CN109461357A - Central venous puncture training pattern - Google Patents

Central venous puncture training pattern Download PDF

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Publication number
CN109461357A
CN109461357A CN201811567674.4A CN201811567674A CN109461357A CN 109461357 A CN109461357 A CN 109461357A CN 201811567674 A CN201811567674 A CN 201811567674A CN 109461357 A CN109461357 A CN 109461357A
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vein
puncture
alarm
wire
site
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张锦龙
卢贵东
王尧
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Yingkou Dongfeng Industry And Trade Co Ltd
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Yingkou Dongfeng Industry And Trade Co Ltd
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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
    • G09B23/285Models for scientific, medical, or mathematical purposes, e.g. full-sized devices for demonstration purposes for medicine for injections, endoscopy, bronchoscopy, sigmoidscopy, insertion of contraceptive devices or enemas

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  • Engineering & Computer Science (AREA)
  • General Physics & Mathematics (AREA)
  • Health & Medical Sciences (AREA)
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  • Medical Informatics (AREA)
  • Medicinal Chemistry (AREA)
  • Chemical & Material Sciences (AREA)
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  • Radiology & Medical Imaging (AREA)
  • Pulmonology (AREA)
  • Mathematical Analysis (AREA)
  • General Health & Medical Sciences (AREA)
  • Mathematical Physics (AREA)
  • Pure & Applied Mathematics (AREA)
  • Business, Economics & Management (AREA)
  • Educational Administration (AREA)
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  • Instructional Devices (AREA)

Abstract

The present invention relates to medical education equipment technical fields, it includes: high artificial human body model, micro computer monitoring, alarming controller, it is characterized by: arteria carotis, the push-pull electromagnet of pulse module control is equipped with below femoral artery, it can automatic imitation arteriopalmus, jugular vein or femoral vein easy to find, vein one end extends 1-2 meters and replaces simply in the intraperitoneal circle of detour 1 of chest-as spare blood vessel, two layers of wire gauze for passing through silicon rubber mutual insulating is set in the simulation hypodermis layer except site of puncture, 3 kinds of alarm voice modules respectively through warning wire connection micro computer monitoring, alarming controller, loudspeaker and alarm red light, through on cable connection manikin.Automatic speech and red alarm when punctured error, while automatic speech alarming, puncturing part can repair and replace.The present invention carries out jugular vein, subclavian vein and femoral venous puncture skill training and examination for medical colleges and schools and teaching hospital, is remarkably improved teaching efficiency.

