JP3197290U - High-frequency female treatment practice model - Google Patents
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Abstract
【課題】模擬ポリープの交換毎に対極板を外す必要がなく、シングルタイプの対極板又はデュアルタイプの対極板のどちらにも対応した高周波メスを使用したポリープ切除の練習用モデルを提供する。【解決手段】高周波メス治療練習モデルは、模擬消化管１３と、模擬消化管の１又は２以上の箇所に開けられた穴１９に挿入可能でありかつ高周波メスで切開可能な模擬ポリープ５と、模擬ポリープに取りつけ可能な模擬ポリープ捕捉電極、対極板貼り付け電極、並びに、模擬ポリープ捕捉電極及び対極板貼り付け電極を接続するリード線２からなる通電ケーブルとを含む。模擬消化管を収納するボディを含み、対極板貼り付け電極は、そのボディに脱着可能であることが好ましい。【選択図】図２To provide a practice model for polypectomy using a high-frequency knife that supports both a single-type counter electrode and a dual-type counter-electrode plate, without having to remove the counter-electrode plate every time a simulated polyp is replaced. A high-frequency female treatment practice model includes a simulated gastrointestinal tract 13 and a simulated polyp 5 that can be inserted into a hole 19 opened in one or more locations of the simulated gastrointestinal tract and that can be opened with a high-frequency knife. A simulated polyp capturing electrode that can be attached to the simulated polyp, a counter electrode attaching electrode, and an energizing cable including a lead wire 2 that connects the simulated polyp capturing electrode and the counter electrode attaching electrode. It is preferable that the body which contains a simulation gastrointestinal tract and the electrode attached to the counter electrode plate is detachable from the body. [Selection] Figure 2
Description
本考案は、高周波メスによるポリープ切除を練習するための練習モデルに関する。 The present invention relates to a practice model for practicing polypectomy with a high-frequency knife.
内視鏡直視下での高周波メスによる消化管内ポリープを切除する練習のモデルとして、実用新案文献１及び実用新案文献２が公開されている。しかし、これらの文献に公開されている練習モデルでは、対極板は、直径１５ｍｍ程度の模擬ポリープの底面に貼り付ける構造であった。該構造により、デュアルタイプの対極板を使用した場合、対極板の接触不良のエラーが発生しやすく、事実上シングルタイプの対極板しか使用できなかった。なお、シングルタイプの対極板は対極板の電極面が１つしかないものであり、デュアルタイプの対極板は対極板が正しく貼り付けられているかを感知できるように対極板の電極面が２分割されているものである。
加えて、模擬ポリープの交換毎に対極板を外す必要があり、操作が煩雑であった。
Utility model document 1 and utility model document 2 are disclosed as models for practicing excision of polyp in the digestive tract with a high-frequency knife under direct viewing of an endoscope. However, in the practice model disclosed in these documents, the counter electrode plate has a structure that is attached to the bottom surface of a simulated polyp having a diameter of about 15 mm. Due to this structure, when a dual type counter electrode plate is used, an error of a contact failure of the counter electrode plate is likely to occur, and only a single type counter electrode plate can be used in practice. In addition, the single type counter electrode plate has only one electrode surface of the counter electrode plate, and the dual type counter electrode plate is divided into two so that it can sense whether the counter electrode plate is correctly attached. It is what has been.
In addition, it was necessary to remove the counter electrode plate every time the simulated polyp was replaced, and the operation was complicated.
本考案の解題は、模擬ポリープの交換毎に対極板を外す必要がなく、シングルタイプの対極板又はデュアルタイプの対極板のどちらにも対応した高周波メスを使用したポリープ切除の練習用モデルを提供することである。 The solution of the present invention provides a practice model for polypectomy using a high-frequency knife that supports both single-type and dual-type counter-electrode plates without having to remove the counter-electrode plates each time a simulated polyp is replaced. It is to be.
本考案者らは、上記課題を、下記の構成を持つ高周波メス治療練習モデルであれば解決できることを確認し、本考案を完成するに至った。
（１）模擬消化管、
（２）該模擬消化管の１又は２以上の箇所に開けられた穴に挿入可能でありかつ高周波メスで切開可能な模擬ポリープ、
（３）該模擬ポリープに取りつけ可能な模擬ポリープ捕捉電極、対極板貼り付け電極、並びに該模擬ポリープ捕捉電極及び該対極板貼り付け電極を接続するリード線からなる通電ケーブル、
を含む高周波メス治療練習モデル。
The present inventors have confirmed that the above problem can be solved by a high-frequency female treatment practice model having the following configuration, and have completed the present invention.
