RU67031U1 - MOBILE X-RAY DIAGNOSTIC COMPLEX WITH AUTONOMOUS POWER SUPPLY AND RIGGING COMPARTMENT, WITH A TROLLEY-LIFT FOR LOADING / UNLOADING EQUIPMENT - Google Patents

Abstract

The mobile X-ray diagnostic complex is designed for fluorographic, fluoroscopic, radiographic and ultrasound medical examinations in the field, in areas of anthropogenic and natural disasters, as well as for preventive examinations of the population living in areas remote from medical institutions, can be used to equip military hospitals, special medical units and civilian medical facilities. The technical result is the expansion of functionality due to the availability of additional space and equipment, autonomous power supply and mechanization of loading and unloading during the deployment of the complex. For this purpose, a fluorographic compartment (I) was used, located in a van body on the chassis of an all-terrain vehicle, combined with a radiological unit (II) located in a pneumatic installation (4), and the energy-lifting compartment (III) was divided into two compartments: energy (7), containing a power plant (7.1), a power board (7.6), a workbench (7.2), a stand with a telephone (7.3) and a rigging (9), in which a mobile x-ray surgical apparatus (3.5) is placed and fixed in the stowed position, pneumatic equipment (4 ) in packaged condition not inflated with air, a lifting trolley (9.5) and other equipment that, when the complex is deployed, moves to a pneumatic construction (4).

Description

The mobile X-ray diagnostic complex (PRDK) is intended for fluorographic, fluoroscopic, radiographic and ultrasound medical examinations in the field, in areas of anthropogenic and natural disasters, where the possibility of prompt objective diagnosis of the victims, as well as for preventive examinations of the population living in areas, is important remote from medical facilities, can be used to equip military hospitals, medical units special purpose and civilian medical facilities. In addition, the fluorography unit is used for recreation and transportation of staff.

There are well-known mobile medical units of military hospitals, hospitals of the Ministry of Emergencies, mobile medical units, autonomous tent camps, manufactured by the OMNIMED enterprise (website www.omnimed.nnov.ru), which are in the stowed position in the truck body of the car and trailer, and in the unfolded position - in a tent connected to a container body.

However, the deployment of such a formation requires a lot of time and the number of people, in addition, its deployment requires a long-term operation, and X-ray diagnostics require faster mobility.

Known fluorographic mobile digital cabinet (KFPC) based on KAMAZ-4308 and KAMAZ-4326 and KAMAZ-43114 all-terrain vehicles, developed by the company "X-ray industry", registration certificate of the Ministry of Health No. 29/04010201 / 2175-01 of 07/19/2001; mobile computer radiography room installed in a special isothermal

bodywork on the chassis of the MAZ 437040 car or on the chassis of a car of another model file: // A \ Mobile Pulmonary Laboratory Kupava.htm.

A disadvantage of the known devices is the limited space of the van body, which prevents the on-line examination of a large number of people, in addition, the possibilities for other types of diagnostics are limited.

The closest in technical essence to the proposed one is a mobile X-ray room - a fluorograph with digital image processing - based on the ZIL 5301 BO “Bychok” car, manufactured by the Kiev manufacturing association “Medapparatura” together with SKB of diagnostic equipment of JSC “Teleoptik”, adopted as a prototype.

The scheme of a mobile X-ray room with a fluorograph located in it with digital image processing and other equipment is presented in figure 1, where it is indicated:

I - fluorographic department in a box body;

1 - fluorographic compartment;

1.1 - fluorograph;

1.2 - a partition;

1.4 - door;

1.5 - stairs;

1.7 - lift;

2 - laboratory compartment;

2.1 - folding table;

2.2 - control panel;

2.3 - exposure button;

2.7 - couch;

2.9 - washing;

2.12 - computer table;

2.13 - sockets;

2.14 - cupboard;

2.16 - computer chair;

2.17 - a chair-stand;

5 - driver's cab;

11 - the door of the fluorograph.

