WO2007014881A1 - Installation medicale transportable - Google Patents

Installation medicale transportable Download PDF

Info

Publication number
WO2007014881A1
WO2007014881A1 PCT/EP2006/064638 EP2006064638W WO2007014881A1 WO 2007014881 A1 WO2007014881 A1 WO 2007014881A1 EP 2006064638 W EP2006064638 W EP 2006064638W WO 2007014881 A1 WO2007014881 A1 WO 2007014881A1
Authority
WO
WIPO (PCT)
Prior art keywords
facility
room
medical facility
rooms
transportable medical
Prior art date
Application number
PCT/EP2006/064638
Other languages
English (en)
Inventor
Ian Charles Smith
Stephen John Hudson
Original Assignee
A. Smith Gt. Bentley Ltd.
Vanguard Healthcare Solutions Ltd.
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by A. Smith Gt. Bentley Ltd., Vanguard Healthcare Solutions Ltd. filed Critical A. Smith Gt. Bentley Ltd.
Priority to AU2006274914A priority Critical patent/AU2006274914A1/en
Priority to US11/989,569 priority patent/US20100139179A1/en
Priority to CA002616693A priority patent/CA2616693A1/fr
Publication of WO2007014881A1 publication Critical patent/WO2007014881A1/fr

Links

Classifications

    • E—FIXED CONSTRUCTIONS
    • E04—BUILDING
    • E04H—BUILDINGS OR LIKE STRUCTURES FOR PARTICULAR PURPOSES; SWIMMING OR SPLASH BATHS OR POOLS; MASTS; FENCING; TENTS OR CANOPIES, IN GENERAL
    • E04H3/00—Buildings or groups of buildings for public or similar purposes; Institutions, e.g. infirmaries or prisons
    • E04H3/08—Hospitals, infirmaries, or the like; Schools; Prisons
    • E—FIXED CONSTRUCTIONS
    • E04—BUILDING
    • E04B—GENERAL BUILDING CONSTRUCTIONS; WALLS, e.g. PARTITIONS; ROOFS; FLOORS; CEILINGS; INSULATION OR OTHER PROTECTION OF BUILDINGS
    • E04B1/00—Constructions in general; Structures which are not restricted either to walls, e.g. partitions, or floors or ceilings or roofs
    • E04B1/343—Structures characterised by movable, separable, or collapsible parts, e.g. for transport
    • E04B1/34336—Structures movable as a whole, e.g. mobile home structures

