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JP3845746B2 - Human body model - Google Patents

Human body model Download PDF

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Publication number
JP3845746B2
JP3845746B2 JP17712399A JP17712399A JP3845746B2 JP 3845746 B2 JP3845746 B2 JP 3845746B2 JP 17712399 A JP17712399 A JP 17712399A JP 17712399 A JP17712399 A JP 17712399A JP 3845746 B2 JP3845746 B2 JP 3845746B2
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JP
Japan
Prior art keywords
human body
human head
model
human
head model
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 - Lifetime
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JP17712399A
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Japanese (ja)
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JP2001005377A (en
Inventor
康司 山内
幸男 福井
正明 持丸
樹里 山下
治 森川
和則 横山
廣 宇野
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Koken Co Ltd
National Institute of Advanced Industrial Science and Technology AIST
Original Assignee
Koken Co Ltd
National Institute of Advanced Industrial Science and Technology AIST
Priority date (The priority date 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 date listed.)
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Priority to JP17712399A priority Critical patent/JP3845746B2/en
Publication of JP2001005377A publication Critical patent/JP2001005377A/en
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Description

【0001】
【発明の属する技術分野】
本発明は、内視鏡を用いて診断、手術など高度な技能が要求される分野における医者の技能修得用トレーニング等に用いる医療トレーニング用人体頭部模型に関するものであり、特に、内視鏡による鼻腔内の診断、手術など技能修得用トレーニング等に用いる人体頭部模型に関するものである。
【0002】
【従来技術】
従来より医療トレーニング用の人体模型としては、種々の模型が知られている。しかし、従来の医療トレーニング用の人体模型は、単に、人体の形状のみを再現した立体的な形状モデルであったため、実際の臓器と模型との機械力学的特性、具体的には硬さや弾性が大きく異なっていた。そのため、手術器具を用いたトレーニングには不向きであった。また、従来の医療トレーニング用人体模型を構成する材料については、医用画像装置による撮像可能性を考慮していないため、医用画像装置を併用したトレーニングには不向きであった。更に、従来の人体模型では、部分的な交換可能性を考慮しておらず、人体模型自身の破壊を伴うトレーニングや症例による部品交換は不可能である。また従来技術では、実際の人体の場合では悪影響を与えるような無理な力が人体模型にかかった場合に、それを検出することが不可能であった。また従来技術では、人体臓器に多く見られる中空形状などは製造上不可能である場合が多く、例え製造できたとしても、その形状を用途に合わせて随時交換するのは不可能である。これと関連して従来技術で製造される人体模型では、その一部分を一時的に透かして内部を観察することも不可能であった。更に従来技術では、前記のような製造上不可能であった部分については、製造されていない以上、その機械力学的特性を再現することも不可能である。