(1) Simulated digestive tract,
(2) A simulated polyp that can be inserted into a hole opened in one or more locations of the simulated digestive tract and can be opened with a high-frequency knife.
(3) Simulated polyp capture electrode that can be attached to the simulated polyp, counter electrode pasting electrode, and energizing cable comprising lead wires connecting the simulated polyp trapping electrode and counter electrode pasting electrode,
Including high frequency female treatment practice model.
すなわち、本考案は以下からなる。
「１．模擬消化管、該模擬消化管の１又は２以上の箇所に開けられた穴に挿入可能でありかつ高周波メスで切開可能な模擬ポリープ、該模擬ポリープに取りつけ可能な模擬ポリープ捕捉電極、対極板貼り付け電極、並びに、該模擬ポリープ捕捉電極及び該対極板貼り付け電極を接続するリード線からなる通電ケーブルを含む高周波メス治療練習モデル。
２．さらに、前記消化管を収納するボディを含む前項１に記載の高周波メス治療練習モデル。
３．前記対極板貼り付け電極は、前記消化管を収納するボディに脱着可能である、前項２に記載の高周波メス治療練習モデル。」
That is, this invention consists of the following.
“1. Simulated digestive tract, simulated polyp that can be inserted into a hole opened in one or more locations of the simulated digestive tract and can be incised with a high-frequency knife, simulated polyp capture electrode that can be attached to the simulated polyp, A high-frequency female treatment practice model including a counter electrode attaching electrode, and an energizing cable including lead wires connecting the simulated polyp capturing electrode and the counter electrode attaching electrode.
2. Furthermore, the high frequency female treatment practice model of the preceding clause 1 containing the body which accommodates the said digestive tract.
3. 3. The high-frequency female treatment practice model according to item 2 above, wherein the counter electrode pasting electrode is detachable from a body housing the digestive tract. "
本考案によれば、従来のように、高周波メスの対極板を、模擬ポリープの底面に直接貼り付ける必要がなくなった。これにより、対極板は、模擬ポリープ底面より広い面積を持つ対極板貼り付け電極に貼り付けることになる。このため、２分割された電極面を持つデュアルタイプの対極板を使用しても、対極板貼り付け電極は、２分割された電極面の両方に確実に接することが可能になるため、接触不良のエラーにならない。
加えて、模擬ポリープの交換毎に対極板を外す必要がない。
さらに、実際の高周波メス処置の際には、高周波メスの対極板は患者の背中に貼り付けることが多い。本考案の高周波メス治療練習モデルにおいても、実際の処置と同じく、通電ケーブルを用いて、対極板貼り付け電極を、ボディの背面に取り付けることで、実際の処置の際と同じ部位に高周波メスの対極板を貼り付けることができ、より実際の手技に近い練習を行うことができる。
According to the present invention, it is no longer necessary to attach the counter electrode plate of the high frequency knife directly to the bottom surface of the simulated polyp as in the prior art. As a result, the counter electrode plate is affixed to the counter electrode affixing electrode having a larger area than the bottom surface of the simulated polyp. For this reason, even if a dual type counter electrode plate having two divided electrode surfaces is used, the electrode attached to the counter electrode plate can reliably contact both of the two divided electrode surfaces, resulting in poor contact. Does not result in an error.
In addition, it is not necessary to remove the counter electrode plate every time the simulated polyp is replaced.
Further, in the actual high frequency scalpel treatment, the counter electrode plate of the high frequency scalpel is often attached to the patient's back. In the high-frequency female treatment practice model of the present invention, as in the actual treatment, the electrode attached to the back of the body is attached to the back of the body using an energized cable. A counter electrode plate can be attached, and practice closer to the actual procedure can be performed.
本考案の高周波メス治療練習モデルの要旨は、対極板と対極板貼り付け電極の接触不良がなく、模擬ポリープの交換毎に対極板を外す必要がなく、内視鏡直視下での高周波メスによる消化管内ポリープを切除する練習が実際の手術に使用している器具で行え、さらに実際に行う手術と同様の手法で行えるような練習モデルである。 The high-frequency scalpel treatment practice model of the present invention is based on the high-frequency scalpel under direct viewing of the endoscope. This practice model allows the practice of excising the polyp in the gastrointestinal tract with the instruments used in the actual surgery, and also with the same technique as the actual surgery.
