RU73517U1 - WOMEN'S HEALTH MOBILE MEDICAL LABORATORY - Google Patents

Abstract

The utility model relates to the field of medicine and can be used to screen the health of women patients living in remote and inaccessible territories, as well as in rural areas. The device is characterized by the implementation of at least one movable building 1 with means to ensure its autonomous functioning. These tools include at least a power supply system 230-260, a crew life support system 4-8, 10 and 11, a communication system with the possibility of providing a video conferencing mode 110 and 170, preferably a satellite communication system based on the VSAT terminal 190, on-board local computing a network 120, preferably an Ethernet LAN, and a terrain positioning unit 194, preferably a GLONASS system. The device van is equipped with a gynecological chair 131 and a colposcope 132, an x-ray digital mammograph 140, means for ultrasound studies 151, means for functional diagnostics 152, at least one electrocardiograph, and a unit for conducting medical laboratory tests 160, including at least devices for express analysis of the blood of the patient 161, her urine 162 and smears taken from the patient 163, as well as optical microscopy 164. The device is equipped with a storage bin for the pass of fuels and lubricants 231, and the electric wind generator 240 is equipped with a battery. In addition, the sanitary-hygienic unit 4 consists of a shower cabin (shower) 410, dry closet 420 and (sink) washbasin 430. The device has a ventilation unit 5, air conditioning units 931 and air disinfection 932, heating unit 7, water supply unit 6 with supplies drinking and industrial water, a fire safety unit 810 and a unit for preventing unauthorized entry into a moving building 820. The mobile medical laboratory for women's health screening is equipped with crew rest and sleeping places 11. As an antenna connection-twinned device using Ku antenna - or Ka - band 192. The technical effect of using the claimed device consists in improving the reliability of women's health screening results.

Description

The utility model relates to the field of medicine and can be used to screen the health of women patients living in remote and inaccessible territories, as well as in rural areas.

A technical solution is known [1], according to which, on board the aircraft, in separate compartments, modules are equipped with medical equipment complexes, including complexes for diagnosing the main parameters of the patients' vital functions, and sanitary equipment (toilet, shower, washbasin, waste bin, etc.) P.). An integrated life support system is also mounted on board the aircraft, which includes a heating system and air conditioning facilities. The cabin is equipped with beds and bedside tables for seriously injured people. For operative diagnosis of patients, the on-board complexes of medical equipment include the departments of fluoroscopy and fluorography, biochemical and bacteriological laboratories / as well as the department of the functional diagnostics laboratory. On board the aforementioned aircraft there is an economic unit for cooking, refrigerators for storing both medical preparations and blood products, as well as food products with a short shelf life. Some of these modules are removable, i.e. when they are unloaded from the aircraft (while the latter was parked at the airport) and provided with energy from power units, they retain the ability to function in accordance with their intended purpose. The device contains two ambulances for transportation of patients within a certain area from the airfield.

One of the main disadvantages of this well-known technical solution is that medical services to patients can be provided within a relatively small area, which includes an airstrip suitable for landing (and, accordingly, take-off) of the aircraft in question (aircraft)

aerodrome, since only two ambulances cannot provide prompt delivery (transportation) of thousands of patients from the okrug to the plane for screening. The second significant drawback of the considered technical solution is the absence on board medical equipment of a narrow specialization for mass examination. In other words, from the position of screening a certain population of people (for example, patients selectable (selected) by sex), the screening results will not have the necessary depth (variety of personalized data obtained from the screening results) and acceptable reliability (due to the fact that on board the aircraft as part of the medical staff carries out work only a certain group of medical workers determined by qualification, specialization and quantitative composition. And, finally, another drawback of the considered analog ha, there is a need to distract highly qualified doctors of highly specialized medical institutions from their main place of work to participate in flights as part of the on-board team of medical workers, since responsible and final decisions on the results of screening of each patient and the population of the examined people as a whole are made exclusively on an airplane (more precisely, on board an airplane who landed in a designated area for screening).

