CN106710408A - Arthroscopic surgery environment simulation device - Google Patents

Arthroscopic surgery environment simulation device Download PDF

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Publication number
CN106710408A
CN106710408A CN201611245177.3A CN201611245177A CN106710408A CN 106710408 A CN106710408 A CN 106710408A CN 201611245177 A CN201611245177 A CN 201611245177A CN 106710408 A CN106710408 A CN 106710408A
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CN
China
Prior art keywords
seal
water tank
hole
split
arthrocsopic surgery
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.)
Pending
Application number
CN201611245177.3A
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Chinese (zh)
Inventor
祁超
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Shanghai Kinetic Medical Co Ltd
Original Assignee
Shanghai Kinetic Medical Co Ltd
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Publication date
Application filed by Shanghai Kinetic Medical Co Ltd filed Critical Shanghai Kinetic Medical Co Ltd
Priority to CN201611245177.3A priority Critical patent/CN106710408A/en
Publication of CN106710408A publication Critical patent/CN106710408A/en
Pending legal-status Critical Current

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Classifications

    • GPHYSICS
    • G09EDUCATION; CRYPTOGRAPHY; DISPLAY; ADVERTISING; SEALS
    • G09BEDUCATIONAL OR DEMONSTRATION APPLIANCES; APPLIANCES FOR TEACHING, OR COMMUNICATING WITH, THE BLIND, DEAF OR MUTE; MODELS; PLANETARIA; GLOBES; MAPS; DIAGRAMS
    • G09B23/00Models for scientific, medical, or mathematical purposes, e.g. full-sized devices for demonstration purposes
    • G09B23/28Models for scientific, medical, or mathematical purposes, e.g. full-sized devices for demonstration purposes for medicine
    • G09B23/285Models for scientific, medical, or mathematical purposes, e.g. full-sized devices for demonstration purposes for medicine for injections, endoscopy, bronchoscopy, sigmoidscopy, insertion of contraceptive devices or enemas
    • GPHYSICS
    • G09EDUCATION; CRYPTOGRAPHY; DISPLAY; ADVERTISING; SEALS
    • G09BEDUCATIONAL OR DEMONSTRATION APPLIANCES; APPLIANCES FOR TEACHING, OR COMMUNICATING WITH, THE BLIND, DEAF OR MUTE; MODELS; PLANETARIA; GLOBES; MAPS; DIAGRAMS
    • G09B9/00Simulators for teaching or training purposes

Abstract

The invention discloses an arthroscopic surgery environment simulation device, which comprises a water tank used for simulating the human body environment and human body tissue substitutes, and is characterized in that the tissue substitutes are located in the water tank, the water tank is filled with a liquid, the outer wall of the water tank is provided with at least two through holes, and each through hole is internally provided with a sealing assembly used for preventing the liquid in the water tank from leaking; each sealing assembly comprises a first sealing member and a second sealing member; the first sealing member comprises a circular ring portion at the outer side and a spliced circular portion at the inner side, the circular ring portion and the spliced circular portion are combined to form an integral circular shape, and the spliced circular portion is spliced by at least two fan-shaped portions; the second sealing member is provided with a through hole, the through hole corresponds to the circle center of the first sealing member in position; and the first sealing member and the second sealing member are arranged in a stacked manner, and the second sealing member is arranged close to the external part of the water tank.

