CN106373472A - Highly-simulative fully-automatic thoracocentesis and closed drainage computer simulated human being - Google Patents
Highly-simulative fully-automatic thoracocentesis and closed drainage computer simulated human being Download PDFInfo
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- CN106373472A CN106373472A CN201611031503.0A CN201611031503A CN106373472A CN 106373472 A CN106373472 A CN 106373472A CN 201611031503 A CN201611031503 A CN 201611031503A CN 106373472 A CN106373472 A CN 106373472A
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- G09B23/00—Models for scientific, medical, or mathematical purposes, e.g. full-sized devices for demonstration purposes
- G09B23/28—Models for scientific, medical, or mathematical purposes, e.g. full-sized devices for demonstration purposes for medicine
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Abstract
A highly-simulative fully-automatic thoracocentesis and closed drainage computer simulated standardized patient relates to the technical field of medical education equipment. The computer simulated standardized patient comprises a microcomputer controller, a simulated human body model, a simulated pneumothorax capsule, a simulated pleural effusion capsule, a breathing exercise simulator, a thorax closed drainage bottle transparent pipe water column fluctuation and fluctuation adjustment simulator, an automatic voice alarm device, a micro water pump, a water tank, a micro air pump, a half-lying bracket, and a fixed plate. The advantages are as follows: simulation is highly simulative and fully automatic; by operating the keyboard of the microcomputer controller, liquid and air can be injected into the thorax automatically, and simulated pleural effusion and simulated pneumothorax are formed automatically; breathing exercise is simulated automatically; the transparent pipe water column of the thorax closed drainage bottle can fluctuate up and down with the breathing rhythm, and the amplitude of fluctuation can be adjusted automatically; the alarm is raised by voice automatically when a thoracentesis needle is inserted at a wrong position; and the computer simulated standardized patient can be used to train and assess the thorax closed drainage and thoracocentesis skills of medical students and medical personnel, and can significantly improve the teaching effect.
Description
Technical field
The present invention relates to medical education equipment technical field, exactly it be a kind of high emulate full-automatic thoracentesises,
Closed drainage computer simulation people.
Background technology
In clinical medicine, pleurocentesiss and closed thoracic drainage art belong to invasive procedures, and traditional teaching method is
Theory teaching is aided with wall chart magic lantern, video teaching, and practical operation skill training is in patient to Affiliated Hospital or teaching hospital
Carry out with it, in recent years due to the raising of patient and family members' legal consciousness and sense of self-protection, often refuse on one's body
Practice.Therefore all develop both at home and abroad the model of correlation, it is difficult to solve thoracentesises, closed drainage practice, problem, but this kind of
Teaching mode simulation performance and automaticity are poor, lack respiratory movement it is impossible to realize the water-sealed drainage bottle liquid of closed drainage of pleural cavity
Fluctuating in face, more no adjusts the function of water column fluctuating margin in water-sealed drainage bottle.
Content of the invention
The purpose of the present invention is to develop a kind of thoracentesises, closed drainage computer simulation people, and it enables from trend pleura
Chamber fluid injection gas injection, automatically forms hydrothorax and pneumothorax, energy automatic alarm during punctured error, automatic complete simulation simulation breathing
Motion, carries out adjusting the fluctuating margin of water column in water-sealed drainage bottle during closed thoracic drainage, significantly improves training effect.
This achievement solve clinic thoracentesises and closed drainage automation degree of equipment relatively low, simulation effect poor
A difficult problem, filled up the blank of this teaching equipment, be that the world initiates a kind of high emulates full-automatic thoracentesises, closed drainage
Computer simulation people.
It includes: artificial human body model, simulation hydrothorax capsule, simulation pneumothorax capsule, simulating respiratory movement device, simulation thoracic cavity are closed
The fluctuation of formula stream bottle transparent tube water column and fluctuating margin adjusting means, automatic speech alarm, microcomputer controller, its feature exists
In: high artificial human body model (1) back (2) is hinged in fixed plate (4) by semireclining position support (3), thoracic cavity both sides oxter
Setting simulation hydrothorax capsule (5), (6), by conduit (7), (8) threeway (9-1) and conduit (10) be provided with liquid supplementation pipe (11)
And the water tank (13) of overflow pipe (12) connects, this case liquid supplementation pipe (11) connects Miniature water in bucket (st) through inlet non return check valve (df)
Pump (sb).Both sides thoracic cavity midclavicular line second intercostal setting simulation pneumothorax capsule (14), (15), by conduit (16), (17) and three
Logical (18) are connected with micro air pump (19).The transparent water tube sealing that drainage tube (g-1) patches drainage cylinder (t-2) is connected after puncturing this capsule
(gt-1).Described simulating respiratory movement device is the base plate (21) that minitype speed reducing motor (20) is fixed on artificial human body model back
On, motor shaft connects slider-crank mechanism (22), and its upper end of slide block connects respiratory movement top board (23), and this plate connects sponge block (24).
