system for performing indirect cardiac massage and counterpulsation, a defibrillator, a probe for nutrition.

For the implementation of medical and diagnostic procedures and care procedures, manipulators, medical instruments, dressings and care products are used.

The robotic and remote dynamic monitoring of the treatment is carried out in the module as follows: the current information from the sensors for monitoring the condition of the patient located in the second block is transmitted by wire or wirelessly to the control devices located in the first block, processed by the computer located there using decision support algorithms and remote transmission of telemetry data to a specialist. If necessary, correction of treatment “in manual” or automatic mode is carried out by using medical equipment located in the first block through catheters and hoses connected to the patient in the second block.

The excretion of the patient’s vital products and other types of discharge is carried out as follows: the contents of the gastrointestinal tract and bronchopulmonary tree, wound discharge, fluid from washing the wounds, fluid obtained by washing the cavities of the body, the patient in the second block, enters the intermediate through the suction hoses a container located in the first block, and then in a sealed container located in the third block. In FIG. 28 is a diagram showing the elimination of the vital products of a patient and other types of discharge. 75 - collection of fluid separated from the patient.

The creation of a comfortable controlled internal environment with a given temperature, humidity, chemical composition of air is achieved in the module as follows: gases in cylinders located in the third block, atmospheric air entering the third block undergoes necessary changes (cooling, heating, cleaning, sterilization , saturation with medicines) using appropriate equipment located in the third block. Through insulated pipelines, the gas mixture enters the first block and is pumped into the second block through an insulated hole located in the partition between the first and second blocks. In FIG. 29 is a diagram of creating a comfortable controlled interior environment. 76 - air inlet from the environment; 77 - input of warmed or cooled air into the first block; 78 - air outlet to the external environment through the valve; 79 - air exchange between the first and second blocks.

The creation of an isolated environment in which the patient or patient is located, with the protection of the patient from an aggressive external environment and the protection of others from infection from the patient, is achieved by sealing all the connections, inputs and outputs of wires and pipelines and creating a special pressure mode in the second block. An additional protection against aggressive environmental conditions may be a removable external protective cover for single or multiple use.

Wires and pipelines connecting the first and third blocks must be passed through the second block in transit, through channels protected from the internal environment of the second block. In FIG. 30 shows a transit flow diagram through a second block of wires and pipelines.

An “open” or autonomous mode of operation of the module is implemented in it as follows: power supply to devices located in the first and second blocks is realized by autonomous power supply through small-capacity batteries located in the first block or by connecting to an external electric network. If it is necessary to implement long-term autonomous functioning of the module, power supply is realized using high-capacity batteries located in the third unit. The power supply of the devices for ensuring the autonomous operation of diagnostic, therapeutic medical equipment, as well as the life support systems of the module is realized using high-capacity batteries located in the third unit or by connecting to an external electrical network, such as the on-board network of an airplane, car, ship, etc. In FIG. 31 shows the power supply circuit of the module. Access to the connecting connectors of electric cables and pipelines is through the hatches (Fig. 32) 80 - hatches for access to the connecting connectors located on the side walls of the third module block.

Medical equipment (monitoring systems, drug administration systems) are located at a level higher than the patient’s location. This means that instrumental monitoring of the patient’s condition, monitoring the operation of medical equipment, is convenient for the medical worker, which means that the safety for the patient increases.

The ability to move the first and second blocks separately from the third during loading and unloading of the module can significantly reduce the weight of the structure at the time of transportation. This leads to a decrease in the weight of the first or second block to an acceptable level.

There are two options for autonomy - short-term and long-term. The battery life is extended to sufficient for the delivery of the victim to a qualified medical institution. (For example, 6 hours). In FIG. 33 is a diagram of separately moving the first and second blocks separately from the third during loading and unloading of the module.

The isolation of the complex from the external environment allows us to talk about its complete safety and reliable isolation during transportation of a patient with a dangerous infectious disease.

The location of the patient in the second block allows you to provide in sterile conditions such types of medical care as changing the dressing, simple surgical interventions, such as stopping secondary bleeding.

When treating a patient, for example with thermal, chemical and radiation burns, extensive purulent injuries or serious injuries, a specially created “gnotobiological” medium can be used.

Treatment is carried out using a robotic system for diagnosing and monitoring the condition of the patient using the decision support system and the experience of a remote consultant, which eliminates the need for the constant presence of qualified medical personnel in the immediate vicinity of the portable autonomous module.

A portable stand-alone module can be used in most types of civil and military vehicles.

The following are examples of specific implementations of the invention.

