CN105989775A - Subrenal calyx-adjustable ureteroscope operation training model - Google Patents
Subrenal calyx-adjustable ureteroscope operation training model Download PDFInfo
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- CN105989775A CN105989775A CN201510086563.1A CN201510086563A CN105989775A CN 105989775 A CN105989775 A CN 105989775A CN 201510086563 A CN201510086563 A CN 201510086563A CN 105989775 A CN105989775 A CN 105989775A
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- imitative
- calyx
- adjustable
- renal
- ureteroscopy
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Abstract
The invention relates to a subrenal calyx-adjustable ureteroscope operation training model. The ureteroscope operation training model comprises imitative ureters used for simulating the ureters of a human body, imitative renal pelves which are communicated with the imitative ureters and are used for simulating the renal pelves of the human body, and imitative renal calyces which are communicated with the imitative renal pelves and are used for simulating the renal calyces of the human body; each imitative renal calyx comprises a subrenal calyx, a middle renal calyx and an upper renal calyx; distances from the subrenal calyx, the middle renal calyx and the upper renal calyx to a plane vertical to the central axis of the imitative ureters and passing through the imitative ureters are gradually increased; and a lower calyx port of each subrenal calyx is connected with the corresponding imitative renal pelvis via a first adjustable pipe which can be bent. According to the ureteroscope operation training model provided by the technical schemes of the invention adopted, anatomical parameters (for example, the length, the width, an angle between the subrenal calyx and the renal pelvis) of the subrenal calyx can be changed by changing the shape of the first adjustable pipe, so that simulation training of different levels can be provided for students, operation can be simulated through the training model, and the success rates of the ureteroscope operations of patients can be individually predicted.
Description
Technical field
The present invention relates to technical field of medical instruments, particularly to a kind of lower calyx adjustable ureteroscope hands
Art trining mock up.
Background technology
Urinary system calculus sickness rate is up to 5%-10%, it is seen that appointing in kidney, bladder, ureter and urethra
What position, is common with kidney and ureteral calculus.Ureteroscope lithotrity is to utilize a diameter 3mm left
Right ureteroscope, inserts ureter through urethra, bladder, ureteral calculus or kidney stone is smashed
Take out.Ureteroscopy has that Wicresoft, rubble be definite and the flexible advantage of camera lens, but its behaviour simultaneously
Making difficulty relatively big, learning curve is long, directly practises running counter to Medical Ethics undoubtedly in patient body, also can
Increase operation risk.Therefore, develop use clinically to enter according to the emulation simulator of human organ manufacture
Row Ureteroscopy training and pre-operative surgical simulation, to simulate basic operation technique, but this emulation
Simulator also has its limitation.
Refer to Fig. 1, Fig. 1 is kidney and ureteral sectional view, and ureter 1 is connected with renal calices 3 by renal pelvis 2.
Wherein, according to being perpendicular to ureter 1 axis and through ureteral plane A distance, renal calices 3
It is divided in lower calyx 31, kidney small cup 33 on small cup 32 and kidney, wherein small cup 33 on small cup 32 and kidney in lower calyx 31, kidney
Distance to plane A increases successively.With reference to Fig. 1, owing to lower calyx 31 connects the inferior calyx mouth of renal pelvis 2 less than kidney
The small cup mouth of small cup 33 on middle small cup 32 and kidney so that the angle between lower calyx 31 and renal pelvis 2 is relatively big, at ureter
In videoendoscopic surgery, ureteroscope is when renal pelvis 2 enters lower calyx 31, compared to small cup on small cup 32 in entrance kidney and kidney
33 need to bend larger angle, which increase the risk of lower calyx 31 position rubble operative failure, operating difficulty
Bigger.In addition, the anatomic parameter of lower calyx, such as lower calyx length, width etc., is also ureter
The important predictive factors of mirror rubble operation success.Especially, the lower calyx of different patients clinically
Anatomic parameter is different, and also the operation to ureteroscope process lower calyx calculus brings more uncertainty.
But, in existing emulation simulator, it is connected for fixing between lower calyx with renal pelvis, lower calyx
Anatomic parameter be fixing nonadjustable, therefore for an emulation simulator, it is impossible to adapt to have
The surgery training of the lower calyx of different anatomic parameter and preoperative simulation demand.