The closest in technical essence and the achieved result to the claimed utility model is the telemedicine system [2], which contains, in addition to the consultative and diagnostic center equipped with a central server with a database, a network of medical institutions, a group of medical centers equipped with communication facilities that are connected by channels receiving and transmitting information with a central server, and at least one telemedicine laboratory. This telemedicine laboratory is mobile and contains operational communications. In this case, the communication means and the means of operational communication are combined into a single communication system of the device in question. This technical solution is taken as a prototype. The telemedicine laboratory of the prototype device is located in at least one van

(which is essentially a movable building), and its means of operational communication are made with the possibility of working, preferably, via satellite communication channels. The mentioned means of operational communication can also interact with the unified communication system through regional communication channels, moreover, the communication facility of medical centers interacts with the unified communication system through local, in particular, wired communication channels. It should be noted that in the prototype the communication means are configured to implement the videoconferencing mode and organize VoIP telephony. As for the mobile telemedicine laboratory in the complex, it is made with the possibility of autonomous functioning. Therefore, the aforementioned laboratory is equipped with means for storing medical waste, a device for determining the location on the ground, and is equipped with a storage unit made with the possibility of storing medical supplies, medicines and medical reagents. The telemedicine laboratory is equipped with a power supply system and a supply of fuels and lubricants, allowing the crew’s life support system to function. The latter consists of a sanitary-hygienic system, including at least a dry closet and a shower (wash basin). It also includes a ventilation agent, air conditioning and air disinfection van (kunga). The life support system of the telemedicine laboratory includes a heating unit, a water supply unit (with reserves of drinking and industrial water) and is equipped with a fire safety support unit. Accordingly, the prototype, in the part related to the medical laboratory, is equipped with a lighting system and a warning unit for unauthorized entry into the kung (van of a moving building).

The disadvantage of the prototype device is the low level of female health screening quality due to the lack of prototype complexes of gender-specific medical equipment in the medical equipment of the mobile telemedicine laboratory.

The task, which the real utility model is aimed at, is to improve the quality of medical care for residents of remote and inaccessible territories, as well as patients in rural areas of residence.

The technical result expected from the use of the claimed mobile medical laboratory for screening women's health is to increase the level of reliability of the results of screening for women's health.

The claimed technical result is achieved by the fact that the mobile medical laboratory for screening female health is made in the form of at least one relocatable building with means for ensuring its autonomous functioning, including at least a power supply system, a crew life support system, and a communication system with the possibility of providing a mode video conferencing, preferably a satellite communications system based on a VSAT terminal, an on-board local area network, preferably LAN Ethernet, and an OCR unit dividing the position on the ground, preferably the GLONASS system, which is coupled to a means of movement by land, and / or water, and / or by air, and is equipped with a gynecological chair and colposcope, information and communication connected to the on-board local area network, an X-ray digital mammograph, information - communicatively connected to the onboard local area network, a means for ultrasound research, information and communication connected to the onboard local area network, with means of functional diagnostics, at least made in the form of one electrocardiograph, information and communication connected to the on-board local area network, a unit for conducting medical laboratory tests, including at least devices for express analysis of the patient’s blood, urine and taken from smear patients, as well as optical microscopy.

Preferably, in the mobile medical laboratory for screening female health, the energy supply system is formed by at least one drive-based electrical generator

an internal combustion engine, and / or an electric wind generator, and / or a solar battery and / or an electrohydrogen generator.

It is desirable that in the mobile medical laboratory for screening female health, the internal combustion engine of the electric generator be equipped with a hopper for storing a stock of fuels and lubricants.

It matters that a mobile medical laboratory for screening for women's health be equipped with an electric wind generator.

It is advisable that in the mobile medical laboratory for screening women's health, the crew’s life support system would include at least a sanitary unit formed by a shower and a dry closet, a ventilation unit, an air conditioning and disinfection unit, a heating unit, a water supply unit with drinking and process water, a fire safety unit and a unit for preventing unauthorized entry into a moving building.

It is preferable that the mobile medical laboratory for screening female health would contain a set of medical supplies related to medical care when working with patients, in particular cotton wool and / or bandages, disinfectants, in particular medical alcohol and / or chlorhexidine, and a set of drugs, at least relevant to the level of emergency care requirements.

It matters that the roaming building in the mobile medical laboratory for female health screening contains space for the crew to rest and sleep.

It is advisable that a Ku- or Ka-band antenna be used as a satellite communication antenna in a mobile medical laboratory for female health screening.

The claimed device is illustrated in graphic materials. Figure 1 presents a generalized block diagram of the equipment of the claimed device, placed in a van of a moving building. Figure 2 conventionally depicts a van of a moving building on the chassis of a KAMAZ automobile. In figure 3. one of the layout options for equipment and systems in a van of a moving building (top view) is schematically presented, and Figure 4 shows a photo illustration of a fragment of an X-ray digital mammograph.

The list of positions. 1. The van of the moving building.

