GB2477799A - A mobile clinical laboratory - Google Patents

A mobile clinical laboratory Download PDF

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Publication number
GB2477799A
GB2477799A GB1002592A GB201002592A GB2477799A GB 2477799 A GB2477799 A GB 2477799A GB 1002592 A GB1002592 A GB 1002592A GB 201002592 A GB201002592 A GB 201002592A GB 2477799 A GB2477799 A GB 2477799A
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United Kingdom
Prior art keywords
laboratory
clinical
clinical diagnostic
mobile
blood
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GB1002592A
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GB201002592D0 (en
Inventor
Mehran Akhoundzadeh Besti
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Individual
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Individual
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Priority to GB1002592A priority Critical patent/GB2477799A/en
Publication of GB201002592D0 publication Critical patent/GB201002592D0/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G3/00Ambulance aspects of vehicles; Vehicles with special provisions for transporting patients or disabled persons, or their personal conveyances, e.g. for facilitating access of, or for loading, wheelchairs
    • A61G3/001Vehicles provided with medical equipment to perform operations or examinations
    • BPERFORMING OPERATIONS; TRANSPORTING
    • B60VEHICLES IN GENERAL
    • B60PVEHICLES ADAPTED FOR LOAD TRANSPORTATION OR TO TRANSPORT, TO CARRY, OR TO COMPRISE SPECIAL LOADS OR OBJECTS
    • B60P3/00Vehicles adapted to transport, to carry or to comprise special loads or objects
    • B60P3/14Vehicles adapted to transport, to carry or to comprise special loads or objects the object being a workshop for servicing, for maintenance, or for carrying workmen during work
    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H10/00ICT specially adapted for the handling or processing of patient-related medical or healthcare data
    • G16H10/40ICT specially adapted for the handling or processing of patient-related medical or healthcare data for data related to laboratory analysis, e.g. patient specimen analysis
    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H40/00ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
    • G16H40/60ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices
    • G16H40/67ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for remote operation
    • YGENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y02TECHNOLOGIES OR APPLICATIONS FOR MITIGATION OR ADAPTATION AGAINST CLIMATE CHANGE
    • Y02ATECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE
    • Y02A90/00Technologies having an indirect contribution to adaptation to climate change
    • Y02A90/10Information and communication technologies [ICT] supporting adaptation to climate change, e.g. for weather forecasting or climate simulation

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  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Public Health (AREA)
  • Biomedical Technology (AREA)
  • General Health & Medical Sciences (AREA)
  • Mechanical Engineering (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Transportation (AREA)
  • Veterinary Medicine (AREA)
  • Epidemiology (AREA)
  • Medical Informatics (AREA)
  • Primary Health Care (AREA)
  • Business, Economics & Management (AREA)
  • General Business, Economics & Management (AREA)
  • Investigating Or Analysing Biological Materials (AREA)

Abstract

Mobile Clinical Diagnostic Laboratory is an invention inspired by recent technological advances in nanotechnology, wireless networking, hybrid car technology and solar power generator technology. It comprises a large vehicle preferably a motorhome especially designed for the purpose of providing quick delivery of high quality, efficient and effective clinical laboratory service to the patients attending health centers and GP surgeries. For example, those in rural area with no immediate access to conventional clinical diagnostic testing, which is currently centralized at hospitals and other clinical laboratories largely in urban areas. A mobile clinical diagnostic laboratory is generally a hybrid motorhome with solar panels installed on the roof of the vehicle for a source of extra energy supply and equipped with more compact clinical laboratory analyzers benefited from state-of-art nanotechnology for space convenience and run by a qualified multidisciplinary clinical/biomedical scientist who is adequately trained and legally eligible to perform most of laboratory testing using mentioned analyzers on board independently. Moreover, MCDL is also equipped with wireless telecommunication technology for receiving and transferring confidential patient data/test reports to physicians requesting the tests or stand-by pathology consultant at the headquarter if further consultation required.

