Easy Patient Transport System for Rural Hospitals: A Proposed System

By: Kevin Gnanaraj, T Vijay Kanth, Babu Rao, Rajkumar Rai, Joysingh J, Rabindran I, Dr. J. Gnanaraj | Published: JAN 2018 Volume: 7

BACKGROUND

The Lancet commission on Global Surgery estimates the need for surgical procedures at 5,000 per 100,000 population every year [1]. To provide this need a surgical workforce of about 20 are needed per 100,000 population. Unfortunately, in rural areas the current rate is less than 200 per 100,000 population and the few available facilities have serious lack of infrastructure due to constraints of space. Moving patients especially up and down stairs are very difficult [2].

THE PROPOSAL

The proposal is to produce a transport device that is smaller than 2 x 2 feet that has the capability of transporting the patient in an erect position and has the capability of fitting into a 2 x 2 feet lifting device in the stairs.

METHOD

The base unit is a 4-wheel multidirectional unit that could be pushed around.


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An additional unit connects to this unit and has the capabilities of sitting position, holding in standing position and if necessary can be straighten to act like a bed.

The staircase lift is a 2 x 2 feet lift with a platform on which the transport unit could be fixed and the lift pulled up either manually or with a small motor.

INNOVATION AND IMPACT

Search for intra-hospital patient transport devises often give a list of wheel chairs or stretchers and other mechanized devices that are expensive and need plenty of space for maneuvering. The wheels of the wheelchairs are large and are difficult to turn. This innovation occupies less space as most of the patients could be transported in a standing position and it also has the provision for transport in sitting position if space constraints are not there and supine position in emergency if needed. This low-cost device could significantly improve the quality of services offered in rural surgical facilities.

Kevin Gnanaraj Kevin Gnanaraj is an engineering student (University of Saskatchewan) who helped with the 3D drawings.
T. Vijay Kanth is currently perusing his bachelor’s degree in Mechanical Engineering in Karunya University. He scored 77 percentage marks in plus two class. He participated various workshops and seminars organised in university like Robotics and hands on Automobile workshop and training programs conducted by Central Institute of Plastics Engineering & Technology (CIPET), Chennai. He also actively participated in National Service Scheme programs organised Karunya University NSS Unit. He possessed good skills in modelling software like AutoCAD, CATIA and Fluid Power software. His interest areas are complex designs useful in any areas like medical and assistive devices, automobile components, aircraft design etc.
Dr. G. Babu Rao, M.E.(Mfg.) Ph.D., working as an Assistant Professor (SG) in the Professor in the Department of Mechanical Engineering, Karunya University, Coimbatore, Tamil Nadu, India. He was an All India GATE rank holder with 92.8 percentile. He had nine research publications in the areas of Robotics, fluid power, mechatronics and automation. He had organized several workshops and short-term training programs for students in those areas. He has delivered more than 6 special invited lectures apart from workshop speaker in various colleges in India. He also chaired international conference held in Hong Kong. His research is in the development of low cost medical devices, rehabilitation robotics, assistive devices development and fluid power applications. He is a life member of MISTE (Indian Society for Technical Education), MAMM (The Association for Machines and Mechanism), MIAENG (International Association of Engineers) and MISRD (International Society for Research and Development).
Dr. Rajakumar S. Rai, M.E., Ph.D., is an Assistant Professor in the Department of Mechanical Engineering at Karunya University. He received the B.E. degree in Mechanical Engineering from Bharathiar University, Coimbatore, M.E. degree in Computer Aided Design from the University of Madras, Chennai and Ph.D. degree from Anna University, Chennai. He has over 14 years of teaching experience. He has also published many Research papers in various International and national Journals and Conferences. He is a life member of Indian Society for Advancement of Materials and Processing Engineering (ISAMPE).
joisingh passport S. Jebaseelan Joisingh, M.P.T. (Neuro), MIAP.
Physiotherapist at the SEESHA Karunya rural community hospital in the Karunya University campus, Coimbatore: The department specializes in treating a variety of sports injuries and has weight reduction programs.
Rabindran Isaac had worked as an Occupational Therapist since 1987 to 2013, in Developmental Center for Exceptional Children (Consultant) Spastics Society of Karnataka Bangalore (fulltime). Worked in the daycare center, Early intervention programme, both in the head office and community where he worked using Family Centered intervention. Upgraded his knowledge by doing a course in counselling. Trained further in Assistive Technology in Simon Technology Center Minneapolis USA in a short-term training programme. Developed the assistive Technology unit in Spastics Society of Karnataka. Presently working in SEESHA to work more in rural areas, and is the Manager Community Advancement programme looking after community work in Thondamuthur Block of Coimbatore.
gnanaraj Dr. J. Gnanaraj MS, MCh [Urology], FICS, FARSI, FIAGES is a urologist and laparoscopic surgeon trained at CMC Vellore. He has been appointed as a Professor in the Electronics and Instrumentation Engineering Department of Karunya University and is the Director of Medical Services of the charitable organization SEESHA. He has a special interest in rural surgery and has trained many surgeons in remote rural areas while working in the mission hospitals in rural India. He has helped 21 rural hospitals start minimally invasive surgeries. He has more than 150 publications in national and international journals, most of which are related to modifications necessary for rural surgical practice. He received the Barker Memorial award from the Tropical Doctor for the work regarding surgical camps in rural areas. He is also the recipient of the Innovations award of Emmanuel Hospital Association for health insurance programs in remote areas and the Antia Finseth innovation award for Single incision Gas less laparoscopic surgeries. During the past year, he has been training surgeons in innovative gas less single incision laparoscopic surgeries.

References (click to show/hide)

  1. John G Meara et. Al. Global Surgery 2030: evidence and solutions for achieving health, welfare, and economic development. The Lancet Vol.386, No. 9993 August 2015 p 569-624
  2. Available from: http://mdcurrent.in/press-releases/making-minimally-invasive-surgeries-available-affordable-proposal-presented-millennium-alliance-seesha/
  3. Available from: http://www.robsonforensic.com/articles/patient-transport-expert-witness


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