RU2470801C1 - Mobile complex for blood sampling and preparation - Google Patents

Abstract

FIELD: medicine.

SUBSTANCE: invention refers to medical equipment, particularly to movable complexes for blood and component preparation. A mobile complex for blood sampling and preparation (MCBSP) is based on a mobile apparatus equipped with hot and cold water facilities, a power supply system (2) with a LON connection input, a lighting system, a transport monitoring and control system, an RFID system, a PC, blood diagnostic aids. A cabin of the mobile complex comprises a cooling chamber, an operation zone (12) with at least one complex of process equipment for blood sampling and preparation accommodating a donor's chair (14), a blood dispenser (15), a tube sealer for polymer containers (16). The MCBSP is equipped with communication means to inform a control station of the mobile equipment and the database of the Russian Blood Banking. The blood dispenser, the tube sealer for polymer containers and the cooling chamber are provided with RFID marks. Buses, high mobility vehicles, trailers, rail cars, cargo-and-passenger helicopters, river passenger ships may be used as a movable complex for blood sampling and preparation .

EFFECT: invention ensures enhancement.

8 cl, 2 dwg

Description

The invention relates to the field of medical equipment, in particular to mobile complexes for the preparation of blood and its components.

An important task in the field of health is the collection of donated blood in the field.

Known mobile donor point (see patent for utility model RU 48155 from 07.15.2009, class IPC A61G 3/00), containing a vehicle, the cabin of which is divided by partitions into separate rooms having different functional purpose, including an operation unit, in which donor seats are located, a cargo compartment, which houses equipment for cooling polymer containers with donated blood and their storage during transportation, and a city bus is used as a vehicle.

The disadvantage of this mobile donor point is the restrictions on its use, associated with the lack of autonomous power supply of the equipment, the lack of a hot and cold water supply system, as well as the lack of monitoring of its location and control over its movement when leaving for blood collection, as well as the lack of operational communication with the place of constant deployment (control room / blood transfusion station).

A mobile donor point is also known (see patent for invention RU 2279268 dated 01.06.2005, class IPC F61G 3/00 and В60Р 3/00), made on the basis of a bus, in the cabin of which an operating unit is formed by means of partitions, in which donor armchairs, cargo compartment, which houses equipment for cooling polymer containers.

The disadvantage of this mobile donor point is the restrictions on its use, associated with the lack of autonomous power supply of the equipment, the lack of a hot and cold water supply system, as well as the lack of monitoring of its location and control over its movement when leaving for blood collection, as well as the lack of operational communication with the place of constant deployment (control room / blood transfusion station).

Closest to this technical solution is a mobile complex for the preparation and separation of blood (see RU 2403001, class A61G 3/00, July 15, 2009), made in the form of a bus equipped with mini-power, uninterruptible power supplies, an electrical panel that has access to external power supplies, an autonomous start-up backup power supply unit, a hot and cold water supply system, a lighting system in the form of individual lamps, and in the cabin there is an operating area in which donor chairs are located, a device and for dispensing blood, arranged between the seats, freezer and individual lights.

The main disadvantages of the above mobile complex for the preparation and separation of blood are:

- low throughput of donors due to the operation of plasmacytapheresis, requiring a long time;

- lack of monitoring of its location and control over its movement when leaving for blood preparation;

- lack of operational communication with the place of permanent deployment (control center / blood transfusion station);

- lack of operational control over the safety of equipment that is part of the mobile complex for the preparation and separation of blood;

- lack of operational communication with the databases of the Blood Service of Russia.

The technical result, which the utility model aims to achieve, is to create a device that is devoid of these drawbacks and allows for the possibility of collecting and storing blood in mobile conditions and its guaranteed delivery to a blood transfusion station.

