CN107886825A - Height emulation gynecological surgery technical ability simulated training standard patient - Google Patents
Height emulation gynecological surgery technical ability simulated training standard patient Download PDFInfo
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- CN107886825A CN107886825A CN201711444699.0A CN201711444699A CN107886825A CN 107886825 A CN107886825 A CN 107886825A CN 201711444699 A CN201711444699 A CN 201711444699A CN 107886825 A CN107886825 A CN 107886825A
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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
- G09B23/281—Models for scientific, medical, or mathematical purposes, e.g. full-sized devices for demonstration purposes for medicine for pregnancy, birth or obstetrics
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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
Abstract
The present invention relates to medical education equipment technical field, and exactly it is a kind of high emulation gynecological surgery standard patient.It is characterized in that：The lower stomach wall of height emulation adult female's model sets inserted groove, the high emulation stomach wall module provided with blood vessel is inlayed in it, normal and early stage gravid uterus model can be laid and be changed to pelvic cavity, vagina culdocentesis model, rectum model provided with wire and wire netting, a variety of anomalous uterus fallopian tubal ovarian models provided with blood vessel etc. more than ten plant the pelvic organ for gynecological surgery training and assessment, its blood vessel and wire connect with microcomputer controller, alarm red light is set on controller panel, loudspeaker, bleeding rate adjusting knob, bleeding rate sighting tube, liquid level gauge, storage blood vial is set in cabinet, Small blood pump, pulse module, micro computer speech chip, blood flow regulation valve.The present invention can be used in medical colleges and schools and teaching hospital, so as to significantly improve the quality of instruction that medical worker carries out gynecological surgery skill training and examination.
Description
Technical field：
The present invention relates to medical education equipment technical field, is exactly a kind of high emulation gynecological surgery technical ability simulated training mark
Standardization patient.
Background technology：
In medical education and clinical medicine, gynecological surgery is one of gynaecology's emphasis and difficult point, and gynaecology medical practitioner, nurse practitioner
One of key content of skill examination is put into practice in examination.Traditional teaching method is that theory explaination is aided with Imaging teaching, technical ability instruction
Practice and examination can only go with patient to carry out to hospital.Because trainee is more, is ready young doctors for oneself operation
Patient very little, far can not meet to require, not adapt to new period teaching needs.This technology belongs to invasive operation, no hand
The young doctor of art experience carries out operative training with patient will necessarily increase patient's pain, or even can aggravate disease, pole
Easily cause medical tangle.Recently as the raising of patient's sense of self-protection, often refuse young doctor and performed the operation for oneself.By
Substantially insufficient in clinical operation patient resource, junior doctor is difficult to grasp this technical ability.It there is no both at home and abroad for multiple gynecological at present
The high simulation teaching device of surgical skills training, therefore have impact on the culture of the gynecological surgery talent and the raising of quality of instruction.
It is an object of the invention to provide a kind of high emulation gynecological surgery simulated training standard patient, micro computer control is operated
Device button, you can automatic imitation operative hemorrhage, the conventional operation of multiple gynecological can be carried out：Lay or take out intrauterine device, induced abortion
Attraction, fibroid, cervical polyp, cervix cancer, ovarian cyst, torsion of the pedicle of ovarian cyst, oophoroma, Endosalpingiosis are pregnant
It is pregnent, posterior fornix puncture, the skill training of the kind gynecological surgeries of cyst of Bartholin's gland etc. more than 10 and examination, simulation effect highly are imitated
Very, organ model can be repaired and replaceable reuse, carry out skill training and examination for medical colleges and schools, teaching hospital, show
Write the operative skill and examination effect for improving trainee.
The achievement solves gynecological surgery personnel in medical education and puts into practice the problem that skill operation is difficult to grasp, and has filled up doctor
The blank of this teaching equipment in education is learned, is the high emulation gynecological surgery simulated training standard patient of the pioneering one kind in the world.
