CN108154781A - The purposes of elastic webbing/cloth and surgical operation model for training - Google Patents

The purposes of elastic webbing/cloth and surgical operation model for training Download PDF

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Publication number
CN108154781A
CN108154781A CN201810088604.4A CN201810088604A CN108154781A CN 108154781 A CN108154781 A CN 108154781A CN 201810088604 A CN201810088604 A CN 201810088604A CN 108154781 A CN108154781 A CN 108154781A
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China
Prior art keywords
training
surgical operation
bed course
model
cloth
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CN201810088604.4A
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Chinese (zh)
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高伟
李欣泽
程鑫宇
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Jucheng Mingyi Beijing Medical Simulation Technology Research Institute Co ltd
Xuanwu Hospital
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Yingkou Jucheng Teaching Science & Technology Development Co Ltd
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Priority to CN201810088604.4A priority Critical patent/CN108154781A/en
Publication of CN108154781A publication Critical patent/CN108154781A/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

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  • Engineering & Computer Science (AREA)
  • Physics & Mathematics (AREA)
  • General Physics & Mathematics (AREA)
  • Computational Mathematics (AREA)
  • Mathematical Analysis (AREA)
  • Medicinal Chemistry (AREA)
  • General Health & Medical Sciences (AREA)
  • Algebra (AREA)
  • Health & Medical Sciences (AREA)
  • Chemical & Material Sciences (AREA)
  • Medical Informatics (AREA)
  • Mathematical Optimization (AREA)
  • Mathematical Physics (AREA)
  • Pure & Applied Mathematics (AREA)
  • Business, Economics & Management (AREA)
  • Educational Administration (AREA)
  • Educational Technology (AREA)
  • Theoretical Computer Science (AREA)
  • Instructional Devices (AREA)

Abstract

The present invention is for surgical operation model in the prior art,When carrying out surgical operation training operation,The feel that knife cuts skin can not be experienced,And simulated skin it is easily rupturable the technical issues of,The purposes of a kind of surgical operation model for training and elastic webbing/cloth is provided,This model includes body block,Body block includes simulated skin layer and at least one layer of soft bed course,Purposes is referred mainly to for the simulated skin as medical training model or simulation theca of rectus abdominis muscle,Using surgical operation model for training provided by the invention,When carrying out surgical procedures,Do not slide knife,Breach will not be generated,Have and the comparable operating handle of real skin feel during incision operation,It is and cheap,Material be easy to get to,Elastic band/cloth simulated skin layer is used to provide the cheap skin layer of price for simulation people,Be easy to get to,And easily production,Easily it is fixed in production with other organs,Therefore has big space to reduce the cost of medical lecture model and providing.

