CN107316555A - Decollement full-thickness excisional model box under a kind of stomach endoscopic mucosal - Google Patents
Decollement full-thickness excisional model box under a kind of stomach endoscopic mucosal Download PDFInfo
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- CN107316555A CN107316555A CN201710567487.5A CN201710567487A CN107316555A CN 107316555 A CN107316555 A CN 107316555A CN 201710567487 A CN201710567487 A CN 201710567487A CN 107316555 A CN107316555 A CN 107316555A
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- simulation
- abdominal cavity
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- oesophagus
- box
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- G—PHYSICS
- G09—EDUCATION; CRYPTOGRAPHY; DISPLAY; ADVERTISING; SEALS
- G09B—EDUCATIONAL OR DEMONSTRATION APPLIANCES; APPLIANCES FOR TEACHING, OR COMMUNICATING WITH, THE BLIND, DEAF OR MUTE; MODELS; PLANETARIA; GLOBES; MAPS; DIAGRAMS
- 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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- G—PHYSICS
- G09—EDUCATION; CRYPTOGRAPHY; DISPLAY; ADVERTISING; SEALS
- G09B—EDUCATIONAL OR DEMONSTRATION APPLIANCES; APPLIANCES FOR TEACHING, OR COMMUNICATING WITH, THE BLIND, DEAF OR MUTE; MODELS; PLANETARIA; GLOBES; MAPS; DIAGRAMS
- G09B9/00—Simulators for teaching or training purposes
Abstract
The present invention provides decollement full-thickness excisional model box under a kind of stomach endoscopic mucosal, it is made up of simulation oesophagus, nylon buckles band, electronic pads, elastic rubber band, three haulage clips, simulation abdominal cavity box, duodenum closing cingulums, simulation oesophagus penetrates simulation abdominal cavity box, nylon buckles band is fixed on simulation oesophagus one end, three haulage clips are fixed on the both sides of simulation abdominal cavity box, electronic pads adhesion and the outer wall of experiment sample by elastic rubber band.The present invention is reasonable in design, and making material is easy to get, and makes simple, cost is low.Decollement, stomach full-thickness excisional technology and gastric perforation emergent management under endoscopic mucosal are carried out suitable for training beginner, abdominal cavity environment closed during the operation perforation of coat of the stomach full-thickness excisional is simulated, is a kind of be used for model that ESD train of using effect close to clinical manipulation virtual condition.Closed abdominal cavity environment relatively when can also simulate full-thickness excisional perforation simultaneously, and with the supporting function of the main suspensoriums such as the simulation ligamentum hepatogastricum such as haulage clip at three, approach clinic is actual.
Description
Technical field
The invention belongs to teaching mode, it is related to decollement (ESD) full-thickness excisional model box under a kind of stomach endoscopic mucosal, is interior
The training pattern of decollement (ESD) and coat of the stomach full-thickness excisional under mirror mucous membrane.
Background technology
China is the country occurred frequently of stomach cancer, is increasingly popularized in NBI, magnifying endoscope, Endoscopy etc., endoscopic diagnosis and therapy level
On the basis of stepping up, while being based on annual substantial amounts of gastrocopy number, country GI Medicine doctor and digestion are interior at present
The detection number of cases of mirror doctor's early carcinoma of stomach is also being improved year by year.Decollement (ESD) new minimally invasive is controlled as one under endoscopic mucosal
Treatment technology is progressively widely used in clinic, expands the indication scope of endoscopic inferior mucosa resection (EMR) treatment, whole
Block resection rate is high, it is to avoid Residue and Problems Concerning Their Recurrence that EMR technologies are faced.Simultaneously for being grown on the viscous of muscularis propria
Tumour easily causes perforation also using (ESE) is excavated under the mucous membrane based on ESD technologies under film.And once perforate, gastral cavity will not
Can be full, it is that further repairing causes difficulty.How good operation training model is provided to GI Medicine and digestive endoscopy
Doctor carries out ESD training, specifically how simulates this severe complication of perforating, gives beginner and carried out in training pattern
Emergency processing, is significant to beginner.
The training method used at present mainly has two kinds:Zoopery and ESD training patterns.Carried out using experimental animal
ESD training can be very good training ESD operation gimmick and work quite similar with actual clinical, but zoopery set-up procedure
Cumbersome, costly, the animal feeding condition that needs are certain, is difficult popularization.The ESD training patterns that we commonly use at present are simple
Pig stomach is placed among model, it is difficult to simulate abdominal cavity environment relatively closed when full-thickness excisional is perforated, also do not embody stomach and exist
The supporting function of each intraperitoneal main suspensorium is too big with clinical practice gap.
Although the ESD operation experience accumulated repeatedly in clinical practice can more improve the therapeutic endoscopy level of doctor, for the first time
Training before operation on model has important for the reply disposal ability of reduction operation technique complication and raising complication
Effect.Therefore research and development one and must close to needs close to the teaching mode of clinical manipulation virtual condition as clinic as far as possible.
