CN210667421U - Basic operation simulation training device for surgical operation - Google Patents
Basic operation simulation training device for surgical operation Download PDFInfo
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- CN210667421U CN210667421U CN201920284621.5U CN201920284621U CN210667421U CN 210667421 U CN210667421 U CN 210667421U CN 201920284621 U CN201920284621 U CN 201920284621U CN 210667421 U CN210667421 U CN 210667421U
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Abstract
A surgical basic operation simulation training device comprising at least a head portion, a neck portion and a torso portion, the head portion being secured to a first end of the neck portion and the torso portion being secured to a second end of the neck portion, wherein: be equipped with the wound on the trunk and sew up the training district, the wound is sewed up the training district and is included wound and sew up chamber, muscle layer, fat layer and epidermis layer at least, the muscle layer fat layer with the epidermis layer is parallel to each other, and it has set gradually according to following its depth direction and from the mode of end supreme in the wound is sewed up the chamber muscle layer fat layer the epidermis layer. The utility model discloses the function is various, and low cost can make medical personnel or student's skill to comprehensive exercise.
Description
Technical Field
The utility model relates to a medical science simulation teaching aid technical field especially relates to a basic operation simulation trainer of surgery operation.
Background
The basic operating skills of the surgery are many, students or medical staff need to exercise constantly and accumulate experience to grasp gradually, and in teaching, due to the limitation of factors such as risks, beginners only stay in a theoretical stage in the operation aspect, and some animals are simulated and trained at the same cost, so that the students can experience better operation, but the cost is high, and the beginners are professionally prepared.
Chinese patent publication No. CN2505942 discloses a simulated training device for basic operation of surgical operation. The device is a three-layer duplex structure simulating soft tissue, which is composed of single-layer fabrics with two different colors and a fiber layer of a middle interlayer. The designed model imitating 'stomach' and 'intestinal canal' can provide real teaching tools for students to train hemostasis, suture, anastomotic blood vessels and anastomotic after organ cutting in basic operations, but the operation of surgical operations is far more than the ones solved by the patent, because the functions are few, the possibility of realizing sufficient exercise is not great, and the practicability of the device is not strong.
The basic principle of suturing according to Baidu encyclopedia records is as follows:
(1) to ensure good apposition of the sutured wound surface or wound. The suture should be performed layer by layer, and the suture is performed according to the anatomical layer of the tissue, so that the tissue layer is tight, other tissues are not involved or sewed, residual cavities are not left, and effusion, hematocele and infection are prevented. The suture wound margin distance and the needle distance must be uniform, so the appearance is beautiful, more importantly, the stress and the shared tension are uniform and the suture is tight, and the leakage cannot occur.
(2) Note the tension at the stitch. The tightness of the ligation suture line is determined by the tight contact of the incision edges, and the suture line is not too tight, in other words, the early and late healing and the quality of the incision are not completely proportional to the tightness, and the poor healing can be caused by too tight and too loose. When the wound has tension, tension-reducing suture should be performed, and if the wound has too large defect, metastatic flap repair or skin flap transplantation can be considered.
(3) The choice of suture and needle is appropriate. The aseptic incision or the wound with light pollution can be cleaned by silk thread after being disinfected, and the wound with serious infection or pollution can be made by absorbable suture, and the anastomosis of the blood vessel should be made by selecting the non-invasive needle thread with corresponding type.
The classification of the suture and the commonly used suture methods introduce a plurality of suture methods, and no uniform classification method exists yet. Based on the involution relationship of tissues, the method is divided into three types of simple suture, eversion suture and eversion suture; each type is divided into two types of intermittent sewing and continuous sewing according to the continuity of the sewing thread during sewing; the suture is divided into horizontal suture and vertical suture according to the position relation between the suture and the tissue during the suture; sometimes, the names are obtained by combining the situations. The suture can be divided into purse-string suture, half purse-string suture, U-shaped suture, 8-shaped suture, T-shaped suture, Y-shaped suture and the like according to the shape of the suture. In addition, sutures are used for special purposes, such as tension-reducing sutures, intradermal sutures, suture hemostasis, and the like.