Description

The purposes of elastic webbing/cloth and surgical operation model for training
Technical field
The present invention relates to a kind of medical lecture model technical field, more particularly to the teaching mode of surgical operation training and Material used.
Background technology
In fields such as medical teaching, scientific researches, bedside practice, clinical manipulation training are often carried out, it is straight on human body to avoid Row operation training is tapped into, typically now way is using model use in operation training, such as skin closure technique drill Simulated skin suture model uses silica gel or rubber conduct when puncturing training using puncturing pattern, existing model for training Simulated skin layer, EVA resin, foam or sponge are pasted onto as bed course, simulated skin layer on bed course, using above-mentioned material and knot The surgical operation model for training of structure, the price of silica gel is high, and does not break through sense when carrying out notch to skin, is made using rubber It is smooth during for simulated skin layer, be not easy knit stitch, cut, meet blade easily scratch tear, encounter needle pierce when it is easy to crack.
In addition, when carrying out suprapubic cystostomy, silicon capsule simulation bladder is placed using in simulation people's abdomen, it is this Simulate that artificial valency is relatively expensive to be unfavorable for group's teaching and simulated operation, and can only simulate in training is punctured and be needled into simulation wing Guang and the operation of urethral catheterization, it is impossible to carry out the operation that simulation knife cuts skin, it is impossible to carry out wound suture training, can not experience Sharp knife cuts through the breakthrough sense that sharp knife during skin punctures skin, and surgical staff can not also be trained to find correct puncture position, Therefore teaching process is imperfect, and teaching efficiency is undesirable.In others puncture teaching, such as Percutaneous Nephrotithotomy art, peritonaeum Chamber centesis is also to puncture addition water imitation hydrops position in organ using simulation to carry out puncture procedure, is equally also cut without simulation The operation of skin is opened, similary teaching process is not perfect, teaching efficiency is poor.
Invention content
The purpose of the present invention is being directed to surgical operation model in the prior art, using silica gel and rubber as simulated skin Layer when carrying out surgical operation training operation, can not experience that knife cuts the feel of skin and the easily rupturable technology of simulated skin is asked Topic provides the purposes of a kind of surgical operation model for training and elastic webbing/cloth.
The purpose of the present invention is what is be achieved through the following technical solutions:
A kind of surgical operation model for training, including body block, the body block includes simulated skin layer and at least one layer Soft bed course, the simulated skin layer are arranged on the top of the bed course, and the simulated skin layer is elastic webbing/cloth, described Elastic webbing/cloth is fixedly connected with the bed course;Every layer of bed course is one or both of foamed plastics, EVA plates or sponge Above composite bed;Bed course includes at least upper and lower two layers, and resistant layer, the resistance are provided between upper strata bed course and lower floor's bed course Layer is fixedly connected for elastic webbing/cloth, with lower floor bed course;Further include body block's fixing device, at least described simulated skin layer by Fixing device is supported and/or fixes;Fixing device includes the cover board of setting through-hole, and the simulated skin layer fixation is covered in The through hole of cover board, the bed course are opposite with the lead to the hole site and between simulated skin layer and cover board or under cover board Side;Fixing device further includes the box body for being provided with cavity volume, and the cover plate lid is on box body;Box body is micro-wave oven mess-tin box body, The cover board is micro-wave oven mess-tin box cover;Elastic webbing/cloth is common stretch band, self-adhesive elastic bandage, self-adhesive medical bandage, is cured With one or both of self-adhesive elastic bandage or tensoplast or two or more composite beds;Surgical operation model for training is Model for training is punctured, simulation is further included and punctures organ, the simulation, which punctures organ and is arranged in box body, is located at the human mould It connects or is fixedly connected with the lower surface of body block below block.
The purposes of elastic webbing/cloth, elastic webbing/cloth are common stretch bandage, self-adhesive elastic bandage, self-adhesive medical bandage or bullet One or both of property adhesive plaster or two or more composite beds, for the simulated skin as medical training model or simulation Theca of rectus abdominis muscle.
It, will due to using elastic webbing/cloth as simulated skin layer using surgical operation model for training provided by the invention Elastic webbing/cloth is arranged on bed course upper surface, and the toughness and elastic force that elastic webbing/cloth has had, surface roughness is moderate, therefore, When carrying out surgical procedures, not sliding knife will not generate breach, during incision operation have comparable with real skin feel Operating handle, and cheap, material are easy to get to oneself being made at any time by trainer, can greatly save operation instruction Experienced expense.
In further advantage, using fixing device at least fixed-analog skin layer, when being operated, do not need to use An other hand fixes training pattern, and another hand frees carry out operation training, more with true operative process and Feel approximate.
Further, since elastic webbing/cloth using elastic force, toughness is as simulated skin layer, simulated skin layer is fixed Setting on the cover board, is provided with through-hole on the cover board, and simulated skin layer is arranged on through hole, when carrying out simulation pubis with this model During upper cystostomy training, the operating procedure for finding darting station on pubis can be simulated, makes training step and actual operation Step is closer.
Further, elastic band/cloth simulated skin layer is used to provide the cheap skin layer of price for simulation people, is easy to get It arrives, and easily production, is easily fixed in production with other organs, therefore the cost to reduce medical lecture model provides tool Big space.
Description of the drawings
Fig. 1 punctures model for training example structure schematic diagram for the present invention;
Fig. 2 punctures another example structure schematic diagram of model for training for the present invention;
Fig. 3 is another example structure schematic diagram of surgical operation model for training of the present invention;
Fig. 4 is surgical operation model for training cover board example structure schematic diagram of the present invention;
Fig. 5 is surgical operation model for training another embodiment structure diagram of the present invention;
Fig. 6 is surgical operation model for training another embodiment structure diagram of the present invention.
Reference sign
1- simulations puncture organ;3- fixing devices;4- bed courses;6- simulated skin layers;7- through-holes;8- box bodys;9- cover boards 10- hinders Power layer.
Specific embodiment
The present invention is further described through with reference to specific embodiment:
As shown in Figure 1-Figure 3, surgical operation model for training of the present invention includes at least simulated skin layer 6 and at least one layer of bed course 4, Using elastic webbing/cloth as simulated skin layer, using materials such as EVA plastics, sponge, foamed plastics as bed course, bed course is located at Below simulated skin layer, it can be linked together, can also be connected up and down by modes such as bonding, hot pressing, bed course can be with As simulation hypodermis layer, bed course can be one layer or multilayer, and each layer bed course is fixedly connected in one.Using this The body block of kind structure can be used as suture model, be sutured and operated on practice, can be used on puncturing pattern as imitative The true surface layer for puncturing organ.It can be used in simulated humanbody structure, emulation of coverage capability human body.
As shown in Figure 5 and Figure 6, resistant layer 10 can be set between two layers of bed course, resistant layer is arranged on lower floor's mat surface, Resistant layer can be fixedly connected with upper strata bed course, can also be connected, and resistant layer is elastic webbing/cloth.It is such to be provided with resistance The bed course of layer structure can be used for punctio vesicae model, and as simulation stomach wall layer, resistant layer is as theca of rectus abdominis muscle.
Elastic webbing/cloth can be plain edition elastic band, self-adhesive elastic bandage or tensoplast, stretch tight preferably with self-adhesive medical Band, particularly Orthopedic medical self-adhering fascia.
Due to elasticity and toughness that elastic webbing/cloth has had, in the simulated operation for scalpel cut skin When can obtain that knife enters the breakthrough sense of skin and knife scratches the texture of skin, it is close with the feel operated on true man's skin, and The edge of a knife is not easy to tear, and especially when this model is used for puncture procedure, sharp knife enters the breakthrough sense of skin and scratches the texture of skin It is truer.The material of bed course 4 be such as EVA plastics, sponge, foamed plastics material flexible material, bed course and elastic webbing/cloth In being wholely set, form the structure of surface flexible and elastic inner layer softness, when scratching bed course with knife, due to foamed plastics, While EVA plastics, sponge are softer there is feel of certain hardness such as fat again, therefore can obtain scratching skin With the feel of subcutaneous layer of fat, when carrying out skin closure training with this model, can obtain with being sutured on real human body skin Feel and texture.Since Orthopedic medical self-adhering fascia in laterally longitudinal direction is being respectively provided with elasticity, the characteristics of more like skin, The feel that operates is truer.
As shown in Fig. 5-Fig. 6, when carrying out punctio vesicae training using this model, below the bed course of upper strata, on lower floor's bed course There is provided resistant layers to simulate theca of rectus abdominis muscle for side, before foring simulated skin layer/simulation subcutaneous layer of fat/simulation rectus aabdominis Body block's structure of sheath/simulated fat, the body block adopted the structure are used in combination with the imitative organ that punctures, not only can be with It obtains scratching the feel of skin and subcutaneous fat and the resistance sense for scratching theca of rectus abdominis muscle can be obtained, but also can obtain in one's hands Stereovision when scalpel scratches each layer structure in art operation, the step of operating operative training, walk closer to true operation Suddenly.
This body block can be block-like, such as rectangular block, corner block, circular block or be arranged in human body, The shape of organ related to human body is adapted and matches.
As shown in Figure 2 and Figure 5, it can also set fixing device that body block is fixed, bed course can be and simulation Skin layer is fixed after being fixed together together with simulated skin layer by fixing device, as simulated skin layer is bonded in subcutaneous group of simulation Simulated skin layer and simulation subcutaneous tissue are fixed on chopping board by the upper surface knitted by pin, also can be by clip by mould The edge for intending skin layer and bed course is fixed with chopping board edge.Skin closure model for training can also use support device and clamping Simulated skin layer and bed course is fixed in device, by the periphery of gripping means grips simulated skin and simulation subcutaneous tissue and incites somebody to action It is fixed in support device, can also be disposed on simulation human body and be carried out suture training.Body block can also be set It puts and operation training is carried out on cover board with holes, through-hole is closed by body block, each layer of body block can be arranged at lid Above plate or at least one layer therein is arranged on above cover board, and remainder layer is arranged below plate or is arranged in through-hole.
When this model is trained for punctio vesicae, preferably this simulated skin layer is arranged on the cover board 9 with through-hole 7, Simulated skin layer is covered on the through-hole of cover board, and is adhesively fixed and is connect with cover board, and bed course can be located at below cover board, can also Positioned at cover board and simulated skin interlayer but opposite with lead to the hole site need to can cover through-hole or upper strata bed course be located at cover board with Simulated skin interlayer, lower floor's bed course is located at below cover board or upper strata bed course and lower floor's bed course are respectively positioned on above cover board or Below cover board;The diameter of through-hole 7 is preferably 5-6cm, and cover board is preferably hard material, the model adopted the structure, by It is harder in cover board, and it is provided with through-hole 7 on it, a diameter of 5-6cm of through-hole 7, and at radius 2.5-3cm and be normal The position of suprapubic puncture point, therefore the operation for finding position on pubis can be trained by this modeling, It can simulate in the operation applied art position and carried out disinfection, puncturing pattern is enable to simulate complete operating procedure.Box can also be set Body is used in combination with cover board, and inner cavity is provided on box body, and cover board is covered as lid on box body, can be connected through a screw thread It is fixed on box body, can also be buckled on box body, body block can be further fixed, be conveniently operated in this way.It can be with Simulation bladder is set in the cavity, simulated skin layer, upper strata bed course, lower floor's bed course, simulation bladder are set gradually, by cover pressure In one.
Bearing can also be set to fix and support cover board 9.
It is preferred that box body is micro-wave oven mess-tin, cover board is micro-wave oven fast food box cover.Using such material and the surgery of structure Surgery models, convenient material drawing, simple, cheap, easy to assembly, it can be used repeatedly can greatly improve trainee reality The number of border operation, the relevant operation and operating procedure that can carry out surgical operation at any time can be walked with the operation of actual operation Suddenly quite high consistency is kept.
Simulated skin layer, bed course can also be set up directly on to simulation to puncture above organ.
The surgical operation training pattern of the present invention can be used for skin closure operation training, punctio vesicae fistulization mould The simulated training of type and Percutaneous Nephrotithotomy art, abdominocentesis etc..It can be simulation bladder, simulation that simulation, which punctures organ, Kidney, simulation abdominal cavity.
It is used for the first time using adhesive tape/cloth as simulated skin layer in the present invention, is applicable not only to operative training Simulated skin, also can be as the skin of the simulation people of medical teaching training.Before elastic webbing/cloth also can be used as simulation rectus aabdominis Sheath.

