CN201749605U - A training model for single-port laparoscopic surgery - Google Patents
A training model for single-port laparoscopic surgery Download PDFInfo
- Publication number
- CN201749605U CN201749605U CN2010201622184U CN201020162218U CN201749605U CN 201749605 U CN201749605 U CN 201749605U CN 2010201622184 U CN2010201622184 U CN 2010201622184U CN 201020162218 U CN201020162218 U CN 201020162218U CN 201749605 U CN201749605 U CN 201749605U
- Authority
- CN
- China
- Prior art keywords
- training
- piece
- socket
- fixed
- panel
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Expired - Fee Related
Links
- 238000002357 laparoscopic surgery Methods 0.000 title claims abstract description 31
- 239000000523 sample Substances 0.000 claims abstract description 7
- 210000003815 abdominal wall Anatomy 0.000 claims abstract 12
- 238000000926 separation method Methods 0.000 claims abstract 3
- 229910052751 metal Inorganic materials 0.000 claims description 12
- 239000002184 metal Substances 0.000 claims description 12
- 229910000831 Steel Inorganic materials 0.000 claims description 11
- 229920002379 silicone rubber Polymers 0.000 claims description 11
- 238000004088 simulation Methods 0.000 claims description 11
- 239000010959 steel Substances 0.000 claims description 11
- 238000009958 sewing Methods 0.000 claims description 4
- 239000004744 fabric Substances 0.000 claims description 3
- 229920001971 elastomer Polymers 0.000 claims 3
- 239000010985 leather Substances 0.000 claims 3
- 239000004945 silicone rubber Substances 0.000 claims 3
- 238000003780 insertion Methods 0.000 claims 1
- 230000037431 insertion Effects 0.000 claims 1
- 238000005516 engineering process Methods 0.000 abstract description 8
- 210000002784 stomach Anatomy 0.000 description 23
- 239000003292 glue Substances 0.000 description 9
- 229920000965 Duroplast Polymers 0.000 description 4
- 238000000034 method Methods 0.000 description 4
- 239000007787 solid Substances 0.000 description 4
- 238000001356 surgical procedure Methods 0.000 description 4
- 238000006073 displacement reaction Methods 0.000 description 3
- 230000001105 regulatory effect Effects 0.000 description 3
- 230000008901 benefit Effects 0.000 description 2
- 230000008878 coupling Effects 0.000 description 2
- 238000010168 coupling process Methods 0.000 description 2
- 238000005859 coupling reaction Methods 0.000 description 2
- 230000001788 irregular Effects 0.000 description 2
- 230000008569 process Effects 0.000 description 2
- 231100000241 scar Toxicity 0.000 description 2
- 208000004550 Postoperative Pain Diseases 0.000 description 1
- 230000003187 abdominal effect Effects 0.000 description 1
- 230000009471 action Effects 0.000 description 1
- 229910052782 aluminium Inorganic materials 0.000 description 1
- XAGFODPZIPBFFR-UHFFFAOYSA-N aluminium Chemical compound [Al] XAGFODPZIPBFFR-UHFFFAOYSA-N 0.000 description 1
- 238000007486 appendectomy Methods 0.000 description 1
- 238000007681 bariatric surgery Methods 0.000 description 1
- 238000002192 cholecystectomy Methods 0.000 description 1
- 238000010276 construction Methods 0.000 description 1
- 239000002537 cosmetic Substances 0.000 description 1
- 238000009799 cystectomy Methods 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 230000004069 differentiation Effects 0.000 description 1
- 230000006870 function Effects 0.000 description 1
- 230000036541 health Effects 0.000 description 1
- 230000008676 import Effects 0.000 description 1
- 238000002347 injection Methods 0.000 description 1
- 239000007924 injection Substances 0.000 description 1
- 210000003734 kidney Anatomy 0.000 description 1
- 238000002324 minimally invasive surgery Methods 0.000 description 1
- 210000000056 organ Anatomy 0.000 description 1
- 230000002980 postoperative effect Effects 0.000 description 1
- 230000002265 prevention Effects 0.000 description 1
- 230000002035 prolonged effect Effects 0.000 description 1
- 238000011471 prostatectomy Methods 0.000 description 1
- 238000002271 resection Methods 0.000 description 1
- 239000000243 solution Substances 0.000 description 1
- 230000009466 transformation Effects 0.000 description 1
- 230000007704 transition Effects 0.000 description 1
Images
Landscapes
- Instructional Devices (AREA)
Abstract
The utility model relates to the technical field of medical appliances and discloses a technical training model for single-hole laparoscopic surgery. The training model consists of a base (1), an abdominal wall simulating piece (2) and a training piece, wherein the training piece is selected from a tissue separation training piece (3), a tissue grabbing training piece (4), a plane suturing training piece (5) or a three-dimensional suturing training piece (6); the base (1) consists of a bottom plate, an abdominal wall simulating piece socket (1.1) and a training piece socket (1.2); and the center of the abdominal wall simulating piece (2) is a circular hole (2.3) which simulates navel incision and is used for inserting a camera probe and a single-hole laparoscopic surgery appliance. When the training model is used, the abdominal wall simulating piece is arranged in the abdominal wall simulating piece socket on the base, a corresponding training piece is arranged in the training piece socket according to different training projects and each component is adjusted to an appropriate height and angle, so that corresponding training can be performed. The training model has simple structure, is convenient to use, simulates vividly and provides a solution for a surgeon to master the single-hole laparoscopic surgery technology quickly and effectively.