SUMMERY OF THE UTILITY MODEL
The word "module" as used herein describes any type of hardware, software, or combination of hardware and software that is capable of performing the functions associated with the "module".
To the deficiency of the prior art, the utility model provides a basic operation simulation trainer of surgery, including head, neck and trunk at least, the head is fixed in the first end of neck, the trunk is fixed in the second end of neck, wherein: be equipped with the wound on the trunk and sew up the training district, the wound is sewed up the training district and is included wound and sew up chamber, muscle layer, fat layer and epidermis layer at least, the muscle layer fat layer with the epidermis layer is parallel to each other, and it has set gradually according to following its depth direction and from the mode of end supreme in the wound is sewed up the chamber muscle layer fat layer the epidermis layer.
According to a preferred embodiment, the outer shapes of the muscle layer, the fat layer and the epidermis layer are all defined by rectangular parallelepipeds, and the muscle layer, the fat layer and the epidermis layer are all provided with a plurality of suture needle holes extending along the respective length direction and penetrating along the respective thickness direction, wherein: the muscle layer, the fat layer and the epidermis layer are arranged on two side faces of the wound suture cavity in the width direction, and the muscle layer, the fat layer and the epidermis layer on the two side faces of the wound suture cavity in the width direction are equal in number of suture needle holes respectively and correspondingly.
According to a preferred embodiment, the neck portion is provided with a throat tube extending axially therethrough, the head portion is provided with a nasal cavity and an oral cavity extending therethrough, and the trunk portion is provided with an esophagus and a trachea extending therethrough, wherein: the nasal cavity and the oral cavity meet each other at a lower end surface of the head, and the esophagus and the trachea meet each other at an upper end surface of the trunk. With the lower end of the head connected to the first end of the neck and the upper end of the torso connected to the second end of the neck, the nasal cavity, the oral cavity, the esophagus, and the trachea can communicate with each other through the throat tube.
According to a preferred embodiment, the neck is provided with a venous cannula practice zone, the venous cannula practice zone comprising at least a neck epidermis layer, a venous blood vessel and a venous cannula chamber, wherein: the vein insertion cavity is in a hollow cuboid shape, vein vessels are arranged in the vein insertion cavity in a mode of extending along the length direction of the vein insertion cavity, the neck epidermal layer is arranged at the opening end of the vein insertion cavity, and the neck epidermal layer is abutted to the vein vessels.
According to a preferred embodiment, the trunk portion has a bladder cavity and a urethra at a lower end thereof, and an epiglottis at an upper end thereof near a junction of the esophagus and trachea, wherein: the bladder cavity communicates with the external environment through the urethra. The open end of the trachea can be closed in such a way that the epiglottis is elastically deformed when the epiglottis is subjected to an external force.
According to a preferred embodiment, at least two electrode patches are provided on the front side of the torso section, each electrode patch being located at the upper end of the torso section.
According to a preferred embodiment, in the case that the head portion is subjected to an external force, an angle between an axis of the head portion and an axis of the trunk portion can be increased or decreased in such a manner that the neck portion is elastically deformed, wherein: the nasal cavity, the esophagus, the trachea and the oral cavity can communicate with each other through the throat tube under the condition that the neck is elastically deformed.
According to a preferred embodiment, the muscle layer, the fat layer, and the epidermis layer have gaps therebetween, and the muscle layer, the fat layer, and the epidermis layer, which correspond one to one on both sides in the width direction of the wound suture cavity, also have gaps therebetween.
According to a preferred embodiment, the neck, the muscle, fat, epidermis, neck epidermis and venous vessels are all of an elastomeric material, which can be at least one of rubber, silicone and soft plastic.
According to a preferred embodiment, the aperture of the suture needle hole is 1-8 mm.
The utility model has the advantages of:
(1) the utility model discloses a simulation sets up nasal cavity, oral cavity, throat pipe, esophagus and trachea and can help medical personnel or student to temper trachea cannula and the technical ability of inserting the stomach tube of going on in the surgery.
