• 专利附录
  • 专利说明
  • 权利要求
  • 类似技术
  • 同族专利
  • 引用文献
  • 法律状态
  • 优先权
    • 专利摘要:
    INSTALLATION FOR MOBILE TREATMENT, DIAGNOSIS AND SMALL SURGERY. The present invention relates to a mobile medical facility capable of treating, diagnosing and performing minor surgery on multiple patients at once. In general, the facility includes a health care area that is interchangeable between a first transportable configuration and a second operational configuration. In the operational configuration, the area for medical assistance is expanded and able to provide diagnostic and general care facilities to multiple patients as well as registration, counseling and screening for at least one patient. Preferably a row of stalls for the treatment of the patient is provided with storage areas and cubicles for entry, counseling and screening.
    公开号:BR112014012326B1
    申请号:R112014012326-8
    申请日:2012-11-20
    公开日:2021-03-16
    发明作者:Thomas H. Blackwell；Timothy J. Masud；Jeffrey D. Fischer
    申请人:Med1 Partners Llc；
    IPC主号:
    专利说明:

    Related Orders Reference
    [001] This order claims priority to US Provisional Order No. 61 / 588,814, filed on January 20, 2012 and US Provisional Order No. 61 / 561,963, filed on November 21, 2011, both from same title and each of which is incorporated by reference in its entirety. Background 1. Field of the Invention
    [002] A unit and procedure methods for mobile treatment, diagnosis and small surgery are described. In particular, the unit and the methods facilitate the diagnosis, treatment, study of the epidemiological significance of particular symptoms, diseases or illnesses within a population as well as the distribution of basic assistance, analytical testing and services to communities and isolated people and populations in necessity. 2. Description of the Background
    [003] The distribution of basic health care is an important component of public health care, especially in developing countries or other areas where access to medical services is challenging or prohibited. Basic care is typically a point of first contact when talking about the health of a particular individual or population. This type of consultation is intended for the broadest scope of medical care by including patients of all ages and a variety of health care needs. Thus, basic care is often the basis for an effective health care system.
    [004] Within the context of basic care, there may be epidemiological concerns and vice versa. For example, the study of the nature, time and duration of symptoms, signs, illnesses as well as treatments and diagnoses from a community or population perspective is often crucial to understanding the clinical significance of risk factors in the community, the absolute risk associated with interventions or risk factors and the efficient targeting of preventive and other resources. In addition, personalized notice can be provided to individual patients / families during the consultation. Changes in the format of primary care and the variety of symptoms and illnesses managed by different members of the basic health care team can influence the understanding of: the epidemiology of the disease in the community; the need for different health care services; and how epidemiology is carried out.
    [005] Typically, temporary fixed medical facilities are established for medical care in disasters, for example, in the case of a natural disaster or an epidemic outbreak in a given geographic region or to increase existing health care structures at the time of construction of the infrastructure or carrying out renovations. The effectiveness of any temporary medical facility is dependent on the promptness and speed with which such resources are prepared to assess patients once established. Equipment appropriate for the deployment mission, ease of use and personnel to provide assistance are all equally important considerations. Although fixed, static structures, such as hospitals and clinics, are essential to communities; locations for such structures are typically reserved for the most populated areas. This situation is clearly not beneficial for those who live outside that service area or in remote locations. In countries where travel is on foot, these challenges to health and resources for medical care are especially problematic.
    [006] In light of this dilemma, the provision of a portable medical facility that can strengthen or augment existing local medical facilities and provide basic medical services and care would be advantageous in accordance with the present invention described below. In particular, such facilities can be important in diagnosis, specifically, in understanding the spread of the disease and epidemiological surveillance. Focusing on certain diseases and establishing definitive diagnoses increases the likelihood that accurate treatment options will be known and available earlier in the course of a particular illness or outbreak, thereby increasing the potential for positive results. Summary of the Invention
    [007] In general, the invention is directed to a unit for mobile treatment, diagnosis and small surgery adapted to treat, diagnose or operate on a plurality of patients and adapted to be transported, including: an area for medical assistance including a floor area and adapted to switch between at least a first transport configuration and a second operational configuration, in which in the first configuration the floor area of the health care area is reduced compared to the second configuration to allow the area to be transported to medical assistance and in which in the second configuration the area for medical assistance supports a first patient area for medical treatment, diagnosis and small surgical procedure of the patient configured to provide facilities for general care or diagnosis for a plurality of patients and a second patient area configured to provide registration, counseling or triage m to at least one patient.
    [008] In one modality, the mobile treatment unit, diagnosis and small surgery, the area for medical assistance includes a sliding area that is adapted to expand and contract the floor area for medical assistance.
    [009] In another modality, the mobile treatment unit, diagnosis and small surgery when in the second configuration, the patient's first area for medical treatment, diagnosis and small surgical procedure of the patient includes a single row of a plurality of boxes for the treatment of the patient.
    [010] In another embodiment, each patient treatment stall includes a bed or chair for the patient and, in the second configuration, the second patient area includes at least one cubicle designed for registration, counseling or screening.
    [011] In another modality, the area for medical assistance at the mobile treatment, diagnosis and small surgery unit is at most about 80 percent of the maximum size limit allowed to be transported across interstate highways in the United States.
    [012] In another modality, the area for medical assistance is a maximum of 75 percent of the maximum allowed size limit, yet in other modalities a maximum of 70 percent of the maximum allowed size limit and in other modalities, a maximum of 65 percent of the maximum allowed size limit.
