CN111179720B - Teaching model for anus and rectum internal operation suture and knotting practice - Google Patents

Teaching model for anus and rectum internal operation suture and knotting practice Download PDF

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CN111179720B
CN111179720B CN202010150732.4A CN202010150732A CN111179720B CN 111179720 B CN111179720 B CN 111179720B CN 202010150732 A CN202010150732 A CN 202010150732A CN 111179720 B CN111179720 B CN 111179720B
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silica gel
mucosa
tube body
practice
pull
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CN111179720A (en
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张小禹
陈婉莹
徐莹莹
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Jilin University
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Jilin University
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    • 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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Abstract

The invention discloses a teaching model for surgical suturing and knotting practice in anorectum, and particularly relates to the technical field of medical instruments. The teaching model for anorectal operation suturing and knotting practice is characterized in that a tube body, a fixer, a push block, a silica gel body and silica gel mucosa are designed, the two ends of the tube body penetrate through the tube body, an opening is formed in the tube body along a bus, a fixing joint is arranged at the front end of the tube body in a circular mode, the inner wall and the outer wall of the tube body are connected together to form an outer cavity, and the outer cavity is used for placing the silica gel mucosa, namely simulating the shape of the rectum of a human body; the silica gel mucosa which is curled into a cylinder shape is supported, and the silica gel mucosa can not deform after being used for a long time, so that the sewing practice of students can not be influenced; through the design colloidal silica, under the effect of tractor, can simulate the scene of operation, let the student can put into and press close to real operation scene more.