The content of the invention
It is an object of the invention to provide decollement (ESD) full-thickness excisional model box under a kind of stomach endoscopic mucosal, by following
Technical scheme is achieved:By simulation oesophagus, nylon buckles band, electronic pads, elastic rubber band, the first haulage clip, simulation abdominal cavity box, ten
Two duodenum 12 closing cingulum, the second haulage clip, the 3rd haulage clip composition, one end of simulation oesophagus penetrate simulation abdominal cavity box, nylon buckles
Band is fixed on one end that simulation oesophagus is located in simulation abdominal cavity box, and to fixed and closing, three haulage clips pass through elasticity respectively
Rubber band is fixed on the both sides of simulation abdominal cavity box, and electronic pads sticks to the outer wall of experiment sample, and simulation abdominal cavity box uses bubble with cover
Foam box, long 50cm, width 40cm, high 30cm.Simulation oesophagus is plastic tube, diameter 2cm, length 30cm.
In use, first keeping flat simulation abdominal cavity box, experiment pig stomach sample is taken, the oesophagus of sample is fixed by nylon buckles band
Haulage clip is clipped in sample top small curved (upper left), sample bottom small curved (lower-left), sample respectively at one end of simulation oesophagus, three
Middle part is big curved (right side), and is fixed on simulation abdominal cavity box 6 by elastic rubber band, simulates the change posture of patient's gastral cavity.Closing button
Band locks the distal duodenum of sample.Electronic pads is adhered to below sample, the electrode wires of electronic pads directly from lid with
Box gap is pulled out, and covers simulation abdominal cavity box, surrounding is closed with wide adhesive tape, keep seal, that is, forms simulation closing abdominal cavity.
The present invention provides a kind of for training beginner to carry out decollement (ESD), stomach full-thickness excisional technology under endoscopic mucosal
It is a kind of using effect being trained for ESD close to clinical manipulation virtual condition with the training pattern of gastric perforation emergent management
Model, and simulate abdominal cavity environment closed during the operation perforation of coat of the stomach full-thickness excisional.The ESD training patterns can also simulate holostrome simultaneously
Closed abdominal cavity environment relatively during excision perforation, and made with the support of the main suspensoriums such as the simulation ligamentum hepatogastricum such as haulage clip at three
With approach clinic is actual.Rationally, making material is easy to get for the modelling of the present invention, makes simple, cost is low.It is adapted to beginner
Exercise.It is especially suitable for the ESD exercises of basic hospital.
Brief description of the drawings
Fig. 1 is schematic structural view of the invention.
Fig. 2 is structural representation when using.
Embodiment
The present invention is described further in conjunction with the accompanying drawings and embodiments.
Embodiment 1
Referring to Fig. 1, a kind of stomach ESD full-thickness excisionals model box of the invention is by simulation oesophagus 1, nylon buckles band 2, electronic pads 3, bullet
Property rubber band 4, the first haulage clip 5, simulation abdominal cavity box 6, duodenum closing cingulum 7, the second haulage clip 8,9 groups of the 3rd haulage clip
Into one end of simulation oesophagus 1 penetrates simulation abdominal cavity box 6, and simulation oesophagus 1 is plastic tube, diameter 2cm, length 30cm.Nylon buckles band
2 are fixed on one end that simulation oesophagus 1 is located in simulation abdominal cavity box 6, to fixed and closing, the first haulage clip 5, the second haulage clip
8th, the 3rd haulage clip 9 is fixed on the both sides of simulation abdominal cavity box 6 by elastic rubber band 4 respectively, and electronic pads 3 is fixed on experiment sample
Outer wall, simulation abdominal cavity box 6 use foam box with cover, long 50cm, width 40cm, high 30cm.
Embodiment 2
Referring to Fig. 2, in use, first keeping flat simulation abdominal cavity box 6, experiment pig stomach sample 10 is taken, the oesophagus of sample is passed through
Nylon buckles band 2 is fixed on one end of simulation oesophagus 1, and the first haulage clip 5, the second haulage clip 8, the 3rd haulage clip 9 are clamped respectively
Sample top small curved (upper left), sample bottom small curved (lower-left), sample middle part are big curved (right side), and are fixed by elastic rubber band 4
In the both sides of simulation abdominal cavity box 6, it is fixed into simulation patient gastral cavity and changes posture, the distal duodenum of sample passes through duodenum
Closing cingulum 7 is locked, and electronic pads 3 is attached on below sample, and the electrode wires (not indicated in figure) that electronic pads 3 is connected are directly from mould
The gap for intending abdominal cavity box 6 and lid is pulled out, and covers simulation abdominal cavity box 6, around the closing of wide adhesive tape, is kept seal, is just formed
Simulation closing abdominal cavity.