Description

Mobile Clinical Diagnostic Laboratory (MCDL)
Background of the invention:
Recent advances in medical sciences and diagnostic technologies have made clinical diagnostic testing to become a pivotal means for clinicians to provide health care services to patients. They are essential tools for medical doctors nowadays to make a confident clinical judgment for their paticnt and to improvising a treatment poicy for them.
Traditionally, patients visiting their local health centre or OP surgeries who's medical laboratory investigations been requested by clinician have to travel to hospitals' pathology departments for their blood or other specimen being taken for laboratory testing Somehow most hospitals' have managed to find a compromising solution to cope with this influx of out-patients attending to hospital where their condition is not classified as Urgent by hospitals clinical governance policies. As a result, hospitris' clinical diagnostic iaboratones constantly facing a difficult challenge to find a way to carry out those tests alongside Urgent requests received from internal wards such as: accident and emergency, intensive care unit, operating theater, maternity unit and other acute wards. 11o\vever, in most cases due to large volume of test requests from both ends outside and within the hospital and probably some other reasons such as lack of qualified staff and resources, causing extra pressure on hospital pathology service and consequently a long delay on reporting laboratory tests occurs which would directly affect the quality of health service to the patient. This is in addition of putting extra cost and time on patients by taking a day off work traveling to their nearest hospital as well as causing unnecessary (X)2 emission due to patients have to use their own private transport means in order to travel to hospital in roost cases. However, once blood samples and/or other specimens have received from out-patients to pathology Lab. it takes between 24 hours to I week before doctors at OP surgeries and health centers can obtain patients' test report and begin able to provide a therapeutic prescription for their patient accordingly.
By facilitating MCDL, clinical laboratory would go out of hospital walls to patients door step for the first time. it has an advantage of providing most clinical diagnostic test reports to the doctors seeing patients out-side the hospital in less than 1 hour, so doctors can have patients test results while they are still waiting at the surgery and have their clinical diagnosis made by clinicians and prescription produced on the same day.
SUMMARY OF THE INVENTION
The present invention is directed to a mobile clinical diagnostic laboratory (MCDL) which has been purposely designed to move to different remote locations at Health centres/OP surgeries and perform all routine and some special clinical laboratory testing on patient's blood sample in less than 1 hour in a fashion that complies with current national clinical diagnostic laboratory standards and regulations.
MCDL would be better understood by its method of providing first class diagnostic laboratory service. The mobile laboratory begin its journey to its destination once a mission plan been given to the driver by dispatch centre which is responsible for planning and organising the mobile laboratory working day. Upon arrival the clinical scientist reports MCDL readiness for receiving blood samples to the health centre's/GP surgery's manager. The length of time for MCDL stopping at one site is dictated by dispatch centre manager/coordinator who has planned it according to information been given by health centre's manager/GP surgery's manager regarding the number of tests or patients expected to have their blood test done on that day.
As soon as blood samples are received to MCDL, clinical scientist start undertaking the first step of sample preparation which is booking in test requests for patients in MCDL information management system (IMS) which comprised of a high speed computer connected to national database network via wireless internet for positive identification of patient details who is their demographic information given in request form. Once a test request is registered successfully for the patient using IMS a unique barcode is printed and patient blood sample is identified by those numbers to analysers in use within MCDL from now on.
Each test performed in strict adherence to relevant standard operating procedures (SOPs) available in their hardcopies found in filing shelves located above the workbench area across the Lab. and also online via the net these SOPs are regularly reviewed and updated by clinical scientist manager based in headquarter in order to meet current standards of the UK clinical pathology accreditation(UK CPA) criterions.
The solar power generator provides an energy supply to run the analysers and air conditioning system to maintain a suitable temperature within the laboratory during the working period.
However, in case of emergency high capacity batteries for each analyser are installed in compartments on each side of the vehicles to ensure the running of analysers without interruption but for a limited period of time. The batteries also can be re-charged vehicles engine power as last resort since all the analysers passed the pretested examination for minor possible effect of vibration caused by the manufacturer.
Tt is very important for the MCDL to have sufficient appropriate space for sample storage once the test is completed. For this purpose a temperature monitored fridge has been installed underneath the sample preparation worktop to keep sample fresh for the rest of the day before they have been stored for a longer period at the MCDL's headquarter at the end of the day. This is also applies for the consumable reagents used by analysers.
There are also a number of special biohazard waste containers provided within the Lab. in order to dispose all possible contaminated consumables and tools such as used gloves, aprons, masks, pipette tips, slides etc. in accordance with criterion given by UK control of substances hazardous to health (COSHH) assessments.
A high speed low voltage centrifuge is also located near sample preparation area as shown in drawings since there would be also a need within the laboratory for centrifuging some samples to obtain separate serum or plasma before running them through analyser such as coagulation screening, biochemistry testing and immunoassay.
The present invention further includes a microscope to examine patient blood cells morphological changes by clinical scientist if required or requested by clinician. For this reason the MCDL is equipped with a compact automated slide maker and automated slide strainer as shown in drawings for histological staining of the blood smears.
