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CN105118350B - One kind is new to be quantified to be injected intravenously and puncture analog training device - Google Patents

One kind is new to be quantified to be injected intravenously and puncture analog training device Download PDF

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CN105118350B
CN105118350B CN201510467980.0A CN201510467980A CN105118350B CN 105118350 B CN105118350 B CN 105118350B CN 201510467980 A CN201510467980 A CN 201510467980A CN 105118350 B CN105118350 B CN 105118350B
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puncture
force
shell
needle
syringe needle
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CN105118350A (en
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马建立
吴承伟
杜娟
张伟
马国军
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Dalian University of Technology
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Dalian University of Technology
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Abstract

本发明涉及一种新型可量化静脉注射及穿刺模拟训练装置,包括外壳、针头、盖帽、连接杆、底座及力传感器。针头夹持在连接杆上,与力传感器相连接,力传感器通过底座与外壳固定,穿刺力通过连接杆传递给力传感器,实现穿刺力的测量。本发明的有益效果是通过针头塑胶管的特殊引出方式观察回血情况;可以实时测量穿刺力的大小,显示针头扎漏血管及扎入血管后行进的过程中穿刺力的变化,内部结构限定了针头运动的最大行程,保护力传感器不受损坏,医护人员通过调整技术动作来减小穿刺力,达到最佳的注射及穿刺训练效果。另外,该装置小巧的设计使其与真实应用情况相近,便于医护人员将掌握的技术动作从练习过渡到临床应用。

The invention relates to a novel quantifiable intravenous injection and puncture simulation training device, which comprises a shell, a needle, a cap, a connecting rod, a base and a force sensor. The needle is clamped on the connecting rod and connected with the force sensor, the force sensor is fixed to the shell through the base, and the puncture force is transmitted to the force sensor through the connecting rod to realize the measurement of the puncture force. The beneficial effect of the present invention is to observe the return of blood through the special drawing-out mode of the needle plastic tube; the size of the puncture force can be measured in real time, and the change of the puncture force during the process of the blood vessel being pierced by the needle and the blood vessel being pierced is displayed, and the internal structure limits the needle. The maximum stroke of the movement protects the force sensor from damage, and the medical staff adjusts the technical movements to reduce the puncture force to achieve the best injection and puncture training effect. In addition, the compact design of the device makes it similar to the real application situation, which is convenient for medical staff to transfer the mastered technical movements from practice to clinical application.

Description

一种新型可量化静脉注射及穿刺模拟训练装置A new quantifiable intravenous injection and puncture simulation training device

技术领域technical field

本发明属于临床医学和生物力学领域,涉及一种新型可量化静脉注射及穿刺模拟训练装置。The invention belongs to the fields of clinical medicine and biomechanics, and relates to a novel quantifiable intravenous injection and puncture simulation training device.

背景技术Background technique

静脉注射及穿刺是临床常用且非常重要的技术手段,具有损伤性,静脉注射及穿刺过程中容易引起患者疼痛,如果穿刺失败会加重患者的痛苦,对于儿童和老人,造成的伤害更加显著,影响疗效,对于危重病人的抢救,一次穿刺成功至关重要,如果操作不当,将可能危及生命。因此,作为医护人员,熟练掌握静脉注射及穿刺技术非常关键。作为一门临床技术,静脉注射及穿刺技术的提高需要医护人员积累经验,但不能在患者身上试验。目前,有静脉注射及穿刺模型供医护人员练习穿刺技术,由于该类模拟训练装置在试验过程中没有任何反馈,难以提高技术水平;为了提高注射及穿刺水平,有部分医护人员采用不可取的方式,使用自己的静脉进行练习。Intravenous injection and puncture are commonly used and very important technical means in clinical practice, and they are invasive. During the process of intravenous injection and puncture, it is easy to cause pain to patients. If puncture fails, it will aggravate the pain of patients. For children and the elderly, the damage caused is more significant and affects Curative effect, for the rescue of critically ill patients, a successful puncture is very important, if the operation is not done properly, it may be life-threatening. Therefore, as a medical staff, it is very important to be proficient in intravenous injection and puncture techniques. As a clinical technology, the improvement of intravenous injection and puncture technology requires medical staff to accumulate experience, but it cannot be tested on patients. At present, there are intravenous injection and puncture models for medical staff to practice puncture techniques. Since this type of simulation training device does not have any feedback during the test process, it is difficult to improve the technical level; in order to improve the level of injection and puncture, some medical staff use unacceptable methods. , using your own veins for practice.