Summary of the invention
The problem that the present invention solves is to be currently used in the emulation simulator of Ureteroscopy training, kidney
Is connected for fixing between inferior calyx with renal pelvis, the anatomic parameter of inferior calyx mouth be fix nonadjustable, therefore for
For one emulation simulator, it is impossible to adapt to surgery training and the art with the lower calyx of different anatomic parameter
Front simulation demand.
For solving the problems referred to above, the present invention provides a kind of lower calyx adjustable Ureteroscopy trining mock up,
This lower calyx adjustable Ureteroscopy trining mock up includes:
Imitative ureter, is used for simulating human body ureter；
The imitative renal pelvis connected with described imitative bladder, is used for simulating human body renal pelvis；
The imitative renal calices connected with described imitative renal pelvis, is used for simulating human body renal calices；
Described imitative renal calices is divided in lower calyx, kidney small cup on small cup and kidney, in described lower calyx, kidney on small cup and kidney
Small cup is to being perpendicular to described imitative ureter axis and increasing successively through imitating the distance of ureteral plane；
The inferior calyx mouth of described lower calyx is connected with imitative renal pelvis by the first adjustable pipe, described first scalable
Pipe has bendable folding endurance.
Alternatively, the shape after described first adjustable pipe can keep bending.
Alternatively, the body of described first adjustable pipe is that continuous print is some annular corrugated along its axis direction
Arrangement.
Alternatively, described first adjustable pipe and described imitative renal pelvis are for removably connecting.
Alternatively, threaded, interference fit connection or bonding it is detachably connected as described in.
Alternatively, in described kidney on small cup and/or kidney small cup by there is the second adjustable pipe of bendable folding endurance with imitative
Renal pelvis connects.
Alternatively, also include: housing, there is accepting groove；
Described imitative ureter, imitative renal pelvis and imitative renal calices are contained in accepting groove.
Alternatively, in described accepting groove, it is provided with retention means, is used for fixing described imitative ureter.
Alternatively, also include: imitative bladder, the imitative bladder of described imitative ureter connection；
The imitative urethra connected with described imitative bladder.
Alternatively, each imitative organ of described trining mock up and the corresponding organ of human body set according to 1: 1 size
Fixed.
Compared with prior art, technical scheme has the advantage that
First adjustable pipe has bendable folding endurance, bends the first adjustable pipe to change its shape by external force,
Reach to change the purpose of the anatomic parameter (such as length, width, lower calyx and renal pelvis angle etc.) of lower calyx,
Such that it is able to provide the simulation training of different levels to student, it is possible to be simulated hands by trining mock up
Art, the success rate of individuation ground prediction patient ureter's mirror rubble operation.
Accompanying drawing explanation
Fig. 1 is kidney and ureteral sectional view；
Fig. 2 is the solid of the lower calyx adjustable Ureteroscopy trining mock up of the specific embodiment of the invention
Figure；
Fig. 3 is in the adjustable Ureteroscopy trining mock up of the lower calyx shown in Fig. 2, standing of lower calyx
Body figure, wherein the first adjustable pipe is non-bending state；
Fig. 4 is in the lower calyx adjustable Ureteroscopy trining mock up of the specific embodiment of the invention, the
One adjustable pipe is in the schematic diagram of bending state, and wherein the second of the first adjustable pipe connection inferior calyx mouth opens
Mouth is higher than the first opening of the imitative renal pelvis of its connection；
Fig. 5 is in the lower calyx adjustable Ureteroscopy trining mock up of the specific embodiment of the invention, the
One adjustable pipe is in the schematic diagram of bending state, and wherein the second of the first adjustable pipe connection inferior calyx mouth opens
Mouth is less than the first opening of the imitative renal pelvis of its connection.
Detailed description of the invention
Understandable, below in conjunction with the accompanying drawings for enabling the above-mentioned purpose of the present invention, feature and advantage to become apparent from
The specific embodiment of the present invention is described in detail.