Example 1. Patient A., 36 years old, suffered from the destruction of a multi-storey building during an explosion of domestic gas. It was removed from under the rubble of building structures, with the lower extremities: the right limb at the level from the middle third of the thigh, the left at the level of the upper third of the thigh and distal were crushed by a reinforced concrete slab. Before removing the squeezing elements, in order to prevent “bleeding into oneself” and the entry of toxic elements into the blood at the level of the upper third of the right and left thighs, tourniquets were pressed that squeezed arteries and veins. The patient was taken to a local hospital by ambulance. There, the victim was placed in the second unit of a portable and transportable isolated robotic evacuation medical module. Diagnostic systems of the complex were connected to it, tracheal intubation was performed, and intravenous cubital and subclavian catheters were installed. When removing the tourniquets, blood pressure dropped sharply from 160/100 mm RT. Art. up to 80/20 mmHg Art., body temperature rose to 40.1 ° C. The case of the robotic complex is regarded as a syndrome of prolonged compression. The diagnosis is confirmed by an expert remotely. A doctor located next to the patient confirmed the diagnosis of the robot and the expert. The robotic complex recommended the implementation of infusion therapy taking into account the age, weight of the patient and a hemodialysis session. The treatment plan is confirmed by an expert remotely. The doctor next to the patient has also confirmed this treatment plan. Hospitalization of the patient in a specialized medical center is recommended.

The module with the patient in it was delivered to the airport by road. Before loading the aircraft, the first and second blocks were separated from the third and manually lifted aboard the aircraft. The module was reassembled and secured in the luggage compartment, connected to the aircraft’s power supply system and remote communications. The temperature is set at 21 ° C. Two hours after the start of treatment during the flight using the manipulators, the tourniquets were removed. The patient's condition did not worsen. At the arrival airport, the first and second blocks were separated from the third and manually removed from the aircraft, the module was assembled and fixed in the car. In stable condition, the patient was taken to a specialized hospital, where she was removed from the module. Observation during transportation was directly conducted by a doctor who had no previous experience in providing this type of assistance, and an expert remotely. Total delivery time is 5 hours 13 minutes.

The module as a medical device included a non-invasive measurement of blood pressure, pulse oximetry, electrocardiography, capnography included in the portable monitor MPR6-03 in T4.17 configuration manufactured by FIRMA TRITON-ELECTRONICS LLC, Doppler diagnostic indicator for blood flow velocity diagnostics Minidop manufacturer AO NPF BIOSS, electronic auscultation device Littmann stethoscope manufacturer ZM, mechanical palpation Medical tactile endosurgical complex (MTEK) manufacturer NPO SPLAV JSC, intravenous infusion device Infusion syringe pump AITECS 2017 manufacturer Viltehmed CJSC, patient sedation assessment device MGA-06 anesthesia depth assessment monitor manufacturer TRITON-ELECTRONICS LLC, infusion pump (pump) DF 12M manufacturer UAB Viltechmeda, laboratory blood analysis system (creatinine and urea indicators) i-STAT Analyzer portable clinical model manufacturer I-STAT Corporation, Abbot Laboratories, Home hemodialysis generator / portable System One ™ manufact turer NxStage; As the devices for ensuring the autonomous operation of the above equipment, internal batteries of each of the indicated devices and an uninterruptible power supply manufacturer Schneider Electric Smart-UPS were used.

Example 2. Injured B. 21 years old, when diving into the pool received a fracture of the cervical vertebrae with damage to the spinal cord. Delivered to the intensive care unit of a local hospital located in a foreign country. The patient was intubated with trachea and intravenous cubital and subclavian catheters were installed. The victim was secured to the spinal shield. A travel company delivered a portable and transportable isolated robotic evacuation medical module to the clinic.

The company's doctor placed the patient in the second block of the module, connected to it the diagnostic systems of the complex and the ventilator. The module was delivered to the airport by road. Before loading the aircraft, the first and second blocks are separated from the third and manually lifted aboard the aircraft. The module was again assembled and secured in the luggage compartment, connected to the aircraft’s energy supply system and remote communications. The temperature is set at 20 ° C. At the airport of arrival, the first and second blocks were separated from the third and manually removed from the aircraft, the upper and middle blocks are fixed in the car. In a stable state, the patient was taken to a specialized hospital, where he was removed from the module. Observation of it during transportation was directly conducted by the doctor of the travel company and the expert remotely. Total delivery time is 4 hours 53 minutes.

