CN105070171A - Thoracoscopic surgery simulation training box - Google Patents
Thoracoscopic surgery simulation training box Download PDFInfo
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- CN105070171A CN105070171A CN201510571415.9A CN201510571415A CN105070171A CN 105070171 A CN105070171 A CN 105070171A CN 201510571415 A CN201510571415 A CN 201510571415A CN 105070171 A CN105070171 A CN 105070171A
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- prosthese
- thoracic cavity
- push rod
- prosthesis
- box
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Abstract
The invention discloses a medical model, in particular, a thoracoscopic surgery simulation training box. The training box comprises a thoracic cavity prosthesis. The thoracoscopic surgery simulation training box is characterized in that the thoracoscopic surgery simulation training box further comprises a blood flow simulation device and a supporting device; the cross section of the thoracic cavity prosthesis is similar to the cross section of the thorax of a human body; the thoracic cavity prosthesis is divided into a front thoracic cavity prosthesis and a rear thoracic cavity prosthesis through a plane where midaxillary lines at two sides of the thoracic cavity prosthesis are located; a mediastinum prosthesis is arranged in the thoracic cavity prosthesis; the mediastinum prosthesis is composed of mediastinum plates located at two sides of the median sagittal plane of the thoracic cavity prosthesis and a connecting plate connected with the two mediastinum plates; the blood flow simulation device is composed of two perfusion bottles and two perfusion catheters of the thoracic cavity prosthesis; the supporting device includes a cuboid supporting box of which the top is open and supporting push rods which are located at the two sides and bottom of the supporting box; and the bottom of the supporting box is provided with a perfusion liquid recovery opening; the supporting push rod is composed of a push rod seat fixed on the box body and a push rod which passes through the push rod seat and is supported on the thoracic cavity prosthesis, wherein the push rod is in threaded connection with the push rod seat.
Description
Technical field
The present invention relates to a kind of model of medical use, for sham operated environment, carry out the operation training of thoracic cavity Minimally Invasive Surgery.
Background technology
Along with the development of modern medicine Wicresoft theory, minimal invasive techniques is more and more widely used in all kinds of operation.Thoracoscope is described as one of important breakthrough of eighties of last century thoracic surgery circle, is the representativeness operation of thoracoscopic surgery.But video assisted thoracic operation and conventional Thoracotomy in Management operation have very large difference, difficulty is much bigger.He normally carries out under the Small incision thoracotomy of 3-4 about 1.5cm, and doctor uses special operating theater instruments to complete operation by the mirror visual field, chamber shown in observation television.But the image of chest inside gathers through chamber mirror, after TV video picture, its spatial impression and sense of direction are very different than the exposed visual field of traditional open chest surgery.Doctor has to pass through a large amount of chamber arthroscopic diagnosis training just can accurately complete thoracoscopic operation clinically.
Thoracoscopic operation training needed to carry out a large amount of fundamental operation training before entering clinical training, and the trainer that this stage is commonly used is chamber mirror simulated training case.Traditional chamber mirror simulated training box main body is the box of a rectangular parallelepiped, leaves several operating theater instruments entrance at the top of box.By the environment of this unit simulation one operation apparatus under the mirror visual field, chamber.But this training box due to 26S Proteasome Structure and Function single, trainee cannot be subject to the training closest to true surgical environments.
Summary of the invention
Technical matters to be solved by this invention is: provide a kind of thoracoscopic operation simulated training case, this kind of thoracoscopic operation simulated training case can real simulation operation position, the bleeding due to trauma situation of the dissection orientation of each organ, the blood flow of organ and blood vessel in thoracic cavity, improves the sense of reality of thoracoscope simulated surgical operation.