The specified technical result is achieved by the fact that the mobile blood sampling and collection point (hereinafter ICLC) is based on a mobile vehicle equipped with mini-power 3, uninterruptible power supply 4, a power board 6, which has access to external power sources, a stand-alone backup power supply unit 5, system hot and cold water supply 7, lighting system 8, refrigerator 9, a set of diagnostic equipment for biochemical blood analysis 10, a set of diagnostic equipment tests for determining the concentration of glucose in the blood 11, with the operating zone 12 allocated in the cabin 1 of the mobile vehicle, in which at least one set of technological equipment for blood collection and preparation 13, including a donor chair 14, a blood dosing device 15, located next to donor chair, a device for sealing tubes of polymer containers 16, located next to the donor chair, is additionally equipped with a monitoring and control system for rolling stock 21, an RFID system, including guide the RFID tag 20 and RFID reader 17, a personal computer 19. Between MKZZK and control station 24 arranged communication channels for real-time monitoring of mobile means of location and control its security on the route of transmission of short messages. Also, communication channels were established between the IPPC and the databases of the Blood Service of the Russian Federation 25 for operational monitoring and entering into the database of donors. The MKZZK location is carried out by the monitoring and control system of rolling stock 21 using the global navigation satellite system (hereinafter - GNSS) 22, for example, GLONASS and / or GPS, etc. Communication is organized via satellite channels through communication satellites 23 (satellite "Yamal", " Express "), via wireless Internet channels, in the VHF band and / or GSM / GRPS channels, and / or via a wireless broadband access system.

To increase throughput, the complexes of technological equipment for blood sampling and blood preparation 13 are equipped with equipment for whole blood sampling only.

The figure 1 presents the configuration of the ICPC. The figure 2 presents a diagram of the division of the passenger compartment 1 of a mobile vehicle into functional zones. The drawings indicate the following notation:

1 - the interior of the vehicle;

2 - power supply system;

3 - mini-power station;

4 - uninterruptible power supply;

5 - block automatic inclusion of a reserve;

6 - power supply shield;

7 - system of hot and cold water supply;

8 - lighting system;

9 - a refrigerator;

10 - a set of diagnostic equipment for biochemical blood analysis;

11 - a set of diagnostic equipment for determining the concentration of glucose in the blood;

12 - operating area;

13 - a complex of technological equipment for blood sampling and preparation;

14 - donor chair;

15 - a device for dispensing blood;

16 - a device for sealing tubes of polymer containers;

17 - RFID reader;

18 - panic button;

19 - personal computer;

20 - RFID tag;

21 - monitoring and control system of rolling stock;

22-GNSS;

23 - connected satellite;

24 - dispatching point for monitoring and control of rolling stock;

25 - databases of the Blood Service of Russia;

26 - airlock;

27 - zone of registration and examination of donors;

28 - auxiliary zone;

29 - video surveillance monitor.

The work of a mobile complex for the preparation and separation of blood is as follows.

Before traveling to the place of blood collection and blood collection of the ICRC, the vehicle itself and the valuable equipment located in the ICRC are set to RFID tags 20.

The moment of departure of the ICLC and the composition of valuable equipment (such as a device for dispensing blood 15, a device for sealing tubes of polymer containers 16, a refrigerator 9, a set of diagnostic equipment for biochemical blood analysis 10, a set of diagnostic equipment for determining the concentration of glucose in the blood 11) is recorded RFID reader mounted on the base gate. The composition of valuable equipment is simultaneously fixed by the RFID reader 17 installed in the passenger compartment 1 of the vehicle.

The entry and exit of valuable equipment from the cabin 1 is constantly monitored by means of the RFID reader 17 installed in the cabin 1, and the monitoring results are displayed on the screen of the personal computer 19 and transmitted to the control room. RFID reader 17, panic button 18, monitoring and control system of rolling stock 21 are connected to a personal computer 19.

The fact that the ICPC is returned to the base is recorded by the RFID reader installed on the base gate; Also, with the help of this RFID reader, a list of equipment is compared when the MKZZK leaves the base and when it is returned to the base.

The monitoring and control system for rolling stock 21 allows the real-time determination and display of the location of the MKZZK both on the screen of a personal computer 19 located in the MKZZK itself and on the monitor of the dispatcher. Using the panic button 18, the ICLC staff (medical team members, driver) can transmit an alarm / emergency call signal to control room 24. The monitoring and control system for rolling stock 21 allows the transmission of short messages between the control room 24 and the personnel of the ICLC and their display on the monitor screens of the dispatcher and the on-board controller, which is part of the monitoring and control system of rolling stock 21. If necessary, the monitoring and control system of rolling stock composition 21 may include a black box.