在静脉注射及穿刺过程中,由于穿刺力非常小,刺入过程很短暂,穿刺力度的大小直接决定患者的痛感程度及对血管的损伤程度。目前,在医护人员模拟练习静脉注射及穿刺过程中,没有能够反馈穿刺力度的模拟训练装置,难以改善穿刺手法,亟待解决这个问题。In the process of intravenous injection and puncture, because the puncture force is very small, the puncture process is very short, and the puncture force directly determines the pain degree of the patient and the degree of damage to the blood vessel. At present, in the simulated practice of intravenous injection and puncture by medical staff, there is no simulation training device that can feedback the puncture force, and it is difficult to improve the puncture technique. This problem needs to be solved urgently.

发明内容Contents of the invention

本发明是为了克服现有技术的不足,发明一种新型可量化静脉注射及穿刺模拟训练装置,克服医护人员模拟练习过程中没有任何反馈,难以提高技术水平的缺陷,该模拟训练装置可以实时地测量针头穿刺力的变化情况,帮助医护人员了解自身技术缺点,提高技术水平。The present invention is to overcome the deficiencies in the prior art, and invent a new type of quantifiable intravenous injection and puncture simulation training device, which overcomes the defects that medical staff do not have any feedback during the simulation exercise process, and it is difficult to improve the technical level. The simulation training device can real-time Measure the change of needle puncture force to help medical staff understand their own technical shortcomings and improve their technical level.

为了达到上述目的,本发明的技术方案是:In order to achieve the above object, technical scheme of the present invention is:

一种新型可量化静脉注射及穿刺模拟训练装置,包括外壳、针头、盖帽、连接杆、底座及力传感器。A novel quantifiable intravenous injection and puncture simulation training device includes a shell, a needle, a cap, a connecting rod, a base and a force sensor.

所述外壳分为两部分,一部分有凹下,一部分有凸起,凹下和凸起相扣,实现装配;外壳的顶部为锥形体,锥形体上方有一圆形开孔,外壳上半部分为圆柱体,圆柱体一侧有一个通孔,下半部分为方形体,方形体的一侧有一个通孔,外壳内部依照各个零件的形状进行掏空,用于固定内部零件,兼具支撑、防护作用。The shell is divided into two parts, one part has a recess, the other part has a protrusion, and the recess and the protrusion are interlocked to realize assembly; the top of the shell is a cone, and there is a circular opening above the cone, and the upper half of the shell is Cylinder, one side of the cylinder has a through hole, the lower part is a square body, one side of the square body has a through hole, the inside of the shell is hollowed out according to the shape of each part, used to fix the internal parts, and it has both support and protective effect.

所述针头为金属材质,置于外壳顶部锥形体的圆形开孔部分,针头下端与针头塑胶管相连,针头用于完成注射及穿刺过程。The needle is made of metal, placed in the circular opening of the cone on the top of the casing, the lower end of the needle is connected with the plastic tube of the needle, and the needle is used to complete the injection and puncture process.

所述盖帽用于固定针头,为圆柱体,开有上下贯通的孔,孔分为上下两部分,上半部分孔径大于针头的金属管外径,下半部分孔径小于连接杆上端两夹片所形成的圆形轮廓的外径;将盖帽穿过针头,套在两夹片上,由于下半部分孔径小于两夹片所形成的圆形轮廓的外径,迫使两夹片产生弹性变形,夹紧针头,针头与两夹片产生的摩擦力大于穿刺力,当针头进行穿刺时,穿刺力通过连接杆传导给力传感器。The cap is used to fix the needle. It is a cylinder with a hole through the top and bottom. The hole is divided into upper and lower parts. The outer diameter of the circular contour formed; put the cap through the needle and put it on the two clips. Since the aperture of the lower half is smaller than the outer diameter of the circular contour formed by the two clips, the two clips are forced to elastically deform and clamp The needle, the friction generated by the needle and the two clips is greater than the puncture force, and when the needle punctures, the puncture force is transmitted to the force sensor through the connecting rod.

