CN109147458A - A kind of fully simulated blood vessel intervention simulation system - Google Patents

A kind of fully simulated blood vessel intervention simulation system Download PDF

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Publication number
CN109147458A
CN109147458A CN201811227945.1A CN201811227945A CN109147458A CN 109147458 A CN109147458 A CN 109147458A CN 201811227945 A CN201811227945 A CN 201811227945A CN 109147458 A CN109147458 A CN 109147458A
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pipeline
artery
simulation system
shell
blood vessel
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黄佳兵
陈鹏飞
方臻飞
周胜华
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Hu Xinqun
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Hu Xinqun
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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
    • G09B9/00Simulators for teaching or training purposes
    • 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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  • Theoretical Computer Science (AREA)
  • Physics & Mathematics (AREA)
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  • Medical Informatics (AREA)
  • Chemical & Material Sciences (AREA)
  • General Health & Medical Sciences (AREA)
  • Health & Medical Sciences (AREA)
  • Medicinal Chemistry (AREA)
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  • Instructional Devices (AREA)
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Abstract

The invention discloses a kind of fully simulated blood vessels to intervene simulation system, including manikin shell, water tank, air transporting arrangement, cardiac module, is equipped with airtight chamber in cardiac module;Simulation pipeline is respectively equipped with according to the distributing position of human vas inside the shell;Water tank is equipped with inlet tube, upper and lower outlet tube, and inlet tube is connected to artery of upper extremity pipeline and artery of lower extremity pipeline simultaneously;Upper outlet tube is connected to one end of inferior caval vein pipeline, and the other end of inferior caval vein pipeline is connected to airtight chamber;Lower outlet tube is connected to artery of lower extremity pipeline;Airtight chamber is connected to the blowing mouth of the proximal part of artery of upper extremity pipeline, descending aorta pipeline and air transporting arrangement simultaneously;The device of gas-permeable, liquid-impermeable is equipped at blowing mouth.Simulation system of the invention can be comprehensive simulation a whole set of operation, and can practice for lesion situation and operation skill, the emulation of stenting formula, strong sense of reality, practice effect is good.