本考案は、「模擬消化管（１３）、該模擬消化管の１又は２以上の箇所に開けられた穴（１９）に挿入可能でありかつ高周波メスで切開可能な模擬ポリープ（５）、該模擬ポリープに取りつけ可能な模擬ポリープ捕捉電極（１５）、対極板貼り付け電極（１６）、並びに、模擬ポリープ捕捉電極（１５）及び対極板貼り付け電極（１６）を接続するリード線（２）からなる通電ケーブル（１７）」を含む高周波メス治療練習モデル（１）である。 The present invention describes a "simulated gastrointestinal tract (13), a simulated polyp (5) that can be inserted into a hole (19) drilled in one or more locations of the simulated gastrointestinal tract and that can be opened with a high-frequency knife, From the simulated polyp capture electrode (15) that can be attached to the simulated polyp, the counter electrode attaching electrode (16), and the lead wire (2) that connects the simulated polyp capturing electrode (15) and the counter electrode attaching electrode (16) This is a high-frequency female treatment practice model (1) including an energizing cable (17).
模擬消化管（１３）は、シリコーンゴム等の生体に近い柔らかさを持つ素材で成形されている（参照：図１）。さらに、模擬消化管（１３）は、模擬ポリープ（５）を挿入可能な１又は２以上の穴（１９）を有する（参照：図２Ａ）。
模擬ポリープ（５）は、模擬消化管（１３）の１又は２以上の箇所に開けられた穴（１９）に挿入可能であり、かつ高周波メスで切開可能な含水性樹脂で成形されている。なお、模擬ポリープ（５）は、好ましくは、頭部（６）、茎部（７）、基部（８）からなる本体部（９）と模擬消化管（１３）の穴（１９）に固定するための固定軸（１０）、固定フランジ（１１）からなる（参照：図３）。加えて、好ましくは、模擬ポリープ（５）の固定フランジ（１１）中心から模擬ポリープ（５）中心軸に沿って円筒状の空洞である模擬血管（１２）が設けてあり、この中に模擬血液（３）が充填されている。充填後は模擬血管の入り口を塞ぐようにポリビニルアルコール製のシールを接着し、模擬血液（３）が流れ出ないようにする。
模擬ポリープ捕捉電極（１５）は、模擬ポリープ（５）の固定フランジ（１１）と基部（８）の間にはめ込まれ（参照：図５）、該はめ込まれた状態の模擬ポリープ（５）を模擬消化管（１３）に差し込んで固定する（参照：図２Ｂ）。これにより、模擬ポリープ捕捉電極（１５）は、模擬消化管（１３）と模擬ポリープの固定フランジ（１１）に挟まれて固定される。模擬ポリープ捕捉電極（１５）は、リング状、Ｃ字状又はＵ字状でも良いが好ましくはリング状形状である。
対極板貼り付け電極（１６）は、円形又は多角形の平板であり、その直径又は対角線の長さは２０ｍｍ以上であることが好ましい。対極板貼り付け電極（１６）の一面は、高周波メスの対極板（１４）を貼り付け、他面（高周波メスの対極板を貼り付ける側と反対側の面）は、模擬消化管を収納するボディ（１８）の適切な場所（例えば人体の背中に相当する場所）に貼り付けられる方法が好ましい。例えば、該方法として、面ファスナーを使用することが例示できる（参照：図４）。
通電ケーブル（１７）は、模擬ポリープ捕捉電極（１５）及び対極板貼り付け電極（１６）を接続するリード線（２）から構成されている。
リード線（２）は、模擬ポリープ捕捉電極（１５）と対極板貼り付け電極（１６）の間に高周波電流が流れるようにするためのもので、模擬ポリープ（５）の固定位置から高周波メスの対極板の位置までに届く十分な長さを持つことが好ましい。
本考案の高周波メス治療練習モデル（１）では、好ましくは、模擬消化管を収納するボディ（１８）を有する（参照：図１）。消化管を収納するボディ（１８）は、人体の胴体の一部を模した形状であり、模擬消化管（１３）を適切な配置で収納することができる。実用新案文献２で開示されているボディの構造を例示することができるが、実際に人体に高周波メスの対極板を貼り付ける部位（背中部）まで再現されていることが好ましい。
The simulated gastrointestinal tract (13) is formed of a material having softness close to that of a living body such as silicone rubber (see FIG. 1). Furthermore, the simulated gastrointestinal tract (13) has one or more holes (19) into which the simulated polyp (5) can be inserted (see: FIG. 2A).