【0003】
以上述べたように、従来の人体模型は実際の人体とは程遠く、従来の人体模型を用いた医療トレーニングでは、その実効を挙げることは難しかった。そのため、手術者は技術修得のためには熟練者のそばで実際の手術を観察しているしか手段がなかった。これでは、技能習得の機会は制限されるため内視鏡を用いた高度な手術は患者にとって負担が少ないにも関わらず、広く普及するには至っていなかった。
【0004】
【発明が解決しようとする課題】
そこで、本発明者等は上記の欠点を排除し、種々検討した結果、本発明を完成したもので、本発明の目的は、内視鏡を用いて診断、手術など高度な技能が要求される分野における医者の技能修得用トレーニング等に適した医療トレーニング用人体頭部模型を提供することである。さらに、医用画像装置による撮像を可能にし、これによって医用画像装置を併用したトレーニングをできるような医療トレーニング用人体頭部模型を提供することである。
【0005】
【課題を解決するための手段】
本発明の要旨は、人体の頭部内部構造を、頭蓋骨から形状を採取し、CT画像データからの光造形モデルも参考にして再現した医療トレーニング用人体頭部模型であって、生体と類似した触感感覚を感じられるようにするために複数の材料を用いて複合させた構造であり該人体頭部模型の一部又は複数部分を、前記部分と形状が同一又は異なる部品と交換可能であり、該交換可能部分とその周辺部分との間隙に圧力検知部を備え、該人体頭部模型に外部からかかる圧力を検出することを特徴とする医療トレーニング用人体頭部模型である。即ち、本発明は内視鏡操作トレ−ニングする者が実際の生体と類似した触感感覚を感じられるようにするために、人体模型の材料の弾性率や表面の色、粘性などを生体に近付けるだけでなく、内部構造もより正確に人体の機械的特性と合わせるために複数の材質を用いて複合させた構造とするのである。
【0006】
【発明の実施の形態】
本発明について詳細に説明する。
本発明の医療トレーニング用人体頭部模型は、人体頭部の表面や内部構造に合わせた形状を有する人体頭部模型である。例えば、人体の頭部模型にあっては、成人男性の頭蓋骨から形状を採取し、CT画像デ−タからの光造形モデルも参考にして作成し、骨厚、副鼻腔構造など可能な限り忠実に再現されるようにした医療トレーニング用人体頭部模型とする。そして、人体の機械力学的特性とは、具体的に硬さや弾性等を意味するものであって、頭蓋と副鼻腔の骨に相当する部分は、例えばウレタン樹脂で製作し、通常の骨標本と同様にいくつかの部分に分割することが出来るようにし、鼻腔部はリアリティを増すために、例えば粘膜色に着色したシリコンゴムで粘膜部分を再現する等の手段を施すのである。そして、この頭部模型はボデイの形状をした固定部分に固定用スタンドに固定し、前後左右に可動するようにする。
【0007】
この人体模型においては、エックス線撮影装置またはX線CT断層装置などの医療診断用撮影装置による前記人体頭部模型の形状計測が可能となる材質および構造を有することが好ましい。このようなX線CTを撮影可能とするための材質としては、粘膜に相当するシリコンゴムに例えば硫酸バリウムを混入する。そして、X線CTにて、例えばウレタン樹脂で制作した骨と硫酸バリウムを混入したシリコンゴムで制作した粘膜を分離して形状計測することによってそれぞれの形状のデジタルデータを得ることができる。
【0008】
また、この人体頭部模型は、人体頭部模型の一部又は複数部分を、前記部分と形状が同一又は異なる部品と交換可能できるようにすることが好ましい。例えば内視鏡を使用するときに大きな力が加わる恐れがある部分を含んだ分割模型に例えば薄膜型あるいは円盤型の小型圧力センサ−を装着することにより、患者の苦痛を定量的に評価することが出来るシュミレ−タとしての役割を果たすように設定することもできるからである。
【0009】
さらに、人体の三次元形状情報を有する人体形状データ生成部と、指示部と、前記人体頭部模型と前記指示部の相対位置および方向を検出する指示部位置検出部と、人体形状表示部を備え、前記人体形状データ生成部が生成した人体形状データを、前記観察方向検出部自身で検出された前記観察方向検出部の位置および方向から観察された映像として前記人体形状表示部で表示することが好ましい
【0010】
【実施例及び比較例】
以下、実施例として図面を参照しながら本発明を更に詳細に説明する。ここで示す実施例は副鼻腔内の内視鏡操作トレーニングを目的とした人体模型を例としているが、この例に限定されるものではない。