(2) The utility model discloses a set up vein intubate exercise and urethra and bladder chamber and can help medical personnel or student to take exercise the vein intubate technical ability and the technical ability of inserting the ureter in the surgery operation.
(3) The utility model discloses a set up the wound and sew up the training district and can help medical personnel or student to take exercise the wound and sew up technical ability, convenient to use, the low in manufacturing cost of device.
Drawings
FIG. 1 is a side view, partially in section, of a preferred surgical basic operation simulation training device of the present invention;
FIG. 2 is a schematic front view of the preferred surgical basic operation simulation training device of the present invention; and
fig. 3 is a side view of a preferred intravenous cannula practice area of the present invention in cross-sectional configuration.
List of reference numerals
1: a head part 2: and 3, nasal cavity: esophagus
4: body portion 5: bladder cavity 6: urethra
7: wound closure training area 8: an air pipe 9: epiglottis
10: neck 11: the oral cavity 12: suture needle hole
13: electrode patch 14: venous catheterization practice area 15: throat tube
71: wound suture cavity 72: muscle layer 73: fat layer
74: skin layer 141: neck epidermis 142: venous blood vessel
143: vein intubation cavity
Detailed Description
The following detailed description is made with reference to the accompanying drawings.
As shown in fig. 1 to 3, the training device for simulating basic surgical operations of the present invention includes at least a head portion 1, a neck portion 10, and a trunk portion 4. The head 1 is secured to a first end of the neck 10. The trunk portion 4 is fixed to a second end of the neck portion 10, wherein: the trunk 4 is provided with a wound closure training area 7. Wound closure training area 7 includes at least wound closure cavity 71, muscle layer 72, fat layer 73, and epidermal layer 74. The muscle layer 72, the fat layer 73, and the epidermis layer 74 are parallel to each other, and the muscle layer 72, the fat layer 73, and the epidermis layer 74 are sequentially provided in the wound suture cavity 71 from bottom to top in the depth direction thereof. As shown in fig. 2, the basic operation simulation training device for surgical operation of the present invention is human-shaped as a whole, and has a main structure including a head portion 1, a neck portion 10 and a trunk portion 4, wherein a wound suture training area 7 is provided at a position close to the abdominal cavity in the forebreast of the trunk portion 4 to simulate a wound opened manually in the surgical operation process for exposing a lesion, wherein a muscle layer 72, a fat layer 73 and a skin layer 74 are provided on both sides of the wound suture cavity 71 in the shape of a hollow rectangular parallelepiped in the width direction to simulate the tissue structure of a human body, and the preferred operation muscle layer 72, fat layer 73 and skin layer 74 may be rubber sheets of different colors. The width direction here is a width direction of a rectangle viewed from the wound suture chamber 71, and the width direction is parallel to the ground. Preferably, the outer shapes of the muscle layer 72, fat layer 73 and epidermis layer 74 are each defined by a rectangular parallelepiped. The muscle layer 72, the fat layer 73 and the epidermis layer 74 are provided with a plurality of suture needle holes 12 extending along the respective length directions and penetrating along the respective thickness directions, wherein: in the case where the muscle layer 72, the fat layer 73, and the epidermis layer 74 are provided on both side surfaces in the width direction of the wound suture cavity 71, the number of suture needle holes 12 of each of the muscle layer 72, the fat layer 73, and the epidermis layer 74 on both side surfaces in the width direction of the wound suture cavity 71 is equal. As shown in fig. 2, a plurality of suture needle holes 12 are provided in each of the muscle layer 72, the fat layer 73 and the epidermis layer 74, but the muscle layer 72 on both sides in the width direction of the wound suture cavity 71 corresponds to and equals to the number of suture needle holes 12 in the muscle layer 72, the fat layer 73 corresponds to and equals to the number of suture needle holes 12 in the fat layer 73, and the epidermis layer 74 corresponds to and equals to the number of suture needle holes 12 in the epidermis layer 74, so that the purpose of facilitating the practice of wound suture by medical staff or students is achieved. The ending work of the surgical operation is suture, and the manual suture especially tests the operation skills of medical personnel, thereby playing a good exercise purpose. Here, the longitudinal direction of the muscle layer 72, the fat layer 73, and the epidermis layer 74 is the longest side direction thereof, and coincides with the longitudinal direction of the wound suture cavity 71, and the thickness direction thereof is the shortest side direction thereof.