Description

A kind of arthrocsopic surgery environment simulator
Technical field
The present invention relates to medical educational apparatus field, espespecially a kind of arthrocsopic surgery environment simulator.
Background technology
Arthroscope is applied not only to the diagnosis of disease, and is widely used for the treatment of joint disease.Arthrocsopic surgery is A kind of Minimally Invasive Surgery, starts to be mainly used in knee joint, and rear sequential use is in hip joint, shoulder joint, ankle-joint, elbow joint and hand Minor articulus such as finger etc..Because arthroscopic surgical instruments are expensive, apparatus need to be operated in narrow and small joint space through small otch, Restraining factors are a lot, and the visual field of such as doctor is narrow, and the cooperation of trick is restricted, and the scope of activities of operating theater instruments is extremely limited, can Noticeable wear and cut can be produced to articular cartilage, thus it is higher to operative doctor requirement, and operation difficulty is larger, without long-term Training and experience accumulation, doctor are difficult to be competent at.Compared with fast-developing operation demand, lack skilled grasp arthrocsopic surgery Doctor be constrained joint videoendoscopic surgery widespread development a bottleneck.How a kind of side closer to true surgical environments is provided Formula, to arthroscopic surgery operation, personnel are trained, and are a kind of highly effective hands with the time and the cost that shorten knowledge acquisition Section.
The general surgical operation step of arthrocsopic surgery includes:(1) a small otch is made on skin with operation sharp knife piece, It is easy to threaded sleeve to be inserted into.(2) prolong small otch and screw in threaded sleeve to required depth clockwise.(3) extract and close Hole device, retention sleeve is in original position.(4) determine sleeve completely into joint space with arthroscope system.(5) needed according to operation Different apparatuses are inserted by threaded sleeve to be operated.China Patent Publication No. CN204423674U discloses a kind of pass The section in-vitro simulated training system of videoendoscopic surgery, the system includes display device, LED light source, photographing module, arthroscope and training mould Block, training module is used for trainee and is simulated operation using arthroscope.Using real arthroscope, apparatus and solution true to nature Model is cutd open, allows learner to be operated training, body using arthroscope in controllable, equivalent external joint mimics environment The operating handle and sense of direction during clinical operation are tested, the skilled operation degree of learner is improved, so as to greatly shorten of arthroscope Practise curve.But there is also following problem:
It is primarily due to the training module and is on-liquid environment, this operating environment, due to without simulation body operation reality Body fluid in the environment of border so that trainee cannot simulate under human body true environment operation hence in so that trainee cannot Experience and expect some the operation scenes occurred in true operation, such as dug using planing tool during Shoulder surgery When cutting operation, planing cutter head can be produced first, and rotation causes the problem of heating at a high speed, and the free tissue that secondly planing is produced can not be clear Reason, causes the arthroscope visual field fuzzy so as to influence procedure, for the new hand doctor of firm introduction, psychological preparation Not enough fully, operating handle is not strong.Thus in the in-vitro simulated training of arthrocsopic surgery liquid environment urgently to be resolved hurrily problem of modelling.
The content of the invention
It is an object of the invention to provide a kind of arthrocsopic surgery environment simulator, the mould of liquid environment in human body is realized Intend.
The technical scheme that the present invention is provided is as follows:A kind of arthrocsopic surgery environment simulator, including:For simulating human body The water tank and tissue substitute of environment, the tissue substitute are located in water tank, and liquid has been contained in the water tank At least two through holes are provided with body, and the tank outer wall.Liquid in the prevention water tank is equiped with the through hole The seal assembly for spilling;The seal assembly includes first seal and second seal.
Wherein, the split circle portion of the annular portion of the first seal including outside and inner side, the annular portion with it is described Split circle portion is combined into full round shape;The split circle portion is put together by least two scallops;Second sealing Through hole is provided with part, the through hole is corresponding with the home position of the first seal;The first seal and described Second seal arranged stacked, and the second seal closes on setting outside the water tank.
Water tank and tissue substitute constitute the liquid environment in human body, and trainee can be in similar and human body The real scene that liquid environment experience clinical operation faces, the validity of training and has obtained effectively with actual degree of closeness Raising.Additionally, the approach of seal assembly sham operated.The split circle portion of first seal is put together by scallop, fan-shaped Easily pierce through under external force in the center of circle after portion's split;Second seal sets corresponding through hole.Thus, work as arthroscope Operating theater instruments is goed deep into when in water tank from the through hole of second seal, and first seal will be broken centered on the center of circle, arthroscope After operating theater instruments enters, liquid in water tank is maintained not reveal positioned at outermost second seal, operating theater instruments is sealed with second When part fitness is high, then still there is tightness higher to the liquid in water tank.