The simulated polyp (5) is formed of a hydrous resin that can be inserted into a hole (19) opened in one or more locations of the simulated digestive tract (13) and can be opened with a high-frequency knife. The simulated polyp (5) is preferably fixed to the body (9) composed of the head (6), stem (7), base (8) and the hole (19) of the simulated digestive tract (13). It consists of a fixed shaft (10) and a fixed flange (11) (see: FIG. 3). In addition, preferably, a simulated blood vessel (12) which is a cylindrical cavity is provided from the center of the fixed flange (11) of the simulated polyp (5) along the central axis of the simulated polyp (5), and the simulated blood is provided therein. (3) is filled. After filling, a seal made of polyvinyl alcohol is adhered so as to close the entrance of the simulated blood vessel so that the simulated blood (3) does not flow out.
The simulated polyp trapping electrode (15) is fitted between the fixed flange (11) and the base (8) of the simulated polyp (5) (refer to FIG. 5), and the simulated polyp (5) in the fitted state is simulated. It is inserted into the gastrointestinal tract (13) and fixed (see FIG. 2B). Thereby, the simulated polyp capturing electrode (15) is sandwiched and fixed between the simulated digestive tract (13) and the fixed flange (11) of the simulated polyp. The simulated polyp trapping electrode (15) may be ring-shaped, C-shaped or U-shaped, but is preferably ring-shaped.
The counter electrode pasting electrode (16) is a circular or polygonal flat plate, and its diameter or diagonal length is preferably 20 mm or more. One surface of the counter electrode attachment electrode (16) is attached with the counter electrode plate (14) of the high frequency knife, and the other surface (the surface opposite to the side where the counter electrode plate of the high frequency knife is attached) accommodates the simulated digestive tract. A method in which the body (18) is attached to an appropriate place (for example, a place corresponding to the back of a human body) is preferable. For example, the method can be exemplified by using a hook-and-loop fastener (see: FIG. 4).
The energizing cable (17) is composed of a lead wire (2) connecting the simulated polyp capturing electrode (15) and the counter electrode attaching electrode (16).
The lead wire (2) is for allowing a high frequency current to flow between the simulated polyp capturing electrode (15) and the counter electrode attaching electrode (16). It is preferable to have a sufficient length to reach the position of the counter electrode plate.
The high-frequency female treatment practice model (1) of the present invention preferably has a body (18) that houses a simulated gastrointestinal tract (see FIG. 1). The body (18) for accommodating the digestive tract has a shape imitating a part of the human torso and can accommodate the simulated digestive tract (13) in an appropriate arrangement. The structure of the body disclosed in the utility model document 2 can be exemplified, but it is preferable that the structure (back part) where the counter electrode plate of the high frequency knife is actually attached to the human body is reproduced.
以下、本考案を実施するための形態について説明するが、何ら請求の範囲を限定するものではない。 Hereinafter, although the form for implementing this invention is demonstrated, a claim is not limited at all.