Description

Central venous puncture training pattern
Technical field
The present invention relates to medical education equipment technical fields, are exactly a kind of central venous puncture training patterns.
Background technique
In clinical medicine nursing, for central venous catheterization for the rescue in endangering, this venipuncture difficulty is big, more It needs to be operated by the nursing technique personnel of experience, traditional method of skill training is to be protected with patient by experienced teacher Transmit, aid and lead is carried out in reason practice, in recent years since the enhancing of people's legal conception and sense of self-protection, patient and refusal exist Real training with patient mostly uses central venous puncture training pattern to carry out skill training and examination, such as utility model patent at present Number CN200920148651.0 central venipuncture model;CN02246200.7 Torso training model for central intravenous injection, It is inflated into simulation arteria carotis to ball to simulate carotid pulsation using holding, jugular vein is found on the outside of arteria carotis and is determined Point of puncture guides internal jugular vein puncture, that there are the degree of automation is poor for the central venipuncture model of prior art production, puncture at The number of drawbacks such as power is low, and replacement is inconvenient, service life is short, affect the culture and improvement of medical person.
Summary of the invention
The purpose of invention is to provide a kind of central venous puncture training pattern, and arteria carotis can be automatically generated on manikin And femoral pulse, central venous puncture and femoral venous puncture are carried out, the success rate punctured is increased, when punctured error is puncturing The reason of near sites flash the redlight alarm automatically, while audio alert points out faults, significantly improves central vein and femoral vein Puncture the effect of skill training and examination.
It is low that this achievement solves existing central venipuncture model the degree of automation, does not have electronic monitoring function, punctures Position punctures the low success rate of problem of training.
A kind of central venous puncture training pattern, it includes: high artificial human body model, micro computer monitor controller, device, It is characterized by: 1:1 nature enlarged head is biased to the high artificial human body model (1) in left side, it is equipped with simulated skin (2), subcutaneous tissue (PX) J muscle (JR), bone (GG), right neck and arteria carotis (3) corresponding position are equipped with the first of pulse module (mc-1) control Push-pull electromagnet (4-1), top (4-2) contact simulation arteria carotis (3) of push-pull rod and its corresponding simulated skin (2- 1), right neck is set jugular vein (5), and is equipped with nutator (6), breastbone head (7), Clavicle Head (8) and clavicle (9) Between the apex angle of triangle that is formed be right internal jugular vein (5) site of puncture (10), above jugular vein (5) through hole from Overhead (11) is pierced by as the first overflow pipe (12), and spare blood vessel (BG-1) enters when extending 1-2 meters below as replacement The femoral vein (14) that chest-abdominal cavity (13) detour 1 migrates after enclosing at groin to be located under simulation subcutaneous tissue, from thigh Portion, which is pierced by, infuses blood vessel (15-1) as the first vein, and second that femoral artery (16) beating is set below the groin midpoint of right side is plug-type Electromagnet (17-1), top (17-2) contact femoral artery (18) of push-pull rod and its corresponding simulated skin (2-2);The stock The inside of artery (18) is femoral vein (14-1);The duct of Arantius is hung on infusion support (SYJ) by reducer union (JT) connection There is the end of well-bucket (DT) infusion apparatus (SYQ);It is divided into subclavian vein (19-1) in shirtfront upper right quarter clavicle (9), the vein is right End is pierced by from right shoulder partial below and infuses blood vessel (15-2) as the second vein, which extends 1-2 meters in chest-abdomen The interior circle of detour 1 of chamber (13) is used as spare blood vessel, is pierced by from left shoulder side on the upper side as the second overflow pipe (11- after (BG-2) detour 2);The various vein note blood vessels of model and overflow pipe are provided with plug (SZ);The back of high artificial human body model (1), which is equipped with, facilitates peace Dress or maintenance can pass through screw (L S) breakdown and closed backboard (BB);Above-mentioned each site of puncture simulated skin (2-1, It 2-2) is located in the shallow grooves (20-1,20-2) of simulated skin (2) depth 2-3mm;When site of puncture is nearby equipped with punctured error Alarm red light (BJ1/BJ2/BJ3);The electronic automatic monitoring device is in right internal jugular vein (5-1), right side