110. Server computer network.

111. The terminal of the crew chief.

120. Onboard local area network.

130. The viewing unit.

131. Gynecological chair.

132. Colposcope.

140. X-ray digital mammograph.

141. Control Panel.

142. The working body of the mammogram.

150. Diagnostic medical equipment.

151. The tool for ultrasonic research.

152. Means for functional diagnostics.

160. Telemedicine terminal.

161. Device for conducting rapid blood analysis.

162. Device for rapid analysis of urine.

163. A device for processing smears.

164. An optical microscope with a system for color digitizing images.

165. Color digital video camera as a part of equipment

workplace of a medical laboratory assistant.

170. Telecommunication equipment.

171. Video conferencing terminal.

172. Telephone set.

180. Multiservice telecommunications gateway.

190. Satellite communications terminal.

191. Communication cable.

192. Antenna for satellite communications.

193. The mechanism of automatic orientation of the antenna to the satellite.

194. The unit for determining the position of the van on the ground.

2. Vehicle moving means.

210. Box of placement of the antenna of the VSAT terminal

220. Outrigger.

230. An electric power source based on a generator drive from an internal combustion engine

231. The bunker for storage of fuels and lubricants.

240. A source of electricity based on an electric wind generator.

250. A source of electricity based on solar panels.

260. A source of electricity based on an electrohydrogen generator.

270. Distribution switchboard.

280. The door to the van moving building.

3. Mammography compartment.

310. The workplace of the radiologist.

320. Telemedicine terminal radiologist.

4. Sanitary unit.

410. Shower.

420. Dry closet.

430. Wash basin.

440. Door reinforced with radiation protection.

5. The ventilation unit.

6. Water supply unit.

610. Capacity with a supply of drinking water.

620. Capacity with a supply of technical water.

7. Heating unit.

8. Security unit.

810. Fire safety unit.

820. Block preventing unauthorized entry.

9. The diagnostic compartment.

910. The door to the diagnostic compartment reinforced with radiation protection.

920. The workplace of the gynecologist.

930. Air handling unit.

931. Air conditioning unit.

932. Air disinfection unit.

10. The refrigerator.

11. A sunbed-transformer.

12. Safe.

The mobile medical laboratory for women's health screening is a movable building, for example, made in the form of a van 1 (Figure 1, Figure 2 and Figure 3), similar in tzothermal design [2]. In the moving building (van), a server of the onboard computer network 110 is installed (FIG. 1 and FIG. 3), equipped with a terminal of the crew chief 111 (FIG. 1 and FIG. 3). Installed Windows 2003 Server software. The construction and functions of the onboard computer network 120 (FIG. 1 and FIG. 2) are similar to the parameters of the local Ethernet 10/100 BaseT computer network disclosed in the source [3]. If you need to use a different (original) configuration of the on-board local area network LAN Ethernet, you should use the recommendations, for example, from information sources [4] and [5]. In the van of the moving building 1 (Fig. 1, Fig. 2 and Fig. 3), a viewing unit 130 is equipped

(Fig. 1) in which the gynecological chair 131 is installed (Fig. 1, Fig. 2 and Fig. 3), for example, the electromechanical universal gynecological chair of the Grace 8400 model (with Gapel's kneecaps) equipped with a color digital video camera, and a colposcope 132 (Fig. .1, Fig. 2 and Fig. 3), for example, a digital video colposcope of the SINSITEC model. The specified medical equipment, in addition to connecting to the power grid, is connected to the on-board local area network 120 (FIG. 1) via RJ45 connectors.

The cabin of the moving building van is equipped with an X-ray digital mammograph 140 (Fig. 1, Fig. 3 and Fig. 4), for example, the MAMMO brand, the operation mode of which is set using the control panel 141 (Fig. 4). The working body of the mammograph 142 (Figure 4) is superimposed upon exposure to the studied area of the patient’s mammary gland.

In the van of the moving building 1 ((Fig. 1, Fig. 2 and Fig. 3) there is a dedicated diagnostic zone in which the diagnostic medical equipment 150 (Fig. 1) is located. This equipment is integrated in the information and communication (on-board) communication system local area network 120 (Fig. 1 and Fig. 3) by means of conductors and the RJ45 connectors mentioned above. This equipment includes ultrasound equipment 151 (Fig. 1 and Fig. 3), for example, a single-point ultrasound analyzer of bone mineral density " OSTEODIN "(screen ng-diagnosis and monitoring of disorders of bone remodeling processes, and means for functional diagnostics 152 ((Figures 1 and 3), e.g., electrocardiograph computer Easy Ecg +.