Definitions

  • This invention relates to a transportable medical facility.
  • it relates to a transportable medical facility having a procedure room and recovery ward in the same unit.
  • the use of mobile surgical units has developed considerably in recent years. This growth has been due partly to increases in the availability and accessibility of routine procedures and elective surgery, whilst political pressure to reduce hospital waiting lists may also be a contributory factor.
  • mobile surgical units are housed in a specially adapted trailer of an articulated heavy goods vehicle (HGV).
  • HGV articulated heavy goods vehicle
  • the HGV can be driven to the desired location, e.g. adjacent a door of a hospital, where the mobile surgical unit can be deployed into its operational condition.
  • This deployment often involves expanding the sides of the trailer so as to create an internal working area having a total width somewhat greater than that of the trailer when in transit.
  • an operating theatre or procedure room often accompanied by rudimentary pre- and post- procedural induction and recovery areas.
  • the trailer will often be provided with ramps or walkways to enable the internal working area to be directly connected to the door of the hospital, and/or to other mobile surgical units.
  • the present invention seeks to combine a procedure room and a recovery ward in a single transportable medical facility.
  • the present invention further seeks to provide a transportable medical facility capable of being utilised as a stand-alone unit without the need for connection to a hospital building or a further temporary surgical facility.
  • transportable refers to a facility adapted to be transported from one location to another atop a low loader trailer of an HGV, but which is independent of the trailer chassis, and is deployed to stand freely of the trailer when in use.
  • transportable medical facility as used with reference to the present invention is thus to be understood as distinct from the term “mobile surgical unit” as used with reference to the prior art, the latter term referring to a unit built on the chassis of an HGV trailer.
  • the present invention has been developed for particular use for internal examination procedures such as endoscopy and for elective surgery such as laser eye surgery. It will nevertheless be understood that the present invention may be utilised for all kinds of surgical procedure whether invasive or noninvasive, and the term “procedure room” as used herein should be construed accordingly to include operating theatres, as well as examination rooms and the like.
  • a transportable medical facility convertible between a compacted condition for transport on a low loading trailer, and an expanded, free-standing condition for use, said transportable medical facility comprising: - a base structure, a roof structure and a pair of external side walls which, when said facility is in its expanded condition, define an internal working area; and
  • the recovery ward is capable of accommodating, in increasing order of preference, at least four, five, six, seven, eight or nine beds for patients.
  • the recovery ward is preferably also fully equipped with a full range of facilities as would be found in a recovery ward in a hospital building.
  • the plurality of rooms defined within the working area when the facility is in its expanded condition preferably further comprises a main waiting room, a sub waiting room and optionally one or more supplementary rooms selected from clean and dirty utility rooms, a consultation room, staff and patient changing rooms, staff and patient lavatories and one or more lobbies.
  • each of the aforementioned rooms is provided within the working area. It is particularly preferred, and indeed required by some health regulations, that a lobby be located between the procedure room and the waiting rooms.
  • the rooms are arranged such that the main waiting room is adjacent the sub waiting room, the sub waiting room is adjacent the procedure room and the recovery ward, and the procedure room is adjacent the recovery ward, and access doors are provided in the internal walls between each said pair of adjacent rooms.
  • a patient may be processed sequentially through the main and sub waiting rooms, into the procedure room and through to the recovery ward.
  • the base structure is preferably provided with a plurality of hydraulic lifting legs. These lift the facility clear of the trailer, which can then be towed away. The hydraulic lifting legs then gently lower the facility into position on the ground. The reverse operation is carried out when removing the facility from a site.
  • the base structure is preferably further provided, at spaced reinforced locations, with a plurality of adjustable feet, adapted to support the facility in a level position when deployed. Most preferably, ten such adjustable feet are provided.
  • one or preferably both, external side walls are mounted on a pair of hydraulic rams for movement in a direction perpendicular to the longitudinal axis of the facility.