A kind of high emulation gynecological surgery technical ability simulated training standard patient, it includes：It is height emulation adult female model, micro-
Computer controller, it is characterised in that：Height emulation adult female's model（1）, the emulation female vulva module of glutinous spring exchange can be passed through
（2-1）/ cyst of Bartholin's gland module（2-2）, lower abdomen（3）If the groove of outer small interior big inserted surgical modules（4）In it
Equipped with outer small interior big inserted high emulation stomach wall surgical incision-suture module（5）, the module outer layer is skin layer（6）, under it
For flaxen hypodermis layer（7）, red muscle layer（8）, connection parteriole input pipe is provided with therebetween（9-1）, blood backflow
Pipe（9-2）Simulation parteriole blood vessel（9-3）, orlop is translucent peritoneal layer（10）；Vagina（11）Deep sets uterine neck and connect
Mouthful（12）, can lay/change normal simulation Utero- fallopian tubal-ovarian model（13）, early pregnancy model of uterus（14）, gynaecology
The hysteromyoma model of conventional operation（15）, cervical polyp model（16）, cervix cancer model（17）, ovarian cyst model
（18）, torsion of the pedicle of ovarian cyst model（19）Malignant tumor of ovary model（20）, ectopic pregnancy model（21）, be additionally provided with vault after vagina
Gallery puncturing pattern（22）, rectum model（23）, gynaecology is often equipped with simulation petty action with Utero- fallopian tubal-ovary of surgery models
Arteries and veins blood vessel（24）, blood vessel return duct（25）；Early pregnancy model of uterus（14）In uterus bottom, uterine cavity also sets simulation blood note
Enter conduit（26）The high emulation Female Model of pass-out（1）Ligation in vitro transfusion device（27）, its upper end syringe needle, which inserts, to hang upside down in Infusion support
On blood vial（28）；Rectum model（23）Provided with wire（29-1）The conductive metal mesh of connection（30）；Artery house steward（31）Menses
Flow speed-regulating valve（F）, threeway（32）The simulation parteriole blood vessel of gynecological surgery common model is connected respectively（24）And high emulation
Stomach wall surgical incision-suture module（4）Simulation parteriole blood vessel（9-1）, module bleed back tube（9-2）With Utero- ovary-
The bleed back tube of fallopian tubal（25）Pass through threeway（33）Collaborate the total return duct of blood（34）Enter storage blood vial afterwards（XP）, with moving
Arteries and veins house steward（31）The equal high emulation Female Model of pass-out（1）In vitro, microcomputer controller is connected.The structure of the microcomputer controller
It is：Controller panel（35）Power switch is installed（K）, indicator lamp（L1）, alarm red light（L2）With puncture needle（36）Tail connection
Signal wire socket（37）, bleeding rate adjusting knob（38）, bleeding rate sighting tube（39）, liquid level gauge（40）, small loudspeaker
（Y）, note blood vessel adapter piece（41）, overflow tubular joint（42）, artery header pipe joint part（43）, blood backflow tubular joint
（44）；Microcomputer controller cabinet（45）Interior lay is provided with note blood vessel（46-1）, non-return valve（47）, overflow pipe（48）, efferent duct
（49）, return duct（46-2）Storage blood vial（XP）, blood vial efferent duct（49）Dock blood circulation power-micro impeller water pump
（50）Input pipe（51）, the pump motor connection pulse module per minute for sending 60 subpulse signals（52）, pump main
（53）Connect VPV regulating valve（F）, artery house steward（31）, the pump input pipe（51）Docking storage blood vial（XP）Efferent duct
（49）, the bottle also connects controller panel（35）Liquid level gauge（40）.
It is an advantage of the invention that：Rational in infrastructure, dependable performance, complete function, simulation effect highly emulate, and operate micro computer
Controller can automatic imitation operation in parteriole bleeding, ten Yu Zhong gynaecology can be carried out and often trained with surgical skills, surgical device
Official is replaceable/and repairing is reused, and it is a kind of high emulation gynecological surgery " actual combat " training and assessment equipment.