Description

A kind of fully simulated blood vessel intervention simulation system
Technical field
The invention belongs to medical educational ancillary equipments, and in particular to a kind of fully simulated blood vessel intervention simulation system.
Background technique
Cardiovascular and cerebrovascular intervenes amount for surgical just in cumulative year after year, more and more hospital intervention operations, but intervenes operation Operation difficulty is larger, and learning cycle is long, needs a large amount of operation practice skilled.And medical environment now is limited, very much Medical worker is difficult to obtain enough operation chances during education, study, most of doctor after training still only It can be carried out simplest operation, handle the scarce capacity of non-generic situation and complex operations.
Although there is some easy simulators to occur at present, most is all teaching use, and not according to human body actual vessel Situation does simulated blood vessel, and without all kinds of differentiated vascular situations and lesion simulated blood vessel, lacks vascular circulation, the sense of reality compared with Low, practice effect is limited, is only capable of practicing some basic operations, is still difficult to be competent at true surgical procedure after practice.
Summary of the invention
In view of the above-mentioned problems, the present invention is intended to provide one kind can full-scope simulation a whole set of cardiovascular interventional operation, true The simulation system that sense is strong, practice effect is good.
The technical solution that the present invention solves the problems, such as is: outside a kind of intervention of fully simulated blood vessel simulation system, including manikin Shell, it is characterised in that: further include water tank, the air transporting arrangement that can be inflated, be evacuated switching, the heart being set in shell Model, the cardiac module is interior to be equipped with airtight chamber;
Inside the shell according to the distributing position of human vas be respectively provided with simulation artery of upper extremity, artery of lower extremity, descending aorta, Each section of head and the tail that the pipeline of inferior caval vein, heart coronary artery, every root canal road subsection setup, and every root canal road divide successively connect It is logical;
The water tank is equipped with inlet tube and outlet tube, and the inlet tube connects with artery of upper extremity pipeline and artery of lower extremity pipeline simultaneously Logical, the outlet tube is connected to one end of inferior caval vein pipeline, and the other end of inferior caval vein pipeline is connected to airtight chamber, under Equipped with the check valve for only allowing liquid to flow into airtight chamber on vena cave pipeline;
Airtight chamber's blowing mouth with the proximal part of artery of upper extremity pipeline, descending aorta pipeline and air transporting arrangement simultaneously It is connected to;
The device of gas-permeable, liquid-impermeable is equipped at blowing mouth.
Air transporting arrangement is inflated and is evacuated to cardiac module, so that switching in airtight chamber in positive pressure and negative pressure State, to simulate the diastole and contraction of heart.When pumping, airtight cavity is in negative pressure state, and cardiac module is shunk, in water tank Out of, inferior caval vein pipeline enters cardiac module airtight chamber, heart ejects liquid and enters artery of upper extremity, drop actively liquid Each artery such as arteries and veins, descending aorta is connected to artery of lower extremity, so that liquid enters artery of lower extremity;When inflation, in upper and lower extremities artery Liquid flows back into water tank through inlet tube, forms one cycle.
In above scheme, the blood circulation of human body arteriovenous and the diastole of heart and contraction are simulated, it being capable of true mould The state of quasi- blood vessel intervention operation.
Preferably, the water tank is set in manikin shell, is located at manikin abdominal region.It can make in this way Structure is more compact.
Further, the air transporting arrangement includes the first slider-crank mechanism, hollow and closed inflator, in inflator One end be equipped with blowing mouth, blowing mouth is connected to airtight chamber;
The sliding block of first slider-crank mechanism is piston head, and piston head is set to the hollow cavity of inflator and matches with inflator sealing It closes.
Piston head does linear reciprocating motion in inflator hollow cavity, realizes pumping and inflation.
Further, the axis stream that the liquid of water tank can be pumped into inferior caval vein pipeline is installed on inferior caval vein pipeline Pump.Theoretically liquid circulation can be successfully realized as long as the diastole that can control cardiac module and as long as shrinking, but in order to maintain The pressure of system is stablized, and more true simulation, axial-flow pump, which is added, can assist the pressure of maintenance system to stablize.
Further, further include cabinet for placing manikin shell, in cabinet, be located at case back and correspondence The jacking apparatus that cardiac module can be jacked up is equipped at cardiac module position.
Specifically, the jacking apparatus is the second slider-crank mechanism, the sliding block of the second slider-crank mechanism perpendicular to Straight reciprocating motion is done in the direction of manikin case back, and reciprocating frequence is 60~100 beats/min, and sliding block can be with cardiac module It abuts.
The purpose of design jacking apparatus is the bounce in order to really simulate heart from presentation, so that patient was practicing It is more life-like in journey.
Specifically, the device of the gas-permeable, liquid-impermeable is nanometer level microporous ventilated membrane or GORE-TEX film, or automatic row Air valve.There are many structures of gas-permeable, liquid-impermeable, only needs to meet the function of gas-permeable, liquid-impermeable in principle.
Further, corresponding equipped with the lesion pipeline that can replace original pipeline at common vascular lesion position. Common lesion mentioned here refers to the diseased region that doctor frequently encounters during clinical operation, such as serious tortuous blood vessel, Transverse presentation aorta, subclavian artery fan such as walk at the lesions such as all kinds of variations and pathological change of thrombus, bifurcated lesions, CTO lesion.
Common diseased region can be simulated by designing various lesion pipelines, after lesion Pipe installing to simulation system, art Person can really experience the pathological structure of patient, to be operated for the various state of an illness.