図1は本発明の請求項1に関わる実施形態の一実施例を示す図である。模型の頭部は成人男性の頭蓋骨から形状を採取し、CT画像データからの光造形モデルも参考にして制作し、骨厚、副鼻腔構造など可能な限り忠実に再現されるようにする。内視鏡操作トレーニングする者が実際の生体と類似した触覚感覚を感じられるようにするために、模型材料の弾性率や表面の色、粘性などを生体に近づけるだけでなく、内部構造もより正確に人体の機械的特性と合わせるために複数の材質を用いて複合させた構造とする。例えば図1において人体模型101は骨格部分102と鼻腔部分103からなり、骨格部分102は例えば硬いウレタン樹脂で、鼻腔部分103は例えば粘膜色に着色したシリコンゴムで形成し、実際の人体と似た硬度を持たせる。
【0011】
請求項2に関わる実施形態の一実施例としては、実体模型101に適度なX線吸収率を有する素材を用いる。これにより、X線CTによる撮像が可能となる。例えば鼻腔部分103には硫酸バリウムを混入すると、図2に示すように断面104での断面図105が撮影可能である。106は骨格部分102の、107は鼻腔部分103の断層である。
【0012】
図3は本発明の請求項3に関わる実施形態の一実施例を示す図である。ここでは人体模型101において鼻腔部分103が取り外し式になっており、これとは異なる形状の鼻腔部分103bと取り替えて骨格部分102に装着するものである。
図4は本発明の請求項4に関わる実施形態の一実施例を示す図である。これは、図3で示した実施例において、骨格部分102と鼻腔部分103との間隙に圧力検知装置108を装着することにより、鼻腔部分103にかかる圧力を検知し、圧力表示装置109に表示することができる。鼻腔部分103に圧力をかけるものとしては、例えば内視鏡や鉗子といった手術器具が挙げられる。
【0013】
図5は本発明の請求項5に関わる実施形態の一実施例を示す図である。人体形状データ生成部110は、内部臓器を含む人体の形状データを有するものである。指示部位置検出部111は、人体模型101と指示部113の相対的位置・方向を計測し、人体形状表示部112に送信する。人体形状表示部112は人体形状データ生成部110より人体形状データを読み取り、指示部位置検出部111から人体模型101を観察した方向に対応して、人体形状データを表示する。
ここで人体形状データとして、例えば人体模型101をX線CT装置で撮影してえられた三次元形状座標情報が挙げられる。また指示部113として内視鏡が、指示部位置検出部111として位置センサーが挙げられる。また人体形状表示部112としては三次元コンピュータグラフィックスの表示が可能な計算機が挙げられる。
【0016】
【発明の効果】
以上のように本発明の人体頭部模型では、各請求項において以下の効果が得られる。
本発明の請求項1においては、実際の臓器との機械力学的特性が類似した人体頭部模型であるため、手術器具を用いたトレーニングに向いている。また、一部分又は複数部分を交換することで、破壊を伴うトレーニングでも破壊された部分を取り替えるだけで再利用できるほか、症例によって異なる内部構造に対応することが可能となる。さらには、人体頭部であれば人体頭部臓器に悪影響を与えかねない操作を、感知することができる。
請求項2においては、医療診断用撮影装置による撮像が可能であるため、人体頭部模型の内部構造画像を用いたトレーニングが可能となる。
請求項においてはコンピュータグラフィックス像などにより、医療診断用撮影装置により撮影された三次元形状座標情報や実際の人体頭部模型内には製造工程その他の理由で存在しない仮想的な臓器の形状を表現するものである。
【図面の簡単な説明】
【図1】本発明の請求項1に関わる実施形態の一実施例を示す図である。
【図2】本発明の請求項2に関わる実施形態の一実施例において、X線CTによって撮影された人体模型の画像の例を示す図である。
【図3】本発明の請求項3に関わる実施形態の一実施例を示す図である。
【図4】本発明の請求項4に関わる実施形態の一実施例を示す図である。
【図5】本発明の請求項5に関わる実施形態の一実施例を示す図である。
【符号の説明】
101 人体模型 102 骨格部分 103 鼻腔部分
104 断面 105 断面図 106 骨格部分の断層
107 鼻腔部分の断層 108 圧力検知装置
109 圧力表示装置 110 人体形状データ生成部
111 指示部位置検出部 112 人体形状表示部
113 指示部
[0001]
BACKGROUND OF THE INVENTION
The present invention relates to a human head model for medical training that is used for training for acquiring skills of doctors in a field that requires advanced skills such as diagnosis and surgery using an endoscope. The present invention relates to a human head model used for training for skill acquisition such as intranasal diagnosis and surgery.