所述连接杆用于连接力传感器和针头,传递穿刺力的同时保护力传感器,连接杆分为三段,上端为两块对称的扇形夹片形成的两侧有空隙的圆柱体,中段为圆形格挡,下端为螺纹杆;连接杆的上端夹片用于夹持针头,针头塑胶管依次通过两块夹片之间的空隙及外壳上半部分圆柱体侧面通孔导出,固定在外壳侧面,避免针头塑胶管活动影响穿刺力的测量,同时实现在测量穿刺力的同时,观察静脉穿刺成功后的回血情况;中段的圆形格挡安装于外壳上半部分圆柱体内中心开孔的圆盘上方0.1~1毫米范围内;下端的螺纹杆与力传感器上端的螺纹孔相连接。The connecting rod is used to connect the force sensor and the needle, and protect the force sensor while transmitting the puncture force. The connecting rod is divided into three sections. The upper end is a cylinder with gaps on both sides formed by two symmetrical fan-shaped clips, and the middle section is a circle. Shaped grille, the lower end is a threaded rod; the upper clip of the connecting rod is used to clamp the needle, and the needle plastic tube is led out through the gap between the two clips and the through hole on the side of the cylinder in the upper half of the casing, and fixed on the side of the casing , to avoid the movement of the needle plastic tube affecting the measurement of the puncture force, and at the same time realize the measurement of the puncture force while observing the blood return after successful venipuncture; the circular block in the middle section is installed on the disc with a hole in the center of the upper half of the cylinder Within the range of 0.1-1 mm above; the threaded rod at the lower end is connected with the threaded hole at the upper end of the force sensor.

所述底座由圆形底盘和底座螺纹杆组成,圆形底盘安装在外壳下半部分方形体的圆形开槽内,底座螺纹杆与力传感器下端的螺纹孔连接,用于固定力传感器。The base is composed of a circular chassis and a threaded base rod. The circular chassis is installed in the circular slot of the lower half of the square body of the shell. The threaded base rod is connected with the threaded hole at the lower end of the force sensor for fixing the force sensor.

所述力传感器为方形体,安装于外壳下半部分方形凹槽内,通过底座与外壳固定,力传感器的上下两端带有螺纹孔,上端的螺纹孔与连接杆的螺纹杆相连接,下端的螺纹孔与底座螺纹杆相连接,力传感器的一侧与力传感器导线相连,力传感器的量程为0~10N。The force sensor is a square body, installed in the square groove in the lower half of the shell, and fixed to the shell through the base. The threaded hole of the base is connected with the threaded rod of the base, and one side of the force sensor is connected with the wire of the force sensor. The measuring range of the force sensor is 0-10N.

该模拟训练装置测量穿刺力的方法,是采用针头与力传感器相结合的方式,通过力传感器将穿刺力信号转换为电信号,再通过数字变送器将电信号转换为数字信号,输出到电脑主机,实时测量穿刺力的大小;该模拟训练装置采用位移限制的方式保护力传感器不受损坏,当针头位移增大到一定程度时,圆形格挡与中心开孔的圆盘接触,阻止针头位移进一步增大。The method of measuring the puncture force of the simulation training device is to use the combination of the needle head and the force sensor, convert the puncture force signal into an electrical signal through the force sensor, and then convert the electrical signal into a digital signal through a digital transmitter, and output it to the computer The main engine measures the puncture force in real time; the simulation training device uses displacement limitation to protect the force sensor from damage. When the displacement of the needle increases to a certain extent, the circular block contacts the disc with the central opening to prevent the needle from being damaged. The displacement increases further.

本发明将力传感器与针头相结合,通过连接杆将穿刺力传导给力传感器,可以实时测量穿刺力的大小,显示针头扎漏血管及扎入血管后行进的过程中穿刺力的变化,内部结构限定了针头运动的最大行程,保护力传感器不受损坏。医护人员手握该模拟训练装置,在静脉注射及穿刺手臂模型上进行静脉注射及穿刺训练过程中,可以得到穿刺力的大小,而穿刺力的大小与患者的痛感呈正比,医护人员可以通过调整自己的动作和用力的大小,减小穿刺力,达到最佳的训练效果。该模拟训练装置通过针头塑胶管的特殊引出方式使在测量穿刺力的同时能够观察回血情况。可以显示出针头扎漏血管及针头扎入血管行进过程中多种情况下穿刺力的变化情况,比通过简单的回血观察和人为感觉更加有效,极大地帮助医护人员了解自身技术缺点,及时调整技术动作,提高训练效果。另外,该模拟训练装置外壳设计小巧、灵活、轻便,外壳上半部分外形与实际针头相似,便于医护人员将掌握的技术动作从模拟练习过渡到临床应用。The present invention combines the force sensor with the needle, transmits the puncture force to the force sensor through the connecting rod, can measure the size of the puncture force in real time, and displays the change of the puncture force during the process of the blood vessel being pierced by the needle and the process of piercing into the blood vessel. The internal structure is limited. The maximum stroke of the needle movement is guaranteed, and the force sensor is protected from damage. The medical staff holds the simulation training device, and during the intravenous injection and puncture training on the arm model, the puncture force can be obtained, and the puncture force is proportional to the pain of the patient. The medical staff can adjust the The size of your own movements and force can reduce the puncture force and achieve the best training effect. The simulation training device enables the blood return to be observed while measuring the puncture force through the special drawing-out method of the needle plastic tube. It can display the changes of the puncture force in various situations during the process of the needle piercing the leaking blood vessel and the needle piercing into the blood vessel. It is more effective than simple blood return observation and artificial feeling, which greatly helps medical staff understand their own technical shortcomings and adjust the technology in time. action to improve the training effect. In addition, the shell design of the simulation training device is compact, flexible, and light. The shape of the upper part of the shell is similar to the actual needle, which is convenient for medical staff to transfer the mastered technical movements from simulated exercises to clinical applications.