  • the external side walls thus move outwards from the facility during deployment of the facility into its expanded condition, and back inwards during retraction of the facility into its compacted condition.
  • Each of the base structure and the roof structure are preferably formed with one or more fold lines parallel to the longitudinal axis of the facility.
  • the transportable medical facility of the present invention may be constructed in a range of different sizes, depending on the surgical application for which it is intended.
  • the facility is constructed with an overall length of substantially 18 m, a height of substantially 3.25 m, and a width of substantially 3.5 m in its compacted condition, increasing to substantially 8.33 m when in its expanded condition.
  • the ratio of the total floor area within the internal working area when the facility is in its expanded condition relative to the total floor area within the facility when in its compacted condition is preferably at least 2:1 and most preferably substantially 2.38:1.
  • the ratio of the width of the facility when in its expanded condition relative to its width when in it compacted condition is preferably also at least 2:1 and most preferably substantially 2.38:1.
  • the ratio of the total volume of the facility when in its expanded condition relative to its volume when in it compacted condition is preferably also at least 2:1 and most preferably substantially 2.38:1.
  • the roof structure preferably has one or more air ducts formed therein, in communication with the ambient via inlet and outlet vents and with the internal working area via internal vents.
  • the ducts preferably house one or more air conditioning and/or purifying elements including, pre-filters, High Efficiency Particulate Air (HEPA) filters and fans arranged to drive circulation of the air through the ducts and the internal working area.
  • HEPA High Efficiency Particulate Air
  • Figure 1 shows a cross-sectional plan view of a preferred embodiment of transportable medical facility according to the present invention, when in its compacted condition for transit;
  • Figure 2 shows a cross-sectional plan view of the transportable medical facility of Figure 1 , when deployed for use in its expanded condition;
  • Figure 3 shows a three-dimensional perspective cross-sectional view of the transportable medical facility of Figures 1 and 2, when deployed for use in its expanded condition;
  • Figure 4 shows the transportable medical facility of Figures 1 to 3 in its compacted condition for transit, in the process of being deployed from a low loader trailer of an HGV;
  • Figure 5 shows a perspective external view from a first end of the transportable medical facility of Figures 1 to 4, when deployed for use in its expanded condition; and
  • Figure 6 shows a perspective external view of a second end of the transportable medical facility of Figures 1 to 5, when deployed for use in its expanded condition.
  • a transportable medical facility generally indicated 10, according to a preferred embodiment of the present invention is shown in its compacted condition for transit.
  • the facility 10 comprises a base structure 1 1 having first and second upstanding portions 12, 13, one at each end of the facility 10; a roof 14 (not shown in Figure 1 ); and first and second external side walls 15, 16.
  • the transportable medical facility 10 is shown in Figure 1 with the roof 14 removed.
  • the side walls 15, 16 are adapted to move in and out of the facility 10, relative to the static base structure 1 1 , so as to effect conversion of the facility 10 between its expanded and compacted conditions.
  • the first side wall 15 is provided with first and second end wall portions 17, 18 which, when the facility 10 is in its compacted condition, lie respectively alongside the inner faces of the first and second end upstanding portions 12, 13 of the base structure 1 1.
  • the second side wall 16 is provided with first and second end wall portions 21 , 22 which, when the facility 10 is in its compacted condition, lie respectively alongside the outer faces of the first and second upstanding portions 12, 13 of the base structure 1 1.
  • FIG. 2 this shows the transportable medical facility 10 deployed in its expanded condition for use.
  • the side walls 15, 16 are now displaced to either side of the facility 10, thus greatly increasing the internal working area, generally indicated 19, within the facility 10.
  • the first end wall portions 17, 21 of the external side walls 15,16 combine with the first end upstanding portion 12 of the base structure 1 1 to form a first external end wall 23 of the facility 10.
  • the second end wall portions 18, 22 of the external side walls 15,16 combine with the second end upstanding portion 13 of the base structure 1 1 to form a second external end wall 24 of the facility 10.
  • the internal working area 19 is defined between the external side walls
  • An auxiliary section, generally indicated 25, is formed as a further extension of the working area 19 adjacent the first external side wall 15.
  • the working area 19 is sub-divided into various different rooms by a number of fixed primary internal walls 26, which remain in position when the facility 10 is in both its expanded and compacted conditions, and a number of removable or collapsible secondary internal walls 27, which are placed in position only when the facility 10 is in its expanded condition.