[0002]
[Prior art]
Conventionally, various models are known as human models for medical training. However, since the conventional human body model for medical training is simply a three-dimensional shape model that reproduces only the shape of the human body, the mechanical characteristics of the actual organ and model, specifically the hardness and elasticity, It was very different. Therefore, it was not suitable for training using surgical instruments. In addition, the material constituting the conventional human body model for medical training is not suitable for training using a medical image apparatus because it does not consider the possibility of imaging with a medical image apparatus. Furthermore, the conventional human body model does not consider the possibility of partial replacement, and it is impossible to perform training that involves destruction of the human body model itself or to replace parts by case. Further, in the prior art, when an unreasonable force that exerts an adverse effect on an actual human body is applied to the human body model, it cannot be detected. Also, in the prior art, a hollow shape or the like often found in human body organs is often impossible to manufacture, and even if it can be manufactured, it is impossible to change the shape as needed according to the application. In connection with this, it has been impossible to observe the inside of a human body model manufactured by the prior art with a partial watermark. Furthermore, in the prior art, it is impossible to reproduce the mechanical mechanical characteristics of the portion that has been impossible to manufacture as described above, as long as it has not been manufactured.
[0003]
As described above, the conventional human body model is far from the actual human body, and it has been difficult to achieve its effectiveness in medical training using the conventional human body model. Therefore, the only way for the surgeon to observe the actual surgery beside the skilled person is to acquire skills. This limits the opportunity to acquire skills, so advanced surgery using an endoscope has not been widely spread despite the low burden on patients.
[0004]
[Problems to be solved by the invention]
Accordingly, the present inventors have eliminated the above-mentioned drawbacks and conducted various studies, and as a result, have completed the present invention. The object of the present invention is to require advanced skills such as diagnosis and surgery using an endoscope. It is to provide a human head model for medical training suitable for training for obtaining skills of doctors in the field. It is another object of the present invention to provide a medical training human head model that enables imaging by a medical imaging apparatus, thereby enabling training using the medical imaging apparatus together.
[0005]
[Means for Solving the Problems]
Gist of the present invention, the internal structure of the human head, the shape taken from the skull, a human head model for medical training stereolithography model revealed again with reference from the CT image data, and the biological It is a structure where multiple materials are used to make a similar tactile sensation , and part or multiple parts of the human head model can be replaced with parts that have the same or different shapes The human head model for medical training is characterized in that a pressure detector is provided in a gap between the replaceable part and its peripheral part, and the pressure applied to the human head model is detected from the outside . That is, the present invention brings the elasticity of the material of the human body model, the color of the surface, the viscosity, etc. closer to the living body so that the person who trains the endoscope operation can feel a tactile sensation similar to that of the actual living body. In addition, the internal structure is a composite structure using a plurality of materials in order to match the mechanical characteristics of the human body more accurately.
[0006]
DETAILED DESCRIPTION OF THE INVENTION
The present invention will be described in detail.
Human head model for medical training of the invention is a human head model with the combined shape to the surface and internal structure of the human head. For example, in the case of a human head model, the shape is taken from the skull of an adult male, and is created with reference to the stereolithography model from CT image data, and the bone thickness and sinus structure are as faithful as possible. It is assumed that the human head model for medical training is reproduced. The mechanical characteristics of the human body specifically mean hardness, elasticity, etc., and the portions corresponding to the skull and bones of the sinuses are made of, for example, urethane resin, Similarly, in order to make it possible to divide into several parts and to increase the reality of the nasal cavity part, for example, a means such as reproducing the mucous membrane part with silicone rubber colored mucosal color is applied. The head model is fixed to a fixing stand on a fixed portion having a body shape so that the head model can be moved back and forth and left and right.
[0007]
The human body model preferably has a material and a structure that enable the shape measurement of the human head model by a medical diagnostic imaging apparatus such as an X-ray imaging apparatus or an X-ray CT tomography apparatus . As a material for enabling such X-ray CT to be imaged, for example, barium sulfate is mixed in silicon rubber corresponding to the mucous membrane. Then, in X-ray CT, for example it is possible to obtain digital data of the respective shapes by separating the mucosa produced with silicone rubber mixed with bone and barium sulfate was produced in a urethane resin shape measurement.