    [013] In another modality, the mobile treatment, diagnosis and small surgery unit also includes a transport system for moving the unit.
    [014] In another modality, the mobile treatment, diagnosis and small surgery unit also includes an awning system configured to be deployed to provide an extended work environment for patient care adjacent to one or both sides of the area for medical assistance.
    [015] In another modality, the mobile treatment, diagnosis and small surgery unit also includes: a generator with size and dimension to supply energy to the mobile unit; and an air filtration system sufficient to repeatedly filter an air supply to the unit when deployed in the operational configuration, where the air filtration system maintains the air pressure inside the unit at a higher level than the air pressure outside the unit to at least minimize contamination in the unit.
    [016] In another modality, the mobile treatment, diagnosis and small surgery unit still includes at least one heating source to provide heat for the mobile unit and at least one air conditioning source to cool the unit.
    [017] In another modality, the floor area in the second configuration of the mobile treatment, diagnosis and small surgery unit is at least twice as large as the floor area in the first configuration.
    [018] The invention also covers a mobile treatment, diagnosis and small surgery facility adapted to be transported through any region that is accessible by truck, vehicle with four-wheel drive or to all terrains. Preferably, the installation is vehicle, vehicle chassis or the trailer of a truck with a trailer and not connected to a vehicle with a hitch or other tow bar. The vehicles of the invention travel on all kinds of paved and unpaved roads including, but not limited to, non-North American and local interstate roads and highways, access roads in the event of fire in forest areas, dirt paths, rivers frozen, mangroves and bodies of water, gravel roads, ice roads, jungle paths, sandy roads, pastures, salt flats, open deserts and any terrain that is accessible by a four-wheel drive vehicle or all terrain. The facility provides treatment for a plurality of patients suffering from a variety of conditions or injuries including: a health care area having a sliding part, a first transportable configuration defined by a contracted position of the sliding part; a second operational configuration defined by an expanded position of the sliding part; a first area for the treatment of the patient defined at least partially by the sliding area which, when in the second configuration, is configured to provide general assistance to a plurality of patients and which includes a single row of a plurality of stalls for the treatment of the patient; and a second patient area at least partially defined by the sliding area which, in the second configuration, is adapted to provide registration, counseling or screening to at least one patient, where the sliding part has a floor area in the second configuration which is at least at least twice a floor area when the sliding part is in the first configuration.
    [019] In another modality, the installation of mobile treatment, diagnosis and small surgery still includes a fixed awning system that extends outside the health care area in at least one direction when the health care area is in the second operational configuration and provides an extended work environment for patient care adjacent to the medical care area.
    [020] In another embodiment, the fixed awning system extends the facility's capabilities to cover one or more hospital stretchers, one or more supply trolleys, a light source and an electricity source configured to extend one or more of the medical capabilities or diagnostics of the mobile installation or both, outside the area for medical assistance. In other modalities, the single row of the plurality of bays for the treatment of the patient includes a maximum of six bays for the treatment of the patient and the second area includes at least two cubicles for registration, counseling or screening of patients, when the mobile unit is in the second operational configuration.
    [021] In another modality, the area for medical assistance includes a division between the first area for the treatment of the patient and the second area of the patient for registration, counseling or screening to facilitate control of movement between the first and second areas.
    [022] The invention further encompasses a method for providing medical care to a plurality of patients at a remote location including: transporting a first area for medical assistance in a first transportable configuration from a first location to a second remote location , in which in the first configuration the first area for medical assistance defines a first floor area and facilitates the transport of the first area for medical assistance through one or more roads; expanding a sliding area of the health care area to expand the health care area in a second operational configuration, where the second health care area setting defines a second floor area larger than the first health care area. floor adapted to diagnose, treat and perform minor surgery or first aid in a plurality of patients; the provision of a first patient area for medical treatment, diagnosis and small surgical procedure defined at least partially by the sliding area within the second floor area; and the provision of a second patient area defined at least partially within the second floor area having at least one region that is for registration, counseling or screening.
    [023] In another modality, the method also includes the contraction of the sliding area of the health care area to put the health care area back in a first configuration for transport. In still other modalities, the method includes the provision of one or more separators for the division of each of the bays for the treatment for privacy in them.
    [024] In another modality, the method includes the operational association of an extensible awning system with the area for medical assistance to increase the medical or diagnostic capacity of the area for medical assistance or both. In some modalities, the second area of the patient includes at least one among a table, a chair and screening equipment.
    [025] Other modalities and advantages of the invention are determined in part in the description below and in part can be obvious from this description or can be learned from the practice of the invention. Description of Drawings
    [026] Figure 1 illustrates a perspective of a modality of the present invention, in which the area for medical assistance is in a first configuration for transport to a location.
    [027] Figure 2 illustrates a perspective of a modality of the present invention in which the area for medical assistance is in a second operational configuration.
    [028] Figure 3 illustrates a perspective view of a modality of a remote control device for moving the area for medical assistance between the first and second configurations.
    [029] Figure 4 illustrates a view of a modality of the invention from the interior of the health care area from the top where the health care area is in a second operational configuration.
    [030] Figure 5 illustrates a view of a modality of the invention from the interior of the health care area from the top where the health care area is in a first transportable configuration.
    [031] Figure 6 illustrates a rear view of a modality of the invention of the area for medical assistance in a second operational configuration.