The present invention also include a highly sophisticated wireless network management system that can facilitates connecting the MCDL information management system(IMS) to data management system is used by health centre/GP surgeries. This would help to translate data obtained by MCDL analysers for every patient to the language understandable by Health centres/GP surgeries patients' information system so the test results can he transmitted securely in a confidential manner via wireless internet. However, in case of any rare programme incompatibility or in areas where there is no or weak satellite positioning signals available a hard copy of the patients test results can be printed using the printer attached to main computer as shown in drawings and handed in to the GP or GP's secretary by clinical scientist in charge of the MCDL.
Mobile Clinical Diagnostic Laboratory is an invention that has utilised current advanced technologies and recourses to provide highly standard clinical laboratory testing services under strict quality compliance procedures to patient's in their local community. Now for the first time patients would have the convenience of having their blood tests investigation to be done in close proximity to their local residence rather than going through the hassles such as arranging the transport to hospital and losing a day at work or school, especially for elderly people who has to endure a tremendous inconvenient for this purpose.
The present invention would break the old habit of clinical laboratory investigations relying completely on expensive hospital services and at the same time it helps hospital pathology laboratory service to focus more on acute cases and be more efficient and accurate. This also can save National Health Service (NHS) by decentralizing the service currently largely dominated by one service provider (i.e. NHS) where no real competition existence to a more competitive private sectors who will eventually provide a cheaper service to outbid other competitors.
BRIFE DESCRIPTION OF THE DRAWINGS
FIG. 1 is a top view of the inside of the Mobile Clinical Diagnostic Laboratory HG. 2 is a left-side (passenger side) view of the Mobile Clinical Diagnostic Laboratory HG. 3 is a right-side (driver side) view of the Mobile Clinical Diagnostic Laboratory HG. 4 is a top view of the roof of the Mobile Clinical Diagnostic Laboratory
DETAILED DESCRIPTION OF A PREFERRED EMBODIMENT
Present invention related to a purposely designed large vehicle and method for testing patient's blood specimen outside the hospital facilities at their local Health centres/GP surgeries with the additional ability to transmit patient's blood test report to the local health centre/GP surgery date management system via World Wide Web using wireless internet.
FIG. 1 is a above view of the inside of the Mobile Clinical Diagnostic Laboratory, illustrates a floor map of motorhome 1 housing mostly used clinical laboratory analysers such as Fully automated haematology analyser 11, alongside a blood slide maker 10 and Erythrocyte sedimentation rate (ESR) analyser 12. Of other main analysers at the opposite side coagulation screening analyser 15, haemoglohinopathy screening analyser 16, routine biochemistry analyser 17, Immunoassay analyser 18 and urine microbiology analyser 19 can be found. It also shows passengers sit 13 accessible vie passenger's door 44 shown in FIG. 2 or inside door 31 used mainly by clinical scientist in charge of the MCDL and driver sit 14 accessible via driver door 43 shown in FIG. 3 as well as side mirrors 42.
FIG. 2 demonstrates an interior perspective of the passenger side of the MCDL, the main entry door 2 on the right hand side of the lab. used by Clinical scientist to enter or exit the laboratory.
After blood/urine samples are handed in to clinical scientist at the point of collection, he would carry the samples into the laboratory via main entry door 2 they then placed on sample preparation worktop 29, those require centrifugation prior to testing are centrifuged using nearby high speed centrifuge 6 and placed in sample rack 4 for later booking in the MCDL information management system (IMS) using a network connected computer 8. Once patient's laboratory test request registered in IMS a unique barcode label is printed by barcode printer 24 which is connected to MCDL computer set 8. The appropriately labelled samples are then run through relevant analysers for analysis. Tn some cases blood film needs to he made in order to confirm the reliability of haematology results obtained by haematology analyser 11, this step can be done by semi automated slide maker 10 and stained by slide strainer 22, after staining the blood slides are dried on wooden slide drier 23 and then examined by the clinical scientist using microscope 9 provided. There is also a designated area for manual testing 26 such as malaria parasite infection screening or infection mononeuclose screening etc, disposable items from manual testing is then discarded in special biohazard container 5 located on the mentioned bench top 26 and also sample preparation worktop area 29 also all biohazard/chemical liquid waste is discarded using especially installed biohazard/chemical sink which pipe connected main biohazard/chemical waste tank. After analysis is completed on patient's blood samples the samples then can be stored in sample storage fridge 38 placed under the sample preparation worktop 29. Once the results are generated by analysers the data then transferred to main MCDL information management system via an interface and ready for final validation and released back to health centre/GP surgery data management system via a secure online network pathway or in exceptional cases such as a weak satellite signal received by satellite Anal 41, a print out of test report for the patient is produced by printer 7 and sent to the doctors office.
Mobile Clinical Diagnostic Laboratory also equipped with roof air conditioning system 30 powered by high capacity batteries 35 in order to maintain an optimum temperature inside the laboratory cabin area. The batteries are rechargeable by either solar power generator 40 installed on the roof of the converted motorhome as shown in FIG. 4 or by the vehicle's engine power if necessary.
Mobile Clinical Diagnostic Laboratory also equipped with number of item to ensure all the requirements for standard practice is met. The laboratory is well lit by side windows 32 and the ceiling lights 28 as shown in FIG. 1 and a disposable combine Gloves, apron and towel box 3 is provided at the entry door 2. Tt also benefit from on board clean toilet accessible vie inside toilet door 27 consist of a clean toilet sit 21 and a clean hand wash basin 20 for the use of crew on board for more convenience. Fire proof metal reagent storage cabinets 36 are installed in each side of the laboratory to ensure reagents used by analysers are safely stored as well as a reagent fridge 37 shown in FIG. 3 to store those reagents required by manufacturer to be kept at 4 degree. Also extra storage space is given by installing drawers 34 under each analyser to store necessary spare parts and other laboratory tools. The overhead shelving 33 provided all through the laboratory is used to have necessary files and folders such as analysers troubleshooting manuals, reference books, etc accessible conveniently.