The telemedicine terminal 160 (Figure 1) provides the possibility of electronic generation of medical documents containing medical images and accompanying text information (patient data, conclusion, etc.), storage of the generated documents in the database, the ability to transfer the generated medical documents via satellite communication channels for conducting telemedicine consultations, as well as obtaining documentary answers and opinions of medical consultants. It also ensures that the results of consultations are stored digitally in an electronic archive.

The equipment of the telemedicine terminal 160 (Fig. 1 and Fig. 3) is installed in a shock-absorbing rack, which ensures its resistance to vibration loads during transportation of a van of a moving building 1 (Fig. 1 and Fig. 3). At the telemedicine terminal 160 (FIG. 1 and FIG. 3), information and communication devices are involved: a device for conducting an express analysis of blood 161 ((FIG. 1 and FIG. 3), for example, a HemaLife model hematology analyzer (60 tests per hour) with a digital output; a device for express analysis of urine 161 ((Fig. 1 and Fig. 3), for example, an autoanalyzer of the Combilyzer VA model (productivity up to 500 tests per hour for parameters: glucose, pH, protein, nitrites, hemoglobin, bilirubin, urobilinogen, ketones, specific gravity, leukocytes, ascorbic acid); in for the processing of smears 163 ((Figure 1 and Figure 3), for example, a device for painting smears of the Neto Tes-200 model (productivity 60 strokes / hour);

an optical microscope with a system for color digitizing an image, for example, similar to that used in [2] and a color digital video camera 165 (Fig. 1 and Fig. 3) as part of equipping a workstation of a medical laboratory assistant, for example, the Canon MVX 4i model.

Telecommunication equipment 170 (FIG. 1) as part of the claimed device contributes to the following functions: supporting the conduct of telemedicine consultations in the main modes: on-line consultations carried out in real time in conditions of, preferably, audiovisual contact of the patient and doctors ; "off-line" consultations carried out according to the package of medical materials for preliminary examinations of the patient, including images received at the consultation point; remote (outside the van) viewing documents (medical images) with the possibility of processing; recording the progress of consultations; receiving answers from consultants; keeping records of documents and patient appeals; transfer of documents to consultant jobs; preparation of reports and conclusions for clients; maintaining an archive of documents, compiling a set of documents required for consultation (including those containing medical images and accompanying information), preserving the necessary textual information, including protocols, and preparing opinions on the examined patients; reception and transmission of digitized fluorograms and images obtained with an optical medical microscope, scanner, video camera; preservation of medical information from a digital cardiograph; search for information in the database for queries generated by the user; protection against unauthorized access at the user registration level by setting personal passwords. To provide video conferencing, telecommunication equipment 160 (FIG. 1 and FIG. 3) includes a video conferencing terminal 171 (FIG. 1 and FIG. 3), which can be equipped with a wireless (due to the use of Wi-Fi wireless communication system) video conferencing system, for example , the terminal of the Sony pcs tl50P model, which provides audiovisual contact with external objects (i.e., outside the van) from it. Voice communication (VoIP technology) can be carried out through

telephone set 172 (Fig. 1 and Fig. 3), for example, Panasonic brand model KX-TS 2350RU.

Information in the form of digital data streams and audio-video streams is transmitted and received through a multi-service telecommunications gateway 180 (FIG. 1), for example, qBRIDGE-ToP model, which is connected to satellite communication terminal 190 (FIG. 1), for example, a digital VSAT terminal , communication cable 191 (Figure 1). The signals from the specified digital terminal are received (received) on the satellite communications antenna 192 (Figure 1), for example, Ku or Ka-band with a diameter of 1.2 meters. The mechanism of automatic orientation of the antenna to the satellite 193 (Figure 1) allows you to accurately position in space the mirror of the satellite antenna 192 (Figure 1) on the satellite relay based on the processing of signals from the van position determination unit on the terrain 194 (Figure 1), for example GLONASS systems.

Moving the van by land, water or air provide the same means as in the prototype (in particular, helicopters, ekranoplanes, ekranopleta, etc.). So, as one of the means of moving the van 2 (Figure 1, Figure 2 and Figure 3) by land, the chassis of a KAMAZ automobile, for example, the chassis of KAMAZ 43118-15, can be used.

The van of the moving building 1 (FIG. 2) is isothermal, dustproof, with 2 ramps, and also partitions dividing the van into three compartments.

The van has a recess 210 (Figure 2) in the upper front part for installing a satellite communications antenna 192 (Figure 1), as well as a drop-down cowling that protects this antenna from mechanical influences during transportation.

The system of orientation and leveling the position of the van is equipped with lifting and locking devices outriggers 220 (Figure 2), for fixing the van relative to the ground and leveling it when carrying out maintenance work for patients, with an accuracy of not worse than ± 5 °. At the same time, a means is provided for determining the position of the body relative to the horizon, with an accuracy of no worse than ± 0.5 ° (for example, the leveling device of the Trimble 3600 Total Station model).