Description
Technical field
The utility model relates to technical field of medical instruments, is a kind of model that is used for the single-hole laparoscopic surgery technical training.
Background technology
Wicresoft is the eventual objective of surgery, also is the higher boundary that outer scientific cirle is pursued.Act in this, operation has experienced the transition from traditional abdominal to the laparoscopic surgery that is described as " Second Revolution ", is experiencing from the differentiation of porous laparoscopic surgery to single-hole laparoscopic surgery at present.Recent years,, effectively promoted the development and the range of application of single-hole laparoscopic surgery technology especially based on the appearance of the flexible laparoscopic surgical instruments of leading portion of up-to-date engineering science technology.
As a kind of brand-new Minimally Invasive Surgery mode, it is all completely different with tradition opening and common laparoscopic surgery that single-hole laparoscopic surgery is chosen the operation technique mode from otch.The clinical single-hole laparoscopic surgery of carrying out mainly is meant through the navel single hole and performs the operation at present.During operation, the patient imports right-hand man's apparatus and camera probe by the otch that umbilical region is about 1～2cm, behind the arrival operative region, intersect to form the operation triangle by right-hand man's apparatus front end, and operation undergos surgery.Because navel is unique inherent scar on the health, postoperative umbilical region skinfold can hide operative incision, thereby reaches the purpose of no scar operation.
Though also be in the exploratory stage, cosmetic result is obvious, postoperative pain light, the patient recovers fast but owing to have, hospital stays is short, advantages such as hospitalization cost is few, single-hole laparoscopic surgery occupies one seat in fields such as cholecystectomy, fundoplication, appendectomy, bariatric surgeries, simultaneously, in Urology Surgery such as prostatectomy, cystectomy, donor kidney resection, uterectomy and gynecological surgery, also begun to attempt using.
Single-hole laparoscopic surgery is had higher requirement to surgeon's operation skill, mainly comprise the following aspects: owing to be subjected to operating the duct limited in number, but the more common laparoscopic surgery limitation of patient's opereating specification causes the mutual interference of apparatus phase, the influence operation easily; Traction difficulty to adjacent organ strengthens, and has increased operating difficulty; Apparatus and light source are coaxial can to influence the judgement of patient to the degree of depth and distance, influences surgical field of view.These problems have proposed challenge equally also for doctor's learning and mastering single-hole laparoscopic technology of undergoing training, according to bibliographical information: problems such as the doctor's ubiquity in study single-hole laparoscopic technical process of undergoing training and had a big risk, growth cycle length, performance difficulties.Therefore press for the special-purpose training pattern of a kind of effective single-hole laparoscopic at present,, shorten the doctor's that undergoes training learning curve simultaneously as far as possible, promote popularizing and raising of single-hole laparoscopic technology to avoid training high-leveled and difficult operation like this on one's body patient.
Summary of the invention
The purpose of this utility model provides a kind of training pattern of simulating the single-hole laparoscopic surgery operative technique, so that the related personnel is carried out the training of single-hole laparoscopic surgery operating process simulation and various basic operation technology.