The dispatcher, having received a signal, urgently contacts the ICPC to clarify the situation and, if necessary, or in the absence of a response, sends an emergency brigade and / or police outfit to the location of the ICPC.

Upon arrival of the ICLC to the place of blood collection, the medical staff deploys complexes of technological equipment for blood sampling and collection 13. The power supply system 2 is connected to an external AC network. If it is not possible to connect to an external AC network, a mini-power station 3 (diesel generator) is launched.

The supply voltage from an external AC network through the power supply panel 3 of the power supply system 2 is supplied to the hot and cold water supply system 7, a blood dosing device 15, a device for sealing tubes of polymer containers 16, a refrigerator 9, a lighting system 8, an RFID reader 17, personal computer 19, monitoring and control system of rolling stock 21, uninterruptible power supplies 4.

Before the start of the blood donation, registration and medical examination of donors is carried out. Through the communication channels, the availability of data on the corresponding donor is checked in the database of the Blood Service of the Russian Federation 25. In the case of the presence of "negative" data, the donor is refused blood donation. If there is “positive” data, an initial medical examination of the donors is carried out and the necessary tests are carried out.

Venipuncture is performed for the collection and preparation of whole blood.

The donor is located in the donor chair 14. Using devices for dispensing donated blood 13, the process of collecting a given volume of blood from the donor and mixing it with a preservative in polymer containers connected by a line of polymer material and a needle with a donor vein is carried out.

In the event of a sudden disconnection of voltage in the external network, the power supply of the medical equipment used during the collection of donated blood and upon receipt of the blood components is first carried out from an uninterruptible power supply 4, which is a constant voltage converter of the bus on-board network to an alternating voltage of 220 V 50 Hz. This ensures the safety of donors due to the normal (without failures) functioning of medical equipment used in the processes of blood sampling (donor blood donors) and the production of its components (devices for plasmacytapheresis). When you disconnect the external network voltage from the automatic power-on reserve unit 5, a signal is sent to the triggering input of the mini-power station 3, which, after entering the operating mode, provides power to the MKZZK equipment in stand-alone mode.

The progress of the blood preparation process is monitored visually by the head of the medical staff team, and in the case of dividing Salon 1 into functional zones, using the video surveillance monitor 29 associated with video cameras located in different zones of the saloon 1 of the mobile vehicle.

After the preparation of blood components in polymer containers, they are sealed using a device for sealing the tubes of polymer containers 16. Polymer containers with blood are stored in a refrigerator 9 with a temperature ranging from 2 to 6 degrees Celsius.

At the end of the blood sampling and preparation process, they are transported to a stationary medical institution (to a blood transfusion station) for further processing and quarantine. During transportation, the power supply of the refrigerating chamber 9 is carried out from an uninterruptible power supply 4 connected to the on-board network of the mobile vehicle.

Various buses can be used as a mobile means, for example, the Volzhanin-52702 medium-sized intercity bus, cross-country vehicles, for example, KAMAZ heavy trucks, trailers, railway cars, passenger-and-freight helicopters, river passenger ships for local transportation. In this case, the salons of these mobile vehicles are divided into functional areas - airlock 26, registration and examination of donors 27, operating area 12, auxiliary area 28.

In the airlock 26 donors take off their outer clothing and put shoe covers on their shoes.

In the registration and examination area 27, registration and medical examination are carried out; donor data are entered into computer 19, data are verified with the database of the Blood Service of the Russian Federation. Initial laboratory tests of donor blood before the blood supply are carried out using a set of diagnostic equipment for biochemical blood analysis 10 and a set of diagnostic equipment for determining the concentration of glucose in the blood 11.

In the operating area are located at least one technological complex for the collection and preparation of blood 13.

In the auxiliary zone, there may be a video monitor 29, through which the head of the medical staff team controls all areas of the cabin.

As equipment for the MKZZK, industrially produced standard equipment can be used.

As blood dispensing devices, for example, mixers of donor blood "GEMIX" of Russian production can be used.

As a device for sealing tubes of polymer containers can be used tube sealer type "Gecko-B" of Russian production.

As a refrigerator, a blood storage refrigerator type MBR-107D (H) from SANYO, Japan can be used.