The prototype device contains a fluorographic compartment I, located in the truck body behind the driver's cab 5, which contains a fluorographic compartment (FO) 1 with a fluorograph 1.1, which is placed in the cabin, having a door 11 leading from FO 1 into the passage leading to the side door 14, and separating the fluorograph cabin from the partition 1.2 of the laboratory compartment 2. In this case, in FO 1, in front of the fluorograph camera, a lift 1.7 for patients is installed on the floor. The control panel 2.2 is located on the wall of the fluorograph cabin.

Laboratory compartment 2 contains on the starboard side a chair-cabinet 2.17, a sink 2.9, a folding table 2.1 and a couch 2.7, located along the rear side of the van body, next to which there is a cabinet 2.14. On the left side there is a computer table 2.12, on which an automated workstation (AWS) is located, near the table there is a computer chair 2.16, sockets 2.13 are fixed on the wall.

The disadvantages of the prototype device are

- space limited by the van body, which does not allow to examine a large number of people at the same time;

- the impossibility of other types of diagnostics due to the lack of special equipment and places for its placement;

- the lack of an autonomous power source, without which in the field any inspection is impossible.

To eliminate these shortcomings in a mobile X-ray diagnostic complex located in a van-body mounted on a car chassis containing a fluorographic unit divided by a partition into a fluorographic and medical diagnostic compartments, moreover, in the fluorographic compartment there is a digital fluorograph and an elevator

for patients, in the medical diagnostic compartment there is the first automated workstation (ARM-1) located on a stationary table, a control panel, an exposure button, as well as a chair, a swivel chair, a sink, a sofa, a cabinet, in addition, on the starboard side of the body the van has a side door with a ladder, according to a utility model, the fluorography unit is combined with an X-ray located in the pneumatic facility and is connected by a vestibule to the side door of the van body, another vestibule is in the opposite torus on the far side of the pneumatic installation and is the entrance to the X-ray department, while the partition separating the fluorographic and medical-diagnostic compartments is made X-ray protective with a swing door, one of the wings of which has an X-ray protective glass, the second arm-2 is located on the laboratory table, the console is attached above the laboratory table control, exposure button and intercom, on the bevel of the body above the laboratory table is placed a holder for a chemical protection device and a remote control Ie, the sofa is equipped with a removable backrest, which is used as an additional place for staff to rest or to carry out patient diagnostics, a compressor for creating a water pressure and a heater are installed on the sink body, a door and a ladder-ladder are mounted in the rear wall of the body, a winch is installed outside the box body for raising and lowering the ladder-ladder, next to the doctor’s table, a floor cabinet with a portable echo-tomoscope is installed, the radiology department is equipped with removable floors, contains a mobile x-ray there is a device with a dashboard with a video system with two monitors, next to which there is an X-ray-permeable operating table for minor surgery with a set of devices and / or a removable back of the sofa and / or stretcher, as well as two folding tables, several chairs and a washbasin, on the ends of the pneumatic installation there are recirculation hoses for connecting heating and wind installations located outside the pneumatic building.

Figure 1 presents a diagram of a prototype device; figure 2 - layout of the fluorographic department, combined with radiological in the expanded position; figure 3 - fluorographic office - top view; figure 4 - arrangement of a portable echotomoscope in a floor cabinet in the fluorographic department in the stowed position; figure 5 is a diagram of the power racks in the stowed position; figure 6 is a photo of the trolley-hoist.

The proposed mobile x-ray diagnostic complex (PRDK) contains a fluorographic department I, combined with radiological II, and an energy-rigging department III.

In the stowed position, the PRDK is located in a box body, for example K4310, mounted on the chassis of the KaMaz-43114, and a box body KP4, mounted on the chassis of a 2-PN-4M car trailer.

In the expanded position, the PRDK offices are located as follows:

- fluorographic department I in a box body;

- X-ray department II in pneumatic equipment 4, for example PSM-4 PM 00.00.000 TO;

- the energy compartment III (power 7 and rigging 9 compartments) in a box body, such as KP4, mounted on the chassis of a 2-PN-4M automobile trailer.