附图说明Description of drawings

图1为一种新型可量化静脉注射及穿刺模拟训练装置示意图。Fig. 1 is a schematic diagram of a new quantifiable intravenous injection and puncture simulation training device.

图2为模拟训练装置局部放大图。Figure 2 is a partial enlarged view of the simulation training device.

图中:1针头;2盖帽;3凹下\凸起;4夹片;5连接杆;6圆盘;7外壳;8力传感器;9底座螺纹杆;10圆形开槽;11圆形底盘;12底座;13力传感器导线;14通孔;15螺纹杆;16圆形格挡;17针头塑胶管;18通孔。In the figure: 1 needle; 2 cap; 3 recessed/protruded; 4 clip; 5 connecting rod; 6 disc; 7 shell; 8 force sensor; 9 base threaded rod; 10 circular slot; 12 base; 13 force sensor wire; 14 through hole; 15 threaded rod; 16 circular block; 17 needle plastic tube; 18 through hole.

具体实施方式detailed description

下面结合附图对本发明做进一步说明。The present invention will be further described below in conjunction with the accompanying drawings.

底座螺纹杆9与力传感器8下端的螺纹孔拧好,连接杆下端螺纹杆15与力传感器8上端的螺纹孔拧好,针头塑胶管17与针头1的下端固定连接后,将针头1放入连接杆5上端的夹片4中间,将盖帽2套过针头1的金属针后,盖在连接杆5的上端夹片4上,将针头1固定。The threaded rod 9 of the base is screwed with the threaded hole at the lower end of the force sensor 8, the threaded rod 15 at the lower end of the connecting rod is screwed with the threaded hole at the upper end of the force sensor 8, and after the needle plastic tube 17 is fixedly connected with the lower end of the needle 1, put the needle 1 into the In the middle of the clip 4 at the upper end of the connecting rod 5 , after putting the cap 2 over the metal needle of the needle 1 , cover it on the clip 4 at the upper end of the connecting rod 5 to fix the needle 1 .

上述零件组装好后,一同固定在外壳7中。使底座12的下部圆形底盘11扣入外壳7的下半部分圆形开槽10中,通过调节连接杆5拧入力传感器8的深度,使连接杆5的中段圆形格挡16位于外壳7上半部分中心开孔圆盘6上方0.1~1毫米范围内,圆形格挡16保护力传感器8不受损害。After the above-mentioned parts are assembled, they are fixed in the shell 7 together. The lower circular chassis 11 of the base 12 is snapped into the lower half of the circular slot 10 of the housing 7, and by adjusting the depth at which the connecting rod 5 is screwed into the force sensor 8, the middle circular block 16 of the connecting rod 5 is positioned on the housing 7. In the range of 0.1 to 1 mm above the center opening disc 6 in the upper half, a circular block 16 protects the force sensor 8 from damage.

将针头塑胶管17卡在外壳7的上半部分侧面通孔18中,将力传感器导线13卡在外壳7的下半部分侧面通孔14中,这种固定方式,使针头塑胶管17和力传感器导线13均被固定在外壳7上,防止针头塑胶管17和力传感器导线13的拖拽引入额外力,影响穿刺力的测量。The needle plastic tube 17 is clamped in the side through hole 18 of the upper part of the shell 7, and the force sensor wire 13 is clamped in the side through hole 14 of the lower part of the shell 7. This fixing method makes the needle plastic tube 17 and the force The sensor wires 13 are all fixed on the housing 7 to prevent the dragging of the needle plastic tube 17 and the force sensor wire 13 from introducing extra force, which affects the measurement of the puncture force.