The technical scheme that the present invention solves the problems of the technologies described above is:
A kind of thoracoscopic operation simulated training case, this thoracoscopic operation simulated training case comprises thoracic cavity prosthese, it is characterized in that, also comprises blood flow simulator and bracing or strutting arrangement;
Described thoracic cavity prosthese is made up of xsect outer peripheral face similar to the xsect of human body thorax and the dividing plate that is positioned at outer peripheral face two, this thoracic cavity prosthese is divided into prosocoel prosthese and rear thoracic cavity prosthese by its midaxillary line place, both sides plane, described prosocoel prosthese and rear thoracic cavity prosthese are connected as a single entity by the coupling arrangement being located at prosthese two, thoracic cavity, and described coupling arrangement is made up of the engaging lug be located at respectively on prosocoel prosthese and rear thoracic cavity prosthese and the bolt be located on two engaging lugs; Prosthese inside, described thoracic cavity is provided with pleura mediastinalis prosthese, described pleura mediastinalis prosthese is made up of with the web joint both being connected the two blocks of pleura mediastinalis plates being located at prosthese median sagittal plane both sides, thoracic cavity, the middle part of one of two blocks of described pleura mediastinalis plates its be provided with an open slot along its length, the bottom of this open slot expands outwardly the circular hole that formation one diameter is greater than open slot width, and two of described pleura mediastinalis prosthese is connected with the dividing plate at prosthese two, thoracic cavity respectively;
Described blood flow simulator is made up of two perfusion bottles and two perfusion catheters, and one of two described perfusion catheters is communicated with the bottom of two perfusion bottles respectively, and other end reaches the inner side of prosocoel prosthese and rear thoracic cavity prosthese respectively;
Described bracing or strutting arrangement comprises the rectangular parallelepiped support box opened wide at a top and the support push rod be located on support box both sides and bottom casing; The bottom of described support box is provided with perfusate recovery port; Described thoracic cavity prosthese is placed in support box by position needed for sham operated, and supported by support push rod, described support push rod is made up of push rod and ram seat, wherein, ram seat is fixed on casing, push rod passes ram seat and extends to support in support box and plays thoracic cavity prosthese, adopts and be threaded between described push rod and ram seat.
A kind of thoracoscopic operation simulated training case of the present invention, wherein, two of described pleura mediastinalis prosthese respectively with two joggle of thoracic cavity prosthese, wherein said tenon is located at two of two blocks of pleura mediastinalis plates, described mortise is located on the dividing plate at prosthese two, thoracic cavity, and, across the edge of prosocoel prosthese and rear thoracic cavity prosthese die joint.
The invention has the beneficial effects as follows:
The profile of human body thorax due to thoracic cavity prosthesis simulates, and set up pleura mediastinalis prosthese and blood flow simulator, the present invention can simulate the bleeding due to trauma situation of the dissection orientation of each organ in thoracic cavity, the blood flow of organ and blood vessel more really; Coordinate bracing or strutting arrangement the present invention can also simulate different operation positions; Build one relatively close to real operative training environment.
Accompanying drawing explanation
The structural representation that Fig. 1 ~ 5 are the present invention's embodiment, wherein, Fig. 1 is front view (analysing and observe), the A-A cut-open view of Fig. 2 bitmap 1, and Fig. 3 is left view, and Fig. 4 is right view, and Fig. 5 is the enlarged drawing of local I in Fig. 1.
Fig. 6 Fig. 1 ~ 5 show the perspective view of embodiment.
Embodiment
See Fig. 1 ~ 6, the thoracoscopic operation simulated training case in example is made up of thoracic cavity prosthese 1, blood flow simulator and bracing or strutting arrangement.
See Fig. 1 ~ 4, described thoracic cavity prosthese 1 is made up of with the shrouding being positioned at outer peripheral face two the akin outer peripheral face of xsect of an xsect and human body thorax, this thoracic cavity prosthese 1 is divided into prosocoel prosthese 1-1 and rear thoracic cavity prosthese 1-2 by midaxillary line place, both sides plane, both are connected as a single entity by the coupling arrangement 3 being located at thoracic cavity prosthese 1 two, and described coupling arrangement 3 is made up of the engaging lug 3-1 be located at respectively on prosocoel prosthese 1-1 and rear thoracic cavity prosthese 1-2 and the bolt 3-2 be located on two engaging lug 3-1; Prosthese 1 inside, described thoracic cavity is provided with pleura mediastinalis prosthese 2, and described pleura mediastinalis prosthese 2 is made up of with the web joint 2-2 both being connected the two pieces of pleura mediastinalis plate 2-1 being located at thoracic cavity prosthese 1 median sagittal plane both sides; Two of two pieces of described pleura mediastinalis plate 2-1 is equipped with tenon 2-3, the shrouding at described thoracic cavity prosthese 1 two is provided with the mortise 1-3 corresponding with described tenon 2-3, described mortise 1-3 is all across the edge of prosocoel prosthese 1-1 and rear thoracic cavity prosthese 1-2 die joint, and described pleura mediastinalis prosthese 2 is clamped therein by described tenon 2-3 and mortise 1-3 by thoracic cavity prosthese 1; The middle part of one of two pieces of described pleura mediastinalis plate 2-1 is provided with an open slot 2-4 along its length, and the bottom of this open slot 2-4 expands outwardly the circular hole 2-5 that formation one diameter is greater than open slot width.