    [032] Figure 7 illustrates an expanded view of a cantilever beam and sleeve as shown in figure 6.
    [033] Figure 8 illustrates an expanded view of an area of the cylinder at the bottom of a side end of the sliding area that is shown in figure 7.
    [034] Figure 9 illustrates a rear view of a modality of the invention of the area for medical assistance in which the sliding area is between the first and second configurations.
    [035] Figure 10 illustrates a rear view of a modality of the invention of the health care area in which the sliding area is in the first transportable configuration.
    [036] Figure 11 illustrates a perspective of a modality of the invention of a first patient area for medical treatment, diagnosis and small surgical procedure defined at least partially by the sliding area in a second operational configuration.
    [037] Figure 12 illustrates a perspective view of a mobile installation with a transparent exterior wall showing the interior structures and the placement of space. Description of the Invention
    [038] The invention relates to facilities for mobile treatment, diagnosis and small surgical procedure and also methods to facilitate the diagnosis, treatment, study of epidemiological significance of particular symptoms, diseases or illnesses within a population as well as the distribution of basic assistance, analytical testing and services to communities and isolated people and populations in need. Preferably, the facility provides intense care for patients and populations and can be deployed quickly, efficiently and cost-effectively when compared to fixed structures even when transported by truck or other vehicle. The mobile treatment, diagnosis and small surgery unit, also referred to as "unit" or "facility" and methods described here facilitate the transport of small surgical equipment for basic and / or general care and diagnosis and services to locations who are in need of them. Treatment includes assistance provided to a patient, for any preventive diagnosis or procedure or disorder, who may be ill and show symptoms or be asymptomatic, including, but not limited to, palliative care, such as treating a chronic condition or one or more symptoms of it, essential medical care, such as life-saving and non-essential medical care, such as the treatment of angina or other concerns about quality of life. The diagnosis can be the identification of the cause of any particular disease and can include basic laboratory tests such as the identification of a patient with diabetes by blood test or molecular analysis, for example, nucleic acid analysis of a patient infected with influenza to confirm the diagnosis or obtain more specific strain or other information. In such locations, mobile health resources can advantageously improve well-being and facilitate prevention strategies and can dramatically improve the quality of life for a population. The mobile unit described here is adapted to allow the treatment of numerous patients and to have a high patient performance when compared to what is otherwise available in the area, if any. Preferably, the mobile installation is not towed, but powered by its own propulsion with an engine that is preferably powered with gasoline, carboreator or jet fuel, diesel or biodiesel, ethanol, electric battery power, compressed natural gas or a hybrid thereof. As such, the facility is easily transported across highways, roads, conventional unimproved interstate roads such as, for example, with off-road modifications (eg, all-wheel drive, four-wheel drive, single-wheel drive) or individual, Humvee) or transported by air or sea without requiring unusual or extensive expense or effort with transport even when transporting the mobile unit to a remote location, such as a rural location or an underdeveloped country or region. Consequently, the installation may have, for example, wheels for crossing intersections, skis for traveling through snow and ice and possibly sand, a hull for traveling through water or tracks for traveling through rugged terrain.
    [039] In particular, the invention encompasses areas for healthcare that are sized and sized to be smaller than a semi-trailer in order to fit in such a small vehicle and therefore be more readily transportable off the road and for other remote locations in need of such a unit for mobile medical assistance. In such modalities, the mobile installation can be distributed and deposited in one location and the cabin retrieved or simply used elsewhere. When the desired installation mission is complete, the installation can be simply and easily reconnected to a cabin and transported to a new location again. Because transportation is so easy, the installation can also be brought to a convenient location for cleaning, replenishing supplies (as opposed to the supplies that have to be distributed for the installation), renovating furniture or equipment or for any reason. In the same way, in such modalities, the mobile installation can be built in a particular remote location, for example, by air drop or the ship's distribution of unit parts that are built and the built vehicle released. By allowing the unit to be built on site, problems associated with transport through undesirable areas can be eliminated and / or the mobile facility can be built for the specific transport needs required without component parts that are not required for transport in the target area or designated. The vehicle wheel suspension is preferably independent and uses designs that cover non-Newtonian fluids. Preferably, the walls of the mobile installation are composed of a material that is lighter in weight than iron or steel, such as aluminum, carbon fiber or other weather resistant material and relatively inert. Likewise preferably, the exterior walls of the facility are sufficiently insulated to maintain an interior temperature that is suitable for the treatment of patients and protective against the weather, such as wind, lighting, water and temperatures that are considered hot or cold when compared at room temperature.
    [040] Preferably and when necessary, the mobile installation has all the accessories, features and / or attributes necessary to be registrable to travel through the roads of the country or region of interest. Likewise, preferably, the mobile installation contains a bed cabin for the driver and / or additional passenger to rest when prolonged travel times make rest or interruptions in the trip necessary or desired.
    [041] In general and as shown in figure 1, unit 10 includes a health care area 15 and an operationally associated transport system 30. Health care area 15 includes most, if not all, of health care equipment. treatment, diagnosis and small surgery. The transport system 30 can be associated with the health care area 15 by any means known to someone skilled in the art. For example, the transport system 30 can be a truck, cabin or tractor that is coupled to the area for medical assistance by various mechanisms, such as the use of coupling, hook and locking mechanisms, converter gear, etc. In this preferred embodiment, the transport system 30 can be reversibly coupled to the health care area 15 so that the health care area can be distributed to an area in need. The transport system 30 can additionally supply energy and air to the health care area 15 via air and electrical pipes. In an additional embodiment, the transport system 30 can be directly connected to the health care area 15, so that the transport system 30 and the health care area form a unified structure, such as a large van. Both the transport system 30 and the health care area typically have wheels 25 to allow ease of transport via motorways, although the health care area 15 can be equipped to be easily transported by means of transport vehicles via the air and water, as is typical for transporting storage containers.