Seal is designed using radian, and when no apparatus is inserted, first seal is that scallop bears inside water pressure, by In the design of its radian, internal hydraulic pressure can force the even closer of scallop combination, so as to prevent liquid leakage.Work as operating theater instruments During insertion, because second seal is provided with through hole, and through hole is less than instrumentation diameters, it is ensured that seal can pack tightly surgical device Tool, can so ensure to keep inner sealing in the case where first seal trisection valve is pierced through, and prevent leak.
Preferably, the intersection between the scallop is split line;The seal assembly is included the described at least two One seal, makes the split line interlaced arrangement of the adjacent first seal during stacking.
Split line is the split interface of scallop, and corresponding intensity is also weaker, and by split line interlaced arrangement, then first is close Sealing intensity does not have arranged superposed compared with weak part, is arranged so as to that bigger pressure can be undertaken.
The split circle portion is put together by the scallop that N number of central angle is 360/N degree, and if representing described first with M Seal number, split line angle during stacking between the adjacent first seal is 360/NM degree.It is so many Individual first seal is combined as a system sealing, and the less split line position of intensity is all evenly arranged, stressing conditions More it is average rationally, beneficial to undertaking bigger pressure.
Specifically, the split circle portion is put together by the scallop that three central angles are 120 degree, the seal assembly bag Two first seals are included, split line angle during stacking between adjacent seal is 60 °.
Specifically, the split circle portion is put together by the scallop that four central angles are 90 degree, the seal assembly bag Three first seals are included, split line angle during stacking between adjacent seal is 30 °.
Specifically, set skirt border structure in the second seal, the second seal by the skirt border structure with The outer wall fastening of the water tank.
It is further preferred that quantity identical is provided with the first seal and the second seal divides equally fixed Position hole.The positioning for location hole is respectively provided with first seal and second seal being during for stacking is efficient and convenient set.
Further, the water tank includes tank lid, and at least one through hole is provided with the tank lid.Water tank is set Lid can then cause that operating theater instruments is inserted in water tank from top to bottom from vertical direction so that trainee can practise under different scenes Clinical manipulation.
Specifically, the seal assembly uses class skin material.Simulate real operative approach environment.
Specifically, the water tank is Glass fabre reinforced plastic water tank.Glass fabre reinforced plastic water tank is transparent material, is easy to the clinical behaviour that observation is actual Make and inner case, additionally, cost is relatively low.
Invention additionally discloses a kind of arthrocsopic surgery analogue means, including:Water tank and people for simulating human body environment Body tissue substituent, the tissue substitute is located in water tank, and liquid, and the tank outer wall have been contained in the water tank On be provided with least two through holes, wherein, be equiped with leather plug in the through hole, the leather plug middle part is provided with through hole, described Threaded sleeve is arranged in the through hole.
The arthrocsopic surgery environment simulator provided by the present invention, can bring following at least one beneficial effect:
1st, water tank and tissue substitute constitute the liquid environment in human body, the validity of training and are connect with actual Short range degree has obtained effective raising.
2nd, the approach of seal assembly sham operated.The split circle portion of first seal is put together by scallop, scallop Easily pierce through under external force in the center of circle after split;Second seal sets corresponding through hole.Thus, when arthroscope hand Art apparatus gos deep into when in water tank from the through hole of second seal, and first seal will be broken centered on the center of circle, arthroscope hand After art apparatus enters, liquid in water tank is maintained not reveal positioned at outermost second seal, operating theater instruments and second seal When fitness is high, then still there is tightness higher to the liquid in water tank.
3rd, setting tank lid can then cause that operating theater instruments is inserted in water tank from top to bottom from vertical direction so that trainee The clinical manipulation under different scenes can be practised.
Brief description of the drawings
Below by clearly understandable mode, preferred embodiment is described with reference to the drawings, to a kind of arthrocsopic surgery environment The above-mentioned characteristic of analogue means, technical characteristic, advantage and its implementation are further described.
Fig. 1 is a kind of structural representation of arthrocsopic surgery environment simulator.
Fig. 2 is the structural representation of first seal.
Fig. 3 is the structural representation of second seal.
Fig. 4 is a kind of stacked structure schematic diagram of seal assembly.
Fig. 5 is a kind of structural representation of the arthrocsopic surgery environment simulator of leather plug combination threaded sleeve.
Fig. 6 is the dimensional structure diagram of leather plug in Fig. 5.
Drawing reference numeral explanation:100th, water tank, 110, through hole, 130, tank lid, 200, seal assembly, the 210, first sealing Part, 211, annular portion, 212, scallop, 213, split line, 220, second seal, 221, location hole, 300, tissue replaces For thing, 400, threaded sleeve, 410, leather plug.
Specific embodiment