Claims (9)

  1. Claims: 1. The Mobile Clinical Diagnostic Laboratory designed to perform routine clinical laboratory testing on patients fresh blood and urine samples outside hospital pathology service at the patients local Health centres and GP practice and produce report in less than 1 hour.
  2. 2. The Mobile Clinical Diagnostic Laboratory utilises a server based at despatch centre to process the results obtained by analysers and send it to Health centre/GP Surgery data management system using a secure and confidential wireless online networking system.
  3. 3. The Mobile Clinical Diagnostic Laboratory comprising an wireless online interface to provide means for communicating with pathology consultants (i.e. Haematology, Biochemistry consultants) at headquarter if further advice required by clinical scientist running the MCDL.
  4. 4. The Mobile Clinical Diagnostic Laboratory of claim 1 further comprising state-of-art compact clinical laboratory analysers manufactured using advanced nanotechnology for space and energy saving purpose but identical accuracy and output capacity.
  5. 5. The Mobile Clinical Diagnostic Laboratory also utilizes the solo power generating technology to provide energy required to run the laboratory in its optimum condition this is in addition of power generating facility provided by high capacity batteries rechargeable by said solo power generating system and also the vehicle's hybrid engine.
  6. 6. The invention also has introduced a method to perform clinical diagnostic investigations on blood and urine samples at remote locations and being able to relocate from one location to the other if required in one day.
  7. 7. The Mobile Clinical Diagnostic Laboratory of claim 1 also comprising to perform all analytical investigations in compliance with current national quality regulations required by government for a safe and standard practice.
  8. 8. The Mobile Clinical Diagnostic Laboratory of claim 1 further comprising means to perform most routine manual laboratory testing such as blood parasites and blood cell morphological examination by clinical scientist using the slide maker, slide strainer and microscope.
  9. 9. The method comprising (a) Moving to remote location where the service is required (h) Reporting to clinic manager that the laboratory facility can he used for a set period of time arranged in prior with headquarter (c) Accepting the patients blood/urine samples and start preparations (d) Booking in patients laboratory test request using a registry system connected to national database for positive identification (e) Generating unique barcode to identify each sample and the test required for the analyser.(f) Storing the complete analysed samples in especially designated fridge to maintain samples integrity if required at later time.(g) Disposing all biohazard wastes using biohazard waste containers provided in the ahoratory (h) The analysers reagents are kept in especially designated cabinets or those require to kept at cool temperature in a designated fridge (i) The analysers wastage are drain into a biohazard tank installed at the back of the vehicle ***********************
GB1002592A 2010-02-16 2010-02-16 A mobile clinical laboratory Withdrawn GB2477799A (en)