    [042] The health care area contains several pieces of electrically powered equipment that are connected to a power source such as an alternator coupled to the vehicle's engine or, preferably, by a generator coupled to a fuel supply such as, but not limited to, propane, natural gas, diesel, ethanol, gasoline or combinations thereof. The power source can be used to operate electrical equipment within the facility (for example, medical equipment, air filtration system, air conditioning, heating, lighting, water pumps, etc.), to supply power to external connections and to power the vehicle by itself, such as expandable parts of the installation (e.g., awning, floor, walls) and / or the vehicle's engine or other engine.
    [043] Preferably, the floor area created by the expanded configuration is at least 25% larger and, more preferably, at least 50% larger than the floor area of the contracted configuration. Likewise, preferred is a floor area in the expanded configuration that is at least 75% bigger, at least 100% bigger, at least 125% bigger, at least 150% bigger, at least 175% bigger and 200% bigger or more than the floor area of the contracted configuration. Also preferred is an expanded configuration that provides more than the expanded floor area, but also increased the work area such as, for example, by providing increased work area (for example, chairs, desks, beds, benches, shelves) multi-level in the expanded configuration.
    [044] As shown in figures 1 and 2, the health care area 15 has at least one first and second configuration. This is accomplished by using at least one sliding area 20 and preferably only one sliding area 20. The sliding area 20 is capable of expanding and contracting reversibly in size and has more than one position to allow different configurations of the treatment regions and diagnosis within the health care area 15. In the first configuration, the floor area of the health care area 15 is typically reduced to a size that allows transportation of the facility such as a trailer across, for example, roads and paths public, as the second configuration is often too large to fit into a standard size vehicle or interstate container. In fact, in a preferred set of modes, the first configuration is small enough that it can readily fit into a smaller vehicle and preferably at least substantially smaller than a semi-trailer-sized vehicle for interstate travel. In the second configuration, the floor area of the health care area 15 is expanded and large enough to support a plurality of beds for the treatment and diagnosis of patients and an area for the registration, counseling or screening of patients. For example, the treatment area can have up to six beds when the sliding area 20 is in an expanded position. In some embodiments, the floor area in the second configuration may be larger than the floor area in the first configuration, preferably the floor area of the health care area 15 in the second expanded configuration is at least twice the size of the floor area. floor area for medical assistance 15 in the first contracted configuration.
    [045] Preferably, there are multiple expanded configurations for any or all of the expanded areas (for example, awning, walls, ceilings, floors) such that the expansion of the contracted configuration can be additional allowing the expansion to a size or area that accommodates the neighborhood. With additional expansion, there may be a first expanded configuration, a second additional expanded configuration, still a third additional expanded configuration and so on as desired where each additional expansion can be functional and used. Each additional expansion is preferably locked in place before use. Similarly, it can be a first, a second, a third, and so on, contracted configurations.
    [046] Preferably, patients are served in the expanded configuration and the contracted configuration is for transportation and contains no patient or other healthcare provider. The contracted configuration that maintains a small number of patients and / or healthcare workers during transportation is also preferred.
    [047] In general, the health care area 15 can be of any format compatible with your treatment, diagnosis or small surgical function, but preferably, in the first configuration, the health care area 15 format is generally rectangular and includes side walls 40, a roof surface 45, a rear surface 35 and a subsurface 50. The rear surface 35 can include at least one door 65 to enter the health care area 15 or alternatively can include an additional sliding area for the expansion of the area for medical assistance 15. Preferably, the facility has 2, 3, 4, 5, 6, 7, 8, 9 or 10 or more beds, recovery rooms or suites (or more), which can be configured individually as private or semi-private, for patients who stay overnight or temporary or multiple beds as determined by the structure and configuration of the facility. Although the mobile installation can be parked and used immediately, alternatively, the mobile unit can be securely connected to the ground or other object or objects for stability. Preferably, all connections are reversible, such that the connections can be secured and the mobile installation moved to a new location, as desired.
    [048] In one embodiment, the sliding area 20 emerges from the side wall 40 when the health care area 15 is expanding into the second configuration. This can be controlled by remote control 90 as shown in figure 3. Although in the first configuration, the health care area 15 can generally be of any size, but is preferably sized to fit common highways while in transport. Preferably and advantageously for smaller motorways, the size of the health care area 15 in the first configuration is reduced when compared to the maximum transport size allowed on motorways. For example and by way of limitation, the area for medical assistance 15 may be 80 percent of the maximum size limit authorized to be transported across interstate highways in the United States as determined by the Department of Transportation in most cases. In other modalities, the area for medical assistance is at most 75 percent of the maximum allowed size limit, yet in other modalities at most 70 percent of the maximum allowed size limit and in other modalities, at most 65 percent of the maximum limit maximum allowed size. For example, on interstates in the United States, the maximum allowable size is about 102 inches (2.6 m) wide, 13.5 feet (4.1 inches) feet in height and 80,000 pounds (36,000 kg) gross weight. Preferably, the transport system and the health care area are sized to fit a truck that is smaller than a semi-trailer truck, preferably a standard size truck, including but not limited to sizes in length of about: 10 feet, 14 feet, 16 feet, 17 feet, 20 feet, 24 feet, 26 feet, 30 feet, 35 feet or similar or any size in between. Also preferred is a system that involves multiple trailers for different purposes such as, for example, a first trailer that serves as a preparatory room for small surgical procedures, exams and / or discussions and a second trailer for more involved procedures and a third containing recovery beds or suites when necessary, which can be 1, 2, 3, 4, 5, 6 or more. Trailers can also contain both surgical beds as well as recovery beds in the same vehicle.