（高周波メス治療練習モデル）
高周波メス治療練習モデル（１）は、模擬消化管（１３）、模擬消化管の１又は２以上の箇所に開けられた穴（１９）に挿入可能であり、かつ高周波メスで切開可能な模擬ポリープ（５）、模擬ポリープの固定フランジ（１１）に取りつけ可能な模擬ポリープ捕捉電極（１５）、対極板貼り付け電極（１６）、並びに、模擬ポリープ捕捉電極（１５）及び対極板貼り付け電極（１６）を接続するリード線（２）からなる通電ケーブル（１７）、さらに必要に応じて、模擬消化管を収納するボディ（１８）により構成されている。
模擬消化管（１３）は、柔軟性に富む材料、例えば、シリコーンゴムで作製する。高周波メス治療練習モデル（１）は、内視鏡による観察の練習も行うので、模擬消化管（１３）の内側の色や形状は、人体の消化管内部に似せることが好ましく、実際の消化管同様に厚みが１〜２ｍｍ程度である。模擬消化管（１３）の病変部として、実際のポリープを模した交換可能な模擬ポリープ（５）を取り付けられるよう穴（１９）が模擬消化管（１３）の少なくとも１カ所、望ましくは２〜３カ所に有している。
模擬消化管を収納するボディ（１８）は、模擬消化管（１３）を収納するための人体の腹部の形状を模したケースであるが、模擬消化管（１３）を人体における適切な位置に設定する機能も有する。これにより、模擬消化管（１３）は、模擬消化管を収納するボディ（１８）の肛門付近、下行結腸中央付近及び上行結腸中央付近の３カ所の位置で固定されるのが好ましい。該固定の方法としては、特に限定されないが、該ボディの内側から突き出た金属棒を、模擬消化管（１３）に設けた金属棒受入穴に差し込む方法が好ましく、このような方法は容易に模擬消化管（１３）を着脱可能にすることができる。
さらに、模擬消化管を収納するボディ（１８）は、内視鏡を消化管に入れる入り口である模擬肛門が備えられていることが好ましい。加えて、模擬消化管を収納するボディ（１８）の腹面側は、内視鏡がどこまで入っているかが確認できるよう透明な素材でできていることが好ましい。該透明な素材により、内視鏡先端のライトが模擬消化管（１３）を透して見えるので、模擬消化管（１３）の外側から内視鏡の先端がどこに位置しているかを目視することができる。また、模擬消化管（１３）の交換や模擬ポリープ（５）の着脱のため、模擬消化管を収納するボディ（１８）の腹面側は、開閉可能であることが好ましい。
(High-frequency female treatment practice model)
The high-frequency scalpel treatment practice model (1) is a simulated polyp that can be inserted into a simulated digestive tract (13) and a hole (19) drilled in one or more locations of the simulated digestive tract and that can be opened with a high-frequency scalpel. (5) Simulated polyp trapping electrode (15), counter electrode pasting electrode (16), simulated polyp trapping electrode (15) and counter electrode pasting electrode (16) that can be attached to the fixing flange (11) of the simulated polyp ), And a body (18) that houses a simulated digestive tract as required.
The simulated digestive tract (13) is made of a flexible material such as silicone rubber. Since the high-frequency female treatment practice model (1) also practice observation with an endoscope, the color and shape of the inside of the simulated digestive tract (13) are preferably similar to those inside the human digestive tract. Similarly, the thickness is about 1 to 2 mm. As a lesion part of the simulated gastrointestinal tract (13), the hole (19) has at least one, preferably 2-3 in the simulated gastrointestinal tract (13) so that a replaceable simulated polyp (5) imitating an actual polyp can be attached. Has in place.
The body (18) for storing the simulated digestive tract is a case imitating the shape of the abdomen of the human body for storing the simulated digestive tract (13), but the simulated digestive tract (13) is set at an appropriate position in the human body. It also has a function to Thus, the simulated gastrointestinal tract (13) is preferably fixed at three positions near the anus, near the center of the descending colon, and near the center of the ascending colon of the body (18) that houses the simulated digestive tract. The fixing method is not particularly limited, but a method of inserting a metal rod protruding from the inside of the body into a metal rod receiving hole provided in the simulated digestive tract (13) is preferable, and such a method is easily simulated. The digestive tract (13) can be made removable.
Furthermore, it is preferable that the body (18) for housing the simulated gastrointestinal tract is provided with a simulated anus as an entrance for inserting the endoscope into the gastrointestinal tract. In addition, the abdominal surface side of the body (18) that houses the simulated digestive tract is preferably made of a transparent material so that it can be confirmed how far the endoscope has entered. Since the light at the tip of the endoscope can be seen through the simulated gastrointestinal tract (13) by the transparent material, the position of the tip of the endoscope is visually observed from the outside of the simulated gastrointestinal tract (13). Can do. Moreover, it is preferable that the abdominal surface side of the body (18) which accommodates the simulated digestive tract can be opened and closed for replacement of the simulated digestive tract (13) and attachment / detachment of the simulated polyp (5).