The utility model is made up of base, stomach wall simulating piece and training part, and the training part is selected from separate tissue training part, organizes extracting training part, plane to sew up training part or solid stitching training part etc.Base is made up of base plate and the socket that is fixed on the base plate, socket is cylindrical, be divided into stomach wall simulating piece socket and training part socket, be respectively applied for stomach wall simulating piece and training part are installed, be equipped with fixed screw on the tube wall, so that stomach wall simulating piece or training part are fixed it when being adjusted to suitable height and angle; The stomach wall simulating piece is by fixed frame, circular flexible glue skin and fixed bar are formed, the central authorities that fixed frame is fixed in framework with circular flexible glue skin, circular flexible glue micromicro shirks replacing, the central authorities of circular flexible glue skin are equivalent to people's navel, be provided with three circular holes, form the operating theater instruments admission passage, the simulation umbilical notch cut, camera probe and single-hole laparoscopic apparatus can pass and be supported to fix thus, fixed bar is installed on one side of fixed frame, the internal diameter coupling of its external diameter and stomach wall simulating piece socket so that insert stomach wall simulating piece socket, is regulated height with fixed screw and is also fixed; Separate tissue training part by fixed bar, be fixed in the steel wire in irregular shape on the fixed bar and be placed in steel wire and the becket of slidably displacement is formed, the external diameter of fixed bar mates with the internal diameter of training part socket, so that insert training part socket, regulate height with fixed screw and also fixed; Tissue grasps the training part and is made up of fixed bar, training panel and thin round metal bars, the front of training panel is provided with a plurality of circular holes, the internal diameter of circular hole mates with the external diameter of thin round metal bars, so that thin round metal bars is inserted circular hole, fixed bar is fixed in training back side of panel central authorities so that regulate the angle of training panel by the angular adjustment valve, the external diameter of fixed bar mates with the internal diameter of training part socket, so that insert training part socket, regulates height with fixed screw and is also fixed; The plane is sewed up the training part and is made up of fixed bar, training panel and operation needle, the training panel surface is made up of framework, the leathering that is fixed in the framework front, silk fabrics or the sponge that is filled between leathering and the framework, leathering is provided with a plurality of monumented points that are equally spaced, fixed bar is fixed in training back side of panel central authorities so that regulate the angle of training panel by the angular adjustment valve, the external diameter of fixed bar mates with the internal diameter of training part socket, so that insert training part socket, regulate height with fixed screw and also fixed; The three-dimensional training part of sewing up is made up of fixed bar, training panel and silicon rubber pipe, the central authorities of training panel are provided with silicon rubber pipe jack, silicon rubber pipe one end just is fixed in it, fixed bar is fixed in training back side of panel central authorities so that regulate the angle of training panel by the angular adjustment valve, the fixed bar external diameter mates with the internal diameter of training part socket, so that insert training part socket.
During use, the stomach wall simulating piece is installed on the stomach wall simulating piece socket of base,, will trains part to be installed on training part socket accordingly, each parts is adjusted to suitable height and angle, can carry out corresponding training according to different training programs.
The utility model can be simulated the common operation step in the single-hole laparoscopic surgery, as separate tissue, extracting and stitching, knotting etc., also can give training at the difficult point in the single-hole laparoscopic surgery, comprise control to the angular transformation of single-hole laparoscopic surgery instrument tip, how to avoid the phase mutual interference of right-hand man's apparatus, and how to utilize the flexible function of apparatus leading portion to form the operation triangle, finish operations such as the higher stitching of difficulty, knotting.By simulated operation, make trainee's single-hole laparoscopic surgery operation skill on top of.
The utlity model has following advantage: (1) is simple in structure, and is easy to use, can train at any time and can prolonged and repeatedly use; (2) simulation is true to nature, can train spatial impression, sense of direction and the action feel of surgical doctor in single-hole laparoscopic surgery truly; (3) by the various basic fundamentals of simulation single-hole laparoscopic surgery, shorten the doctor's that undergoes training learning curve, improve operation skill, the generation of complication in the prevention patient art.The utility model provides solution for the surgeon effectively grasps the single-hole laparoscopic surgery technology fast.
Description of drawings
Fig. 1 is the utility model one-piece construction synoptic diagram, and the training part among the figure is a separate tissue training part.
Fig. 2 is that tissue of the present utility model grasps training part structural representation.
Fig. 3 is that training part structural representation is sewed up on plane of the present utility model.
Fig. 4 is the three-dimensional training part structural representation of sewing up of the present utility model.
Structural representation when Fig. 5 is the utility model simulated training.
Embodiment
Now in conjunction with the accompanying drawings and embodiments, the utility model is described in detail.