    [049] In the second expanded configuration, the health care area 15 is expanded and provides an additional floor area capable of supporting a plurality of stalls for the treatment of patient 95 and a plurality of cubicle areas 100 for registration, counseling or screening of patients. The health care area 15 is expanded by the use of one or more sliding areas 20. In a preferred embodiment, the health care area 15 has a sliding area.
    [050] The health care area 15 may include one or more doors to enter and exit. For example, the rear surface 35 of the healthcare area 15 can define one or more doors 65 and serve as a main entrance 85. A ramp 75 and / or stairs 80 can be transported with the healthcare area 15 and used to help people reach main entrance 85. In addition, a hydraulic lift 70 can be transported with and attached to the rear surface 35 of the health care area 15 to assist in transporting equipment in and out of the area to the medical assistance 15. Additional or alternative areas for entry or egress can also be displayed, for example, on the sides of the area for medical assistance.
    [051] The health care area 15 may also include a satellite communication system 60 for a unit 10. The satellite communication system 60 can provide real-time audio and video communications between unit 10 and other agencies. health or government agencies such as emergency centers. The satellite communication system 60 can also enable the capabilities of the internet as well as the transport of information, preferably encrypted to comply with government regulations regarding such private information, such as medical records to and from unit 10. Telemedicine capabilities , such as videoconferencing, can also be provided by using the satellite communication system 60.
    [052] When the sliding area 20 is fully extended, this partly defines a first patient area adapted to diagnose, treat and / or perform minor surgery or first aid in a plurality of patients concurrently or sequentially as well as a second area of the patient for registration, counseling or screening in at least one patient. The patient's first area includes medical and / or diagnostic equipment for targeting, treating or diagnosing a wide variety of conditions or injuries including, but not limited to, procedures in small operations, defined as those that do not require general anesthesia or deep sedation such as biopsy of skin lesion, wound repair, incision and drainage in abscess and circumcision.
    [053] As shown in figure 4, the first patient area provides a plurality of boxes for the treatment of patient 95. At most, six boxes for the treatment of patient 95 are provided within the area for medical assistance 15. In some cases, six, five, four, three, two or even a box for the treatment of patient 95 is provided. Some of patient 95's bays can be designated for sample diagnosis, treatment, or small surgical procedures. Alternatively, bays can be designed or used for multiple purposes, for example, diagnosis and treatment or diagnosis and surgery or even all three purposes. Each patient 95 bay can include a patient bed, hospital chair or stretcher and additional medical or diagnostic equipment. Such equipment may include typical supplies found within a general practitioner's office, such as sample collection equipment, pressure gauges, thermometers, etc. as well as equipment found within an analysis laboratory, such as polymerase chain reaction machines, hot water baths, culture equipment, test strips, medical workstation and the like. Thus, medical personnel may be able to diagnose an ongoing infectious epidemic within a population without having to send samples out of the mobile unit 10. Patient beds can be typical of those found in medical offices. The patient treatment bays 95 can be divided for privacy by the use of partitions, such as walls, curtains, screens, light filtering curtains or the like. The second area of the patient can provide one or more cubicles 100 for the registration, counseling or screening of one or more patients. As shown in figure 4, two cubicles 100 and six bays for the treatment of the patient are a preferred modality, although someone in the art would appreciate that numerous variations to the present invention can be employed with regard to the number, combination and designation of the bays for the treatment. treatment of patient 95 and cubicles 100. Each cubicle 100 may include chairs, a wallet and / or additional equipment including the one discussed here. Thus, typically patients will be registered and assessed for the severity of their condition within the context of the second area of the patient. The patient would then be evaluated by a medical professional or samples would be taken within the patient's first area. There may be a divide 110 between the two areas in order to provide a division of services provided within the areas, as well as to enhance patient privacy, including those alternatives noted above.
    [054] General area 105 not occupied by patient care bays 95 and cubicles 100 may provide storage area or laboratory space as needed and may include one or more washbasins. In some embodiments, this area can be used as a pharmacy. The pharmacy may have enough pharmaceutical products for the treatment regimen (s) of up to about four weeks, in some cases up to about three weeks, in other cases, up to about one or two weeks. Preferably, there are a plurality of courses of treatment so that multiple patients with the same diagnosis can receive appropriate pharmaceutical products in association with the treatment or diagnosis in the mobile unit 10. Thus, the unit 10 is able to supply a population or community with the medicines needed during an initial outbreak until long-term medical units arrive in the area. For example, during a flu epidemic, the pharmacy can be supplied with enough TAMIFLU® (an antiviral medication) to treat the initially infected population, for example, for about one to three days until additional supplies can be transported to the mobile unit. or a place nearby. Likewise in the general area 105, there may be one or more medical work stations 115. Alternatively, small surgical procedures and diagnoses can be performed such as, for example, screening for cervical cancer and others, eye and ear exams, neonatal care, circumcision, care for traumatic or minor injuries, nutritional screening, blood testing and analysis, pulmonary diagnosis, tropical medicine care such as screening, diagnosis and treatment of parasitic infections common to local areas and many others. Workstations 115 may consist of a wallet-type structure with additional storage space and a work surface. Medical personnel can fill out charts and prescriptions, as well as consult with others at these workstations. Some workstations can be equipped with a computer for entering medical or epidemiological data.