See Fig. 1, described blood flow simulator is made up of two perfusion bottles 6 and two perfusion catheters 7, one of two described perfusion catheters 7 is communicated with the bottom of two perfusion bottles 6 respectively, and other end reaches the inner side of prosocoel prosthese 1-1 and rear thoracic cavity prosthese 1-2 respectively.
See Fig. 1 ~ 5, bracing or strutting arrangement comprises the rectangular parallelepiped support box 4 that a top is opened wide, and the bottom of this support box 4 is provided with perfusate recovery port 4-1, and on the casing of support box 4 both sides and bottom, is equipped with two supports push rods; Described thoracic cavity prosthese 1 is placed in support box 4 by position needed for sham operated, and supported by support push rod, described support push rod is made up of push rod 5-1 and ram seat 5-2, wherein, ram seat 5-2 is welded on the casing of support box 4, push rod 5-1 passes ram seat 5-2 perpendicular to casing and extends to support in casing and rises on thoracic cavity prosthese 1, adopts screw thread to connect (see Fig. 5) between described push rod 5-1 and ram seat 5-2.
Using method below in conjunction with the case of thoracoscopic operation simulated training this example of Brief Description Of Drawings Suo Shi:
Offer various thoracoscopic operation apparatus according to the simulated correct position of operation kind on thoracic cavity prosthese 1 and enter required otch, this sentences VATS lobectomy is example, on the prosthese of thoracic cavity, three otch are offered in the corresponding position of corresponding human body, are respectively: the viewport of midaxillary line the 7th intercostal, between anterior axillary line and linea medioclavicularis the 4th or 5 intercostals primary operating hole and between posterior axillary line and infrascapular line the 8th intercostal non-productive operation hole.
See Fig. 1 ~ 6, the bolt 3-2 of coupling arrangement 3 is removed, make prosocoel prosthese 1-1 and rear thoracic cavity prosthese 1-2 separately, the fresh lungs of livestock purchased in food market or slaughterhouse are placed in thoracic cavity prosthese 1, and connect the arteries of perfusion catheter 7 and fresh lungs by flexible pipe; Described open slot 2-4 and circular hole 2-5, can be used for placing and fixes bronchus; Closed-chest prosthese 1, and locked by coupling arrangement 3.
See Fig. 3 and 4, being placed on bracing or strutting arrangement by thoracic cavity prosthese 1, is lateral position by the position of the position adjustments thoracic cavity prosthese 1 regulating the push rod 5-1 supporting push rod; The liquid close to blood viscosity that injection prepares in advance in perfusion bottle 6, as simulate blood, regulates blood pressure by regulating the suspension height of perfusion bottle 6.Now simulate one relatively close to the scene of true surgical environments.The simulate blood leaked in simulated training in support box is collected by perfusate recovery port 4-1.
Claims (2)
1. a thoracoscopic operation simulated training case, this thoracoscopic operation simulated training case comprises thoracic cavity prosthese, it is characterized in that, also comprises blood flow simulator and bracing or strutting arrangement;
Described thoracic cavity prosthese is made up of xsect outer peripheral face similar to the xsect of human body thorax and the dividing plate that is positioned at outer peripheral face two, this thoracic cavity prosthese is divided into prosocoel prosthese and rear thoracic cavity prosthese by its midaxillary line place, both sides plane, described prosocoel prosthese and rear thoracic cavity prosthese are connected as a single entity by the coupling arrangement being located at prosthese two, thoracic cavity, and described coupling arrangement is made up of the engaging lug be located at respectively on prosocoel prosthese and rear thoracic cavity prosthese and the bolt be located on two engaging lugs; Prosthese inside, described thoracic cavity is provided with pleura mediastinalis prosthese, described pleura mediastinalis prosthese is made up of with the web joint both being connected the two blocks of pleura mediastinalis plates being located at prosthese median sagittal plane both sides, thoracic cavity, the middle part of one of two blocks of described pleura mediastinalis plates its be provided with an open slot along its length, the bottom of this open slot expands outwardly the circular hole that formation one diameter is greater than open slot width, and two of described pleura mediastinalis prosthese is connected with the dividing plate at prosthese two, thoracic cavity respectively;
Described blood flow simulator is made up of two perfusion bottles and two perfusion catheters, and one of two described perfusion catheters is communicated with the bottom of two perfusion bottles respectively, and other end reaches the inner side of prosocoel prosthese and rear thoracic cavity prosthese respectively;
Described bracing or strutting arrangement comprises the rectangular parallelepiped support box opened wide at a top and the support push rod be located on support box both sides and bottom casing; The bottom of described support box is provided with perfusate recovery port; Described thoracic cavity prosthese is placed in support box by position needed for sham operated, and supported by support push rod, described support push rod is made up of push rod and ram seat, wherein, ram seat is fixed on casing, push rod passes ram seat and extends to support in support box and plays thoracic cavity prosthese, adopts and be threaded between described push rod and ram seat.