The present invention is further described with example below in conjunction with the accompanying drawings
Fig. 1 is the overall structure figure of the present invention
Fig. 2 is operative incision-suture modular structure schematic diagram of the present invention
Fig. 3 is the normal vulva module and cyst of Bartholin's gland vulva module diagram of the present invention
Fig. 4 is the blood circulation power and vascular system schematic diagram of the present invention
Fig. 5 is gynecological surgery organ model schematic diagram of the present invention
Fig. 6 is the control circuit device principle schematic of the present invention
DC is rectifier power source in control circuit principle schematic of the present invention；K is power switch；L is indicator lamp；M is water pump electricity
Machine；IC is micro computer speech chip；Y is loudspeaker.
Embodiment：
Artificial human body model in the present invention（1）Simulated skin silica gel or ward off sealing rubber die moulding by casting, simulate hypodermis layer
Made of sponge, model skeleton resin or plastic production, high emulation stomach wall surgical incision-suture module of simulation（5）, it is various
The silica gel or thermoplastic elastomer (TPE) for organ model high-tension of performing the operation（TPE）Material molds shaping makes, and simulation blood is with a little
Orchil warm water make, simulation embryonic tissue using domestic animal lean meat hinge it is broken addition preservative make, simulated blood vessel and
Other aftermarket are on sale.After getting all the parts shown in accompanying drawing ready, assembling referring to the drawings can be used.Gynecological surgery organ is changed
First by height emulation stomach wall surgical incision-suture module during installation（5）From the groove of inserted surgical modules（4）In remove, then will
The cervix of the model is arranged on vagina（11）The uterine neck interface in deep（12）In, pass through after organ model installation/replacing
Threeway（32）、（33）Relevant blood vessel is connected again appropriate.Using normal simulation Utero- fallopian tubal-ovarian model（13）, can carry out
Lay or take out intrauterine device skill training.Utilize early pregnancy model of uterus（14）, can artificially induce abortion electronic suction skill
It can train, will first simulate broken embryonic tissue in right amount and load irrigator, and pass through early pregnancy model of uterus（14）Opening of the cervix injection
In uterine cavity, it is operated by the electronic suction operating routine of induced abortion, opens transfusion device（27）Adjuster can make
Simulate blood vial（28）In simulation blood instill in uterine cavity, start stream of people's electric suction apparatus can attract the broken embryonic tissue of simulation and
Blood is simulated, makes training effect more life-like.Using vagina culdocentesis model（22）Posterior fornix can be carried out and puncture skill
It can train, with syringe connecting puncture needle（36）Operated by operating routine, inserting needle operation correctly passes through posterior fornix of vagina model
（22）Wall has breakthrough sense, and can extract simulation blood out, such as site of puncture mistake puncture needle（36）Rectum is penetrated by mistake（23）, needle point
Touch rectum connection microcomputer controller cabinet（45）Voicefrequency circuit wire（29-2）Wire netting（30）, the net is connected with backshank
Wire（29-2）Connect, make microcomputer controller cabinet（45）Interior micro computer speech chip（IC）Circuit is connected, loudspeaker
（Y）Send " site of puncture mistake！" voice warning, while cabinet panel（35）Alarm red light light, although during puncture
There is breakthrough to feel, extraction is yellow simulated intestinal fluid, shows punctured error operation failure.Adopted before carrying out other various gynecological surgeries