Preferably, the pipeline is light transmission pipeline.
Pipeline uses light transmission or lighttight, and in actual operation, blood vessel is also lighttight, it is therefore desirable to X Ray contrast just can be carried out operation.If using lighttight pipeline during teaching simulation, it is necessary to X-ray is used, it is many Well known X-ray is harmful to the human body, and using X-ray is unavoidable in operation, but in order to reduce pair in teaching process The injury of patient can use the blood vessel simulation real blood vessels of light transmission.
Preferably, the manikin shell is human skin model, and manikin shell, pipeline and cardiac module are equal It is made of 3D printing, material used by 3D printing is TangoPlus rubber-like elastic material.
Preferably, manikin shell, pipeline and cardiac module according to 1:1 scale modeling human body;
The sealing of human skin model, and inner inflatable form inflation manikin.
Simulation system of the invention can be comprehensive simulation a whole set of operation, and can be directed to lesion situation and operation skill, The emulation practice of stenting formula, strong sense of reality, practice effect is good, in intervention doctor culture and examination, shortens operation learning cycle, ripe Practice and grasp various surgical technics, instrument research and development aspect has significant role.
Detailed description of the invention
The present invention will be further explained below with reference to the attached drawings.
Fig. 1 is simulation system schematic illustration of the present invention.
Fig. 2 is lifting body schematic diagram.
In figure: 1- cardiac module, 3- water tank, the second slider-crank mechanism of 4-, 5- air transporting arrangement, 7- axial-flow pump, 8- Electronic valve, 9- airtight chamber interface, 10- shell, 11- cabinet, 12- lesion pipeline, 21- artery of upper extremity pipeline, 22- artery of lower extremity Pipeline, 23- inferior caval vein pipeline, 24- descending aorta pipeline, 31- inlet tube, 32- outlet tube, 41- sliding block, the first crank of 51- Slide block mechanism, 52- inflator, 53- blowing mouth, 54- piston head.
Specific embodiment
As shown in Fig. 1~2, a kind of fully simulated blood vessel intervenes simulation system, including manikin shell 10, water tank 3, can be into Row inflation, the air transporting arrangement 5 that pumping switches, the cardiac module 1 being set in shell 10.
Airtight chamber is equipped in the cardiac module 1.The water tank 3 is set in manikin shell 10, is located at human body Model abdominal region.
5 form of air transporting arrangement can there are many, as long as can be realized in principle inflation and pumping switching, give the heart Dirty model 1 provides positive/negative pressure.A kind of 5 structure of specific air transporting arrangement include the first slider-crank mechanism 51, in Empty and closed inflator 52.Blowing mouth 53 is equipped in one end of inflator 52.Blowing mouth 53 passes through airtight chamber's interface 9 and closed chamber Room connection.The sliding block of first slider-crank mechanism 51 is piston head 54.Piston head 54 is set to the hollow cavity of inflator 52 simultaneously It seals and cooperates with inflator 52.The device of gas-permeable, liquid-impermeable is equipped at blowing mouth.The device of the gas-permeable, liquid-impermeable is nanoscale Microporous breathable film or GORE-TEX film or automatic exhaust steam valve.
Distributing position in shell 10 according to human vas is respectively provided with simulation artery of upper extremity, artery of lower extremity, drop Aorta, inferior caval vein, heart coronary artery pipeline.Every root canal road subsection setup, and each section of head and the tail that every root canal road divides It passes sequentially through threaded connection and is connected to.
The water tank 3 is equipped with inlet tube 31 and outlet tube 32.The inlet tube 31 simultaneously with artery of upper extremity pipeline 21 and Artery of lower extremity pipeline 22 is connected to.The outlet tube 32 is connected to one end of inferior caval vein pipeline 23, inferior caval vein pipeline 23 it is another One end is connected to airtight chamber.Equipped with the check valve 8 for only allowing liquid to flow into airtight chamber on inferior caval vein pipeline 23.Under The axial-flow pump 7 that the liquid of water tank 3 can be pumped into inferior caval vein pipeline 23 is installed on vena cave pipeline 23.
Airtight chamber's proximal part, descending aorta pipeline 24 and air transporting arrangement 5 with artery of upper extremity pipeline 21 simultaneously Blowing mouth be connected to.
It further include the cabinet 11 for placing manikin shell 10.In cabinet 11, it is located at 10 back of shell and correspondence The jacking apparatus that cardiac module 1 can be jacked up is equipped at 1 position of cardiac module.The jacking apparatus is the second slider-crank mechanism 4.The sliding block 41 of second slider-crank mechanism 4 does straight reciprocating motion in the direction perpendicular to 10 back of manikin shell.It is past Complex frequency is 60~100 beats/min.Sliding block 41 can be abutted with cardiac module 1.
It is corresponding equipped with the lesion pipeline 12 that can replace original pipeline at common vascular lesion position.
The manikin shell 10 is human skin model.Manikin shell, pipeline and cardiac module 1 are all made of 3D printing production.Material used by 3D printing is TangoPlus rubber-like elastic material.
Manikin shell 10, pipeline and cardiac module 1 according to 1:1 scale modeling human body.
The sealing of human skin model, and inner inflatable form inflation manikin.
A kind of preferred scheme is that the pipeline is light transmission pipeline.
As shown in the arrow of figure, air transporting arrangement 5 is inflated and is evacuated to cardiac module 1 for blood circulation, so that close The state switched in closed chamber room in positive pressure and negative pressure, to simulate the diastole and contraction of heart.When pumping, airtight cavity is in negative pressure State, cardiac module are shunk, and the liquid in water tank 3 is out of, inferior caval vein pipeline 23 enters cardiac module 1 airtight chamber, heart It ejects liquid and enters each artery such as artery of upper extremity, descending aorta, descending aorta is connected to artery of lower extremity, thus under liquid enters Main drive arteries and veins;When inflation, the liquid in upper and lower extremities artery flows back into water tank 3 through inlet tube, forms one cycle.This process simulation The state of true simulated blood vessel intervention operation is capable of in the blood circulation of human body arteriovenous and the diastole of heart and contraction.