In order to illustrate more clearly about the embodiment of the present invention or technical scheme of the prior art, control is illustrated below Specific embodiment of the invention.It should be evident that drawings in the following description are only some embodiments of the present invention, for For those of ordinary skill in the art, on the premise of not paying creative work, other can also be obtained according to these accompanying drawings Accompanying drawing, and obtain other implementation methods.
To make simplified form, part related to the present invention is only schematically show in each figure, they are not represented Its as product practical structures.In addition, so that simplified form is readily appreciated, there is identical structure or function in some figures Part, only symbolically depicts one of those, or has only marked one of those.Herein, " one " is not only represented " only this ", it is also possible to represent the situation of " more than one ".
As shown in figure 1, the present invention provides a kind of embodiment of arthrocsopic surgery environment simulator, including:For simulating The water tank 100 and tissue substitute 300 of human body environment, tissue substitute 300 are located in water tank 100, water tank 100 In contained at least two through holes 110 be provided with liquid, and the outer wall of water tank 100.Prevention water tank is equiped with through hole 110 The seal assembly 200 that liquid spills in 100;Seal assembly 200 includes first seal 210 and second seal 220.
As shown in Fig. 2 first seal 210 includes the annular portion 211 in outside and the split circle portion of inner side, annular portion 211 Full round shape is combined into split circle portion;Split circle portion is put together by least two scallops 212;As shown in figure 3, the Through hole is provided with two seals 220, through hole is corresponding with the home position of first seal 210;As shown in figure 4, the first sealing Part 210 and the arranged stacked of second seal 220, and second seal 220 closes on the outer setting of water tank 100.Operating theater instruments can be with It is inserted directly into seal assembly and is simulated operation,
It is as follows to the detailed process that operating theater instruments is inserted in seal assembly, under original state, first seal 210 and the Two seal 220 prevents the liquid in water tank 100 from spilling, and when carrying out surgical simulation, first seals operating theater instruments alignment second The through hole of part 220 enters, and the split circle portion center of circle followed by the split of scallop 212 is broken it by thrust, And then enter in water tank 100.Now, the through hole of outermost second seal 220 is blocked without leakage by operating theater instruments so that Water tank 100 remains in that internal liquid does not leak outside, and maintains the sham operated environment of stabilization.
It should be noted that the seal assembly in the present invention can also combine thread bush using leather plug 410 as described in Figure 5 The structure of pipe 400, the wherein structure of leather plug 410 are as shown in fig. 6, by the elastoplasticity of of leather plug 410 itself by leather plug 410 by being pressed into Approach hole.Threaded sleeve 400 enters paths as product, and threaded sleeve can be freely movable in the middle of leather plug, is used for Buttressing operation apparatus reaches damage position.
As shown in figure 3, in a preferred embodiment of the present invention, the intersection between scallop 212 is split line 213; Seal assembly 200 includes at least two first seals 210, hands over the split line 213 of adjacent first seal 210 during stacking Mistake arrangement.
Specific number and angle design are that the split circle portion is by N number of central angle for the scallop split of 360/N degree Into, and if the first seal number is represented with M, split line during stacking between the adjacent first seal Angle is 360/NM degree, and 360 divided by M and N product.It will be apparent that M and N are the positive integer not less than 2,
For example, split circle portion can divide equally scallop by three or four divided equally be put together, when being three sectors During portion, i.e., the structure shown in Fig. 2, the central angle of scallop 212 is 120 °, and seal assembly 200 includes two first seals 210, the split line of two first seals 210 is staggeredly arranged during stacking, and angle is 60 °.Similar, work as first seal When 210 number is three, the angle of its split line may be arranged to 40 °.The like.
When split circle portion is put together by four scallops divided equally, the central angle of scallop is 90 degree, seal assembly If comprising two first seals, the split line angle of two first seals is 45 ° during stacking, similar, when the first sealing When the number of part is three, the angle of its split line is 30 °.
Specifically, setting skirt border structure in second seal 220, second seal 220 is by skirt border structure and water tank 100 Outer wall fastening.Quantity identical respectively location hole 221 are provided with first seal 210 and second seal 220.
Generally, 2-3 through hole is at least needed, a through hole is used to insert arthroscope, whole for observing The inner case of cavity, in addition 1-2 through hole, according to the difference of operation, inserts different apparatuses, and for example, insertion radio frequency disappears Melt electrode is used to suture meniscus or shoulder sleeve for eliminating the tissue that dissociates in cavity, insertion suture instruments.
In further embodiment of the invention, water tank 100 includes tank lid 130, is provided with least in tank lid 130 One through hole 110.Seal assembly 200 uses class skin material, such as sarin resin, latex or silica gel material.Water tank 100 is Glass fabre reinforced plastic water tank.
It should be noted that above-described embodiment can independent assortment as needed.The above is only of the invention preferred Implementation method, it is noted that for those skilled in the art, is not departing from the premise of the principle of the invention Under, some improvements and modifications can also be made, these improvements and modifications also should be regarded as protection scope of the present invention.