The module as a medical device included a non-invasive measurement of blood pressure, pulse oximetry, electrocardiography, capnography included in the portable monitor MPR6-03 in T4.17 configuration manufactured by FIRMA TRITON-ELECTRONICS LLC, Doppler diagnostic indicator for blood flow velocity diagnostics Minidop manufacturer AO NPF BIOSS, electronic auscultation device Littmann stethoscope manufacturer 3M, mechanical palpation Medical tactile endosurgical complex ( MTEC) manufacturer of NPO SPLAV JSC, intravenous infusion device AITECS 2017 syringe infusion pump manufacturer Viltehmed CJSC, patient sedation assessment device MGA-06 anesthesia depth assessment monitor manufacturer TRITON-ELECTRONICS LLC, pump (pump) infusion DF 12M manufacturer ZAO Wiltehmed, laboratory blood test system (creatinine and urea indicators) Portable clinical analyzer i-STAT Analyzer manufacturer I-STAT Corporation, Abbot Laboratories, Portable mechanical ventilation apparatus for services ambulance "Rhythm" producer of "TMT" Computer electroencephalography "Diamant-EEG" producer JSC "Diamond"; As the devices for ensuring the autonomous operation of the above equipment, internal batteries of each of the indicated devices and an uninterruptible power supply manufacturer Schneider Electric Smart-UPS were used.

Example 3. Pregnant K. 38 years, gestational age 37 weeks, needed a cesarean section. The situation was complicated by respiratory failure. The patient was in the district hospital in the Far North. Air temperature - minus 44 ° С. The use of air ambulance and other modes of transport was not possible. When placing the patient in the helicopter cabin in the absence of a module, rapid cooling of medicines and equipment could occur (even if the patient was protected with a thermal blanket). It was decided to deliver the patient a regular helicopter using a portable and transportable isolated robotic evacuation medical module. The paramedic placed the woman in childbirth in the second block of the module, connected to it the diagnostic systems of the complex and remote communication systems. The robotic complex recognized a patient with deep vein thrombosis of the lower leg and thromboembolism of small branches of the pulmonary artery. The diagnosis is confirmed by an expert remotely. A medical assistant located next to the patient confirmed the diagnosis of the robot and the expert. The robotic complex recommended the implementation of infusion therapy, taking into account the age, weight of the patient, gestational age. The treatment plan is confirmed by an expert remotely. The paramedic next to the patient also confirmed this treatment plan. The module blocks are placed in a special heat-protective cover. Before loading into a helicopter, the first and second blocks are separated from the third and manually lifted aboard. The module is reassembled and fixed in the cabin, connected to the energy supply system and remote communications. On the runway of the hospital, the first and second blocks are separated from the third and manually removed from the board. In a stable state, the patient was taken to a specialized hospital, where she was removed from the module. Observation during transportation was directly conducted by a medical assistant and an expert remotely. Total delivery time is 1 hour 45 minutes.

The module as a medical device included a non-invasive measurement of blood pressure, pulse oximetry, electrocardiography, capnography included in the portable monitor MPR6-03 in T4.17 configuration manufactured by FIRMA TRITON-ELECTRONICS LLC, Doppler diagnostic indicator for blood flow velocity diagnostics Minidop manufacturer AO NPF BIOSS, electronic auscultation device Littmann stethoscope manufacturer 3M, mechanical palpation Medical tactile endosurgical complex ( MTEC) manufacturer of NPO SPLAV JSC, intravenous infusion device AITECS 2017 syringe infusion pump manufacturer Viltehmed CJSC, patient sedation assessment device MGA-06 anesthesia depth assessment monitor manufacturer TRITON-ELECTRONICS LLC, pump (pump) infusion DF 12M manufacturer ZAO Wiltehmed, laboratory blood test system (creatinine and urea indicators) Portable clinical analyzer i-STAT Analyzer manufacturer I-STAT Corporation, Abbot Laboratories, Portable mechanical ventilation apparatus for services ambulance "Rhythm" producer of "TMT" Analyzer Doppler cardiovascular activity of maternal and fetal small ADMP-02 PC manufacturer ZAO "Medical facilities"; The internal batteries of each of these devices, the uninterruptible power supply manufactured by Schneider Electric Smart-UPS were used as devices for ensuring the autonomous operation of the listed equipment, and the Saphir Vario device manufactured by Truma was used as a temperature control device.