  • the secondary internal walls 27 are partially removed by means of removable sections or collapsed by means of a telescopic or sliding arrangement.
  • the primary and secondary internal walls 26, 27 divide the internal working area 19 into the following rooms: an entrance lobby 28; a main waiting room 29; a sub waiting room 31 ; a staff lavatory 32; a patient lavatory 33 with access for disabled people; a clean utility and store room 34; a dirty utility room 35; a consultation room 36; a pre-procedural lobby 37; a procedure room 38 incorporating a scrub station 39; a recovery ward 41 having capacity for a total of nine beds 42 for patients; a patient changing room 43; and further dirty utility room 44 for the recovery ward 41.
  • the entrance lobby 28, staff lavatory 32, patient lavatory 33, clean and dirty utility rooms 34, 35, procedure room 38, recovery ward 41 and recovery dirty utility room 44 are each fitted with appropriate storage units, sinks, lockers, cupboards, fridges etc. 45.
  • the facility 10 is provided with external doors 46 to provide both routine and emergency access and egress to and from the internal working area 19, and a ramp 47 is also provided to enable wheelchair and trolley-bed access.
  • Internal doors 48 are provided in the internal walls 26, 27 between adjacent rooms, and a set of automatic sliding doors 49 are provided at the entrance to the sub waiting room 31.
  • a typical sequence of processing a patient through the transportable medical facility 10 will now be described with reference to Figure 3.
  • the patient enters the facility 10 through the external door 46, as indicated by arrow a, and passes through the entrance lobby 28 to reach the main waiting room 29 as indicated by arrow b.
  • the patient may enter the facility 10 via the ramp 47 as indicated by arrow c and reach the main waiting room 29 by following the route indicated by arrow d.
  • the patient registers in the main waiting room 29 and remains there until called to the sub waiting room 31 which is reached by following the route indicated by arrows e and /, passing through the automatic sliding doors 49.
  • the patient is called into the consultation room 36, as indicated by arrow g to discuss his or her treatment with the medical staff, following which the patient returns to the sub waiting room 31.
  • the patient may either then proceed directly for treatment or may require induction or pre- treatment. Where no pre-treatment or induction is required, the patient is taken from the sub waiting room 31 through the pre-procedural lobby 37, as indicated by arrow h, and then into the procedure room 38, as indicated by arrow /.
  • the patient is then taken to the recovery ward 41 , as indicated by arrow j. If pre-treatment or induction is required, the patient is taken from the sub waiting room 31 into the recovery ward 41 as indicated by arrow k. The pre- treatment is then carried out in the recovery ward 41 , following which the patient is taken directly into the procedure room 38, as indicated by arrow /, before being returned to the recovery ward 41 following treatment.
  • the patient Once the patient has recovered sufficiently to leave the transportable medical facility 10, he or she returns from the recovery ward 41 to the sub waiting room 31 , as indicated by arrow m, and passes through the automatic sliding doors 49, as indicated by arrow n.
  • the patient passes through the main waiting room 29 and entrance lobby 28 to exit via the external door 46, following the route indicated by arrows d, o and p.
  • exit from the facility 10 may be achieved by means of the ramp 47, as indicated by arrow q.
  • FIG 4 shows the transportable medical facility 10, when in its compacted condition for transit as described above with reference to Figure 1 , in the process of being deployed from a low loader trailer 51 of a heavy goods vehicle (HGV) 52.
  • HGV heavy goods vehicle
  • the facility 10 is deployed from the trailer 51 by means of hydraulic lifting legs 53 which extend downwardly from the base structure 1 1 of the facility 10 to contact the ground 54. After making contact with the ground 54, the hydraulic lifting legs 53 continue to extend, lifting the facility 10 clear of the low loader trailer 51.
  • the HGV 52 can then tow the trailer 51 away, leaving the facility 10 to be lowered into position by withdrawing the legs 52 back into the base structure 1 1.
  • FIGs 5 and 6 show an external view of the transportable medical facility 10 in use in its expanded condition.
  • the first end wall portions 17, 21 of the external side walls 15, 16 are now combined with the first end upstanding portion 12 of the base structure 1 1 to form a first external end wall 23 of the facility 10.
  • the second end wall portions 18, 22 of the external side walls 15, 16 are now combined with the second end upstanding portion 13 of the base structure 1 1 to form a second external end wall 24 of the facility 10.
  • Figures 5 and 6 also show the roof structure 14 overlying the facility 10.