Preferably, the neck 10 is provided with a throat 15 extending axially therethrough. The head 1 is provided with a nasal cavity 2 and an oral cavity 11 in a penetrating way. The trunk portion 4 is provided with an esophagus 3 and an airway 8, respectively, so as to penetrate through the upper end face of the trunk portion 4, wherein: the nasal cavity 2 and the oral cavity 11 meet each other at the lower end surface of the head 1. The esophagus 3 and trachea 8 meet each other at the upper end face of the trunk 4. With the lower end of the head 1 connected to the first end of the neck 10 and the upper end of the trunk 4 connected to the second end of the neck 10, the nasal cavity 2, the oral cavity 11, the esophagus 3, and the trachea 8 can communicate with each other through the throat tube 15. As shown in fig. 1, the human body basic operation simulation training device is provided with a nasal cavity 2 and an oral cavity 11 which intersect each other in the region of a head 1, an esophageal cavity 3 and an airway 8 which intersect each other are provided in a body 4 so as to penetrate through an upper end surface of the body 4, and the nasal cavity 2 and the oral cavity 11 are communicated with the esophageal cavity 3 and the airway 8 through a throat tube 15, thereby simulating the mouth, the nasal cavity, the throat, the esophageal cavity and the airway of the human body. Before the surgery operation is started, a patient needs to carry out a series of treatment, and more critical steps comprise tracheal intubation and gastric tube insertion. The trachea cannula is usually performed after anaesthetizing a patient, the throat and the trachea tissue of the patient can be injured by carelessness, the head 1 of the patient needs to be bent backwards in the process, the operation is more convenient, the preferred neck 10 can be made of elastic materials such as silica gel, the head 1 of the device can be conveniently bent backwards when medical staff or students practice the trachea cannula, the actual operation of the operation is simulated to the maximum extent, a tube is usually inserted into the trachea of the patient from the oral cavity of the patient through a throat tube in clinical trachea cannula, and a stomach tube is inserted into the esophagus to the stomach of the patient from the nasal cavity of the patient through the throat tube.
Preferably, the neck 10 is provided with an intravenous cannula exercise area 14. The venous cannulation practice region 14 includes at least a neck epidermis layer 141, a venous blood vessel 142, and a venous cannulation lumen 143, wherein: the vein insertion chamber 143 has a hollow rectangular parallelepiped shape. The venous cannula lumen 143 has a venous vessel 142 extending along the longitudinal direction thereof. A neck epidermis layer 141 is provided at the open end of the venous cannula chamber 143. The neck epidermis layer 141 abuts the venous blood vessel 142. In the surgical operation, besides the above-mentioned basic operation, there is also an important operation that is the intravenous cannula, which is usually operated at the right neck of the patient, which is very important for the surgical operation, because the condition in the operation cannot be predicted, when the patient has an unexpected condition and needs to be rescued in time by inputting a large amount of medicine, the conventional intravenous injection of the upper limb cannot be satisfied, so that the intravenous cannula needs to be preset at the neck of the patient to meet the need from time to time, the cannula needs to be fixed after the completion, and usually it is sewn on the neck epidermis layer 141, preferably, the neck epidermis layer 141 can be a silicone sheet with a thickness of 0.5-1mm, and the venous blood vessel 142 can be a rubber hose with a small hardness.
Preferably, the lower end of the trunk portion 4 is provided with a bladder cavity 5 and a urethra 6. The upper end of the trunk 4 is provided with an epiglottis 9 near the intersection of the esophagus 3 and the trachea 8, wherein: the bladder cavity 5 communicates with the external environment through the urethra 6. In the case where the epiglottis 9 is subjected to an external force, the open end of the trachea 8 can be closed in such a manner that the epiglottis 9 is elastically deformed. In operation, a patient often needs to insert a urinary catheter, and the patient cannot urinate by himself or herself due to anesthesia and operation, so that a medical staff is required to insert the urinary catheter into the bladder of the patient through the urethra of the patient during the operation.