Simulation closed thoracic drainage bottle transparent tube water column fluctuation and fluctuating margin adjusting means, are respiratory movement top board (23) both sides end to end
Each install one and be located in capsule frame (25), the collapsible air bag (27) on (26), (28), it is another that its caudal capsule bottom connects elbow (29)
Individual capsule bottom is connect tee T (30) and is connected above transducing bottle (32) by conduit (31), and this bottle of top cap connects changing of straight cutting bottom of bottle
(33) can be managed, connect insertion simulation closed drainage of pleural cavity cylinder (t-2) drain transparent tube in one end after threeway (9-2) through conduit (34)
(gt=2) regulation folder a mouth (36-1) of water column fluctuation and fluctuating margin adjusting knob (35), is inserted under hydrothorax capsule (5-1)
In the drain capsule (5-2) of side, other end insertion adjusts the b mouth (36-2) of folder, backs into water tank (13), the capsule of hydrothorax capsule (5)
Bottom top sets effuser and connects threeway (9-1), is provided with aperture between capsule (xk) between two capsules, through leading above the bottle wall of this transducing bottle (32)
After pipe (37) connects tee T (38-1), it is connected to liquid level tube (39) upper end outside model, connects conduit (40) below bottle wall and connect threeway
It is connected to model external liquid level tube (39) lower end, the liquid injection pipe outside tee T (38-2) other end link model after pipe (38-2)
(41), the overflow pipe (42) outside tee T (38-1) other end link model, simulation hydrothorax capsule (5) outer wall on be additionally provided with
The conduction hole (43) that drain capsule (36) communicates, extrapolation drainage tube (g-2) connects the transparent water column jecket (gt-2) of drainage cylinder (t-2).Institute
State several rib lower edges that automatic speech alarm is with hydrothorax capsule (5), (6) corresponding thoracic wall, lay mutual insulating
The thin wire netting of bilayer (k5), micro computer voice module (e) through wire and microcomputer controller (44) and speaker (y) are even
Logical.Microcomputer controller (44) control panel (a) is provided with power switch key (k1), intrathoracic injection key (k2), thoracic cavity gas injection key
(k3), respiratory movement key (k4), be provided with rectifier power source (b), microcomputer chip (c), drive circuit (d), micro computer language in cabinet
Sound module (e), speaker (y).
The invention has the advantage that novel, perfect in shape and function, dependable performance, realize forming hydrothorax and pneumothorax, puncture
Mistake alarm, complete simulation simulation respiratory movement full automation, and the fluctuating margin of water column in water-sealed drainage bottle can be adjusted, show
Write and improve training effect.
The present invention is further described with reference to the accompanying drawings and examples
Accompanying drawing 1 is overall structure diagram of the present invention
Accompanying drawing 2 be in the model of the present invention parts by putting schematic diagram
Accompanying drawing 3 is the present invention looks up structural representation of the present invention
Accompanying drawing 4 is the control circuit principle of the present invention
In the control circuit schematic diagram of the present invention: a is microcomputer controller keypad;B is rectifier power source;C is micro- electrical chip;d
For drive circuit;E is micro computer voice module;M is motor;K is switch;Y is speaker.
Specific embodiment:
In the present invention skin silica gel of artificial human body model or ward off sealing rubber die molding make, hypodermis layer with sponge make,
Model skeleton resin or plastic production, the capsule of simulation puncture and drainage, make of plastics or rubber, other aftermarket have
Sell.After getting all the parts shown in accompanying drawing ready, assemble referring to the drawings.It is hinged that high artificial human body model back passes through semireclining position support
Make human body be in semireclining position in fixed board, pass through conduit threeway and conduit and set because thoracic cavity both sides oxter arranges simulation hydrothorax capsule
Liquid supplementation pipe and the water tank of overflow pipe is had to connect, this case liquid supplementation pipe connects micro pump in bucket through inlet non return check valve, therefore presses
The bonded logical micro pump power supply of intrathoracic injection, intends hydrothorax to water tank and hydrothorax capsule injection molding until when overflow pipe has liquid to overflow
Show to fill.Knob.Both sides thoracic cavity midclavicular line second intercostal setting simulation pneumothorax capsule, by conduit and threeway and miniature gas
Pump connects.Press power switch key during use, switch on power, need the thoracic cavity gas injection pressing microcomputer controller according to teaching
Key, micro air pump automatically forms gas by the simulation pneumothorax capsule gas injection that conduit and three leads to the setting of thoracic cavity midclavicular line second intercostal
Breast, midclavicular line second intercostal punctures along next rib upper limb, puncture needle WEILIAN is connect drainage tube and is connected in drainage cylinder it is seen that gas
Bubble is constantly gushed out.Carry out pressing intrathoracic injection selection key, miniature water injecting pump operating when hydrothorax punctures, extract mould from bucket
Intend hydrothorax, the fluid injection into hydrothorax capsule and water tank, when overflow pipe has liquid to overflow, show to fill, now close this key.