Abstract

L’invention concerne une installation médicale transportable (10) convertible entre un état escamoté permettant de la transporter sur une remorque surbaissée (51), et un état déployé autonome dans lequel elle est fonctionnelle. L’installation médicale transportable (10) comprend une structure formant socle (11), une structure formant toit (14) et une paire de parois latérales externes (15, 16) définissant ensemble une zone de travail interne (19) lorsque l’installation se trouve dans l’état déployé. Des parois internes (26, 27) séparent la zone de travail interne en une salle d’opérations (38), une salle de réveil (41) et d’autres salles telles qu’un vestibule (28), une salle d’attente principale (29), une salle d’attente secondaire (31), des toilettes (32) pour le personnel, des toilettes (33) pour les patients, des locaux pour le linge propre et le linge sale (34, 35), une salle de consultation (36), une antichambre préopératoire (37), un vestiaire (43) pour les patients, un autre local pour le linge salle (44) associé à la salle de réveil (41).
PCT/EP2006/064638 2005-07-27 2006-07-25 Installation medicale transportable WO2007014881A1 (fr)

Priority Applications (3)

Application Number Priority Date Filing Date Title
AU2006274914A AU2006274914A1 (en) 2005-07-27 2006-07-25 Transportable medical facility
US11/989,569 US20100139179A1 (en) 2005-07-27 2006-07-25 Transportable Medical Facility
CA002616693A CA2616693A1 (fr) 2005-07-27 2006-07-25 Installation medicale transportable

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
EP05076734A EP1748126A1 (fr) 2005-07-27 2005-07-27 Service médical transportable
EP05076734.2 2005-07-27

Publications (1)

Publication Number Publication Date
WO2007014881A1 true WO2007014881A1 (fr) 2007-02-08

Family

ID=35431369

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/EP2006/064638 WO2007014881A1 (fr) 2005-07-27 2006-07-25 Installation medicale transportable

Country Status (6)

Country Link
US (1) US20100139179A1 (fr)
EP (1) EP1748126A1 (fr)
AU (1) AU2006274914A1 (fr)
CA (1) CA2616693A1 (fr)
WO (1) WO2007014881A1 (fr)
ZA (1) ZA200801810B (fr)

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WO2014106738A1 (fr) * 2013-01-02 2014-07-10 Vanguard Healthcare Solutions Limited Système d'écoulement d'air pour bloc opératoire

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US9334664B2 (en) 2014-03-19 2016-05-10 Pm Holdings, Llc Hybrid operating room for combined surgical and fixed imaging services in an ambulatory surgical center
US9249588B2 (en) * 2014-03-19 2016-02-02 Pm Holdings Hybrid operating room for combined surgical and fixed imaging services in an ambulatory surgical center
US20150354200A1 (en) * 2014-06-04 2015-12-10 Les Modules Écologiques Move Home Inc Mobile service block system and method
DE102015112774B4 (de) 2015-08-04 2019-06-13 Karl Leibinger Medizintechnik Gmbh & Co. Kg Mobile Implantatsproduktionseinheit
WO2018132914A1 (fr) 2017-01-18 2018-07-26 Les Modules Écologiques Move Home Inc. Habitation ayant des espaces de vie réglables sélectivement et procédés correspondants associés à celle-ci
CN111395814A (zh) * 2020-03-23 2020-07-10 中国一冶集团有限公司 常规医院与传染病医院平战结合医院及其建造方法
CN111395813A (zh) * 2020-03-23 2020-07-10 中国一冶集团有限公司 常规医院与传染病医院平疫结合医院及其建造方法
US11773613B2 (en) 2020-05-05 2023-10-03 The Boldt Group, Inc. Modular configurable hospital system and method
FR3113294A1 (fr) * 2020-06-04 2022-02-11 Test2Sens Installation pour prelevements et analyses d’echantillons biologiques
CN111677347A (zh) * 2020-06-30 2020-09-18 深圳市巨鼎医疗设备有限公司 支撑机构及折叠病房
CN112709468B (zh) * 2020-12-08 2022-04-01 青岛盛科实验室设备有限公司 一种快速模块化搭建的移动式方舱医院
CN113279480A (zh) * 2020-12-21 2021-08-20 广州豪贝实验设备有限公司 Pcr移动方舱生物检测实验室
CN114312535A (zh) * 2022-01-06 2022-04-12 中国人民解放军总医院 车载医疗方舱系统
CN114592598A (zh) * 2022-01-24 2022-06-07 汉尔姆建筑科技有限公司 一种模块化诊室组件

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Also Published As

Publication number Publication date
US20100139179A1 (en) 2010-06-10
EP1748126A1 (fr) 2007-01-31
CA2616693A1 (fr) 2007-02-08
AU2006274914A1 (en) 2007-02-08
ZA200801810B (en) 2009-09-30

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