Example 4. On the third day after visiting a foreign port by a passenger vessel, crew member J., 46 years old, suddenly developed severe weakness, severe headache, muscle pain, diarrhea, and abdominal pain. The vessel’s doctor placed the patient in the second module block, connected to it the diagnostic systems of the complex and remote communication systems. The patient was suspected of Ebola hemorrhagic fever. All air flows from the patient were isolated from the external environment by filtration. The released liquids accumulated in an isolated container. The treatment was carried out by controlled infusion therapy. The diagnosis and treatment was carried out under the supervision of an expert remotely. A day later, the module with the patient with improvement was unloaded at the port and delivered to the infectious ward of the local hospital. Contamination of other crew members and passengers was avoided.

The module as a medical device included a non-invasive measurement of blood pressure, pulse oximetry, electrocardiography, capnography included in the portable monitor MPR6-03 in T4.17 configuration manufactured by FIRMA TRITON-ELECTRONICS LLC, Doppler diagnostic indicator for blood flow velocity diagnostics Minidop manufacturer AO NPF BIOSS, electronic auscultation device Littmann stethoscope manufacturer 3M, mechanical palpation Medical tactile endosurgical complex ( MTEK) manufacturer of NPO SPLAV JSC, intravenous infusion device AITECS 2017 syringe infusion pump manufacturer Viltechmeda CJSC, patient sedation assessment device MGA-06 anesthesia depth assessment monitor manufacturer TRITON-ELECTRONICS LLC, pump (pump) infusion DF 12M manufacturer ZAO Wiltehmed, a laboratory blood test system (creatinine and urea parameters) Portable clinical model analyzer i-STAT Analyzer manufacturer I-STAT Corporation, Abbot Laboratories; As the devices for ensuring the autonomous operation of the above equipment, internal batteries of each of the indicated devices and an uninterruptible power supply manufacturer Schneider Electric Smart-UPS were used.

Claims (31)