模擬ポリープ（５）は、実際のポリープと同様の柔らかさが必要であり、さらに高周波メスで切除可能なように導電性の材質、たとえば高含水性ポリビニルアルコールでできていることが好ましい。模擬ポリープ（５）は、模擬消化管（１３）にあらかじめ開けられた穴（１９）に差し込んで取り付ける。そのため、模擬ポリープ（５）は、模擬消化管（１３）の消化管壁を挟み込むような構造を持たせるために、基部（８）と固定フランジ（１１）を有する。模擬ポリープ（５）は、柔らかい素材でできているので、模擬消化管内に入る側の基部（８）は、変形して模擬消化管内に入れることができる。高周波メスによる切除の練習の際に、模擬ポリープ（５）が模擬消化管（１３）から外に押し出されて、外れてしまわないようにするため、模擬ポリープ（５）の底面を押さえるように模擬消化管（１３）を一周回るようなバンド（４）で固定することが好ましい（参照：図２Ｃ）。
通電ケーブル（１７）は、模擬ポリープ捕捉電極（１５）及び対極板貼り付け電極（１６）を接続するリード線（２）からなる。模擬ポリープ捕捉電極（１５）は、平面のリング電極形状になっている。対極板貼り付け電極（１６）は、直径約４０ｍｍの円盤状の電極形状になっている。リード線（２）は、約５０ｃｍ長である。対極板貼り付け電極（１６）の一面は高周波メスの対極板（１４）を貼り付ける面であり、他面は模擬消化管（１３）を収納するボディ（１８）の背面に貼り付けることが可能なように面ファスナーが貼り付けてある（必要に応じて、対応するボディ背面にも、面ファスナーが貼り付けてある）。
The simulated polyp (5) needs to have the same softness as the actual polyp, and is preferably made of a conductive material such as high water content polyvinyl alcohol so that it can be excised with a high frequency knife. The simulated polyp (5) is attached by being inserted into a hole (19) previously formed in the simulated digestive tract (13). Therefore, the simulated polyp (5) has a base (8) and a fixing flange (11) in order to have a structure for sandwiching the digestive tract wall of the simulated digestive tract (13). Since the simulated polyp (5) is made of a soft material, the base (8) on the side that enters the simulated digestive tract can be deformed and placed in the simulated digestive tract. When practicing excision with a high-frequency scalpel, the simulated polyp (5) is pushed out of the simulated gastrointestinal tract (13) so that it does not come off. It is preferable to fix with a band (4) that goes around the digestive tract (13) (see FIG. 2C).
The energizing cable (17) includes a lead wire (2) connecting the simulated polyp capturing electrode (15) and the counter electrode attaching electrode (16). The simulated polyp trapping electrode (15) has a planar ring electrode shape. The counter electrode pasting electrode (16) has a disk-like electrode shape with a diameter of about 40 mm. Lead wire (2) is about 50 cm long. One side of the counter electrode pasting electrode (16) is a side for pasting the counter electrode plate (14) of the high frequency knife, and the other side can be pasted on the back side of the body (18) housing the simulated digestive tract (13). A hook-and-loop fastener is affixed (the hook-and-loop fastener is also affixed to the back of the corresponding body as necessary).
（高周波メス治療練習モデルの練習）
最初に、模擬ポリープ（５）に模擬ポリープ捕捉電極（１５）を取り付け（参照：図５）、さらに模擬ポリープ（５）を模擬消化管の穴（１９）に取り付ける（参照：図２Ａ、Ｂ）。次に、バンド（４）により、処置中に模擬ポリープ（５）が押し出されないように固定する（参照：図２Ｃ）。対極板貼り付け電極（１６）を、模擬消化管を収納するボディ（１８）の背面に貼り付け（参照：図４Ａ）、さらにその上に高周波メスの対極板（１４）を貼り付ける（図４Ｂ、Ｃ）。
次に、内視鏡を、模擬肛門から模擬消化管内に入れる。内視鏡により模擬消化管（１３）内の観察を行い、模擬ポリープ（５）を見つけたら、内視鏡に用意された高周波メス（ループ状形状のスネアワイヤ）を模擬ポリープ（５）の茎部（７）に掛けて高周波電流を印加して模擬ポリープ（５）を切除する。
高周波メスから出た電流は、模擬ポリープ（５）、模擬ポリープ捕捉電極（１５）、通電ケーブル（１７）、対極板貼り付け電極（１６）及び対極板（１４）を通って高周波メス本体に流れるため、模擬ポリープ（５）は高周波メスにより切除される。
(Practice of high-frequency female treatment practice model)
First, the simulated polyp capture electrode (15) is attached to the simulated polyp (5) (see: FIG. 5), and the simulated polyp (5) is further attached to the hole (19) of the simulated digestive tract (see: FIGS. 2A and B). . Next, the simulated polyp (5) is fixed by the band (4) so as not to be pushed out during the treatment (see FIG. 2C). A counter electrode pasting electrode (16) is pasted on the back surface of the body (18) housing the simulated digestive tract (refer to FIG. 4A), and a counter electrode plate (14) of a high frequency knife is further pasted thereon (FIG. 4B). , C).