With reference to Fig. 2, the operation on ureter trining mock up of the present embodiment includes:
Housing 10, is formed with accepting groove 11 in housing 10；
It is positioned at the imitative urethra 20 of accepting groove 11, is used for simulating human urethra；
Being positioned at accepting groove 11 and the imitative bladder 30 connected with imitative urethra 20, imitative bladder 30 is used for simulating people
Body bladder；
It is positioned at accepting groove 11 and two the imitative ureters 40 all connected with imitative bladder 30, is used for simulating people
Body ureter；
It is positioned at accepting groove 11 and the imitative renal pelvis 50 connected with imitative ureter 40, is used for simulating human kidney
Renal pelvis；
It is positioned at the imitative renal calices 60 of accepting groove 11, is used for simulating the renal calices of human kidney.Imitative renal calices 60 points
For small cup 63 on small cup 62 in lower calyx 61, kidney and kidney, in lower calyx 61, kidney, on small cup 62 and kidney, small cup 63 arrives
It is perpendicular to the axis of imitative ureter 40 and increases successively, also through imitating the distance of the plane of ureter 40
Be exactly lower calyx 61 than small cup 63 on small cup in kidney 62 and kidney closer to imitative bladder 30, in kidney, small cup 62 ratio is on kidney
Small cup 63 is closer to imitative bladder 30.
In conjunction with reference to Fig. 3, lower calyx 61 includes the imitative major renal calices 601 of 1 imitative renal pelvis 50 of connection and connects
2 imitative minor renal calices 602 of the logical imitative major renal calices 601, wherein imitate the major renal calices 601 by the first adjustable pipe
610 are connected to imitative renal pelvis 50.First adjustable pipe 610 has bendable folding endurance, bends first by external force
Adjustable pipe 610 is to change its shape, and the position of the inferior calyx mouth of renal pelvis 50 is imitated in scalable lower calyx 61 connection
Put, it is achieved change the imitative purpose of angle between renal pelvis 50 and lower calyx 61, it is possible to adapt to diverse location
The surgery training of inferior calyx mouth and preoperative simulation demand.
Specifically, with reference to Fig. 3, in primary importance, the axis B of the first adjustable pipe 610 is along level
Direction extends, and has the first opening 611 and the second opening 612, the first opening 611 along B direction, axis
For connecting with imitative renal pelvis, the second opening 612 is used for connecting with lower calyx mouth, the position of the first opening 611
It is changeless for putting, as reference position；
In conjunction with reference to Fig. 4, in the second position, by being folded upward at the first adjustable pipe 610, so that second
Opening 612 moves up relative to the first opening 611, and lower calyx mouth is above relative to primary importance,
Now the axis B of the first adjustable pipe 610 becomes curve；
In conjunction with reference to Fig. 5, in the 3rd position, by bending the first adjustable pipe 610, so that the second opening
612 move down relative to the first opening 611, and lower calyx mouth is positioned at lower section relative to primary importance, now
The axis B of the first adjustable pipe 610 becomes curve.
In addition to this it is possible to stretching the first adjustable pipe 610 is relatively to increase the length of lower calyx 61,
With compress first adjustable pipe 610 width with relatively reduced lower calyx 61, with realize change lower calyx 61
To imitative ureter 40 and the purpose of the distance of imitative renal pelvis 50 link position.It may also is that by radially squeezing
Press the first adjustable pipe 610 to reduce the width of the first adjustable pipe 610, or strut the first adjustable pipe
610 to increase the width of the first adjustable pipe 610.Therefore, by changing the shape of the first adjustable pipe 610
Shape, can reach change lower calyx anatomic parameter (such as length, width, lower calyx and renal pelvis angle etc.)
Purpose.
Be can be seen that by the example of Fig. 4～Fig. 5, can be in certain limit by means of the first adjustable pipe 610
Interior regulation lower calyx mouth position, in addition can also change other anatomic parameters of lower calyx, as length,
Width, lower calyx and renal pelvis angle etc..Thus it is possible, on the one hand, in Ureteroscopy training process,
Can be changed the anatomic parameter of lower calyx within the specific limits by the first adjustable pipe, corresponding each dissection is joined
Digital-to-analogue intends the process of ureteroscope turnover lower calyx, and this can increase the difficulty of operation technique, make student more complete
Ground, face learns, to the lower calyx operation technique with different anatomic parameter, to make student adapt to operation more true to nature
Operating environment.On the other hand, when clinically in the face of the patient of the lower calyx with different anatomic parameter,
Also in the preoperative by the anatomic parameter of the first adjustable pipe regulation lower calyx, and preoperative rehearsal can be carried out, from
And judge the feasibility of operation, increase operability and the success rate of operation.
