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 PDF

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Publication number
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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CN
China
Prior art keywords
simulation
abdominal cavity
full
oesophagus
box
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Withdrawn
Application number
CN201710567487.5A
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Chinese (zh)
Inventor
陆新良
刘勇攀
叶俊
李培伟
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Zhejiang University ZJU
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Zhejiang University ZJU
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Priority to CN201710567487.5A priority Critical patent/CN107316555A/en
Publication of CN107316555A publication Critical patent/CN107316555A/en
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    • 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
    • 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 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

Decollement full-thickness excisional model box under a kind of stomach endoscopic mucosal
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.
CN201710567487.5A 2017-07-12 2017-07-12 Decollement full-thickness excisional model box under a kind of stomach endoscopic mucosal Withdrawn CN107316555A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
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)

Application Number Priority Date Filing Date Title
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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Citations (7)

* Cited by examiner, † Cited by third party
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

Patent Citations (7)

* Cited by examiner, † Cited by third party
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)

* Cited by examiner, † Cited by third party
Title
崔天国: "《全科医师手册 第5版》", 30 June 2012 *

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Application publication date: 20171103