Syringe is pumped full liquid, connects the liquid injection pipe injection transducing bottle below liquidometer pipe, until when the overflow pipe of transducing bottle has discharge
Show to reach use requirement, now use stopper or clip this pipe of obturation.Press respiratory movement key, minitype speed reducing motor operates, speed
Degree, with the respiratory frequency of human body, that is, 16-20 time per minute, drives, by crank, sliding bar, the sliding panel being set in sliding tray, makes
Top board and spongy layer thereon move up and down, and drive the front stomach wall of high artificial human body model to make the fluctuating fortune of the simulated respiration rhythm and pace of moving things
Dynamic.When this top board moves downward, simulation is exhaled, and collapsible air bag is compressed, and intracapsular compressed air is passed through the injection of gas injection conduit and changed
Energy bottle, makes bottle internal gas pressure increase, and forces the water in bottle to pass through mouth under the energy converting pipe of straight cutting bottom of bottle and backflows upwards, flows into breast through conduit
Drain below the hydrops capsule of chamber is intracapsular, and the drainage tube through inserting this capsule flows in closed thoracic drainage bottle, in its interior transparent tube
Water column fluctuate downwards, otherwise simulate inhalation effort when top board moves upwards, water column fluctuates upwards.Drainage bottle transparent tube water column ripple
Dynamic amplitude adjusted method is that the fluid column fluctuating margin adjustable diameter and screw adjusting that turns clockwise is pressed from both sides, not compact by adjusting the conduit pressing from both sides a mouth
Or the mitigation that is squeezed, and so that the bore of pipe is increased, in insertion hydrothorax capsule, the intracapsular drainage-fluid of the drain of lower section increases, and enters
The drainage-fluid of water sealing (sealing water) pipe increases, and so that fluid column fluctuating margin is increased.Another Gutron is crossed fluid column fluctuation and is adjusted the conduit of folder b mouth by crowded
Press and so that the bore of pipe is reduced, so that the liquid passing back into water tank is reduced.Conversely, counter-clockwise rotating screw adjusts folder, fluid column can be made
Fluctuating margin reduces, or even fluctuation stops.Drainage-fluid through capsule between aperture constantly flow into drainage tube and drainage bottle, liquidometer fluid level
Under near 30% when should timely supplementary water injection.Several intercostals of the hydrothorax capsule of the hydrothorax capsule above drainage tube and offside
Thoracentesises all can be carried out, puncture along rib lower edge when such as puncturing and will penetrate thin double-deck mutual insulating wire netting, connect micro-
Computerized speech modular circuit, makes speaker send the voice warning of " punctured error has damaged subcostal nerve blood vessel ", the present invention can
Carry out closed drainage of thoracic cavity operation and pleurocentesiss skill training and examination, because simulation effect highly emulates, completely press close to face
Bed, is therefore remarkably improved quality of instruction.
Claims (4)
1. a kind of full-automatic thoracentesises of high emulation, closed drainage computer simulation people, it includes: artificial human body model, simulation breast
Chamber hydrops capsule, simulation pneumothorax capsule, simulating respiratory movement device, simulation closed thoracic stream bottle transparent tube water column fluctuation and fluctuating margin
Adjusting means, automatic speech alarm, microcomputer controller it is characterised in that: high artificial human body model (1) back (2) lead to
More than half lying position racks (3) are hinged in fixed plate (4), and thoracic cavity both sides oxter setting simulation hydrothorax capsule (5), (6), by leading
Pipe (7), (8) threeway (9-1) and conduit (10) are connected with the water tank (13) being provided with liquid supplementation pipe (11) and overflow pipe (12), and this case is mended
Liquid pipe (11) connects micro pump (sb) in bucket (st) through inlet non return check valve (df), and both sides thoracic cavity midclavicular line second intercostal sets
Put simulation pneumothorax capsule (14), (15), connected with micro air pump (19) by conduit (16), (17) and threeway (18), puncture this capsule
Connecting the described simulating respiratory movement device of drainage tube (g-1) insertion drainage cylinder (t-2) afterwards is that minitype speed reducing motor (20) is fixed on
On the base plate (21) of artificial human body model back, motor shaft connects slider-crank mechanism (22), and its upper end of slide block connects respiratory movement top
Plate (23), this plate connects sponge block (24).