Claims (10)

1. a kind of fully simulated blood vessel intervenes simulation system, including manikin shell (10), it is characterised in that: further include water tank (3), it can be inflated, the air transporting arrangement (5) for being evacuated switching, the cardiac module (1) being set in shell (10), the heart Airtight chamber is equipped in dirty model (1);
Simulation artery of upper extremity, artery of lower extremity, drop is respectively provided with according to the distributing position of human vas in shell (10) to lead Artery, inferior caval vein, heart coronary artery pipeline, every root canal road subsection setup, and each section of head and the tail dividing of every root canal road according to Secondary connection;
The water tank (3) be equipped with inlet tube (31) and outlet tube (32), the inlet tube (31) at the same with artery of upper extremity pipeline (21) it is connected to artery of lower extremity pipeline (22), the outlet tube (32) is connected to one end of inferior caval vein pipeline (23), and cavity of resorption is quiet The other end in vascular road (23) is connected to airtight chamber, flows into closed chamber equipped with only permission liquid on inferior caval vein pipeline (23) The check valve (8) of room;
Airtight chamber's proximal part, descending aorta pipeline (24) and air transporting arrangement with artery of upper extremity pipeline (21) simultaneously (5) blowing mouth is connected to;
The device of gas-permeable, liquid-impermeable is equipped at blowing mouth.
2. fully simulated blood vessel according to claim 1 intervenes simulation system, it is characterised in that: the air transporting arrangement (5) include the first slider-crank mechanism (51), hollow and closed inflator (52), be equipped with blowing mouth in one end of inflator (52) (53), blowing mouth (53) is connected to airtight chamber;
The sliding block of first slider-crank mechanism (51) is piston head (54), and piston head (54) is set to the hollow of inflator (52) Chamber simultaneously seals cooperation with inflator (52).
3. fully simulated blood vessel according to claim 1 intervenes simulation system, it is characterised in that: in inferior caval vein pipeline (23) On the axial-flow pump (7) that the liquid of water tank (3) can be pumped into inferior caval vein pipeline (23) is installed.
4. fully simulated blood vessel according to claim 1 intervenes simulation system, it is characterised in that: further include for placing human body The cabinet (11) of model shell (10) is set in cabinet (11), at shell (10) back and corresponding cardiac module (1) position There is the jacking apparatus that cardiac module (1) can be jacked up.
5. fully simulated blood vessel according to claim 4 intervenes simulation system, it is characterised in that: the jacking apparatus is second Slider-crank mechanism (4), the sliding block (41) of the second slider-crank mechanism (4) is in the side perpendicular to manikin shell (10) back To straight reciprocating motion is done, reciprocating frequence is 60~100 beats/min, and sliding block (41) can be abutted with cardiac module (1).
6. fully simulated blood vessel according to claim 1 intervenes simulation system, it is characterised in that: the dress of the gas-permeable, liquid-impermeable It is set to nanometer level microporous ventilated membrane or GORE-TEX film or automatic exhaust steam valve.
7. fully simulated blood vessel according to claim 1 intervenes simulation system, it is characterised in that: in common vascular lesion portion It is corresponding equipped with the lesion pipeline (12) that can replace original pipeline at position.
8. fully simulated blood vessel according to claim 1 intervenes simulation system, it is characterised in that: the pipeline is light-transmission tube Road.
9. described in any item fully simulated blood vessels intervene simulation system according to claim 1~8, it is characterised in that: the human body Model shell (10) is human skin model, and manikin shell, pipeline and cardiac module (1) are all made of 3D printing production, Material used by 3D printing is TangoPlus rubber-like elastic material.
10. fully simulated blood vessel according to claim 9 intervenes simulation system, it is characterised in that: manikin shell (10), Pipeline and cardiac module (1) according to 1:1 scale modeling human body;
The sealing of human skin model, and inner inflatable form inflation manikin.
CN201811227945.1A 2018-10-22 2018-10-22 A kind of fully simulated blood vessel intervention simulation system Pending CN109147458A (en)

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Cited By (6)

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Publication number Priority date Publication date Assignee Title
CN109859599A (en) * 2019-03-14 2019-06-07 中国医学科学院北京协和医院 A kind of internal jugular vein puncture teaching model
CN111816043A (en) * 2020-07-21 2020-10-23 西安交通大学医学院第一附属医院 Blood vessel intervention operation simulator
CN112164295A (en) * 2020-10-21 2021-01-01 河南中博科技有限公司 Preparation method of specimen for human cerebrovascular interventional operation
CN113035036A (en) * 2019-12-09 2021-06-25 深圳市先健畅通医疗有限公司 Blood vessel simulation device
CN114209428A (en) * 2021-12-27 2022-03-22 湘南学院 Device for simulating acute kidney injury
CN114333530A (en) * 2022-03-16 2022-04-12 中山市人民医院 Be applied to real manikin of instructing of ECMO simulation

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CN109859599A (en) * 2019-03-14 2019-06-07 中国医学科学院北京协和医院 A kind of internal jugular vein puncture teaching model
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CN112164295A (en) * 2020-10-21 2021-01-01 河南中博科技有限公司 Preparation method of specimen for human cerebrovascular interventional operation
CN114209428A (en) * 2021-12-27 2022-03-22 湘南学院 Device for simulating acute kidney injury
CN114209428B (en) * 2021-12-27 2024-01-30 湘南学院 Device for simulating acute kidney injury
CN114333530A (en) * 2022-03-16 2022-04-12 中山市人民医院 Be applied to real manikin of instructing of ECMO simulation

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