As a mini-power plant, you can use the highly reliable diesel station DX 6000 E Auto manufactured by SDMO, France.

As a unit for automatically turning on the reserve, you can use the control and automation unit of the type BKA-25-02, supplied by SC Garantiya LLC, Moscow, Russia.

As an uninterruptible power supply, you can use an uninterruptible power supply based on a multifunctional stand-alone converter ENERGIA 24/220, 4.5 kW manufactured by MikroART LLC, Moscow, Russia, which has the ability to connect to the bus on-board network, which includes a battery 24 V, with a capacity of 190 A / h.

As a monitoring and control system for rolling stock, one can use the Russian-made AT-62 M2 monitoring and control system for automobile vehicles or the Auto-S monitoring and control system for automobile vehicles manufactured by KNIITMU OJSC, Kaluga, Russia. Both of these systems comply with the requirements of the Ministry of Transport of the Russian Federation and are recommended for installation on vehicles of state and municipal institutions.

As the RFID system, you can use the development system of the company "Tendo", Russia, on the basis of technologies and equipment of the company Motorola or the development system of OJSC "IMC" Concern "Vega", Moscow, Russia.

PICCOLO Xpress (ABAXIS, USA) or Reflotron Plus (F.HOFFMAN-LA-ROCHE, Switzerland) can be used as diagnostic equipment for biochemical blood analysis.

As a diagnostic equipment for determining the concentration of glucose in the blood, the Glukometer 3000 device (BST, Germany) can be used.

Claims (8)

1. A mobile blood sampling and preparation complex based on a mobile device equipped with a hot and cold water supply system, an electric power supply system containing a mini-power station, at least one uninterruptible power supply, an automatic power reserve unit and an electric power shield having an input for connecting to an external network, lighting system, monitoring and control system of rolling stock with the function of receiving and transmitting short messages, including panic button, RFID system, including RFID readout a personal computer, at least one refrigerator, a set of diagnostic equipment for biochemical blood analysis, a set of diagnostic equipment for determining the concentration of glucose in the blood, an operating area has been allocated in the cabin of the mobile unit, in which at least one set of processing equipment has been installed and blood preparation, including a donor chair, a device for dispensing blood, located next to the donor chair, a device for sealing the labor a side of polymer containers, located next to the donor chair, and devices for dispensing blood, devices for sealing tubes of polymer containers, a refrigerator, diagnostic equipment for biochemical blood analysis, diagnostic equipment for analyzing the concentration of glucose in the blood, lighting system, hot and cold water supply , a vehicle monitoring and control system, an RFID reader system and a personal computer are connected to the power supply system; the mobile device is equipped with communications via VHF radio channels, and / or GSM / GRPS channels, and / or satellite channels, and / or a wireless broadband access system for organizing communication with the rolling stock monitoring control center and the Russian Blood Service database at least blood dispensing devices, devices for sealing tubes of polymer containers, a refrigerator are equipped with RFID tags, an RFID reader system, an emergency button and a vehicle monitoring and control system are connected with a personal computer. 2. The mobile complex for the collection and preparation of blood according to claim 1, characterized in that the mobile device is made on the basis of the bus. 3. The mobile blood collection and preparation complex according to claim 1, characterized in that the mobile vehicle is based on a KAMAZ-type heavy vehicle. 4. The mobile complex blood sampling and preparation according to claim 1, characterized in that the mobile vehicle is made on the basis of the trailer. 5. The mobile complex blood sampling and preparation according to claim 1, characterized in that the mobile vehicle is made on the basis of a railway carriage. 6. The mobile complex of blood sampling and preparation according to claim 1, characterized in that the mobile vehicle is based on a passenger-and-freight helicopter. 7. The mobile blood collection and blood collection complex according to claim 1, characterized in that the mobile vehicle is made on the basis of a river passenger ship for local transportation. 8. The mobile blood collection and blood collection complex according to claim 1, characterized in that the vehicle’s interior is divided into a lock platform, a donor registration and examination area, an operating area in which at least one set of technological equipment for blood collection and blood collection is located, and an auxiliary zone in which the power supply panel and the video surveillance monitor are connected, connected to the power supply system.

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