Preferably, at least two electrode patches 13 are provided on the front side surface of the body portion 4, and the electrode patches 13 are all located at the upper end of the body portion 4. The electrocardiograph monitoring is an essential monitoring device in the operation and is used for displaying the vital signs of a patient, and the position of the electrode patch is also critical.
Preferably, in the case that the head portion 1 is subjected to an external force, the angle between the axis of the head portion 1 and the axis of the trunk portion 4 can be increased or decreased in such a manner that the neck portion 10 is elastically deformed, wherein: in the case where the neck 10 is elastically deformed, the nasal cavity 2, the esophagus 3, the trachea 8 and the oral cavity 11 can communicate with each other through the throat tube 15.
Preferably, the muscle layer 72, fat layer 73 and epidermis layer 74 have gaps between each other. There are also gaps between the muscle layer 72, the fat layer 73, and the epidermis layer 74, which correspond one to one on both sides of the wound suture cavity 71 in the width direction.
Preferably, the neck 10, muscle layer 72, fat layer 73, epidermis layer 74, neck epidermis layer 141 and venous vessels 142 are all made of an elastomeric material, which can be at least one of rubber, silicone and soft plastic.
Preferably, the aperture of the suture needle hole 12 is 1-8 mm.
For ease of understanding, the working principle of the surgical basic operation simulation training device of the present invention will be discussed.
When the device is used for practice, firstly the device is placed on a platform to simulate an operating table, then the head 1 is moved to make the neck 10 elastically deformed and bent backwards, then the tube for trachea cannula is inserted into the trachea 8 through the oral cavity 11 and the throat tube 15, then the stomach tube is inserted into the deep esophagus 3 through the nasal cavity 2 and the throat tube 15, the part of the stomach tube left outside the nasal cavity 2 of the device is pasted to the face position of the device through medical adhesive plaster, then the tube for vein cannula is inserted into the lumen of the vein 142 in a mode of penetrating through the wall of the neck epidermal layer 141 and the vein 142, then the tube for vein cannula left outside the neck epidermal layer 141 is sewn and fixed to the neck epidermal layer 141, finally the urine tube is inserted into the bladder cavity 5 through the urethra 6, and after the operation is completed, the muscle layers 72, 72 and the throat suture cavities 71 on the two sides of the wound suture training area 7, The fat layer 73 and the epidermis layer 74 are sutured correspondingly, and specifically, a suture is sequentially introduced into the suture needle hole 12 by using a medical suture needle, so that the muscle layer 72, the fat layer 73 and the epidermis layer 74 on two sides are correspondingly connected.
It should be noted that the above-mentioned embodiments are exemplary, and that those skilled in the art, having benefit of the present disclosure, may devise various arrangements that are within the scope of the present disclosure and that fall within the scope of the invention. It should be understood by those skilled in the art that the present specification and figures are illustrative only and are not limiting upon the claims. The scope of the invention is defined by the claims and their equivalents.
Claims (10)
1. A surgical basic operation simulation training device comprising at least a head portion (1), a neck portion (10) and a torso portion (4), wherein the head portion (1) is secured to a first end of the neck portion (10) and the torso portion (4) is secured to a second end of the neck portion (10), wherein:
a wound suture training area (7) is arranged on the trunk part (4), the wound suture training area (7) at least comprises a wound suture cavity (71), a muscle layer (72), a fat layer (73) and an epidermis layer (74), the muscle layer (72), the fat layer (73) and the epidermis layer (74) are parallel to each other, and
the muscle layer (72), the fat layer (73), and the epidermis layer (74) are sequentially provided in the wound suture cavity (71) from bottom to top in the depth direction thereof.