The scheme of the fluorographic department I, combined with radiological II, in the expanded position is presented in figure 2, where it is indicated:

1 - fluorographic compartment (FO);

1.1 - fluorograph;

1.2 - X-ray protective partition;

1.3 - swing door;

1.4 - side door of a box body;

1.5 - stairs;

1.7 - lift for patients;

2 - medical diagnostic (VD) compartment;

2.1 - laboratory table;

2.2 - control panel (PU);

2.3 - exposure button;

2.4 - intercom;

2.5 - holder with a chemical protection device and a remote control of the power plant;

2.6 - wall mounted cabinets;

2.7 - sofa;

2.8 - removable back of the sofa;

2.9 - sink with compressor and heater;

2.10 - floor cabinet;

2.11 - portable echotomoscope;

2.12 - doctor’s table;

2.13 - sockets;

2.14 - cupboard;

2.15 - telephone;

2.16 - a swivel chair;

2.17 - chair;

2.18 - the back door;

2.19 - ladder-ladder;

2.20 - a winch for installing a ladder-ladder;

II - X-ray department (RO);

3.1, 3.8 - tambours of pneumatic construction;

3.2 - tables;

3.3 - chairs;

3.4 - X-ray surgical table;

3.5 - mobile x-ray apparatus;

3.6 - instrument rack with video system;

3.7 - monitors;

3.9 - wash basin;

3.10 - recirculation hoses of pneumatic construction;

4 - pneumatic construction;

5 - car driver's cab;

6 - heating and ventilation installations.

Figure 3 shows the body of the van (top view) with the fluorographic compartment I located in it, where it is indicated: 1 - fluorographic compartment; 1.6 - hole in the roof of the box body, closed by a cap; 2 - medical diagnostic compartment; 5 - car driver's cab.

The fluorographic department I of the proposed PRDK is housed in a van body and structurally separated by an X-ray barrier 1.2 with a swing door 1.3 and an X-ray glass in one of the door leaves 1.3 into a fluorographic compartment (FO) 1, located behind the driver’s cab of the hardware machine, and a medical diagnostic (VD) ) compartment 2.

In FO 1 there is a low-dose digital fluorograph 1.1, for example, FTs-01 "Electron", in front of which a lift 1.7 is located on the floor. To photograph tall patients above the lift 1.7, in the roof of the wagon there is a hole 1.6, closed by a cap (figure 3).

The side door 1.4 through the stairs 1.5 FO 1 is the entrance and exit of patients.

In addition, the fluorography unit I is equipped with an air conditioning system and an air duct (not shown in FIG. 3).

VD compartment 2 contains the following equipment.

On the starboard side of the VD compartment 2 perpendicular to the X-ray barrier 1.2. a floor cabinet 2.10 with six doors is installed, on the upper right open shelf of which a portable computer echotomoscope 2.10 is installed. In the stowed position, the echo tomoscope 2.10 is attached with straps to the cabinet wall to prevent damage (Fig. 4).

Next to the floor cabinet 2.10, there is a two-drawer doctor's table 2.12, on which the first AWP-1 is located, next to table 2.12 is a swivel chair 2.16.

Near the doctor’s table 2.12, a metal double-wing cabinet 2.14 is installed, on the left wall of which a telephone set 2.15 is fixed. on the wall in front of the doctor’s table, sockets 2.13 for connecting the AWP-1 are installed.

Perpendicular to the X-ray barrier 1.2 on the left side is the X-ray machine table 2.1 with a hinged lid, on which the second AWP-2 is located. Above the table of the X-ray technician 2.1, a control panel (PU) 2.2, an exposure button 2.3 and an intercom 2.4, for example ТГУ-0040, are attached to the bracket.

Next to table 2.1 is a sofa 2.7 for staff to relax with a removable backrest 2.8, which is used as a second berth when detaching it from the body wall and folding folding legs. The seat of the sofa 2.7 is located on the locker and is made with the possibility of lifting for access to the locker.

Over the sofa 2.7, under the bevel of the van body, hinged cabinets 2.6 are fixed.

Next to sofa 2.7, there is a 2.9 sink with a water heater, on whose body a compressor is installed to create a water pressure.

A curtain is fixed above the opening of the rear door 2.18, and a dielectric carpet is laid on the floor (not shown in FIG. 2).