The ESD training patterns box that the present invention is provided can also be while simulate abdominal cavity ring relatively closed when full-thickness excisional is perforated
Border, and with the supporting function of the main suspensoriums such as the simulation ligamentum hepatogastricum such as haulage clip at three, approach clinic is actual.The model is related
Material is easily obtained, and makes simple, cost is low, is especially suitable for basic hospital ESD exercises.
Claims (3)
1. decollement full-thickness excisional model box under a kind of stomach endoscopic mucosal, it is characterised in that by simulation oesophagus (1), nylon buckles band
(2), electronic pads (3), elastic rubber band (4), the first haulage clip (5), simulation abdominal cavity box (6), duodenum closing cingulum (7), the
Two haulage clips (8), the 3rd haulage clip (9) composition, one end of simulation oesophagus (1) penetrates simulation abdominal cavity box (6), nylon buckles band (2)
One end that simulation oesophagus (1) is located in simulation abdominal cavity box (6) is fixed on, to fixed and closing, the first haulage clip (5), second
Haulage clip (8), the 3rd haulage clip (9) are fixed on the both sides of simulation abdominal cavity box (6), electronic pads (3) by elastic rubber band (4) respectively
It is fixed on the outer wall of experiment sample.
2. decollement full-thickness excisional model box under a kind of stomach endoscopic mucosal according to claim 1, it is characterised in that simulation
Abdominal cavity box (6) uses foam box with cover, long 50cm, width 40cm, high 30cm.
3. decollement full-thickness excisional model box under a kind of stomach endoscopic mucosal according to claim 1, it is characterised in that simulation
Oesophagus (1) is plastic tube, diameter 2cm, length 30cm.
Priority Applications (1)
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CN201710567487.5A CN107316555A (en) | 2017-07-12 | 2017-07-12 | Decollement full-thickness excisional model box under a kind of stomach endoscopic mucosal |
Applications Claiming Priority (1)
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CN201710567487.5A CN107316555A (en) | 2017-07-12 | 2017-07-12 | Decollement full-thickness excisional model box under a kind of stomach endoscopic mucosal |
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CN107316555A true CN107316555A (en) | 2017-11-03 |
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CN201710567487.5A Withdrawn CN107316555A (en) | 2017-07-12 | 2017-07-12 | Decollement full-thickness excisional model box under a kind of stomach endoscopic mucosal |
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Citations (7)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN101326558A (en) * | 2005-12-13 | 2008-12-17 | 爱尔伯电子医疗设备公司 | Training model for the endoscopic investigation and treatment of hollow organs |
CN202838789U (en) * | 2012-10-24 | 2013-03-27 | 殷晏 | High-simulation gastroscope teaching model |
CN204596299U (en) * | 2015-04-08 | 2015-08-26 | 邬刚 | The in vitro animal alimentary canal bracket of a kind of digestive endoscopy diagnosis and treatment training |
CN204680297U (en) * | 2015-05-27 | 2015-09-30 | 中国人民解放军第一七五医院 | A kind of teaching mode for scope simulated operation |
CN105023493A (en) * | 2015-07-28 | 2015-11-04 | 东南大学 | Upper alimentary canal endoscopy lower peeling operation training model |
CN106463068A (en) * | 2014-03-31 | 2017-02-22 | 株式会社发索科技 | Thoracic cavity simulator |
CN207637388U (en) * | 2017-07-12 | 2018-07-20 | 浙江大学 | Decollement full-thickness excisional model box under a kind of stomach endoscopic mucosal |
-
2017
- 2017-07-12 CN CN201710567487.5A patent/CN107316555A/en not_active Withdrawn
Patent Citations (7)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN101326558A (en) * | 2005-12-13 | 2008-12-17 | 爱尔伯电子医疗设备公司 | Training model for the endoscopic investigation and treatment of hollow organs |
CN202838789U (en) * | 2012-10-24 | 2013-03-27 | 殷晏 | High-simulation gastroscope teaching model |
CN106463068A (en) * | 2014-03-31 | 2017-02-22 | 株式会社发索科技 | Thoracic cavity simulator |
CN204596299U (en) * | 2015-04-08 | 2015-08-26 | 邬刚 | The in vitro animal alimentary canal bracket of a kind of digestive endoscopy diagnosis and treatment training |
CN204680297U (en) * | 2015-05-27 | 2015-09-30 | 中国人民解放军第一七五医院 | A kind of teaching mode for scope simulated operation |
CN105023493A (en) * | 2015-07-28 | 2015-11-04 | 东南大学 | Upper alimentary canal endoscopy lower peeling operation training model |
CN207637388U (en) * | 2017-07-12 | 2018-07-20 | 浙江大学 | Decollement full-thickness excisional model box under a kind of stomach endoscopic mucosal |
Non-Patent Citations (1)
Title |
---|
崔天国: "《全科医师手册 第5版》", 30 June 2012 * |
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Application publication date: 20171103 |