1. A portable stand-alone module for supporting life and providing medical care during the evacuation of a patient, characterized in that it is a three-dimensional structure made with the possibility of transportation in land, water or air transport, including three units interconnected and placed one below the other while the first upper block is configured to accommodate diagnostic, medical equipment and life support systems, the second middle block is configured to isolate the patient’s external environment and is equipped with means of autonomous life support and means for connecting the systems of the first unit to the patient, and the third lower unit is configured to accommodate devices for providing autonomous operation of the systems of the first and second units, while the units are equipped with means for connecting life support systems, diagnostic and medical medical equipment with means of connecting to the patient. 2. A portable stand-alone module according to claim 1, characterized in that the first unit is configured to accommodate telecommunication means associated with the means of connection. 3. A portable stand-alone module according to claim 1, characterized in that the first unit is arranged to accommodate an information processing unit connected to diagnostic, medical equipment and a life support system, equipped with software that implements data analysis from diagnostic equipment and makes decisions on therapeutic actions and life support activities. 4. A portable stand-alone module according to claim 1, characterized in that one or more devices from the above complex are used as diagnostic equipment: a tonometer, a photoplethysmograph, an electrocardiograph, an electroencephalograph, an anesthesia depth assessment monitor, a capnograph, an ultrasound diagnostic device, an electronic auscultation device, and mechanical palpation, a system of laboratory analysis of blood and urine, a system for monitoring the effectiveness of the treatment, while the first block is equipped with fixing places to accommodate the mentioned equipment. 5. The portable stand-alone module according to claim 1, characterized in that one or more devices from the above complex are used as life support systems: an air preparation system for the second unit, a small battery, a filter system for the air entering and leaving the first unit, a system for creating low or high air pressure in the second block, while the first block is provided with fastening places for accommodating said equipment. 6. A portable stand-alone module according to claim 1, characterized in that one or more devices from the above complex are used as medical equipment: a mechanical ventilation system, a system for the automated administration of drugs, a hemodialysis system, controls for an automatic indirect heart massage system and counterpulsations, elements of an automatic system for collecting human waste products, flushing and excreted fluid or wound discharge, when th first unit has mounting locations for said equipment. 7. The portable stand-alone module according to claim 3, characterized in that it additionally contains, as life support systems, instruments for monitoring the parameters of the internal environment of the second unit, including temperature, pressure, chemical and radiation composition of the air medium, while the second unit is equipped with fasteners to accommodate the mentioned equipment. 8. The portable stand-alone module according to claim 2, characterized in that a computer system with a program for implementing telecommunications with a video surveillance system for a patient and audio communication with him, an information processing system, support for making diagnostic and therapeutic decisions, made with the ability to remotely transmit visual and telemetric information, while the first and second blocks are equipped with fasteners for accommodating the mentioned equipment. 9. A portable stand-alone module according to claim 1, characterized in that wires, catheters and hoses, including hoses for removing the flushing and excreted fluid or wound, were used as means for connecting life support systems, diagnostic and medical medical equipment to means for connecting to a patient, human vital products. 10. A portable stand-alone module according to claim 1, characterized in that one or more rechargeable batteries are used as devices for providing autonomous operation of the systems of the first and second blocks. 11. A portable stand-alone module according to claim 1, characterized in that the first unit is additionally equipped with a lock chamber for removing used materials, including dressings. 12. The portable stand-alone module according to claim 1, characterized in that the first and second blocks are separated by a sealed partition in which one or more holes are located with the possibility of hermetically placing means for connecting life support systems, diagnostic and therapeutic medical equipment with means for connecting to a patient . 13. The portable stand-alone module according to claim 1, characterized in that the second and third blocks are separated by a sealed partition in which one or more openings are located with the possibility of hermetically placing means for connecting life support systems, diagnostic and therapeutic medical equipment with means for connecting to the patient . 14. A portable stand-alone module according to claim 1, characterized in that in the walls of at least one block there are one or more openings with the possibility of hermetically placing means for connecting life support systems, diagnostic and therapeutic medical equipment with means for connecting to a patient. 15. The portable stand-alone module according to claim 12, characterized in that in the sealed partition between the first and second blocks there are one or more transparent insulated windows for direct visual observation of the patient, one or more sealed openings with the possibility of their complete isolation for the manipulator gloves from durable sealed elastic material for therapeutic, diagnostic or auxiliary actions in the second block. 16. The portable stand-alone module according to claim 1, characterized in that, as a life support system, the module further comprises means for creating a controlled internal environment in the second unit, including the creation of low or high pressure, a predetermined temperature, humidity, a given chemical composition of air. 17. The portable stand-alone module according to claim 1, characterized in that the second unit is equipped with a spinal shield with devices for fixing the patient on it in a horizontal position or in a position with a raised head or foot end. 18. A portable stand-alone module according to claim 1, characterized in that the second unit is equipped with accommodation and fastening tools for insulated manipulators - gloves made of durable, sealed elastic material for medical and diagnostic procedures and care procedures, medical instruments, dressings and care products , a container for storing used materials. 19. A portable stand-alone module according to claim 1, characterized in that the second unit is arranged to place and secure a video surveillance system, a microphone and speakers for audio communication, one or more lamps, sensors for monitoring the state of the internal environment, sensors for monitoring the tightness of the second unit. 20. The portable stand-alone module according to claim 1, characterized in that the third unit is configured to accommodate life support systems, including the equipment for pumping, filtering, heating, cooling the introduced air, with the possibility of transferring it sequentially to the first and second blocks, an oxygen generation system, one or several gas cylinders, including with oxygen and nitrous oxide, one or more containers for storing and disinfecting flushing and excreted fluid or wound, human waste products. 21. The portable stand-alone module according to claim 1, characterized in that hatches are made in the walls of the third block for accessing the elements of the equipment placed therein. 22. The portable stand-alone module according to claim 1, characterized in that the means for connecting the equipment elements of the first and third blocks are passed through the second block in transit, through channels protected from the internal environment of the second block. 23. The portable stand-alone module according to claim 1, characterized in that the blocks are combined in a single housing made in the form of a hollow parallelepiped with straight or curved side walls, while the housing is equipped with two horizontal partitions spaced in height to form the three said blocks, providing the implementation of their functional purpose. 24. The portable stand-alone module according to claim 23, characterized in that the single housing consists of separate, interconnected elements. 25. The portable stand-alone module according to claim 24, characterized in that the walls of the housing or blocks, the lower block, and also the partitions between the blocks act as separate elements. 26. The portable stand-alone module according to claim 23, characterized in that the partitions are removable and provided with fastening means of the “lock-coupler” or “lock latch” type. 27. The portable stand-alone module according to claim 23, characterized in that the partitions are hermetically connected to the vertical side walls of the housing. 28. The portable stand-alone module according to claim 23, characterized in that the housing is made of metal, plastic, composite or made in the form of a rigid frame covered with a fabric or synthetic material impermeable to gas or liquid. 29. The portable stand-alone module according to claim 23, characterized in that the lower partition between the second and third blocks, on the placement side of the second block, has an anatomical surface shape that provides long-term transportation of the patient, and the upper partition between the first and second blocks is a supporting surface for placement diagnostic and medical medical equipment. 30. The portable stand-alone module according to claim 1, characterized in that it is provided with a removable external protective cover for disposable or reusable use. 31. A portable stand-alone module according to claim 1, characterized in that it is equipped with devices for carrying or transporting it.

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