Next, the endoscope is inserted into the simulated gastrointestinal tract from the simulated anus. When the inside of the simulated gastrointestinal tract (13) is observed with an endoscope and a simulated polyp (5) is found, a high-frequency knife (loop-shaped snare wire) prepared in the endoscope is used as a stem of the simulated polyp (5). A high frequency current is applied to (7) and the simulated polyp (5) is excised.
The current output from the high frequency knife flows into the high frequency knife main body through the simulated polyp (5), the simulated polyp capturing electrode (15), the energizing cable (17), the counter electrode plate attaching electrode (16), and the counter electrode plate (14). Therefore, the simulated polyp (5) is excised with a high frequency knife.
１：高周波メス治療練習モデル
２：リード線
３：模擬血液
４：バンド
５：模擬ポリープ
６：頭部
７：茎部
８：基部
９：本体部
１０：固定軸
１１：固定フランジ
１２：模擬血管
１３：模擬消化管
１４：対極板
１５：模擬ポリープ捕捉電極
１６：対極板貼り付け電極
１７：通電ケーブル
１８：模擬消化管を収納するボディ
１９：穴
1: High-frequency female treatment practice model
2: Lead wire 3: Simulated blood 4: Band 5: Simulated polyp 6: Head 7: Stem 8: Base 9: Main body 10: Fixed shaft 11: Fixed flange 12: Simulated blood vessel 13: Simulated gastrointestinal tract 14: Counter electrode Plate 15: Simulated polyp capture electrode
16: Counter electrode pasting electrode 17: Energizing cable 18: Body for housing the simulated digestive tract 19: Hole
Claims (3)
Simulated digestive tract, simulated polyp that can be inserted into one or more holes in the simulated digestive tract and can be opened with a high-frequency knife, simulated polyp capture electrode that can be attached to the simulated polyp, and counter electrode pasting A high-frequency female treatment practice model including an attachment electrode and an energization cable including a lead wire connecting the simulated polyp capturing electrode and the counter electrode attaching electrode.
Furthermore, the high frequency female treatment practice model of Claim 1 containing the body which accommodates the said digestive tract.
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| JP2015000750U JP3197290U (en) | 2015-02-18 | 2015-02-18 | High-frequency female treatment practice model |
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Cited By (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| JP2018533757A (en) * | 2015-10-02 | 2018-11-15 | アプライド メディカル リソーシーズ コーポレイション | Hysterectomy model |
| JPWO2020240884A1 (en) * | 2019-05-30 | 2020-12-03 | ||
| CN117496807A (en) * | 2023-09-26 | 2024-02-02 | 中国人民解放军海军军医大学第一附属医院 | High-simulation colonoscope training model |
| CN117789579A (en) * | 2024-02-01 | 2024-03-29 | 上海璞临医疗科技有限公司 | Method for manufacturing polyp replacement block and training model for intrabronchial treatment operation |
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2015
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| Publication number | Priority date | Publication date | Assignee | Title |
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| JP2018533757A (en) * | 2015-10-02 | 2018-11-15 | アプライド メディカル リソーシーズ コーポレイション | Hysterectomy model |
| JPWO2020240884A1 (en) * | 2019-05-30 | 2020-12-03 | ||
| WO2020240884A1 (en) * | 2019-05-30 | 2020-12-03 | 株式会社Ｍｉｃｏｔｏテクノロジー | Medical simulator and method for evaluating procedure using medical simulator |
| JP7378837B2 (en) | 2019-05-30 | 2023-11-14 | 国立大学法人鳥取大学 | Medical simulator and procedure evaluation method using the medical simulator |
| CN117496807A (en) * | 2023-09-26 | 2024-02-02 | 中国人民解放军海军军医大学第一附属医院 | High-simulation colonoscope training model |
| CN117789579A (en) * | 2024-02-01 | 2024-03-29 | 上海璞临医疗科技有限公司 | Method for manufacturing polyp replacement block and training model for intrabronchial treatment operation |
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