The utility model is made up of base 1, stomach wall simulating piece 2 and training part, and the training part is selected from separate tissue training part 3, organizes extracting training part 4, plane to sew up training part 5 or solid stitching training part 6 etc.Base 1 is made up of base plate and the socket that is fixed on the base plate, socket is cylindrical, be divided into stomach wall simulating piece socket 1.1 and training part socket 1.2, be respectively applied for stomach wall simulating piece and training part are installed, be equipped with fixed screw on the tube wall, so that stomach wall simulating piece or training part are fixed it when being adjusted to suitable height and angle; Stomach wall simulating piece 2 is made up of fixed frame, the circular flexible glue skin 2.1 and the fixed bar 2.2 that are fixed in framework central authorities, circular flexible glue micromicro shirks replacing, the central authorities of circular flexible glue skin are equivalent to people's navel, be provided with the circular hole 2.3 of three simulation navel otch, use for inserting camera probe and single-hole laparoscopic surgery apparatus, fixed bar 2.2 is installed on one side of fixed frame, the internal diameter coupling of its external diameter and stomach wall simulating piece socket 1.1, so that insert stomach wall simulating piece socket, regulate height with fixed screw and also fixed; Separate tissue training part 3 by fixed bar 3.1, be fixed in the steel wire in irregular shape 3.2 on the fixed bar and be placed on the steel wire and the becket 3.3 of slidably displacement is formed, the external diameter of fixed bar 3.1 mates with the internal diameter of training part socket 1.2, so that insert training part socket, regulate height with fixed screw and also fixed; Tissue grasps training part 4 and is made up of fixed bar 4.1, training panel 4.2 and thin round metal bars 4.3, the front of training panel 4.2 is provided with a plurality of circular holes 4.4, the internal diameter of circular hole mates with the external diameter of thin round metal bars 4.3, so that thin round metal bars is inserted circular hole, fixed bar 4.1 is fixed in training back side of panel central authorities so that regulate the angle of training panel by the angular adjustment valve, the external diameter of fixed bar 4.1 mates with the internal diameter of training part socket 1.2, so that insert training part socket, regulate height with fixed screw and also fixed; The plane is sewed up training part 5 and is made up of fixed bar 5.1, training panel 5.2 and operation needle 5.3, the training panel 5.2 by framework, be fixed in the leathering in framework front and be filled in leathering and framework between silk fabrics or sponge form, leathering is provided with a plurality of monumented points 5.4 that are equally spaced, fixed bar 5.1 is fixed in training back side of panel central authorities so that regulate the angle of training panel by the angular adjustment valve, the external diameter of fixed bar 5.1 mates with the internal diameter of training part socket 1.2, so that insert training part socket, regulate height with fixed screw and also fixed; The three-dimensional training part 6 of sewing up is made up of fixed bar 6.1, training panel 6.2 and silicon rubber pipe 6.3, the central authorities of training panel 6.2 are provided with silicon rubber pipe jack, silicon rubber pipe one end just is fixed in it, fixed bar 6.1 external diameters mate with the internal diameter of training part socket 1.2, so that insert training part socket.
When carrying out the separate tissue training, stomach wall simulating piece 2 is installed on the stomach wall simulating piece socket 1.1 of base, train part 3 to be installed on training part socket 1.2 separate tissue, fixed with fixed screw after respectively stomach wall simulating piece 2 and separate tissue training part 3 being adjusted to suitable height and angle, simulate the routine operation step of single-hole laparoscopic surgery then, camera probe 7 and single-hole laparoscopic surgery apparatus 8 are inserted from set three circular holes 2.3 of stomach wall simulating piece central authorities respectively, form operation triangle (see figure 5), be placed in becket 3.3 on the steel wire with the mechanical arm clamping, and along steel wire 3.2 becket is moved around, the operation that simulated tissue separates is trained.
When organizing the extracting training, different is tissue to be grasped training part 4 be installed on training part socket 1.2, each parts is adjusted to suitable height and angle, with mechanical arm repeatedly the thin metal bar of clamping 4.3 insert or extract set aperture 4.4 on the training panel, train in the aperture that operates in diverse location that simulated tissue grasps.
When carrying out plane stitching training, different is training part 5 to be sewed up on the plane be installed on training part socket 1.2, each parts is adjusted to suitable height and angle, with mechanical arm clamping operation needle, exercise is sewed up and knotting between training panel surface unlike signal point 5.4, and simulation plane suture closing operation is trained.
When carrying out solid stitching training, different is solid to be sewed up training part 6 be installed on training part socket 1.2, each parts is adjusted to suitable height and angle, with operating theater instruments clamping operation needle, sew up and knotting in the 6.3 surperficial different parts exercises of silicon rubber pipe, simulate three-dimensional sew application and train.
1. 1 kinds of training model for single-hole laparoscopic surgery of embodiment
Base plate 1.1 of the present invention is formed by white duroplasts injection mo(u)lding, and the bottom adds slipmat increases the weight of, long 400mm, wide 300mm, thick 5mm.Spacing between stomach wall simulating piece socket 1.1 and the training part socket 1.2 is 300mm, two all high 25mm of socket, internal diameter 10mm.The fixed frame of stomach wall simulating piece 2 is an aluminum, long and wide each 80mm, and thick 5mm adopts contained side that circular flexible glue skin 2.1 is fixed in framework central authorities, circular flexible glue skin 2.1 diameter 40mm, three circular hole 2.3 diameters in the middle of it are 5mm.Fixed bar 2.2 long 50mm, diameter of section 9mm.