The power of the claimed device can be produced from a number of sources of electrical energy. As one of them, an electric power source is used based on a generator drive from an internal combustion engine (ICE) 230 (FIG. 2), for example, an SDMO diesel generator SD6000E model (power 5.6 kW) can be used. The electric generator is equipped with bunkers for storage of fuels and lubricants 231 (Figure 2). As an alternative or addition, a power source based on an electric wind generator 240 (Figure 2), for example, a Breeze-5000 model wind generator, and / or a source based on solar panels 250 (Figure 2), for example, Aspen Skiing, can be used Compony (10.64 kW) and / or an electric power source based on an electrohydrogen generator 260 (FIG. 2), for example, in accordance with a known technical solution [6].

Switching of power sources is carried out by means of a distribution switchboard 270 (FIG. 2). It is made with the possibility of connecting to an external single-phase stationary alternating current mains with parameters 220 (fluctuation tolerance from + 10% to -15%) with a frequency of 50 Hz (fluctuation tolerance from -2.5 to +2.5 Hz) and is equipped with a single-phase electric meter.

The door to the van of the moving building 280 (Figure 2) is isothermal. Together with the isothermal design of the hull, this provides a temperature in the passenger compartment of the van of 20-25 ° C at an outside temperature of -30 ° C.

One of the compartments of the van is designed to install an x-ray digital mammograph 140 (Figure 1, Figure 3 and Figure 4). Accordingly, it is called a mammographic compartment 3 (Figure 3) and is functionally designed to examine the condition of the mammary glands of patients. In addition to the x-ray digital mammograph 140 (Fig. 1, Fig. 3 and Fig. 4), this compartment also contains the workplace of the radiologist 310 (Fig. 3) and the telemedicine terminal of the radiologist 320 (Fig. 3). The workplace of the radiologist 320 (Figure 3) is equipped with a network laser printer and a digital scanner (not shown).

The sanitary-hygienic block 4 (Fig. 3) is separated from the rest of the van of the moving building 1 (Fig. 3) by a light transformable curtain. This unit is equipped with a shower cabin 410 (Figure 3), a dry closet 420 (Figure 3) and a washbasin sink (washbasin) 430 (Figure 3). From the mammographic compartment 3 (Figure 3), the sanitary-hygienic unit 4 (Figure 3) is separated by a radiation protection door 440 (Figure 3). In such a door, an increase in the level of radiation protection is achieved, for example, by introducing dispersed lead particles into its structural elements.

The design of the ventilation unit 5 (Figure 3) can be varied due to the presence on the market of a large range of components. The main question for the ventilation system is that the ventilation unit 5 (Figure 3) must satisfy the requirements for air exchange and air conditioning in enclosed spaces in accordance with OST 42-21-32-88.

The water supply unit 6 (Figure 3) is a water distribution system based on fittings, for example, made of plastic pipes (not shown). At least 60 liters are placed in the tank for drinking water supply 610 (Figure 3) (see GOST R 51232-98 "Drinking water ..."), and at least 6 liters are stored in the tank for technical water supply (6); 100 liters of the latter.

The heating unit 7 (Figure 3) is structurally a combination of electric heaters, for example, several heating panels ERGN (rated for electric power of 450 W each) with a node for forming a thermal curtain (electric power consumption of 1.5 kW).

Security block 8 (Figure 3) is a system distributed over the volume of the van, consisting of a fire safety block 810 (Figure 1), which includes fire detectors interlocked with an alarm system, as well as an automatic fire extinguishing system, for example, based on the PPKOPU device 01059-100-3 "Rubezh-08". The security block 8 (Figure 3) is also equipped with a block to prevent unauthorized entry

820 (Figure 3) into the van, which can be used as a security system "Guard-PROFI".

The territory of the diagnostic compartment 9 (FIG. 3) is separated from the rest of the van of the moving building 1 (FIG. 3) by a door 910 reinforced with radiation protection (FIG. 3). Next to the gynecological chair 131 (FIG. 3) located in this compartment and the colposcope 132 (FIG. 3), a gynecologist’s workstation 920 (FIG. 3) is equipped with a network computer, video conferencing terminal, gynecological instruments and consumable medical materials.