A ladder-ladder 2.19 with reinforced support and wide non-slip steps is attached to the exit of the back door of the van body. For its ascent and descent outside the wagon, a winch 2.20 is fixed.

The van body is equipped with standard lighting shades placed on the ceiling (not shown in FIG.).

In the unfolded position of the air defense system, a staircase 1.5 is attached to the side door 1.4 ФО 1, leading to PO II, located in pneumatic construction 4, one platform 3.1 of which is connected to the door 1.4 ФО 1, and the other 3.8, located

in the opposite end side, is the entrance to the pneumatic construction 4.

PO II contains a mobile x-ray surgical apparatus 3.5, for example, RTS-612M, consisting of a multi-position tripod with a C-shaped arc, on which are located an x-ray emitter and an x-ray image amplifier and contains an instrument rack 3.6 with a video system with two monitors 3.7. Next to the X-ray apparatus 3.5 is an operating table 3.4, X-ray-permeable for minor surgery, with a set of devices. Instead of the surgical table 3.4, if necessary, a second lying position can also be used, the removable backrest of the sofa 2.8, located in the VD compartment 2 of the wagon or stretcher, which are also used for ultrasound examination with an echotomoscope 2.11, if it is carried out in PO II. In this case, it is installed on one of the tables 3.2 or chairs 3.3.

In addition, a washbasin 3.9 is located on one side of the entrance vestibule.

Two heating and ventilation units 6, located outside the pneumatic installation 4, are connected to the recirculation arms 3.10, and they can be connected both from the input platform 3.8, and from the side 3.1, connecting PO II to FO 1.

PDDK provides work in three modes:

1) fluorographic studies;

2) radiological studies;

3) ultrasound studies.

To do this, a PRDK is being deployed: a box body is installed on a flat platform, a trailer box body is installed at a distance of 15 meters. Perform grounding work according to the instruction manual (IE) GISHL.94119.001 IE. Connect the cables of the fluorography department I and energy rack III if necessary, autonomous power supply.

For deployment of PO II, the pneumatic structure 4 is unloaded from the rigging compartment 9, pumped with air, connected to its tambour 3.1 with the front side door of the van body of the fluorography unit I, other equipment is unloaded from the energy rig compartment III and transferred to the pneumatic structure 4.

In pneumatic construction 4 flooring and transporting there the necessary equipment for x-ray studies.

If only fluorographic studies are required, then PO II is not deployed.

If it is necessary to work with a portable echotomoscope 2.11, it is disconnected from the mount in the floor cabinet 2.10 and transferred to the laboratory assistant table 2.1 or in PO II.

Work with the fluorograph 1.1, x-ray apparatus 3.5 and echotomoscope 2.11 is carried out in accordance with the relevant technical descriptions and IE for these devices.

Known power plants are AD-16-T 400-1 VPM 1, ZhShTI 561232.032ED, produced in various designs, including on mobile trailers, [PSM-industrial power machines site psm @ powerunit / ru Home> Diesel power plants> Basic options].

A van body is known, for example, KP 4A on the chassis of the trailer SM3-782B, TU 13-87-80, used to place a power station in it.

However, mobile power plants on a trailer do not have additional space to accommodate additional equipment.

To eliminate this drawback, an energy-lifting compartment located in a box body mounted on a chassis of a car trailer containing a power station and a power shield, according to a utility model, is divided by a partition into energy and rigging compartments, and a workbench and a telephone are placed in the energy compartment, in the rigging compartment in the stowed position on the bases with shock absorbers a frame is fixed for the installation and fastening of a mobile x-ray surgical

apparatus, as well as a fixed instrument rack with a video system, monitors in packages, removable floors for pneumatic equipment, pneumatic equipment in a packed state, not pumped with air, are placed on the floor of the lifting compartment, on the left side there is a platform that serves to exit and enter the mobile x-ray surgical apparatus from the base on the floor of the rigging compartment when loading and unloading, a lift truck is located on the platform, on the left side of the rigging compartment, on the jib, a winch is fixed for lifting and lowering rudovaniya.

