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AUSTRALIA

MIRF - Mobile Intensive-care Rescue Facility






Developed for STAND-ALONE INTENSIVE CARE MANAGEMENT and TRANSPORTATION of the CRITICALLY ILL

APPLICATIONS:

  • Inter- and intra- hospital patient transfer 
  • Evacuation from remote sites (eg. mines, oil rigs, large ships) 
  • Repatriation from overseas 
  • Combat casualties 
  • Road accident victims 

PORTABILITY:

"MIRF" is fully portable and totally self-contained for easy transportation in a range of aircraft and vehicles



QUICK RESPONSE:

"MIRF" can be maintained fully charged and ready to respond at a moment's notice.

SELF-CONTAINED:

"MIRF" stands alone and features built-in oxygen and power supply allowing patients to be treated at the trauma point and remain attached to the life support systems during transportation to hospital. 

FEATURES:

  • Compact, low mass, transportable.
  • Readily fitted into large range of aircraft and vehicles. 
  • In-field intensive care facility. 
  • Proven, commercial available medical equipment. 
  • Light weight composite construction
  • Meets civil and military airworthiness requirements.
  • Carries integral auxiliary power supply.
  • Compatilble with multiple power sources .
  • Integral oxygen, or accepts ambulance / aircraft supply.


The MIRF Concept

1.1 Employment Requirements. 

The concept for the MIRF, or Mobile Intensive-care Rescue Facility, resulted from the Australian Army’s need to provide for an intensive care capability in a portable, self-contained unit that could be readily available for a wide range of scenarios and then transported by any means available, including: 

  1. Fixed-wing aircraft such as the C130, B707 and Caribou.
  2. Rotary-wing aircraft such as the Chinook, Black Hawk and Iroquois. 
  3. Vehicles such as ambulances, armoured personnel carriers and trucks 
  4. Water craft such as Passenger liners, luxury ships, rescue ships, naval vessles and many others. 

1.2 Medical Capability and Flexibility. 

The medical capability of the MIRF is very extensive. The current range of capability is as follows: 

  • A defibrillator. 
  • A suction Pump.
  • An oxygen ventilator with internal alarms and supply from two ‘C’ size O2 bottles.
  • A multi-function monitor. 
  • An infusion Pump. 
  • A Syringe Pump. 

1.3 MIRF Compatibility with NATO Stretcher

The MIRF is designed to accommodate the NATO stretcher or a vacuum splint on top. This allows for further flexibility in that the NATO stretcher is restrained from lateral and longitudinal movement while on the MIRF, or it can be separated from the MIRF even while the patient remains connected to the medical equipment. This means that in the stanchion system, the MIRF can be mounted in one set of brackets while the NATO stretcher can be mounted on another set of brackets, effectively halving the load on the stanchion brackets. 

1.4 MIRF Power Supply

The MIRF power supply is a combination of a supplementary 12V, 12 amp-hour battery and a system that allows for connection to either ac or dc power. The ac power supply can be 110 – 240V with a frequency range of 40 – 400 cycles, while the dc range can be 10 – 32V. The MIRF internal battery supplements the batteries in the individual pieces of medical equipment and is recharged when the MIRF is connected to external power. Connection to the aircraft electrical supply is by either a dedicated ac or dc power lead supplied with the MIRF. To allow for the variation in plug connections between aircraft and between vehicles, BAC can provide short adaptor cables for connection from either the main dc or ac lead to the specific aircraft or vehicle connection.

1.5 MIRF Internal Storage Capability

The MIRF has an internal storage capability via access doors at the rear of the unit. This storage allows for carriage of ancillary equipment such as spare syringes, defibrillator pads, adaptor cables or other items deemed necessary for a particular mission or task. 

1.6 MIRF Certification 

The MIRF has been certified by the Australian Civil Aviation Safety Authority (the Australian equivalent of the FAA) for carriage in aircraft. This has involved a wide range of testing to both CASA and FAA regulations, including: Structural loading. EMI/EMC. Fire Resistant Oxygen safety. Patient restraint. Electrically isolated

The medical equipment chosen is standard, off-the-shelf equipment (*) to allow for: 

Possible reduction of cost by providing items from currently held stock. Easy interchange with currently held stock to overcome the need for a separate logistics support chain. Cost-effective changes to different individual pieces of medical equipment, e.g. a later model infusion pump or a defibrillator from a different manufacturer. 

(Our company has updated the Australian Defence Force (ADF) units on two occasions at minimal cost and without major modification). Minimising the need for unique or specialised training to maintain the equipment. Minimising the need for unique operator training as an operator who has used the equipment in a hospital environment will use the equipment the same way in the MIRF. * Where 12V dc connections are not included in the equipment, the OEM or their service agents add 12V connections, with the exception of the defibrillator which remains independent.

The current suite of medical equipment is as follows: 

Laerdal FR biphasic defibrillator or Laerdal 4000 defibrillator. Laerdal Compact Suction Pump or Ambu PPS Suction Pump. Drager Oxylog 1000 ventilator. Propaq 106 or 206 multi-function monitor with: ECG NIBP Temperature IBP Pulse Oximetry (SpO2) Mainstream Carbon Dioxide (EtCO2) IVAC Model 597 Infusion Pump. Terumo TE 311 Syringe Pump. Each piece of medical equipment is fitted in its own composite housing inside the composite MIRF case for additional protection and to allow for each piece to be separately removed for cleaning, servicing or replacement without affecting all other equipment, and without interrupting the operation of the MIRF as a whole. 

In addition, each piece of medical equipment can be left out for a specific role to reduce weight, without compromising the performance of the remaining equipment. The Australian Defence Force used the MIRF for approximately 5 years in scenarios ranging from the United Nations support operations