Given the special, almost equal to the operating, specific requirements for the diagnostic compartment 3 (Figure 3), this compartment is equipped with an air treatment unit 930 (Figure 3), which includes an air conditioning unit 931 (Figure 3), for example, based on Mitsubishi split air conditioning systems of the Heavy SRK-20HG model (power 2.5 kW) and an air disinfection unit 932 (Figure 3), for example, based on the ORUB-03-KRONT irradiator-recirculator. The irradiator's operation is based on the processing of air passing through the recirculator with high-intensity ultraviolet rays, which ensures bactericidal cleaning efficiency of at least 99% when pumping 120 m ^{3 of} air per hour.

The refrigerator 10 (Figure 3) is designed for long-term storage at low temperatures, requiring such storage conditions for drugs, reagents, drugs and consumables. Also, one of the isolated compartments of the refrigerator 10 (Figure 3) (or a second refrigerator) can be used to store processed foods. The refrigerator 10 (Figure 3), for example, can be performed in the form of thermoelectric refrigeration unit model "Ezetil" E45. A microwave and kettle (not shown) serve the crew for quick cooking.

For the rest and sleep of the crew at night, transformer beds 11 are used (Figure 3). Folding beds (folding beds), for example, “Stephanie-s86a”, “Junior-s89s” or “Julia-s5P” can be used as transformer beds.

Safe storage of material assets, money, accounting medicines and important documents is ensured by a safe, for example, a GARANT-46 fireproof and burglary safe.

The work of the mobile medical laboratory for screening women's health will be organized in the following order. After receiving the instruction by the crew chief to leave the van of the moved building 1 (Figure 2) to the specified area for screening the health of women living in the area, he organizes the preparation of a mobile medical laboratory, including replenishment of food supplies, water supplies and fuel and lubricants used medical materials, drugs, medicines, etc. Upon arrival in the deployment area, a KAMAZ vehicle, i.e. means of moving the van 2 (Figure 2) stops. All mobile medical laboratory systems are transferred from the transport mode to the parking mode, i.e. start to work. Before starting on-board electrical and electronic systems to work from the box, a source of electricity is extracted from the drive of the generator from the internal combustion engine 230 (Figure 2). The amount of fuel and engine oil necessary for the operation of the internal combustion engine is removed from the hopper for storing fuels and lubricants. They charge it with an internal combustion engine in accordance with the requirements for its operation. Next, they make reliable grounding of the generator part of the electric power source on the basis of the generator drive from the internal combustion engine 230 (Figure 2). In the case of favorable weather conditions (sunny weather), a power source based on solar panels 250 is additionally deployed and connected to a distribution panel 270 (Figure 2). If the mobile medical laboratory is located in an open wind-blown area, they additionally deploy and connect a power source based on an electric wind generator 240 (Figure 2) to a distribution panel 270 (Figure 2). If there are flowing sources of water (a river or stream with a flow velocity> 0.5 m / s) near the van’s parking lot, a power source based on an electrohydrogen generator 260 (Figure 2) is deployed and connected to a distribution panel 270 (FIG. 2). Next, starting the internal combustion engine and switching in the switchboard, an alternating current of 220 V is supplied to the van’s power network. After that, the van is switched on with lighting

and start the air treatment unit 930 (FIG. 3), by putting into operation the air conditioning unit 931 (FIG. 3) and the air disinfection unit 932 (FIG. 3). Turn on the security unit 8 (FIG. 3) in terms of starting the fire safety units 810 (FIG. 3) and preventing unauthorized entry (820). Since the refrigerator 10 (Figure 3) even when moving (on the march) is in working condition due to its connection to a battery equipped with a DC-to-AC converter 220 V, the power supply to the refrigerator 10 (Figure 2) is disconnected from the battery and switch to the on-board power supply network of 220 V. Then turn on the ventilation unit 5 (Fig. 3), the pumps of the water supply unit 6 (Fig. 3) and, if necessary (due to weather conditions), the heating unit 7 (Fig. 3). After all this, the on-board local area network 120 (FIG. 1) is turned on by launching the on-board computer network 110 server (FIG. 1). The latter is accompanied by the inclusion of telecommunication equipment 160 (FIG. 1), which brings the video conferencing terminal 171 (FIG. 3) into operation, and allows the use of telephone 172 for transmitting voice information (FIG. 1). The inclusion of the onboard local area network 120 (Figure 1) allows information and communication entry into it by the telemedicine terminals of the radiologist 320 (Figure 3), the crew chief 111 (Figure 3) and the gynecologist (not shown), as well as the satellite communications terminal 190 ( Figure 1). Accordingly, network printers, image digitization tools (including a scanner) and color digital video cameras 165 (Figure 1), as well as other devices of the telemedicine terminal 160 (Figure 1), including those designed for express -analysis of blood 161 (Figure 1), for rapid analysis of urine 162 (Figure 1) and, finally, for the processing of smears 163 (Figure 1).