femoral vein Pass through silicon rubber (GJ) mutually absolutely two layers of setting in simulation hypodermis layer (21) except the site of puncture (14-2) of (14-1) The wire gauze (B1-B4) of edge, is separately connected warning wire (X1-X4), in right subclavian vein (19-1) puncture portion Two layers of wire gauze (B5, B6) for passing through silicon rubber (GJ) mutual insulating is nearby arranged in position (19-2), and attached in site of puncture The pleura position in nearly deep increases one metal wire layer and arranges net (B7), connects warning wire (X5, X6), is arranged in right clavicle upper limb right Subclavian artery (22), corresponding simulation hypodermis layer (21-1) is interior to set two layers of metal for passing through silicon rubber (GJ) mutually insulated Silk is arranged net (B8, B9), is connected warning wire (X7, X8);(21) are set in hypodermis layer corresponding with right carotid artery (4) Two layers of wire gauze (B-10, B-11) for passing through silicon rubber (GJ) mutually insulated is set, is connected warning wire (X-9, X-10); The micro computer monitor controller panel (23) is equipped with total power switch (K) and its indicator light (L), subclavian vein puncture switch (K1) internal jugular vein puncture switch (K2), femoral venous puncture switch (K3);Voice module is set in microcomputer controller cabinet (24) (IC-1, IC-2, IC-3) connection loudspeaker (Y) punctured error alarm red light (L 1) punctures and has broken pleura alarm red light (L 2), it is punctured to artery alarm red light (L4);Alarm red light connects the warning wire (X-1-X-10) of each site of puncture and alarms red Lamp (JL1, J L2, JL3, JL4);The warning wire (X-1-X-4) of site of puncture connects voice module (IC-1), warning wire (X-5, X-6) connects voice module (IC-2), and warning wire (X7-X10) connects voice module (IC-3);Warning wire (X1- X10) microcomputer controller machine is connect through multi-core socket (CZ-1), plug (CT-1) with the power supply line of alarm red light (BJ1-BJ4) The cable (DL) of case (24) outside is connected through plug (CT-2) in the respective socket (CZ-2) of high artificial human body model (1).
This achievement advantage is: the arteriopalmus of simulation automatically generated, the trouble of manual compression rubber ball is avoided, significantly The success rate punctured, the confidence of enhancing beginner's study are improved, punctured error alarm red light lights automatic alarm, while automatic Audio alert and the reason of point out faults, there is blood back when puncturing correct, vein blood vessel and partial simulation replacing skins are very convenient, Be conducive to accelerate culture medical person.
Present invention will be further explained below with reference to the attached drawings and examples
Detailed description of the invention:
Fig. 1 is overall structure diagram of the invention
Fig. 2 is high artificial human body model back structures schematic diagram of the invention
Fig. 3 is vein blood vessel layout diagram structural representation of the invention
Fig. 4 is puncture partial structural diagram of the invention
Fig. 5 is micro computer monitor controller overlooking structure diagram of the invention
Fig. 6 is control circuit schematic illustration of the invention.
Specific embodiment
The simulated skin (2) of high artificial human body model (1) of the invention, simulation subcutaneous tissue (PX), muscle (JR) use silicon Rubber or soft plastic mold molding making, bone (GG) composite material or plastic mould molding making, simulation blood is with general Water flowing adds the haematochrome of 0.5-1% to make, and other aftermarket that specification and its attached drawing require are on sale.Record " site of puncture Mistake!" voice be stored in the chip of voice module (IC-1), recording " worn out pleura!" voice be stored in voice mould In the chip of block (IC-2), recording " has punctured artery!" voice be stored in the chip of voice module (IC-3), on getting all the ready It states model and various components to assemble referring to attached drawing, can be used afterwards after debugging.By high artificial human body model (1) head when use It is padded, it pulls up and leads to high human simulation above the first vein note blood vessel (15-1) and jugular vein (5) of femoral vein (14-1) connection The plug (SZ) for the first overflow pipe (12-1) that the overhead (11) of body Model (1) is pierced by extracts simulation blood with big syringe Liquid is from the first vein note blood vessel (15-1) injection, until the overflow pipe (12-1) shows to have filled when having simulation blood outflow, this When the first overflow pipe (12-1) the nozzle plug is closed with plug (SZ);High artificial human body model (1) is placed in right lateral position head again Portion, which paves, makes model stability, the plug (SZ) of the second vein note blood vessel (15-2) and the second overflow pipe (12-2) is pulled up, by second Vein infuses