The fixed bar 3.1 long 100mm of separate tissue training part 3, diameter of section 9mm; 3.2 4 on steel wire is symmetrically distributed in the fixed bar both sides, and steel wire length is 30mm; Becket 3.3 diameters that are placed in steel wire and slidably displacement are 5mm.
Tissue grasps the fixed bar 4.1 long 25mm of training part 4, diameter of section 9mm; Training panel 4.2 is made by white duroplasts, long and wide each 50mm, and thick 5mm is provided with 9 circular holes 4.4 that are equally spaced, Circularhole diameter 1mm, degree of depth 5mm; Thin round metal bars 4.3 long 20mm, diameter of section 1mm, angle can be regulated between 0-60 ° between training panel 4.2 and the base plate.
The fixed bar 5.1 long 25mm of training part 5, diameter of section 9mm are sewed up in the plane; The framework of training panel 5.2 is made by white duroplasts, circle, and external diameter 50mm, inner chamber degree of depth 5mm fills with sponge, and the leathering in framework front is provided with 9 monumented points 5.4; Angle can be regulated between 0-60 ° between training panel 5.2 and the base plate.
The three-dimensional fixed bar 6.1 long 100mm that sew up training part 6, diameter of section 9mm; Training panel 6.2 is made by white duroplasts, long and wide each 50mm, thick 5mm, silicon rubber pipe 6.3 external diameter 20mm, internal diameter 18mm, length 30mm.
During simulated training, trainer right-hand man divides and to hold single-hole laparoscopic surgery elastic separating plier or needle holder, and both hands apparatus and laparoscope probe are inserted by three set circular holes of stomach wall simulating piece central authorities, enter the training zone after, right-hand man's apparatus front end intersects, and carries out associative operation by different training requests.(see figure 5)
The utility model can be made different specifications and models as required.
Claims (1)
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN2010201622184U CN201749605U (en) | 2010-04-16 | 2010-04-16 | A training model for single-port laparoscopic surgery |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN2010201622184U CN201749605U (en) | 2010-04-16 | 2010-04-16 | A training model for single-port laparoscopic surgery |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN201749605U true CN201749605U (en) | 2011-02-16 |
Family
ID=43584277
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN2010201622184U Expired - Fee Related CN201749605U (en) | 2010-04-16 | 2010-04-16 | A training model for single-port laparoscopic surgery |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN201749605U (en) |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN110610642A (en) * | 2019-10-21 | 2019-12-24 | 海口市人民医院 | A surgical suturing trainer |
-
2010
- 2010-04-16 CN CN2010201622184U patent/CN201749605U/en not_active Expired - Fee Related
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN110610642A (en) * | 2019-10-21 | 2019-12-24 | 海口市人民医院 | A surgical suturing trainer |
Similar Documents
| Publication | Publication Date | Title |
|---|---|---|
| US10943508B2 (en) | Anatomical model and method for surgical training | |
| US11514819B2 (en) | Surgical training model for laparoscopic procedures | |
| AU2017265015B2 (en) | Surgical training model for laparoscopic procedures | |
| JP6315712B2 (en) | Surgical training model for transluminal laparoscopic procedures | |
| CN202003575U (en) | Skill training device for simulation phantom peritoneoscope | |
| KR102649261B1 (en) | Hysterectomy Model | |
| US20160365007A1 (en) | Hysterectomy model | |
| WO2015151504A1 (en) | Peritoneal cavity simulator | |
| JP2024020362A (en) | hysterectomy model | |
| CN202443678U (en) | Simulated training device for endoscopic surgeries | |
| CN201749605U (en) | A training model for single-port laparoscopic surgery | |
| CN101807360B (en) | Training model for single-hole laparoscopic surgery | |
| WO2021077955A1 (en) | Surgical suture training device | |
| CN210804937U (en) | A surgical suture trainer | |
| JP2024533765A (en) | Simulated tissue construct compositions and methods of use for surgical training | |
| Gelmini et al. | A didactic model in laparoscopic surgery: the usefulness of endotrainers. |
Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| C14 | Grant of patent or utility model | ||
| GR01 | Patent grant | ||
| CF01 | Termination of patent right due to non-payment of annual fee |
Granted publication date: 20110216 Termination date: 20150416 |
|
| EXPY | Termination of patent right or utility model |