After you turn on the unit for determining the position of the van on the terrain 194 (Figure 1) receive information about its exact location. This makes it possible to include in the operation of the satellite communication terminal 190 (Figure 1). To automatically remove the satellite communications antenna 192 (FIG. 3) from the antenna placement box of the VSAT terminal 210 (FIG. 2), the curtains of the latter are opened. Then, based on the data received from the unit for determining the position of the van on the terrain 194 (Figure 1), the mechanism

automatic orientation of the antenna to satellite 193 (Figure 1) directs the Ku- or Ka-band antenna to the nearest satellite repeater of the space constellation of the satellite communications system, for example, Express (operates around the clock in geostationary orbit in the frequency range from 10950 to 14500 MHz). Thus, I form a satellite communication channel. Through a multiservice telecommunication gateway 180 (FIG. 1), via a communication cable 191 (FIG. 1), through a satellite communication terminal 190 (FIG. 1), a feeder (not shown,) and satellite communication antenna 192 (FIG. 1) this channel it connects the mobile medical laboratory with the central HUB (concentrator) of satellite communications, and from it, through ground-based communication cables, it is connected to one of the medical institutions necessary to consider the result of a specific screening and consultations on it.

Upon completion of the launch cycle of the mobile medical laboratory for work, a ladder is fixed to the base of the open doorway to the van of the movable building 280 (Figure 2), medical workers take jobs and the reception (screening) of female patients begins.

For each patient received for screening by the crew chief using terminal 111 (Figure 1), an accounting form is formed in the electronic database into which her identification (passport) data is entered. Then the patient moves to the territory of the telemedicine terminal 160 (Figure 3), where he donates blood, urine and smears for analysis. In the presence of photographs, documents and medical certificates previously obtained by her, they are digitized by medical laboratory assistants using a scanner and / or color digital video camera 165 (Figure 1) and replenish the electronic database of the on-board computer network server 110 (Figure 1). In cases regulated by screening, biological samples of the patient’s tissues are visualized and digitized using an optical microscope with a color digital image capture system 164 (FIG. 1). The data thus obtained are also stored on the server of the on-board computer network 110 (FIG. 1) in an electronic database.

After passing the tests, the patient moves to the diagnostic medical equipment 150 (Figure 1), where, using the means for ultrasound studies 151 (Figure 3) and the means for functional diagnostics 152 (Figure 3), respectively, they determine

the state of bone tissue and remove the cardiogram of the heart. The results are recorded in the above-mentioned electronic database.

In the viewing unit 130 (Figure 3) of the diagnostic compartment 9 (Figure 3), the patient is placed on a gynecological chair 131 (Figure 3). The results of the examination and digital photos from a colposcope are pre-evaluated by a gynecologist at workplace 920 (Figure 3) and then replenish the electronic archive of this patient on the server of the on-board computer network 110 (Figure 1).

Next, the patient leaves the diagnostic compartment 9 (Figure 3) and, closing the door reinforced with radiation protection door 910 (Figure 1), enters the mammography compartment 3 (Figure 3), also equipped with a door with enhanced radiation protection 440 (Figure 3) ) On the x-ray digital mammograph 140 (Figure 4), the radiologist on the control panel 141 (Figure 4) of this apparatus sets the patient’s mammary gland examination mode, then the working body 142 (Figure 4) of the mammograph is positioned on the patient’s mammary gland and exposed. From the workplace of the radiologist 310 (Figure 3), using the telemedicine terminal 320 (Figure 3), the data obtained are pre-analyzed and then archived in an electronic database. If necessary, consultations with other doctors or leading medical specialists in the field of mammography, a specific mammogram can be discussed with fellow mammologists as part of ongoing or delayed video conferencing from the telemedicine terminal of radiologist 320 (Figure 3), equipped with a wireless WEB camera, microphone and audio speakers.

The health screening of the patients following the first proceeds in the sequence described above. The end of the examination based on the totality of the obtained data on the patient’s health is the issuance by the crew chief of a preliminary diagnosis of ICD-10, which is also archived in an electronic database. The final diagnosis is made to the patient taking into account the opinions of leading medical specialists and / or a council of highly specialized doctors, recruited from outside (via satellite channels) and examined the results of screening her health recorded in an electronic database.