    [055] As shown in figure 5, workstations 115 can remain in place even when the health care area 15 is in a first contracted configuration. The workstation can be a terminal or computer with a database of records with access to, for example, a database of treatment procedures, diagnostic or diagnostic information or knowledge base for treatment or patient records or any combination thereof. Additional equipment in each patient care box 95 or cubicle 100 may include storage cabinets 130, which can remain in place or move outward when the health care area 15 is in a second expanded configuration. The unit may also include supply carts for storing and moving supplies. For example, trolleys may include air support supplies, intravenous lines and treatments for small lacerations and burn care as well as pharmaceuticals. Portable diagnostic machinery, such as ultrasound equipment, can also be provided on the cart.
    [056] At one end of the health care area 15 when it is in a first contracted configuration, there may be an entrance area 130 in which to store materials through the entrance door such as doors, hydraulic elevators and ramps that can be operationally associated with the mobile unit 10 when in the second configuration. In addition, close to the rear surface 35 and the surface opposite the rear surface 35, there may be sealing flanges 125 for sliding. The sealing flanges 125 generally extend perpendicular to both the roof and the side of the sliding area and are generally parallel to the side wall 40 of the health care area 15. The sealing flanges 125 facilitate the sealing of the health care area 15 when the sliding area 20 is expanded.
    [057] As shown in figure 6, the outer wall 175 of the sliding area is substantially parallel to the side wall 40 of the health care area 15. Each sliding area 40 generally includes an outer wall 175, a ceiling 180 and two walls that connect. The outer wall 175 can be substantially flat with the side wall 40 of the health care area 15. When in a first configuration, the roof 180 and two connecting walls are substantially included within the side wall 40. One or more cylinders 185 can be affixed to the top of the floor 140 of the health care area 15, for example, below the sliding area 20. The cylinders 185, which could be inserts of low friction material, tapered or cylindrical or spherical elements (for example, ball bearings ) or the like, can facilitate the movement of the sliding area through a floor 140 of the healthcare area 15 when sliding area 40 is moving between configurations. The movement typically involves sliding the sliding area, but it could involve rolling or other movement or combinations thereof. Floor 140 of the healthcare area 15 has several sections that are adjustable to accommodate the movement of the sliding area 40. For example, the floor 140 between the side walls 40 of the healthcare area 15 has several sections that can be adapted to fold 170 when sliding area 40 is in the first configuration and several sections that remain solid and do not fold 145 or do not fold readily when the sliding area is in the second configuration. In one embodiment, as shown in figures 9 and 10, two sections of the floor can be adapted to fold 170 by approximately 90 degrees in the first configuration and extend and level up to about 180 degrees in the second configuration.
    [058] The health care area 15 may include a plurality of hydraulic cylinders with cylinders and pistons for the movement of the sliding area 20 between configurations. These hydraulic cylinders can be controlled by a remote control 90, as shown in figure 4. Each cylinder can be located between the non-tilting floor section 145 and the subsurface 50 of the healthcare area 15. One end of the piston can be attached to the outer wall 175 of the sliding area below the floor. Someone skilled in the art would appreciate that, although the use of hydraulic cylinders is exemplified, other methods and devices, such as a rack and pinion gear system, cranks or electric motors, actuators or other such devices or combinations of devices could be used to move the sliding area 20 into different configurations.
    [059] The health care area 15 can also include a plurality of structural supports for the sliding area 20 when it is in the second configuration. For example, one or more cantilever beams, jack or a combination of them can be used. As seen in Figures 6 to 9, the health care area 15 can have a plurality of cantilever supports 150. Each support includes a sleeve 155, a bundle 165 and one or more cylinders 185. The sleeve is typically arranged below a of the non-tilting floor sections 145 and can be attached to the floor 200 of the healthcare area 15 and to the side edge 205 of the sliding area 20. The glove 155 is capable of including some or all of the beam 165. One end of the beam 165 is attached to the outer wall 175 of the sliding area. When the sliding area 20 extends outwardly, the beam 165 extends out of the sleeve 155 along it and when the sliding area 20 contracts, the beam 165 can retract into the glove 155 in the same way. Cylinders 185 engage beam 165 through openings 195 and facilitate movement of beam 165 in and out of sleeve 155. Cables 190 can help control the speed at which the beam extends and contracts. The health care area 15 can also include a plurality of jacks 160 for the additional support for the sliding area 20. The jacks 160 are placed on or near the outer wall 175 of the sliding area. Jacks 160 can be configured to engage one end of beam 165, although many other configurations can be contemplated by someone skilled in the art.