Claims (10)

1. a kind of surgical operation model for training, which is characterized in that including body block, the body block includes simulated skin Layer and at least one layer of soft bed course, the simulated skin layer are arranged on the top of the bed course, and the simulated skin layer is bullet Property band/cloth, the elastic webbing/cloth are fixedly connected with the bed course.
2. surgical operation model for training as described in claim 1, which is characterized in that every layer of bed course(4)For foam plastic The composite bed of one or more of material, EVA plates or sponge.
3. surgical operation model for training as claimed in claim 2, which is characterized in that the bed course includes at least upper and lower two Layer is provided with resistant layer between upper strata bed course and lower floor's bed course, and the resistant layer is elastic webbing/cloth and lower floor's bed course is fixed and connected It connects.
4. the surgical operation model for training as described in claim 1 or 3, which is characterized in that further include body block and fix dress It puts, at least described simulated skin layer is supported and/or is fixed by fixing device.
5. surgical operation model for training as claimed in claim 4, which is characterized in that the fixing device includes setting through-hole (7)Cover board, the simulated skin layer(6)The fixed through hole for being covered in cover board, the bed course is opposite with the lead to the hole site, And between simulated skin layer and cover board or below cover board.
6. surgical operation model for training as claimed in claim 4, which is characterized in that the fixing device, which further includes, to be provided with The box body of cavity volume, the cover plate lid is on box body.
7. surgical operation model for training as claimed in claim 6, it is characterised in that the box body is micro-wave oven mess-tin box Body, the cover board are micro-wave oven mess-tin box cover.
8. surgical operation model for training as described in claim 1, which is characterized in that the elastic webbing/cloth is common stretch One or both of band, self-adhesive elastic bandage, self-adhesive medical bandage, self-adhesive medical elastic bandage or tensoplast or two kinds with On composite bed.
9. surgical operation model for training as claimed in claims 6 or 7, which is characterized in that the surgical operation training mould Type further includes simulation and punctures organ, the simulation, which punctures organ and is arranged in box body, is located at the people to puncture model for training It connects or is fixedly connected with the lower surface of body block below module.
10. the purposes of elastic webbing/cloth, which is characterized in that the elastic webbing/cloth is common stretch bandage, self-adhesive elastic bandage, doctor With one or both of self-adhering fascia or tensoplast or two or more composite beds, for as medical training model Simulated skin or simulation theca of rectus abdominis muscle.
CN201810088604.4A 2018-01-30 2018-01-30 The purposes of elastic webbing/cloth and surgical operation model for training Pending CN108154781A (en)

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CN1921813A (en) * 2004-02-19 2007-02-28 欧洲腹腔镜检植入装置研制公司 Atraumatic surgical band
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CN102103812A (en) * 2009-12-18 2011-06-22 天津市天堰医教科技开发有限公司 Acupuncture training module
CN105578972A (en) * 2013-07-24 2016-05-11 奇普林医药公司 Surgical incision and closure apparatus
CN105719545A (en) * 2014-12-02 2016-06-29 天津市医学堂科技有限公司 Puncture module for medical teaching
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CN205122064U (en) * 2015-11-19 2016-03-30 中国医学科学院整形外科医院 Tryrocricocentesis , incision training model
CN206574368U (en) * 2017-03-08 2017-10-20 廖红伍 One kind intravenous injection puncturing pattern

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