After the reception is over, the crew, using the capabilities of the sanitary-hygienic unit 4 (Figure 3), puts himself in order in terms of personal

hygiene, prepares food (using semi-finished products from the refrigerator 10 (Figure 3)) and goes to bed, setting up beds laid out of the sun beds-transformers 11 (Figure 3), for example, in the mammography compartment 3 (Figure 3).

The use of the claimed mobile medical laboratory for screening women's health provides a significant increase in the reliability of the results of screening for women's health. This increase in reliability is a direct consequence of the additional, in comparison with the prototype, configuration of the claimed mobile medical laboratory with instruments and tools intended exclusively for a detailed examination of the female body (in particular, a mammograph, colposcope, densitometer, smear processing device ...).

Therefore, it can be argued about the achievement of the claimed technical result. The task of any screening is to conduct a mass examination of the state of people for the detection of pathologies (painful deviations from the norm in the human body) according to one or several criteria at the same time. But only one of the two conclusions in the link “healthy” - “sick” according to the results of human screening is reliable. Thus, taking into account additional factors of the occurrence of pathologies in the female body on the basis of data obtained by instruments and tools specialized for examining the female body that are part of the equipment of a mobile medical laboratory, will significantly increase the level of reliability of the conclusions whether the patient is sick or not.

The use of medical devices and instruments in the claimed device, the creation and use of which is not a problem today, allows the Applicant to consider the new technical solution proposed by him as meeting the criteria of the utility model “industrial applicability”.

INFORMATION SOURCES

1. RF patent for the invention No. 2246425, “Aircraft-hospital”, publ. 02.20.2005, bull. No. 5.

2. RF patent for utility model No. 62265, "Telemedicine system", publ. March 27, 2007, Byul. No. 9 (prototype).

3. RF patent for utility model No. 66084 "Complex medical support for emergency situations", publ. August 27, 2007, Byul. Number 24.

4. A. Neybauer, “Sociable house. Local area networks and the Internet for business and home. " Publishing house "ECOM", M., 2002

5. “Computer networks. First Step, ”by Wendell Odom. Williams Publishing House, Translated from English and edited by B.C. Guseva, Moscow * St. Petersburg * Kiev, 2006

6. RF patent for the invention No. 2287081 "Hydrogen generator", publ. November 10, 2006, Bull. No. 31.

Claims (8)

1. Mobile medical laboratory for women's health screening, characterized in that it is made in the form of at least one relocatable building with means for ensuring its autonomous functioning, including at least a power supply system, crew life support system, communication system with the possibility of providing video conferencing mode, preferably a satellite communications system based on a VSAT terminal, an on-board local area network, preferably LAN Ethernet, and a position sensing unit on terrain, preferably the GLONASS system, which is coupled to a means of movement by land, and / or water, and / or by air and equipped with a gynecological chair and colposcope, information and communication connected to the on-board local area network, an X-ray digital mammograph, information and communication connected to onboard local area network, means for ultrasonic research, information and communication connected to the onboard local area network, means functionally diagnosis, at least made in the form of one electrocardiograph, information and communication connected to the onboard local area network, a unit for conducting medical laboratory tests, including at least a device for express analysis of the patient’s blood, urine and taken from the patient smears, as well as optical microscopy. 2. The mobile medical laboratory for women's health screening according to claim 1, characterized in that its power supply system is formed by at least one electric generator based on an internal combustion engine drive, and / or an electric wind generator, and / or a solar battery, and / or an electric hydro generator . 3. The mobile medical laboratory for screening women's health according to claim 2, characterized in that the internal combustion engine of the electric generator is equipped with a hopper for storing a stock of fuels and lubricants. 4. The mobile medical laboratory for screening women's health according to claim 2, characterized in that the electric wind generator is equipped with a rechargeable battery. 5. The mobile medical laboratory for women's health screening according to claim 1, characterized in that the crew’s life support system includes at least a sanitary unit formed by a shower and a dry closet, a ventilation unit, an air conditioning and disinfection unit, a heating unit, a water supply unit with reserves of drinking and industrial water, a fire safety unit and a unit for preventing unauthorized entry into a moving building. 6. Mobile medical laboratory for screening women's health according to claim 1, characterized in that it contains a set of medical supplies related to medical care when working with patients, in particular cotton wool and / or bandages, disinfectants, in particular medical alcohol and / or chlorhexidine , and a set of drugs that are at least relevant to the level of emergency care requirements. 7. Mobile medical laboratory for screening women's health according to claim 1, characterized in that the moved building contains places for rest and sleep of the crew. 8. The mobile medical laboratory for women's health screening according to claim 1, characterized in that a Ku- or Ka-band antenna is used as a satellite communication antenna.