In Fig.5 presents a diagram of the energy compartment, where indicated:

7 - energy compartment;

7.1 - power plant;

7.2 - workbench;

7.3 - stand with a telephone;

7.4 - side staircase;

7.5 - side door;

7.6 - power shield;

8 - a partition;

9 - rigging compartment:

3.6 - instrument rack;

4 - pneumatic construction in a packed state;

9.1 - frame for mounting an x-ray apparatus;

9.2 - removable floors;

9.3 - the back door;

9.4 - mowing with a winch;

9.5 - trolley;

9.6 - platform;

9.7 - stairs.

The energy-cargo compartment III is divided into two compartments: energy (EA) 7 and rigging (TO) 9.

In EO 7 there is a 7.1 power plant, for example, AD16-T400-1 VPM1, designed to provide the product with electrical energy and its distribution. A power shield 7.6 is installed on the left side of EO 7, through which a supply voltage is supplied to the fluorographic unit and communication between the units is carried out. Also on the port side are a workbench 7.2 and a stand with a 7.3 telephone.

In this case, the partition 8 separates EO 7 from TO 8, designed to accommodate the property of PO II in the stowed position.

In TO 9, in a stowed position, there is a frame 9.1 for installing and fixing a mobile X-ray surgical apparatus 3.5, fixed on bases with shock absorbers and the ability to adjust the mounting of a multi-position tripod with a C-shaped arc, as well as an instrument rack with a 3.6 video system, monitors in packages, on the floor the lifting compartment contains removable floors 9.2 for pneumatic construction 4, pneumatic construction 4 in a packaged state, not pumped with air, on the left side there is a platform 9.6, which serves as an exit and entrance of a mobile X-ray surgical apparatus 3.5 from the base to the floor of the rigging compartment when loading and unloading the X-ray surgical apparatus 3.5, a lift truck 9.5 is located on the platform, a winch 9.4 is mounted on the left side of the rigging compartment at the top, on the jib, for lifting and lowering the equipment.

A mobile x-ray surgical apparatus 3.5 is mounted on a frame 9.1 and is attached to it using three brackets, two of which are mounted in the area of two wheels, and the third in the area of mounting of the third wheel bracket.

Four round shafts are installed on a high bracket mounted on the cushioning frame, between which is placed a C-shaped arc of a multi-position tripod with the possibility of adjusting the shafts under the arc and securing it.

In the left corner, next to the partition on the maintenance floor, two fixed brackets are fixed, to which the instrument wheel rolls with two wheels

a rack with a 3.6 video system that secures the other two wheels of the dashboard.

On the left on the floor of the rigging compartment, four brackets are fixed, to which a 9.5 lift truck is mounted, designed to raise and lower the mobile X-ray apparatus 3.5 from the trailer body and back, as well as other equipment.

Under the elevator trolley 9.5 there is a platform 9.6, which serves for the exit and entry of the mobile x-ray surgical apparatus 3.5 from the base on which it is fixed onto the floor of the rigging compartment.

On the trolley-lift, removable channels are installed on which monitors 3.7 of the video system are placed in packages.

The operation of the power plant 7.1 is carried out in accordance with the operation manual for it.

Unloading of equipment from the rigging compartment is carried out in accordance with GISHL.941119.001 IE.

Known lifting table, for example, model SPF-680, designed both for lifting cargo to a height of 150 cm using a hydraulic cylinder, and for using it as a regular platform trolley.

The disadvantage of the elevator table is that it is difficult to load bulky and fragile devices, for example, such as a mobile x-ray apparatus 3.5.

To eliminate this drawback in the trolley for moving equipment placed in the rigging compartment in the stowed position, containing a rectangular platform, a frame with wheels and a control handle and a lifting mechanism with a hydraulic cylinder, according to a utility model, guides are fixed along the long sides of the platform of the trolley channels with removable extension parts used for loading and unloading of a mobile x-ray apparatus.

The elevator trolley 9.5 contains a frame 9.54 with wheels and a control handle, and a lifting mechanism with a hydraulic cylinder 9.55, on which a rectangular platform 9.51 is installed, on the long sides of which removable channels 9.52 are installed, removable extension parts 9.53 are attached to them.