2. a kind of thoracoscopic operation simulated training case according to claim 1, it is characterized in that, two of described pleura mediastinalis prosthese respectively with two joggle of thoracic cavity prosthese, wherein said tenon is located at two of two blocks of pleura mediastinalis plates, described mortise is located at position corresponding with described tenon on the dividing plate at prosthese two, thoracic cavity, and, across the edge of prosocoel prosthese and rear thoracic cavity prosthese die joint.
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| Application Number | Priority Date | Filing Date | Title |
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| CN201510571415.9A CN105070171B (en) | 2015-09-09 | 2015-09-09 | A kind of thoracoscopic operation simulated training case |
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| Application Number | Priority Date | Filing Date | Title |
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| CN201510571415.9A CN105070171B (en) | 2015-09-09 | 2015-09-09 | A kind of thoracoscopic operation simulated training case |
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| CN105070171A true CN105070171A (en) | 2015-11-18 |
| CN105070171B CN105070171B (en) | 2017-08-22 |
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| CN201510571415.9A Expired - Fee Related CN105070171B (en) | 2015-09-09 | 2015-09-09 | A kind of thoracoscopic operation simulated training case |
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Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN110288869A (en) * | 2019-07-07 | 2019-09-27 | 张小娥 | A kind of laparoscopic surgery simulation system |
| CN112119440A (en) * | 2018-04-17 | 2020-12-22 | 纽新股份公司 | Lung simulator for teaching and training |
Citations (7)
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| US20040236550A1 (en) * | 2002-02-28 | 2004-11-25 | Edic Peter Michael | Mathematical model and a method and apparatus for utilizing the model |
| CN101073516A (en) * | 2007-06-14 | 2007-11-21 | 河北医科大学第二医院 | Dynamic negative-pressure thoracotomy operating cabin of simulating pectoral cavity |
| CN202306933U (en) * | 2011-10-24 | 2012-07-04 | 申屠作本 | Experimental device for laparoscopic surgery |
| CN202422538U (en) * | 2011-12-19 | 2012-09-05 | 张存海 | Thorax puncture and closed drainage device model |
| CN202523292U (en) * | 2012-01-20 | 2012-11-07 | 徐鑫 | Thoracoscopic simulation training box |
| CN202677692U (en) * | 2012-06-12 | 2013-01-16 | 吴明灿 | Laparoscopic surgery training model used for students |
| CN203689796U (en) * | 2013-12-31 | 2014-07-02 | 泸州医学院附属医院 | Cardiac surgery simulation operation box |
-
2015
- 2015-09-09 CN CN201510571415.9A patent/CN105070171B/en not_active Expired - Fee Related
Patent Citations (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20040236550A1 (en) * | 2002-02-28 | 2004-11-25 | Edic Peter Michael | Mathematical model and a method and apparatus for utilizing the model |
| CN101073516A (en) * | 2007-06-14 | 2007-11-21 | 河北医科大学第二医院 | Dynamic negative-pressure thoracotomy operating cabin of simulating pectoral cavity |
| CN202306933U (en) * | 2011-10-24 | 2012-07-04 | 申屠作本 | Experimental device for laparoscopic surgery |
| CN202422538U (en) * | 2011-12-19 | 2012-09-05 | 张存海 | Thorax puncture and closed drainage device model |
| CN202523292U (en) * | 2012-01-20 | 2012-11-07 | 徐鑫 | Thoracoscopic simulation training box |
| CN202677692U (en) * | 2012-06-12 | 2013-01-16 | 吴明灿 | Laparoscopic surgery training model used for students |
| CN203689796U (en) * | 2013-12-31 | 2014-07-02 | 泸州医学院附属医院 | Cardiac surgery simulation operation box |
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN112119440A (en) * | 2018-04-17 | 2020-12-22 | 纽新股份公司 | Lung simulator for teaching and training |
| CN110288869A (en) * | 2019-07-07 | 2019-09-27 | 张小娥 | A kind of laparoscopic surgery simulation system |
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| Publication number | Publication date |
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| CN105070171B (en) | 2017-08-22 |
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Granted publication date: 20170822 Termination date: 20210909 |