2. a kind of full-automatic thoracentesises of high emulation as claimed in claim 1, closed drainage computer simulation people, its feature exists
In: simulation closed thoracic drainage bottle transparent tube water column fluctuation and fluctuating margin adjusting means, be respiratory movement top board (23) end to end
Both sides are each to install one and is located in capsule frame (25), the collapsible air bag (27) on (26), (28), and its caudal capsule bottom connects elbow (29)
Another capsule bottom is connect tee T (30) and is connected above transducing bottle (32) by conduit (31), and this bottle of top cap connects straight cutting bottom of bottle
Energy converting pipe (33), connect after threeway (9-2) one end insertion simulation closed drainage of pleural cavity cylinder (t-2) drain through conduit (34) transparent
Pipe (gt-2) water column fluctuation and regulation folder a mouth (36-1) of fluctuating margin adjusting knob (35), are inserted into hydrothorax capsule (5-1)
In the drain capsule (5-2) of lower section, other end insertion adjusts the b mouth (36-2) of folder, backs into water tank (13), hydrothorax capsule (5)
Capsule bottom top sets effuser and connects threeway (9-1), is provided with aperture between capsule (xk) between two capsules, warp above the bottle wall of this transducing bottle (32)
After conduit (37) connects tee T (38-1), it is connected to liquid level tube (39) upper end outside model, connect conduit (40) below bottle wall and connect three
It is connected to model external liquid level tube (39) lower end, the liquid injection pipe outside tee T (38-2) other end link model after siphunculus (38-2)
(41), the overflow pipe (42) outside tee T (38-1) other end link model, simulation hydrothorax capsule (5) outer wall on be additionally provided with
The conduction hole (43) that drain capsule (36) communicates, the transparent water column jecket (gt-2) of extrapolation drainage tube (g-2) and drainage cylinder (t-2).
3. a kind of full-automatic thoracentesises of high emulation as claimed in claim 1, closed drainage computer simulation people, its feature exists
In: described automatic speech alarm is several rib lower edges with hydrothorax capsule (5), (6) corresponding thoracic wall, lays mutually
The thin wire netting of the bilayer (k5) of insulation, micro computer voice module (e) through wire and microcomputer controller (44) and speaker
Y () connects.
4. a kind of height emulates full-automatic thoracentesises, closed drainage computer simulation people as claimed in claim 1, and its feature exists
In: microcomputer controller (44) control panel (a) is provided with power switch key (k1), intrathoracic injection key (k2), thoracic cavity gas injection key
(k3), respiratory movement key (k4), be provided with rectifier power source (b), microcomputer chip (c), drive circuit (d), micro computer language in cabinet
Sound module (e), speaker (y).
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Cited By (5)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN107369368A (en) * | 2017-08-16 | 2017-11-21 | 天津天堰科技股份有限公司 | A kind of pneumothorax puncture operation judgment device |
CN107464466A (en) * | 2017-08-16 | 2017-12-12 | 天津天堰科技股份有限公司 | A kind of pneumothorax analogue means |
CN107693855A (en) * | 2017-08-16 | 2018-02-16 | 天津天堰科技股份有限公司 | A kind of liquid chest puncture drainage liquid volume acquisition device |
CN107862960A (en) * | 2017-09-08 | 2018-03-30 | 营口巨成教学科技开发有限公司 | Puncture/intubation medical teaching simulated training method and puncture used/intubation training system |
CN112201133A (en) * | 2020-10-29 | 2021-01-08 | 童撮洪 | Ultrasonic positioning puncture simulator |
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Cited By (6)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN107369368A (en) * | 2017-08-16 | 2017-11-21 | 天津天堰科技股份有限公司 | A kind of pneumothorax puncture operation judgment device |
CN107464466A (en) * | 2017-08-16 | 2017-12-12 | 天津天堰科技股份有限公司 | A kind of pneumothorax analogue means |
CN107693855A (en) * | 2017-08-16 | 2018-02-16 | 天津天堰科技股份有限公司 | A kind of liquid chest puncture drainage liquid volume acquisition device |
CN107862960A (en) * | 2017-09-08 | 2018-03-30 | 营口巨成教学科技开发有限公司 | Puncture/intubation medical teaching simulated training method and puncture used/intubation training system |
CN107862960B (en) * | 2017-09-08 | 2023-08-11 | 营口巨成教学科技开发有限公司 | Puncture/intubation medical teaching simulation training method and puncture/intubation training system used by same |
CN112201133A (en) * | 2020-10-29 | 2021-01-08 | 童撮洪 | Ultrasonic positioning puncture simulator |
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