最后将另一半外壳盖于这一半外壳上,凹下和凸起相扣,起到固定作用,同时方便拆卸。将力传感器导线13通过数字变送器接入电脑主机,打开电源,手持该模拟训练装置,对医用模拟手臂进行穿刺试验,即可从电脑主机中的数据读取软件中看到穿刺力的大小,从而可以判断穿刺手法是否合适,进而调整技术动作,使被训练者对穿刺有量化的概念,更加清楚地完成注射及穿刺模拟训练。Finally, the other half of the shell is covered on the half of the shell, and the concave and convex are interlocked to play a fixed role and facilitate disassembly at the same time. Connect the force sensor wire 13 to the host computer through a digital transmitter, turn on the power, hold the simulation training device, and perform a puncture test on the medical simulation arm, and the puncture force can be seen from the data reading software in the host computer , so that it is possible to judge whether the puncture technique is appropriate, and then adjust the technical action, so that the trainee has a quantitative concept of puncture, and can complete the injection and puncture simulation training more clearly.

Claims (2)

1. one kind is new quantifies to be injected intravenously and puncture analog training device, and the analog training device includes shell (7), pin Head (1), block (2), connecting rod (5), base (12) and force snesor (8);
The shell (7) is two parts, and a part has recessed, and a part has a projection, it is recessed and it is raised interlock, realize assembling;Outward The top of shell (7) is bullet, and there is a round hole bullet top, and shell (7) top half is cylinder, cylinder side There is a through hole (18), the latter half is square body, and there is a through hole (14) square body side, and shell (7) is internal according to each The shape of part is emptied, for fixing internal part;
The syringe needle (1) is metal material, is placed in the round hole part of shell (7) top tapered body, syringe needle (1) lower end and pin Head plastic pipe (17) is connected;
For fixed needle (1), block (2) is cylinder to the block (2), is provided with the hole of up/down perforation, and hole is divided into upper and lower two Part, more than the metal tube external diameter of syringe needle (1), the latter half aperture is less than the intermediate plate of connecting rod (5) upper end two in top half aperture (4) external diameter of the cylindrical profile for being formed;By block (2) through syringe needle (1), it is enclosed within two intermediate plates (4), the latter half aperture The external diameter of the cylindrical profile formed less than two intermediate plates (4), two intermediate plates (4) produce elastic deformation to clamp syringe needle (1);Syringe needle (1) frictional force produced with two intermediate plates (4) is more than puncture force, and when syringe needle (1) is punctured, puncture force passes through connecting rod (5) It is conducted to force snesor (8);
The connecting rod (5) protects force snesor for connecting force snesor (8) and syringe needle (1) while transmission puncture force (8);Connecting rod (5) is divided into three sections, and upper end is the cylinder that there is space the both sides that two pieces of symmetrical fan-shaped intermediate plates (4) are formed, in Section is circular lattice gear (16), and lower end is threaded rod (15);Connecting rod (5) upper end intermediate plate (4) are for clamping syringe needle (1), syringe needle modeling The space and shell (7) top half cylindrical sides through hole (18) that sebific duct (17) is passed sequentially through between two pieces of intermediate plates (4) are derived, It is fixed on shell (7) side;Circular lattice gear (16) in stage casing are installed on the circle of center drilling in shell (7) top half cylinder In the range of 0.1~1 millimeter of disk (6) top;Lower end threaded rod (15) is connected with the screwed hole of force snesor (8) upper end;
The base (12) is made up of circular base plate (11) and whorl of base bar (9), and circular base plate (11) is under shell (7) In the rounded groove (10) of half part square body, whorl of base bar (9) is connected with the screwed hole of force snesor (8) lower end, is used for Fixed force snesor (8);
The force snesor (8) is square body, is installed in the square groove of shell (7) the latter half, by base (12) with it is outer Shell (7) is fixed, and the upper and lower ends of force snesor (8) are threaded hole, and threaded upper ends hole is connected with the threaded rod (15) of connecting rod Connect, lower end screwed hole is connected with whorl of base bar (9), the side of force snesor (8) is connected with force snesor wire (13), power The range of sensor (8) is 0~10N.
2. the method that the analog training device described in usage right requirement 1 measures puncture force, it is characterised in that using syringe needle (1) With the mode that force snesor (8) is combined, electric signal is converted to by force signal is punctured by force snesor (8), then by numeral Transmitter converts electrical signals to data signal, and output to host computer measures the size of puncture force in real time;Limited using displacement Mode protect force snesor (8) without damage, when syringe needle (1) displacement increase to a certain extent when, circular lattice gear (16) are with Disk (6) contact of heart perforate, prevents syringe needle (1) displacement from further increasing.
CN201510467980.0A 2015-07-31 2015-07-31 One kind is new to be quantified to be injected intravenously and puncture analog training device Expired - Fee Related CN105118350B (en)

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