[0008]
Moreover, the human head model is a portion or portions of a human head model, it is preferable that the partial shape to be able to be interchangeable with the same or different components. For example, a patient's pain can be evaluated quantitatively by attaching a small pressure sensor, for example, a thin film type or a disk type, to a divided model that includes a part where a large force may be applied when using an endoscope. This is because it can be set so as to play a role as a simulator capable of performing the above.
[0009]
Further, a human body shape data generation unit having three-dimensional shape information of the human body, an instruction unit, an instruction unit position detection unit for detecting a relative position and direction of the human head model and the instruction unit, and a human body shape display unit with the human body shape data which the human body shape data generating unit has generated, that displays in the human body shape display unit as an image observed from the position and direction of the detected viewing direction detection unit itself was the observation direction detector and this is preferable.
[0010]
[Examples and Comparative Examples]
Hereinafter, the present invention will be described in more detail with reference to the drawings as examples. The embodiment shown here is an example of a human body model for the purpose of endoscopic operation training in the sinuses, but is not limited to this example.
FIG. 1 is a diagram showing an example of an embodiment according to claim 1 of the present invention. The shape of the model's head is taken from the skull of an adult male and is created with reference to a stereolithography model from CT image data so that the bone thickness, sinus structure, etc. can be reproduced as faithfully as possible. Endoscopic operation In order to enable trainees to feel a tactile sensation similar to that of the actual living body, not only the elasticity of the model material, surface color and viscosity are brought closer to the living body, but also the internal structure is more accurate. In order to match the mechanical characteristics of the human body, a composite structure using a plurality of materials is adopted. For example, in FIG. 1, a human body model 101 includes a skeleton portion 102 and a nasal cavity portion 103. The skeleton portion 102 is made of, for example, a hard urethane resin, and the nasal cavity portion 103 is made of, for example, mucosa-colored silicone rubber, which resembles an actual human body. Give hardness.
[0011]
As an example of the embodiment according to claim 2, a material having an appropriate X-ray absorption rate is used for the solid model 101. Thereby, imaging by X-ray CT becomes possible. For example, when barium sulfate is mixed in the nasal cavity portion 103, as shown in FIG. Reference numeral 106 denotes a cross section of the skeletal portion 102 and reference numeral 107 denotes a cross section of the nasal cavity portion 103.
[0012]
FIG. 3 is a diagram showing an example of the embodiment according to claim 3 of the present invention. Here, the nasal cavity portion 103 is removable in the human body model 101, and the nasal cavity portion 103b having a different shape is replaced with the nasal cavity portion 103 and attached to the skeleton portion 102.
FIG. 4 is a diagram showing an example of the embodiment according to claim 4 of the present invention. In the embodiment shown in FIG. 3, the pressure applied to the nasal cavity portion 103 is detected by mounting the pressure detection device 108 in the gap between the skeleton portion 102 and the nasal cavity portion 103 and displayed on the pressure display device 109. be able to. Examples of devices that apply pressure to the nasal cavity portion 103 include surgical instruments such as an endoscope and forceps.
[0013]
FIG. 5 is a diagram showing an example of the embodiment according to claim 5 of the present invention. The human body shape data generation unit 110 has human body shape data including internal organs. The instruction unit position detection unit 111 measures the relative position / direction of the human body model 101 and the instruction unit 113 and transmits it to the human body shape display unit 112. The human body shape display unit 112 reads the human body shape data from the human body shape data generation unit 110 and displays the human body shape data corresponding to the direction in which the human body model 101 is observed from the instruction unit position detection unit 111.
Here, the human body shape data includes, for example, three-dimensional shape coordinate information obtained by photographing the human body model 101 with an X-ray CT apparatus. Further, an endoscope may be used as the instruction unit 113, and a position sensor may be used as the instruction unit position detection unit 111. An example of the human body shape display unit 112 is a computer capable of displaying three-dimensional computer graphics.
[0016]
【The invention's effect】
As described above, in the human head model of the present invention, the following effects can be obtained in each claim.