It should be noted that ureteroscope may is that ureterscopy；Flexible ureteroscope；Or, including
Ureterscopy and be positioned at the soft lens of ureterscopy end, this soft lens can bend.Ureterscopy is relatively
It is suitable for Distal Ureteral, can look at down mirror straight, can be used for the rubble surgical simulation imitating in Distal Ureteral.
Flexible ureteroscope can free bend, can without lifting an eyebrow through ureteral distortion section, be relatively suitable for ureter
Epimere, renal pelvis, renal calices, can be used for imitating renal pelvis, imitative renal calices and the rubble surgical simulation of imitative proximal ureteral.
In the present embodiment, with reference to Fig. 3, the first adjustable pipe 610 is made for plastic material and can keep
Form after bending so that it is can be bent under external force.Wherein, first adjustable pipe 610
Body is the some annular corrugated arrangements of continuous print along its axis direction, makes the first adjustable pipe 610 be easier to
Bending, and its bent amplitude is bigger, then can be in a wider context by the first adjustable pipe 610
Regulation inferior calyx mouth position.
The present embodiment is to arrange the first adjustable pipe in lower calyx position to regulate inferior calyx mouth position.At other
In example, also in kidney, the second regulation pipe can be set at the small cup mouth of small cup on small cup and/or kidney with renal pelvis even further
Connect, now can be further by the position of the small cup mouth of small cup on small cup in the second adjustable pipe regulation kidney and/or kidney.
With continued reference to Fig. 3, the first adjustable pipe 610 with imitative renal pelvis for threadeding.Specifically, first can
The other end that regulation pipe 610 is relative with inferior calyx mouth is provided with external thread part 620, correspondingly, the inwall of imitative renal pelvis
It is provided with female thread, is screwed with female thread by external thread part 620 and coordinate, the first adjustable pipe 610 can be realized
Removably connecting with imitative renal pelvis, assembling process is easy.In addition to threaded, the first adjustable pipe 610 with
Imitative renal pelvis can be also that interference fit connects or the mode that removably connects such as bonding.
With reference to Fig. 2 and 3, in addition to lower calyx 61 has 1 major renal calices 601 and 2 minor renal calices 602,
In kidney, on small cup 62 and kidney, small cup 63 all includes 1 major renal calices and 2 minor renal calices.The lower calyx of the present embodiment
In adjustable Ureteroscopy trining mock up, the various piece in addition to housing, presses with the corresponding organ of human body
Set according to 1: 1 size, further enhance the verity of ureteroscope sham operated.
With continued reference to Fig. 2, the accepting groove 11 of housing 10 is provided with the retention means 12 of tabular, two imitate defeated
Urinary catheter 40 is through retention means 12, and imitative ureter 4 is played maintenance effect by retention means 12.It addition, maintenance
Part 12 and accepting groove 11 sidewall surround a less receiving space, and imitative bladder 30 is placed in this receiving space.
When lower calyx adjustable Ureteroscopy trining mock up at the present embodiment is in unused state, can be
Accepting groove 11 upper cover sets top cover, to play a protective role.
Although present disclosure is as above, but the present invention is not limited to this.Any those skilled in the art,
Without departing from the spirit and scope of the present invention, all can make various changes or modifications, therefore the guarantor of the present invention
The scope of protecting should be as the criterion with claim limited range.
Claims (10)
1. a lower calyx adjustable Ureteroscopy trining mock up, it is characterised in that including:
Imitative ureter, is used for simulating human body ureter；
The imitative renal pelvis connected with described imitative ureter, is used for simulating human body renal pelvis；
The imitative renal calices connected with described imitative renal pelvis, is used for simulating human body renal calices；
Described imitative renal calices is divided in lower calyx, kidney small cup on small cup and kidney, in described lower calyx, kidney on small cup and kidney
Small cup is to being perpendicular to described imitative ureter axis and increasing successively through imitating the distance of ureteral plane；
The inferior calyx mouth of described lower calyx is connected with imitative renal pelvis by the first adjustable pipe, described first scalable
Pipe has bendable folding endurance.
2. lower calyx adjustable Ureteroscopy trining mock up as claimed in claim 1, it is characterised in that
Described first adjustable pipe can keep the shape after bending.