With big syringe or infusion bottle, pass through microcomputer controller cabinet（45）The blood note blood vessel of setting（46-1）To storage blood vial（XP）
Middle injection simulation blood, until liquid level gauge（40）Fluid level rise to top, and overflow pipe（48）There is simulation blood when oozing
Show to have filled, due to provided with non-return valve（47）Therefore the simulation blood of injection will not outflow.Press cabinet panel（35）Electricity
Source switch（K）, the micro impeller water pump as blood circulation power（50）, by pulse module（52）60 times/min the arteries and veins sent
Frequency run is rushed, passes through the input pipe of pump（51）, from the efferent duct of storage blood vial（49）Extract storage blood vial（XP）In simulation blood,
From pump main（53）Pass through VPV regulating valve（F）, artery header pipe joint part（43）, artery house steward（31）It is passed through high emulation
Female body model（1）It is interior, through threeway（32）Respectively enter stomach wall surgical incision-suture module（4）, simulation parteriole input pipe
（9-1）And the simulation parteriole blood vessel set on Utero- fallopian tubal-ovary of lesion（24）, stomach wall surgical incision suture module
（5）Interior return duct（9-2）With the bleed back tube set on Utero- fallopian tubal-ovary（25）Pass through three-way pipe（33）Connection
Being combined into one turns into the total return duct of blood（34）With microcomputer controller panel（35）Blood backflow adapter piece（44）Docking, lead to
Too high emulation Female Model（1）The total return duct of external blood（34）Into cabinet（45）It is interior, by storing up blood vial（XP）Backflow
Pipe（46-2）Into storage blood vial（XP）, so as to form blood circulation.Due to the pump（50）60 subpulses per minute that send are connected to believe
Number module（52）, therefore, artery house steward（34）The artery that 60 simulation blood of output per minute simulate true man completely penetrates blood,
Artery house steward（34）Or the accessible rhythmicity arteriopalmus true to nature of Utero- fallopian tubal-ovary parteriole blood vessel.Surgical incision
During stomach wall module, the blood vessel of cut-out holds visible parteriole rhythmicity ejection bleeding absolutely, makes operation scene more life-like, prompts
Patient's hemostasis by ligation as early as possible.The blood pumped out after hemostasis by ligation is obstructed, and simulates vane pump of the blood by pump（50）Impeller with
Pump housing gap backs into the pump housing, and then counter enters to store up in blood vial.Bleeding rate can adjust, and adjusting method is observation bleeding rate sighting tube
（39）, rotate bleeding rate adjusting knob in observation（38）, turn clockwise the blood velocity regulation that can connect the knob
Valve（F）Flow reduces, and bleeding rate slows down, on the contrary then accelerate.Through Repeated Operation loss of blood, blood vial is stored up（XP）Simulation blood
Constantly reduce, when with storing up blood vial（XP）The liquid level gauge of connection（40）Fluid level should be to storage blood vial when dropping to 20%（XP）Middle benefit
Injection molding intends blood.Various gynecological surgery operating methods are carried out by operating routine, organ model and the celiotomy incision seam of various operations
Matched moulds block is replaceable, can repair during damage, and the available silica gel made using silica gel is repaired, in this way using thermoplastic elastomer (TPE)
（TPE）The available electric iron hot melt repairing made, the simulated blood vessel of cut-out is extracted the blood vessel foramen primum that slave module is changed with standby
Penetrate, organ blood vessel/local organization of damage is replaced with standby local organization/blood vessel to be pasted, and still may be used after model repairing or replacing
Reuse.