To unload the mobile x-ray surgical apparatus, the 9.5 trolley-lift is lowered to the ground, extension pieces 9.53 are attached to the channels 9.52, the trolley platform 9.51 is lifted using the 9.55 lifting mechanism to the level of the wagon and the x-ray surgical apparatus 3.5 is rolled onto it using a winch mounted on the jib 9.4. Then carefully lower the platform 9.51 of the trolley-lift 9.5 and transport the device to the pneumatic facility 4 for its installation.

With the help of a trolley-hoist and a winch, other equipment is also unloaded, having unfastened the removable extension parts of channel channels 9.52.

Thus, the proposed PDDK allows to increase the area for placement of special equipment for additional medical research and the number of examined patients at the same time, in addition, the availability of autonomous power supply allows the complex to be operated in the field, and the process of deployment and folding of the PDDK is mechanized by using a trolley and other devices that are located in the rigging compartment of the trailer.

Claims (4)

1. A mobile X-ray diagnostic complex, located in a van body mounted on a car chassis, containing a fluorographic unit divided by a partition into a fluorographic and medical diagnostic compartments, and in the fluorographic compartment there is a digital fluorograph and an elevator for patients, in the medical diagnostic compartment there is the first workstation (AWP-1) located on a stationary table, control panel, exposure button, as well as a chair, a swivel chair, a sink, a sofa, cafe, in addition, on the starboard side of the van body there is a side door with a staircase, characterized in that the fluorography unit is combined with the X-ray diagnostic located in the pneumatic facility and is connected by the vestibule to the side door of the van body, the other vestibule is in the opposite end side of the pneumatic facility and is the entrance to the X-ray department, while the partition separating the fluorographic and medical diagnostic compartments is made X-ray protective with a hinged door, in one of with an X-ray protective glass inserted, the second arm-2 is located on the laboratory table, the control panel, exposure button and intercom are mounted above the laboratory table, the holder for the chemical protection device and the power station remote control is placed on the bevel of the body above the laboratory table, the sofa is equipped with a removable back, used as an additional place for staff to relax or to diagnose patients, a compressor is installed on the sink body to create a water pressure and a heater in the rear there is a door and a ladder-ladder attached to the wall of the body, a winch for raising and lowering the ladder-ladder is installed outside the van, a floor cabinet with a portable echo sounder is installed near the doctor’s table, the X-ray department is equipped with removable floors, it contains a mobile x-ray apparatus with an instrument rack with a video system with two monitors, next to it there is an X-ray-permeable operating table for minor surgery with a set of devices and / or a removable back of the sofa and / or stretcher, as well as two folding tables, several chairs and a washbasin; there are recirculation sleeves on the ends of the pneumatic installation for connecting heating and ventilation units located outside the pneumatic installation. 2. The mobile X-ray diagnostic complex according to claim 1, characterized in that the removable floors are made of pressed plywood sheets. 3. An energy-cargo compartment located in a box body mounted on a chassis of a car trailer, containing a power station and a power shield, characterized in that it is divided by a partition into energy and rigging compartments, and a work bench and a telephone are located in the energy compartment, in the rigging in the stowed compartment on the bases with shock absorbers, a frame for installing and fixing a mobile x-ray surgical apparatus is fixed, as well as an instrument rack with a video system, monitors in packagings, on the floor of the rigging compartment, removable floors for pneumatic equipment, pneumatic equipment in a packaged state, not pumped with air, are placed on the left side of the platform, which serves to exit and enter the mobile x-ray surgical device from the base to the floor of the rigging compartment when loading and unloading, on the platform a lift truck is located, on the left side of the lifting compartment, on the jib, a winch for loading and unloading equipment is fixed. 4. A lift truck for moving equipment in the rigging compartment in the stowed position, comprising a rectangular platform, a frame with wheels and a lift with a hydraulic cylinder, characterized in that guide channels having removable extension parts are fixed along the long sides of the lift truck, used for loading and unloading a mobile x-ray apparatus.