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GB2477799A true GB2477799A (en) 2011-08-17

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Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20130177214A1 (en) * 2010-05-06 2013-07-11 Charm Sciences, Inc. Device, system and method for transit testing of samples
US9665956B2 (en) 2011-05-27 2017-05-30 Abbott Informatics Corporation Graphically based method for displaying information generated by an instrument
EP3929938A1 (en) * 2020-06-25 2021-12-29 LeeLoo Medical GmbH System, method and device for vehicle-based, mobile acquisition of health data

Families Citing this family (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN115416567B (en) * 2022-11-02 2023-02-07 北京国安广传网络科技有限公司 Mobile comprehensive digital health examination station

Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
RU2251496C1 (en) * 2003-11-12 2005-05-10 Кочемировский Владимир Алексеевич Mobile chemical and analytical laboratory
US20050227348A1 (en) * 2004-04-08 2005-10-13 Sukumar V R Mobile intra-operative microscopic diagnosis laboratory
US20070269008A1 (en) * 2006-05-19 2007-11-22 Mark Elliot Pomper Mobile Radiation Therapy
WO2008078978A1 (en) * 2006-12-26 2008-07-03 Terra Garden Biotech (M) Sdn. Bhd. On site laboratory
US20090117608A1 (en) * 2006-10-20 2009-05-07 Sylvain Quessy Apparatus for on-site microbial diagnosis and disinfection and method therefor
ES2320832A1 (en) * 2007-03-28 2009-05-28 Jose Maria Reyes Dorado Mobile unit of immediate clinical analysis through testing and rapid diagnostic devices. (Machine-translation by Google Translate, not legally binding)
CN201427538Y (en) * 2009-06-29 2010-03-24 杨枫 Solar-powered medical examination compartment body

Patent Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
RU2251496C1 (en) * 2003-11-12 2005-05-10 Кочемировский Владимир Алексеевич Mobile chemical and analytical laboratory
US20050227348A1 (en) * 2004-04-08 2005-10-13 Sukumar V R Mobile intra-operative microscopic diagnosis laboratory
US20070269008A1 (en) * 2006-05-19 2007-11-22 Mark Elliot Pomper Mobile Radiation Therapy
US20090117608A1 (en) * 2006-10-20 2009-05-07 Sylvain Quessy Apparatus for on-site microbial diagnosis and disinfection and method therefor
WO2008078978A1 (en) * 2006-12-26 2008-07-03 Terra Garden Biotech (M) Sdn. Bhd. On site laboratory
ES2320832A1 (en) * 2007-03-28 2009-05-28 Jose Maria Reyes Dorado Mobile unit of immediate clinical analysis through testing and rapid diagnostic devices. (Machine-translation by Google Translate, not legally binding)
CN201427538Y (en) * 2009-06-29 2010-03-24 杨枫 Solar-powered medical examination compartment body

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20130177214A1 (en) * 2010-05-06 2013-07-11 Charm Sciences, Inc. Device, system and method for transit testing of samples
US9008373B2 (en) * 2010-05-06 2015-04-14 Charm Sciences, Inc. Device, system and method for transit testing of samples
US9665956B2 (en) 2011-05-27 2017-05-30 Abbott Informatics Corporation Graphically based method for displaying information generated by an instrument
EP3929938A1 (en) * 2020-06-25 2021-12-29 LeeLoo Medical GmbH System, method and device for vehicle-based, mobile acquisition of health data

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