Claims (10)

1. a kind of arthrocsopic surgery environment simulator, it is characterised in that including:Water tank and people for simulating human body environment Body tissue substituent, the tissue substitute is located in water tank, and liquid, and the tank outer wall have been contained in the water tank On be provided with least two through holes, the seal assembly for preventing liquid in the water tank from spilling is equiped with the through hole;Institute Stating seal assembly includes first seal and second seal;
Wherein, the first seal includes the annular portion in outside and the split circle portion of inner side, the annular portion and the split Circle portion is combined into full round shape;The split circle portion is put together by least two scallops;In the second seal Through hole is provided with, the through hole is corresponding with the home position of the first seal;The first seal and described second Seal arranged stacked, and the second seal closes on setting outside the water tank.
2. arthrocsopic surgery environment simulator according to claim 1, it is characterised in that:Friendship between the scallop It is split line at boundary;The seal assembly includes first seal described at least two, makes adjacent described first close during stacking The split line interlaced arrangement of sealing.
3. arthrocsopic surgery environment simulator according to claim 2, it is characterised in that:The split circle portion is by N number of Central angle is put together for the scallop of 360/N degree, and the number of the first seal is represented with M, adjacent described during stacking The split line angle between first seal is 360/NM degree.
4. arthrocsopic surgery environment simulator according to claim 2, it is characterised in that:
The split circle portion is put together by the scallop that three central angles are 120 degree, and the seal assembly is included described in two First seal, split line angle during stacking between the adjacent first seal is 60 °;
Or;
The split circle portion is put together by the scallop that four central angles are 90 degree, and the seal assembly includes three described the One seal, split line angle during stacking between the adjacent first seal is 30 °.
5. according to any described arthrocsopic surgery environment simulators of claim 1-4, it is characterised in that:Second sealing Skirt border structure is set on part, and the second seal is fastened by the skirt border structure with the outer wall of the water tank.
6. arthrocsopic surgery environment simulator according to claim 5, it is characterised in that:The first seal and institute State and be provided with second seal quantity identical respectively location hole.
7. arthrocsopic surgery environment simulator according to claim 5, it is characterised in that:The water tank includes water tank Lid, is provided with least one through hole in the tank lid.
8. arthrocsopic surgery environment simulator according to claim 5, it is characterised in that:The seal assembly uses class Skin material.
9. arthrocsopic surgery environment simulator according to claim 5, it is characterised in that:The water tank is glass fiber reinforced plastic water Case.
10. a kind of arthrocsopic surgery environment simulator, it is characterised in that including:For simulate human body environment water tank and Tissue substitute, the tissue substitute is located in water tank, has been contained in the water tank outside liquid, and the water tank At least two through holes are provided with wall, wherein,
Leather plug is equiped with the through hole, the leather plug middle part is provided with through hole, and the threaded sleeve is arranged in the through hole.
CN201611245177.3A 2016-12-29 2016-12-29 Arthroscopic surgery environment simulation device Pending CN106710408A (en)

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Application Number Priority Date Filing Date Title
CN201611245177.3A CN106710408A (en) 2016-12-29 2016-12-29 Arthroscopic surgery environment simulation device

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Application Number Priority Date Filing Date Title
CN201611245177.3A CN106710408A (en) 2016-12-29 2016-12-29 Arthroscopic surgery environment simulation device

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN112155728A (en) * 2020-09-14 2021-01-01 深圳市旭东数字医学影像技术有限公司 Simulation method and system for assisting renal surgery access
CN113240990A (en) * 2021-04-17 2021-08-10 运怡(北京)医疗器械有限公司 Arthroscope training tool

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CN206370223U (en) * 2016-12-29 2017-08-01 上海凯利泰医疗科技股份有限公司 A kind of arthrocsopic surgery environment simulator

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US20050096605A1 (en) * 1992-04-24 2005-05-05 Green David T. Valve assembly for introducing instruments into body cavities
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Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN112155728A (en) * 2020-09-14 2021-01-01 深圳市旭东数字医学影像技术有限公司 Simulation method and system for assisting renal surgery access
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CN113240990B (en) * 2021-04-17 2022-07-29 运怡(北京)医疗器械有限公司 Arthroscope training tool

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