3. lower calyx adjustable Ureteroscopy trining mock up as claimed in claim 1, it is characterised in that
The body of described first adjustable pipe is the some annular corrugated arrangements of continuous print along its axis direction.
4. lower calyx adjustable Ureteroscopy trining mock up as claimed in claim 1, it is characterised in that
Described first adjustable pipe and described imitative renal pelvis are for removably connecting.
5. lower calyx adjustable Ureteroscopy trining mock up as claimed in claim 4, it is characterised in that
Described it be detachably connected as threaded, interference fit and connect or bonding.
6. lower calyx adjustable Ureteroscopy trining mock up as claimed in claim 1, it is characterised in that
In described kidney, on small cup and/or kidney, small cup is connected with imitative renal pelvis by having the second adjustable pipe of bendable folding endurance.
7. lower calyx adjustable Ureteroscopy trining mock up as claimed in claim 1, it is characterised in that
Also include: housing, there is accepting groove；
Described imitative ureter, imitative renal pelvis and imitative renal calices are contained in accepting groove.
8. lower calyx adjustable Ureteroscopy trining mock up as claimed in claim 7, it is characterised in that
In described accepting groove, it is provided with retention means, is used for fixing described imitative ureter.
9. lower calyx adjustable Ureteroscopy trining mock up as claimed in claim 1, it is characterised in that
Also include: imitative bladder, the imitative bladder of described imitative ureter connection；
The imitative urethra connected with described imitative bladder.
10. lower calyx adjustable Ureteroscopy trining mock up as claimed in claim 1, it is characterised in that
Each imitative organ of described trining mock up and the corresponding organ of human body set according to 1: 1 size.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201510086563.1A CN105989775A (en) | 2015-02-17 | 2015-02-17 | Subrenal calyx-adjustable ureteroscope operation training model |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201510086563.1A CN105989775A (en) | 2015-02-17 | 2015-02-17 | Subrenal calyx-adjustable ureteroscope operation training model |
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| CN105989775A true CN105989775A (en) | 2016-10-05 |
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| CN201510086563.1A Pending CN105989775A (en) | 2015-02-17 | 2015-02-17 | Subrenal calyx-adjustable ureteroscope operation training model |
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| CN103932757A (en) * | 2014-04-11 | 2014-07-23 | 徐白生 | Adjustable percutaneous nephrolithotomy operation sheath |
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| CN203837432U (en) * | 2014-05-23 | 2014-09-17 | 金陵科技学院 | Multi-test-tube heating air dryer |
| CN204496814U (en) * | 2015-02-17 | 2015-07-22 | 高小峰 | The Ureteroscopy trining mock up that lower calyx is adjustable |
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2015
- 2015-02-17 CN CN201510086563.1A patent/CN105989775A/en active Pending
Patent Citations (10)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| EP1517282A1 (en) * | 2003-08-25 | 2005-03-23 | Walter Ludwig Prof. Dr. Dr. Strohmaier | Training model for percutaneous treatment of organs, especially of a kidney |
| US20090025492A1 (en) * | 2007-07-27 | 2009-01-29 | Su Hwan Hwang | Apparatus for adjusting position of vertebral column of dummy model for estimating feeling of sitting in seat |
| CN101279583A (en) * | 2008-03-15 | 2008-10-08 | 燕阳 | Road anti-freezing technology using ground exhausting equipment of automobile |
| CN201600821U (en) * | 2010-02-05 | 2010-10-06 | 北京医模科技有限公司 | Section model of right kidney |
| CN102723036A (en) * | 2012-06-24 | 2012-10-10 | 关真民 | Model for demonstrating secondary hydronephrosis of renal calculus |
| CN203370189U (en) * | 2013-08-01 | 2014-01-01 | 肖国红 | Elastic compression hemostasis drainage tube for percutaneous kidney lithotripsy fistulization |
| CN203773832U (en) * | 2014-02-25 | 2014-08-13 | 蒋茁荣 | See-through percutaneous renal biopsy training box guided by B-mode ultrasonography |
| CN103932757A (en) * | 2014-04-11 | 2014-07-23 | 徐白生 | Adjustable percutaneous nephrolithotomy operation sheath |
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| CN204496814U (en) * | 2015-02-17 | 2015-07-22 | 高小峰 | The Ureteroscopy trining mock up that lower calyx is adjustable |
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