end bucket type infusion device (SYQ) equipped with simulation blood in blood vessel (15-2) connection infusion support (SYJ), with big note Emitter extracts simulation blood from the second vein of right shoulder note blood vessel (15-2) injection, until the second overflow pipe (12-2) has simulation blood Show to have filled when liquid stream goes out, is at this time closed the second overflow pipe (12-2) nozzle plug with plug (SZ);Carry out jugular vein (5- 1) use haemostatic clamp above plug (SZ) corresponding vein note blood vessel (15-1,15-2) when or subclavian vein (19-1) punctures Folder closes, and note blood vessel connection infusion support (SYJ) is equipped with to bucket type infusion device (SYQ) end for hanging the die-filling quasi- blood of cylinder (DT) The adjuster of infusion apparatus (SYQ) is opened to generate central venous pressure in end, and the height of central venous pressure can be by hanging cylinder (DT) Height is adjusted, and central venous pressure and hangs cylinder (DT) high-positive correlation, that is, hangs that cylinder (DT) is higher, and central venous pressure is higher, instead It is then lower.Microcomputer controller panel (23) power switch (K) power supply indicator is opened to light, it can root training or examination needs It presses the corresponding indicator light (L1/L2) of audio alert switch (K1), arteriopalmus switch (K2) to light, right side simulation arteria carotis (3) and femoral artery (18) beating the first and second push-pull electromagnets (4-1,17-1) press pulse module (mc) frequency rhythms Property jack up simulation arteria carotis (3) and simulate femoral artery (17-1) and the accessible simulation right carotid of simulated skin (2) thereon is fought Dynamic and simulation right common femoral artery (18), is conducive to the position for determining jugular vein (5) and femoral vein (14-1), and operator contacts neck Artery (3) beating outside and be jugular vein (5-1), the site of puncture (5-2) of jugular vein (5-1) be located at chest lock cream flesh ( 6) breastbone head (7), Clavicle Head (8) are formed by vertex angle with clavicle (9), contact femoral artery (18) Beating, the blood vessel that there is fluctuation in inside is femoral vein (14-1), and when site of puncture mistake then penetrates and right internal jugular vein (5-1), there is simulation except the correct site of puncture (5-2,19-2,14-2) of subclavian vein (19-1) femoral vein (14-1) Two layers be arranged in subcutaneous tissue (PX) passes through silicon rubber (GJ) mutual insulating wire gauze B1-B4), pass through conducting wire (X1- X$ the voice module (IC-1) and loudspeaker (Y) in micro computer monitor controller cabinet (24), loudspeaker (Y) hair) are connected " site of puncture mistake out!" voice warning, while alarm red light (BJ-1/BJ-2) lights;If puncturing subclavian vein When (19-1), site of puncture mistake and also puncture through deep penetration pleura metal mesh conductive fabric (B5, B6, B7) connect alarm lead Line (X5, X6, X7), then alarm red light (BJ3) lights, while connect voice module (IC-2) circuit, loudspeaker (Y) issue " site of puncture mistake!Pleura is worn out!" voice warning, if having punctured arteria carotis (3) or femoral artery (18) position, Alarm red light (BJ-4/BJ-5) lights, while loudspeaker issues;" site of puncture mistake!Artery is punctured!" voice warning, Prompt operator corrects mistake to be punctured again, is very suitable to beginner and is carried out central venous puncture training, according to incremental Principle, easy first and difficult later repetition training are remarkably improved central vein and periphery deep vein puncture skill training and examination effect.Through When repeatedly puncturing simulation vein blood vessel leakage blood, replacement is very convenient, and the replacing options of jugular vein are: by high artificial human body model (1) overflow pipe (11-1) on the crown is extracted outward leaks at blood until exposing, and is clamped above it with haemostatic clamp, wipes out this of breakage Section simulation vein blood vessel, is closed with plug (SZ) plug afterwards.When leaking blood at femoral vein (14-1) puncture, after its lower section is extracted It wipes out, is closed with plug (SZ) plug;By the second liquid injection pipe (15- of right shoulder when leakage blood at subclavian vein (5-1) puncture 2) it extracts outward, a Duan Zaiyong plug (SZ) plug for wiping out leakage blood closes, model chest-abdominal cavity (13) interior detour spare blood of 1-2 rice After pipe (BG-1/BG-2) is finished, the screw (LS) that must back out high artificial human body model (1) backboard (BB) opens backboard (BB) weight New standby is installed in new replacement, and puncturing local skin cannot be in use, by spare simulation skin after being removed through repeatedly puncturing Skin (2-1/2-2) can be reused with silicone rubber adhesive bonding several points and substantially prolong service life.