    [060] As shown in figures 9 and 10, a plurality of latitudinal supports 210 can be integrally formed or attached to each section of tilting floor 170. Each latitudinal support 210 has at least two ends; one adjacent to the tilting floor section 170 and one adjacent to the non-tilting floor section 145. A support, typically U-shaped, 215 connects at least two ends and allows the tilting floor section 170 to rotate or fold upward without interference of the non-tilting floor section 145. A plurality of stationary gears 220 are attached to the other end of the latitudinal support 210 adjacent to the other tilting floor section 170. These gears 220 facilitate the movement of the two tilting floor sections 170. In addition, the The health care area can also be operationally coupled to one or more hydraulic legs 225 adapted to level or stabilize the health care area when it is in the second configuration.
    [061] As shown in figure 11, patient treatment bays 95 can include hospital stretchers 230, lighting 235 and supplies that can be stored in a variety of cabinets 120 in each bay 95. Patient care 95 bays they may also include monitoring and diagnostic equipment. Oxygen, air suction and electricity can all be channeled to the 95 treatment bays. The configurations are designed to minimize time between different patients. Diagnostic instruments such as ophthalmoscopes, otoscopes, sphygmomanometers and thermometers can be found inside bays 95 or nearby storage areas. Additionally, portable monitors could also be provided. The health care area 20 may also include power generation, portable running water, biohazardous waste disposal, heating, air conditioning and HEPA air filtration.
    [062] Mobile treatment, diagnosis and small surgery unit 10 can also include an awning system to extend the area and capabilities of unit 10. The awning system can surround the area for healthcare 15 or unit 10 type tent. A marquee or anchor for the awning system 55 can be placed at the top of the area for medical assistance 15. A variety of beams and columns preferably made of aluminum, (nano) carbon composite or other similarly strong material, but light in weight it can provide support for tarpaulins or other similarly weather-resistant material that can form a portion of an awning system. Once in place, the awning system can be equipped with lighting, cooling and heating units. Portable stretchers can be placed under the awning to allow for medical monitoring and basic treatment. Rolling trolleys with supplies can be provided to assist in the provision of assistance. If necessary, the awning system provides an effective way to add additional capacity, particularly when the remote location in which the mobile unit is arranged has a mild climate.
    [063] Figure 12 illustrates a mobile installation complete with a transparent wall showing the placement of the room and the location and design of interior components.
    [064] In addition, a method for providing medical care to a plurality of patients in a remote location includes transporting a first area for medical assistance in a first transportable configuration from a first location to a second remote location. . As used here, "remote location" can include any location that is distant from a community health facility, such as a hospital, community clinic or, in some cases, a laboratory. In the first configuration, the first health care area defines a first floor area and facilitates the transport of the first health care area across one or more roads. The sliding area of the healthcare area is expanded to expand the healthcare area in a second operational configuration. The second area configuration for medical care defines a second floor area larger than the first floor area and is adapted to diagnose, treat and / or perform minor surgery or first aid in a plurality of patients. A first patient area for medical treatment, diagnosis and small surgical procedure defined at least partially by the sliding area within the second floor area is provided as well as a second patient area defined at least partially within the second floor area having at least one region that is for registration, counseling or screening. Separators for dividing each of the treatment bays can be provided to enhance privacy. The second area of the patient can include at least one of a table, chair and screening equipment. In some cases, the methods may even include contracting the sliding area of the medical assistance area back to the first configuration once the immediate need for the services provided by the unit has been satisfied. In other cases, an awning system can be operationally associated with the area for medical assistance in order to increase the medical and / or diagnostic capacity of the area for medical assistance. For example, the awning system can be used where the population in need is large, such as in outbreak situations or during epidemiological studies.
    [065] Other modalities and uses of the invention will be apparent to those skilled in the art from the consideration of the description and practice of the invention described here. The term comprising, where already used, is intended to include the terms consisting and consisting essentially of. In addition, the terms comprising, including and containing are not intended to be limiting. All references cited here, including all publications, US and foreign patents and patent applications and US provisional applications noted here as a priority document, are specifically and fully incorporated by reference. It is intended that the specification and the examples are considered exemplary only with the true scope and scope of the invention indicated by the following claims.
    权利要求:
    Claims (17)
    [0001]
    1. Mobile treatment unit (10), diagnosis and small surgery with its own propulsion adapted to treat, diagnose and operate in multiple patients and adapted to be transported, containing: an area for medical assistance (15) comprising an area of floor and adapted to switch between at least a first transport configuration and a second operational configuration, in which, in the first configuration, the floor area of the healthcare area (15) is reduced compared to the second configuration to allow transportation of the area for medical assistance (15) and where, in the second configuration, the area for medical assistance (15) supports a first area (95) of the patient for medical treatment, diagnosis and small surgical procedure configured to provide facilities for general care or diagnosis for a plurality of patients and a second patient area configured to provide counseling and screening for patients; c characterized by a transport system coupled to the health care area (15) as a unified structure comprising a motor suitable for transporting the health care area (15), where the health care area (15) is in the maximum 2.08 meters and in the second operational configuration contains at least 50% more floor area than the first transport configuration.
    [0002]
    2. Mobile unit (10) according to claim 1, characterized by the fact that the health care area (15) includes a sliding area (20) that is adapted to expand and contract the health care floor area (15).
    [0003]
    3. Mobile unit (10) according to claim 1, characterized in that, in the second configuration, the first patient area for medical treatment, diagnosis and small surgical procedure includes a row of a plurality of stalls (95) for the treatment of the patient.
    [0004]
    4. Mobile unit (10) according to claim 1, characterized by the fact that each stall (95) for the treatment of the patient includes a bed or chair for the patient and, in the second configuration, the second area of the patient includes at least one cubicle (100) designed for patient counseling and screening.