2. The surgical basic operation simulation training device according to claim 1, wherein the muscle layer (72), the fat layer (73) and the epidermis layer (74) are each defined by a rectangular parallelepiped in outer shape, and the muscle layer (72), the fat layer (73) and the epidermis layer (74) are each provided with a plurality of suture needle holes (12) extending in the respective length direction thereof and penetrating in the respective thickness direction thereof, wherein:
under the condition that the muscle layer (72), the fat layer (73) and the epidermis layer (74) are arranged on two side surfaces of the wound suture cavity (71) in the width direction, the numbers of suture needle holes (12) of the muscle layer (72), the fat layer (73) and the epidermis layer (74) on the two side surfaces of the wound suture cavity (71) in the width direction are respectively equal correspondingly.
3. The surgical basic operation simulation training device according to claim 2, wherein a throat tube (15) is provided on the neck portion (10) in such a manner as to penetrate along an axial direction thereof, the head portion (1) is provided with a nasal cavity (2) and an oral cavity (11) in such a manner as to penetrate therethrough, and the trunk portion (4) is provided with an esophagus (3) and a trachea (8) in such a manner as to penetrate through an upper end surface of the trunk portion (4), wherein:
the nasal cavity (2) and the oral cavity (11) meet each other at a lower end face of the head (1), and the esophagus (3) and the trachea (8) meet each other at an upper end face of the trunk (4);
the nasal cavity (2), the oral cavity (11), the esophagus (3), and the trachea (8) can communicate with each other through the throat tube (15) with a lower end of the head (1) connected to a first end of the neck (10) and an upper end of the torso (4) connected to a second end of the neck (10).
4. The surgical basic operation simulated training device of claim 3 wherein said neck (10) is provided with a venous cannula practice area (14), said venous cannula practice area (14) comprising at least a neck epidermis layer (141), venous blood vessels (142) and a venous cannula lumen (143), wherein:
the vein insertion cavity (143) is hollow and rectangular, a vein vessel (142) is provided in the vein insertion cavity (143) so as to extend in the longitudinal direction thereof, the neck skin layer (141) is provided at the open end of the vein insertion cavity (143), and the neck skin layer (141) abuts against the vein vessel (142).
5. The surgical basic operation simulation training device according to claim 4, wherein the lower end of the trunk portion (4) is provided with a bladder cavity (5) and a urethra (6), and the upper end of the trunk portion (4) is provided with an epiglottis (9) near the intersection of the esophagus (3) and trachea (8), wherein:
the bladder cavity (5) is in communication with the external environment through the urethra (6);
the open end of the trachea (8) can be closed in such a way that the epiglottis (9) is elastically deformed when the epiglottis (9) is subjected to an external force.
6. The surgical basic operation simulation training device according to claim 2, wherein at least two electrode patches (13) are provided on the front side of the trunk portion (4), the electrode patches (13) being located at the upper end of the trunk portion (4).
7. The surgical basic operation simulation training device according to claim 3, wherein in case the head portion (1) is subjected to an external force, an angle between an axis of the head portion (1) and an axis of the trunk portion (4) can be increased or decreased in such a manner that the neck portion (10) is elastically deformed, wherein:
under the condition that the neck (10) is elastically deformed, the nasal cavity (2), the esophagus (3), the trachea (8) and the oral cavity (11) can be communicated with each other through the throat pipe (15).
8. The surgical basic operation simulation training device according to claim 5, wherein the muscle layer (72), the fat layer (73), and the epidermis layer (74) have gaps therebetween, and gaps also exist between the muscle layer (72), the fat layer (73), and the epidermis layer (74) in one-to-one correspondence on both sides in the width direction of the wound suture cavity (71).
9. The surgical basic operation simulation training device of claim 8, wherein the neck (10), the muscle layer (72), the fat layer (73), the epidermis layer (74), the neck epidermis layer (141) and the venous vessels (142) are all made of an elastic material, which can be at least one of rubber, silicone and soft plastic.
10. The surgical basic operation simulation training device according to claim 9, wherein the aperture of the suture needle hole (12) is 1-8 mm.
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CN201920284621.5U CN210667421U (en) | 2019-03-07 | 2019-03-07 | Basic operation simulation training device for surgical operation |
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CN201920284621.5U CN210667421U (en) | 2019-03-07 | 2019-03-07 | Basic operation simulation training device for surgical operation |
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