Claims (3)

1. a kind of central venous puncture training pattern, it includes: high artificial human body model, micro computer monitoring, alarming controller, Be characterized in that: 1:1 nature enlarged head is biased to the high artificial human body model (1) in left side, is equipped with simulated skin (2), subcutaneous tissue (PX) J muscle (JR), bone (GG), right neck and arteria carotis (3) corresponding position are equipped with the first of pulse module (mc-1) control Push-pull electromagnet (4-1), top (4-2) contact simulation arteria carotis (3) of push-pull rod and its corresponding simulated skin (2- 1), right neck is set jugular vein (5), and is equipped with nutator (6), breastbone head (7), Clavicle Head (8) and clavicle (9) Between the apex angle of triangle that is formed be right internal jugular vein (5) site of puncture (10), above jugular vein (5) through hole from Overhead (11) is pierced by as the first overflow pipe (12), and spare blood vessel (BG-1) enters when extending 1-2 meters below as replacement The femoral vein (14) that chest-abdominal cavity (13) detour 1 migrates after enclosing at groin to be located under simulation subcutaneous tissue, from thigh Portion, which is pierced by, infuses blood vessel (15-1) as the first vein, and second that femoral artery (16) beating is set below the groin midpoint of right side is plug-type Electromagnet (17-1), top (17-2) contact femoral artery (18) of push-pull rod and its corresponding simulated skin (2-2);The stock The inside of artery (18) is femoral vein (14);The duct of Arantius hangs over hanging on infusion support (SYJ) by reducer union (JT) connection The end of barrel type infusion apparatus (SYQ);Subclavian vein (19-1) is divided into shirtfront upper right quarter clavicle (9), the vein right end is from the right side Shoulder partial below, which is pierced by, infuses blood vessel (15-2) as the second vein, which extends 1-2 meters in chest-abdominal cavity (13) The interior circle of detour 1 is used as spare blood vessel, is pierced by from left shoulder side on the upper side as the second overflow pipe (11-2) after (BG-2) detour;Model Various vein note blood vessels and overflow pipe are provided with plug (SZ);The back of high artificial human body model (1), which is equipped with, facilitates installation or dimension Repair, can be by screw (L S) breakdown and closed backboard (BB);The simulated skin (2-1,2-2) of above-mentioned each site of puncture is set In the shallow grooves (20-1,20-2) of simulated skin (2) depth 2-3mm;The electronic automatic monitoring device is in right side neck Internal jugular vein (5-1), right side femoral vein (14-1) site of puncture (14-2) except simulation hypodermis layer (21) in setting two Layer passes through the wire gauze (B1-B4) of silicon rubber (GJ) mutual insulating, warning wire (X1-X4) is separately connected, on right side Two layers of wire gauze for passing through silicon rubber (GJ) mutual insulating is nearby arranged in the site of puncture subclavian vein (19-1) (19-2) (B5, B6), and the pleura position increase one metal wire layer in deep is arranged net (B7) near site of puncture, connection warning wire (X5, X6), right subclavian artery (22) are set in right clavicle upper limb, set two layers in corresponding simulation hypodermis layer (21-1) and passes through silicon The wire of rubber (GJ) mutually insulated is arranged net (B8, B9), is connected warning wire (X7, X8);Opposite with right carotid artery (4) Two layers of wire gauze (B-10, B-11) for passing through silicon rubber (GJ) mutually insulated is arranged in (21) in the hypodermis layer answered, even Conducting wire (X-9, X-10) taking alarm.
2. a kind of central venous puncture training pattern as belonging to claim 1, it is characterised in that: the micro computer monitoring, alarming Controller panel (23) is equipped with total power switch (K) and its indicator light (L), and audio alert switchs (K1), arteriopalmus switch (K2).
3. setting alarm voice module (IC-1, IC-2, IC-3) connection loudspeaking in micro computer monitoring, alarming controller box (24) Device (Y) and punctured error alarm red light (L 1) puncture and have broken pleura alarm red light (L 2), have been punctured to artery alarm red light (L4);Alarm red light connects warning wire (X-1-X-4) connection alarm voice module (IC-1) of each site of puncture, and alarm is led Line (X-5, X-6) connects alarm voice module (IC-2), and warning wire (X7-X10) connects alarm voice module (IC-3);Report Alert conducting wire (X1-X10) connect with the power supply line of alarm red light (BJ1-BJ4) through multi-core socket (CZ-1), plug (CT-1) micro- The cable (DL) of computer monitoring alarm controller cabinet (24) outside connects the phase of high artificial human body model (1) through plug (CT-2) It answers on socket (CZ-2).
CN201811567674.4A 2018-12-21 2018-12-21 Central venous puncture training pattern Pending CN109461357A (en)

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Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN110807979A (en) * 2019-10-12 2020-02-18 郑州大学第一附属医院 Blood purification model person
CN110992800A (en) * 2019-12-20 2020-04-10 首都医科大学宣武医院 Electrocardiogram-assisted PICC catheter tip positioning high-simulation teaching aid
CN117975801A (en) * 2024-03-29 2024-05-03 吉林大学 Model for pleural effusion treatment

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CN107437362A (en) * 2016-05-27 2017-12-05 营口市贵东医疗器械制造有限公司 Full-automatic multi-functional comprehensive puncturing trains computer simulation people
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CN107886825A (en) * 2017-12-27 2018-04-06 营口市贵东医疗器械制造有限公司 Height emulation gynecological surgery technical ability simulated training standard patient
CN107945638A (en) * 2017-12-30 2018-04-20 营口市贵东医疗器械制造有限公司 Simulated training syringe and the multi-functional injection manikin of electronic monitoring

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Publication number Priority date Publication date Assignee Title
CN202339662U (en) * 2011-07-22 2012-07-18 北京大学人民医院 Assessment guide model for abdomen puncture
CN107437362A (en) * 2016-05-27 2017-12-05 营口市贵东医疗器械制造有限公司 Full-automatic multi-functional comprehensive puncturing trains computer simulation people
JP2018028588A (en) * 2016-08-17 2018-02-22 テルモ株式会社 Manipulation simulator
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Publication number Priority date Publication date Assignee Title
CN110807979A (en) * 2019-10-12 2020-02-18 郑州大学第一附属医院 Blood purification model person
CN110992800A (en) * 2019-12-20 2020-04-10 首都医科大学宣武医院 Electrocardiogram-assisted PICC catheter tip positioning high-simulation teaching aid
CN117975801A (en) * 2024-03-29 2024-05-03 吉林大学 Model for pleural effusion treatment
CN117975801B (en) * 2024-03-29 2024-05-31 吉林大学 Model for pleural effusion treatment

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