Claims (2)
1. a kind of high emulation gynecological surgery technical ability simulated training standard patient, it includes：Height emulation adult female model, micro- electricity
Brain controller, it is characterised in that：Height emulation adult female's model（1）, the emulation female vulva module of glutinous spring exchange can be passed through（2-
1）/ cyst of Bartholin's gland module（2-2）, lower abdomen（3）If the groove of outer small interior big inserted surgical modules（4）Built with
Outer small interior big inserted high emulation stomach wall surgical incision-suture module（5）, the module outer layer is skin layer（6）, it is lower to be light
The hypodermis layer of yellow（7）, red muscle layer（8）, connection parteriole input pipe is provided with therebetween（9-1）, bleed back tube（9-
2）Simulation parteriole blood vessel（9-3）, orlop is translucent peritoneal layer（10）；Vagina（11）Deep sets uterine neck interface
（12）, can lay/change normal simulation Utero- fallopian tubal-ovarian model（13）, early pregnancy model of uterus（14）, gynaecology it is normal
With the hysteromyoma model of operation（15）, cervical polyp model（16）, cervix cancer model（17）, ovarian cyst model
（18）, torsion of the pedicle of ovarian cyst model（19）Malignant tumor of ovary model（20）, ectopic pregnancy model（21）, be additionally provided with vault after vagina
Gallery puncturing pattern（22）, rectum model（23）, gynaecology is often equipped with simulation petty action with Utero- fallopian tubal-ovary of surgery models
Arteries and veins blood vessel（24）, blood vessel return duct（25）；Early pregnancy model of uterus（14）In uterus bottom, uterine cavity also sets simulation blood note
Enter conduit（26）The high emulation Female Model of pass-out（1）Ligation in vitro transfusion device（27）, its upper end syringe needle, which inserts, to hang upside down in Infusion support
On blood vial（28）；Rectum model（23）Provided with wire（29-1）The conductive metal mesh of connection（30）；Artery house steward（31）Menses
Flow speed-regulating valve（F）, threeway（32）The simulation parteriole blood vessel of gynecological surgery common model is connected respectively（24）And high emulation
Stomach wall surgical incision-suture module（4）Simulation parteriole blood vessel（9-1）, module bleed back tube（9-2）With Utero- ovary-
The bleed back tube of fallopian tubal（25）Pass through threeway（33）Collaborate the total return duct of blood（34）Enter storage blood vial afterwards（XP）, with moving
Arteries and veins house steward（31）The equal high emulation Female Model of pass-out（1）In vitro, microcomputer controller is connected.
A kind of 2. high emulation gynecological surgery technical ability simulated training standard patient as claimed in claim 1, it is characterised in that institute
Stating the structure of microcomputer controller is：Controller panel（35）Power switch is installed（K）, indicator lamp（L1）, alarm red light（L2）、
With puncture needle（36）The signal wire socket of tail connection（37）, bleeding rate adjusting knob（38）, bleeding rate sighting tube（39）, liquid
Position meter（40）, small loudspeaker（Y）, note blood vessel adapter piece（41）, overflow tubular joint（42）, artery header pipe joint part（43）, blood
Liquid reflux tube joint part（44）；Microcomputer controller cabinet（45）Interior lay is provided with note blood vessel（46-1）, non-return valve（47）, overflow
Pipe（48）, efferent duct（49）, return duct（46-2）Storage blood vial（XP）, blood vial efferent duct（49）Docking blood circulation power-micro-
Type impeller water pump（50）Input pipe（51）, the pump motor connection pulse module per minute for sending 60 subpulse signals（52）,
Pump main（53）Connect VPV regulating valve（F）, artery house steward（31）, the pump input pipe（51）Docking storage blood vial（XP）'s
Efferent duct（49）, the bottle also connects controller panel（35）Liquid level gauge（40）.
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| CN201711444699.0A CN107886825A (en) | 2017-12-27 | 2017-12-27 | Height emulation gynecological surgery technical ability simulated training standard patient |
Applications Claiming Priority (1)
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| CN201711444699.0A CN107886825A (en) | 2017-12-27 | 2017-12-27 | Height emulation gynecological surgery technical ability simulated training standard patient |
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| CN107886825A true CN107886825A (en) | 2018-04-06 |
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| CN109461358A (en) * | 2018-12-21 | 2019-03-12 | 营口市贵东医疗器械制造有限公司 | Fluorescent imaging guides lower central venous puncture training pattern |
| CN109615992A (en) * | 2018-12-29 | 2019-04-12 | 温州医科大学附属第二医院、温州医科大学附属育英儿童医院 | A kind of laparoscopic surgery simulated training system |
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Inventor after: Jin Pinting Inventor after: Wang Yao Inventor before: Wang Yao |