According to the first aspect of the present invention, since the human head model has similar mechanical characteristics to the actual organ, it is suitable for training using a surgical instrument. In addition, by exchanging a part or a plurality of parts, it is possible to reuse by simply replacing the destroyed part even in training involving destruction, and it is possible to cope with different internal structures depending on cases. Furthermore , if it is a human head , an operation that may adversely affect the human head organ can be detected.
According to the second aspect of the present invention, since imaging by a medical diagnostic imaging apparatus is possible, training using an internal structure image of a human head model is possible.
Due computer graphics image according to claim 3, the shape of the virtual organ in three-dimensional shape coordinate information and actual human head in models captured by a medical diagnostic imaging apparatus that does not exist in the manufacturing process for other reasons It expresses.
[Brief description of the drawings]
FIG. 1 is a diagram showing an example of an embodiment according to claim 1 of the present invention;
FIG. 2 is a diagram showing an example of a human body model image taken by X-ray CT in an example of an embodiment according to claim 2 of the present invention;
FIG. 3 is a diagram showing an example of an embodiment according to claim 3 of the present invention.
FIG. 4 is a diagram showing an example of an embodiment according to claim 4 of the present invention.
FIG. 5 is a diagram showing an example of an embodiment according to claim 5 of the present invention.
[Explanation of symbols]
DESCRIPTION OF SYMBOLS 101 Human body model 102 Skeletal part 103 Nasal part 104 Cross section 105 Cross section 106 Skeleton part tomography 107 Nasal cavity part tomography 108 Pressure detection apparatus 109 Pressure display apparatus 110 Human body shape data generation part 111 Instruction part position detection part 112 Human body shape display part 113 Instruction section

Claims (3)

人体の頭部内部構造を、頭蓋骨から形状を採取し、CT画像データからの光造形モデルも参考にして再現した医療トレーニング用人体頭部模型であって、生体と類似した触感感覚を感じられるようにするために複数の材料を用いて複合させた構造であり該人体頭部模型の一部又は複数部分を、前記部分と形状が同一又は異なる部品と交換可能であり、該交換可能部分とその周辺部分との間隙に圧力検知部を備え、該人体頭部模型に外部からかかる圧力を検出することを特徴とする医療トレーニング用人体頭部模型。The internal structure of the human head, the shape taken from the skull, a human head model for medical training that optical modeling model also revealed again in the reference from the CT image data, feel the tactile sensation similar to that of a living body In order to be able to be used, it is a structure in which a plurality of materials are combined, and a part or a plurality of parts of the human head model can be exchanged with parts having the same or different shape from the part, and the exchange is possible. A human head model for medical training , comprising a pressure detector in a gap between a portion and a peripheral portion thereof, and detecting pressure applied to the human head model from the outside . 請求項1記載の医療トレーニング用人体頭部模型において、エックス線撮影装置またはX線CT断層装置により計測可能な材質である請求項1記載の医療トレーニング用人体頭部模型。The human head model for medical training according to claim 1, wherein the human head model for medical training is a material that can be measured by an X-ray imaging apparatus or an X-ray CT tomography apparatus. 請求項1または記載の医療トレーニング用人体頭部模型において、さらに、エックス線撮影装置またはX線CT断層装置により得られた人体頭部の三次元形状情報を有する人体形状データ生成部と、指示部と、前記人体頭部模型と前記指示部の相対位置および方向を検出する指示部位置検出部と、人体形状表示部を備え、前記人体形状データ生成部が生成した人体形状データを、前記観察方向検出部自身で検出された前記観察方向検出部の位置および方向から観察された映像として前記人体形状表示部で表示することを特徴とする医療トレーニング用人体頭部模型。The human body model for medical training according to claim 1 or 2 , further comprising: a human body shape data generating unit having three-dimensional shape information of a human head obtained by an X-ray imaging apparatus or an X-ray CT tomography apparatus; A human body shape data generated by the human body shape data generating unit, and a human body shape display unit including a pointing unit position detecting unit that detects a relative position and direction of the human head model and the pointing unit. A human head model for medical training, which is displayed on the human body shape display unit as an image observed from the position and direction of the observation direction detection unit detected by the detection unit itself.
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