    [0005]
    5. Mobile unit (10) according to claim 1, characterized by the fact that the mobile unit (10) is smaller than a semi-trailer truck.
    [0006]
    6. Mobile unit (10), according to claim 1, characterized in that it also comprises an awning system (55) configured to be implanted to provide an extended working environment for patient care adjacent to one or both sides of the area for medical assistance (15).
    [0007]
    7. Mobile unit (10), according to claim 1, characterized by the fact that the unit (10) still comprises: a generator with size and dimension to supply energy to the mobile unit (10) and; a filtering system enough air to repeatedly filter an air supply to the unit (10) when deployed in the operational configuration, where the air filtration system maintains the air pressure inside the unit (10) at a higher level than the air pressure. air outside the unit (10) to at least minimize contamination in the unit (10).
    [0008]
    8. Mobile unit (10) according to claim 1, characterized by the fact that the floor area in the second configuration is at least twice as large as the floor area in the first configuration.
    [0009]
    Mobile unit (10) according to claim 1, characterized in that the unit (10) still comprises at least one heating source to provide heat for the mobile unit (10) and at least one conditioning source air to cool the unit (10).
    [0010]
    Mobile unit (10) according to claim 6, characterized in that it comprises a fixed awning system (55) that extends outside the area for medical assistance (15) in at least one direction when the area for the medical assistance (15) is in the second operational configuration and provides an extended work environment for patient care adjacent to the medical assistance area (15).
    [0011]
    11. Mobile unit (10) according to claim 10, characterized by the fact that the fixed awning system (55) extends the capabilities of the unit (10) to cover one or more hospital stretchers, one or more supply trolleys , a light source and an electricity source configured to extend one or more of the medical or diagnostic capabilities of the mobile unit (10) or both outside the health care area (15).
    [0012]
    12. Mobile unit (10) according to claim 3, characterized by the fact that the row of bays (95) for the treatment of the patient includes a maximum of six bays (95) for the treatment of the patient and the second area includes at least two cubicles (100) for patient counseling and screening, when the mobile unit (10) is in the second operational configuration.
    [0013]
    13. Mobile unit (10) according to claim 1, characterized by the fact that the area for medical assistance (15) includes a division (110) between the first area for the treatment of the patient and the second area of the patient for counseling and screening to facilitate movement control between the first and second areas.
    [0014]
    Mobile unit (10) according to claim 1, characterized in that it also comprises one or more separators (110) for the division of each of the bays (95) for the treatment for privacy in them.
    [0015]
    15. Mobile unit (10), according to claim 3, characterized by still comprising an awning system (55) extensible with the area for medical assistance (15) to increase the medical or diagnostic capacity of the area for assistance (15) or both.
    [0016]
    16. Mobile unit (10), according to claim 1, characterized by the fact that the second area of the patient includes at least one among a table, a chair and screening equipment.
    [0017]
    17. Method for providing medical care to a plurality of patients in a remote location via the mobile unit (10) as defined in claim 1, comprising: providing a sliding area (20) of an area for medical assistance (15 ) to expand the health care area (15) in a second operational configuration, where the second health care area configuration (15) defines a second floor area larger than the first floor area adapted to diagnose, treat and perform minor surgery or offer first aid to multiple patients; provide a first patient area (95) for medical treatment, diagnosis and small surgical procedure defined at least partially by the sliding area (20) within the second area provide a second patient area defined at least partially within the second floor area having at least one region (100) and in a first transportable configuration from a first location to a second remote location, in which in the first configuration the first area for medical assistance (15) defines a first floor area and facilitates the transport of the first area for assistance medical (15) by one or more highways, characterized by transporting a first area for medical assistance (15) by means of a transport system coupled to the area for medical assistance (15) as a unified structure, in which the area for medical assistance (15) is a maximum of 2.08 meters and in the second operational configuration it contains at least 50% more floor area than the first transport configuration.
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    同族专利:
    公开号 | 公开日
    TWI513610B|2015-12-21|
    CL2014001192A1|2015-01-16|
    US20140246876A1|2014-09-04|
    PE20142025A1|2014-12-24|
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    BR112014012326A2|2017-05-30|
    US20130154296A1|2013-06-20|
    TW201332811A|2013-08-16|
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    ZA201402948B|2015-11-25|
    MX351100B|2017-10-02|
    IN2014KN00888A|2015-10-02|
    MX2014006129A|2015-03-23|
    US9308141B2|2016-04-12|
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    法律状态:
    2018-12-04| B06F| Objections, documents and/or translations needed after an examination request according art. 34 industrial property law|
    2019-10-01| B06U| Preliminary requirement: requests with searches performed by other patent offices: suspension of the patent application procedure|
    2020-06-09| B06A| Notification to applicant to reply to the report for non-patentability or inadequacy of the application according art. 36 industrial patent law|
    2020-10-06| B06A| Notification to applicant to reply to the report for non-patentability or inadequacy of the application according art. 36 industrial patent law|
    2021-03-02| B09A| Decision: intention to grant|
    2021-03-16| B16A| Patent or certificate of addition of invention granted|Free format text: PRAZO DE VALIDADE: 20 (VINTE) ANOS CONTADOS A PARTIR DE 20/11/2012, OBSERVADAS AS CONDICOES LEGAIS. |
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    US61/561,963|2011-11-21|
    US201261588814P| true| 2012-01-20|2012-01-20|
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