Description

Teaching model for anus and rectum internal operation suture and knotting practice
Technical Field
The invention relates to the technical field of medical instruments, in particular to a teaching model for surgical suturing and knotting practice in anus and rectum.
Background
The rectum is the last segment of the digestive tract, and because the middle and lower segments of the rectum have quite abundant connective tissue gaps around the rectum, the rectum has less chance of being injured due to general trauma, and once the rectum is punctured by trauma, the rectum is likely to cause extremely serious infection of the gaps around the rectum and bring a series of related complications. Therefore, the rectal trauma is not only very troublesome to treat, but also has many postoperative complications, which can cause great pain to patients and family members. Therefore, timely and effective processing is very important. Rectal trauma is usually repaired by suturing the rectal wound exactly to facilitate healing, and suturing refers to closing or reconstructing the channel of the cut or traumatized and fractured tissues and organs to restore the function of the tissues and organs. The knotting is the last step of ending the sewing and plays a role in fixing and reinforcing. Both of them are the basic conditions for ensuring good healing, and are one of the important basic operation techniques of surgery, and even more, every will becomes the doctor's course of repair.
Chinese patent documents: CN 108269475 a, application date: 2013.09.27, the patent names: a teaching model for anorectal operation suture and knotting practice. Discloses a teaching model for surgical suture and knotting practice in anorectal, which comprises an operation table, a fixed bracket, an intestinal canal, a silica gel mucous membrane and a light source; the operating platform is of a cuboid structure, and lifting rods are arranged around the bottom of the operating platform; the fixed brackets are arranged at the front end and the rear end of the surface of the operating platform; the intestinal canal is of a hollow expandable structure.
The teaching model for operation suturing and knotting practice in anus rectum of the patent literature provides a three-dimensional suture and knotting in the convenient student simulation anus rectum, improves the technique of sewing and knotting in the anus of student, environment when the at utmost reduction operation, the substitution sense of reinforcing student as the main sword when practising can be practiced repeatedly, experience repeatedly, provide a valuable teaching model for operation suturing and knotting practice in the anus rectum for the student really implements operation anus internally sews up and when knotting.
The problems of the current model are as follows:
1. in the actual operation process, the silicon gel mucosa which is curled into a cylindrical shape is easy to deform after being used for a long time because the inside of the silicon gel mucosa is not supported, so that the simulated human rectal mucosa fails.
2. Four liftable poles need be adjusted respectively to the lift operation panel, complex operation, and because the lifter is not integrative, just there is the condition emergence that the altitude mixture control differs when the adjustment, leads to the operation panel to place not level, influences the exercise.
3. The silica gel mucosa of putting into the intestines is practiced the area of being limited, just must reopen the fixed knot when needs to practise the silica gel mucosa in back, opens the body and replaces the silica gel mucosa, complex operation.
4. In surgical tables, often the surgical lights are all above the table, not in the surgical position, and the device incorporates light sources that are instead offset from the simulation of the surgical situation.
5. Because the rectum is connected with the anus, the device lacks the simulation of the anus structure, lacks the real simulation sense and can not place the student into a more real exercise scene.
Disclosure of Invention
Aiming at the problems in the prior art, the invention provides a teaching model for practicing surgical suturing and knotting in anus and rectum, which solves the problems by designing a tube body, a fixer, a push block, a silica gel body and a silica gel mucosa.
In order to achieve the technical purpose and achieve the technical effect, the invention is realized by the following technical scheme:
a teaching model for practicing surgical suture and knotting in anorectal comprises a tube body, a fixer, a push block, a silica gel body and silica gel mucosa, wherein two ends of the tube body penetrate through the tube body, the tube body is a cylinder with an opening along a bus, a fixed joint is circularly arranged at the front end of the tube body, the inner wall and the outer wall of the tube body are connected together to form an outer cavity, and the outer cavity is used for placing the silica gel mucosa, namely simulating the shape of the human rectum;
the middle pipe body of the pipe body is connected with a lifting rod, the lifting rod is connected with a fixer in an integrated forming mode, and the fixer can be clamped on a teaching table and an operation exercise table according to the learning needs of students and the teaching needs of teachers;
the pushing block is connected with the solid ring to be integrally formed, the solid part of the solid ring can be inserted into the outer cavity of the tube body, the pushing block is placed on the opening and can be pushed along the opening, so that the solid ring is driven to push the silica gel mucosa in the outer cavity, the rear section of the unused silica gel mucosa is pushed to the front end of the tube body, and the used silica gel mucosa is pushed forwards;
the two sides of the tube body close to the front end are provided with a fixing block and a fixing buckle, the outer wall of the front end of the tube body is provided with an inward sunken tail clamping groove, and silica gel is sleeved on the tail clamping groove.
The outer wall of the tail end of the pipe body is provided with external threads, the bottom end of the pipe body is sleeved with the fixing cover, internal threads matched with the external threads are arranged in the fixing cover, the fixing buckle on the front end of the pipe body is a fixing buckle capable of being opened and closed, and the shape of the pipe body can be fixed by designing the fixing buckle and the fixing cover.
An inner rod is arranged in the lifting rod, a spring button is connected to the upper end of the lifting rod, the spring button is pressed, the inner core of the inner rod is pressed by the spring button to contract inwards, and the expansion of the inner rod in the telescopic rod can be controlled.
The colloidal silica material is soft elastic silica gel, for pressing close to human skin material.
The fixed block is cylindrical, and one side of the fixed block, which is close to the tail end, is provided with an inwards concave clamping groove.
The silica gel mucosa is the cuboid form of supporting body exocoel, and the silica gel mucosa is equipped with a plurality of incision lines, and the silica gel mucosa after sewing up the teaching promptly can tear and abandon, conveniently imparts knowledge to students, the exercise to the silica gel mucosa of lower piece, and the silica gel mucosa is removable the use.
The invention has the beneficial effects that: compared with the prior art, the teaching model for the practice of the surgical suture and knot tying in the anorectum designed by the invention,
1. through the annular body of design, the curly cylindric silica gel mucosa that becomes supports, can not lead to the deformation after using the longer time to some influences student's the exercise of sewing up.
2. Through design stretch down pole, fixer, when carrying out lifting operation, only need press the spring button on the lifter can, easy and simple to handle, and can fix the device at the exercise desktop, on the podium, make things convenient for the student to exercise, mr explains.
3. Through design ejector pad, solid circle, can promote the silica gel mucosa of putting into the intestines, through design silica gel mucosa incision line, need not open the body and just can replace the silica gel mucosa of having practiced exercise, made things convenient for the student to carry out exercise many times.
4. Through the design colloidal silica, under the effect of tractor, can simulate the scene of operation, let the student can put into and press close to real operation scene more.
Drawings
In order to more clearly illustrate the technical solutions of the embodiments of the present invention, the drawings used in the description of the embodiments will be briefly introduced below, and it is obvious that the drawings in the following description are only some embodiments of the present invention, and it is obvious for those skilled in the art that other drawings can be obtained according to the drawings without creative efforts.
FIG. 1 is a schematic structural view of a teaching model for practice of surgical suturing and knot tying in anorectal region according to the present invention;
FIG. 2 is a schematic structural view of the tube of the present invention;
FIG. 3 is a schematic structural view of the silica gel adhesive film according to the present invention;
fig. 4 is a schematic structural diagram of the push block and the solid ring of the present invention.
Fig. 5 is a schematic structural view of the outer chamber of the present invention.
Fig. 6 is a schematic view of the retractor of the embodiment.
In the drawings, the components represented by the respective reference numerals are listed below:
1-tube body, 101-fixing buckle, 102-fixing block, 103-outer cavity, 104-opening, 105-outer thread, 106-fixing cover, 107-inner thread, 108-groove, 109-tail clamping groove, 2-fixer, 201-lifting rod, 202-spring button, 203-inner rod, 3-push block, 301-solid ring, 4-silicon body, 5-retractor, 501-pull handle, 502-pull head, 6-silicon adhesive film and 601-cut line.
Detailed Description
The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only a part of the embodiments of the present invention, and not all of the embodiments. All other embodiments, which can be derived by a person skilled in the art from the embodiments given herein without making any creative effort, shall fall within the protection scope of the present invention.
As shown in fig. 1-6
A teaching model for anorectal operation suturing and knotting practice comprises a tube body 1, a fixer 2, a push block 3, a silica gel body 4 and a silica gel mucosa 6, wherein the tube body 1 is a cylinder with two ends penetrating through and an opening 104 formed along a bus, a fixed joint 103 is arranged at the front end of the tube body 1 in a circular mode, the inner wall and the outer wall of the tube body are connected together to form an annular outer cavity 103, and the outer cavity 103 is used for placing the silica gel mucosa 6;
the middle pipe body of the pipe body 1 is connected with a lifting rod 201, the lifting rod 201 is connected with a fixer 2 to be integrally formed, and the fixer 2 is used for being clamped on the edges of a teaching table and an operation exercise table;
the push block 3 is connected with the solid ring 301 to be integrally formed, and the solid part of the solid ring 301 can be inserted into the outer cavity 103 of the tube body;
two sides of the tube body 1 close to the front end are provided with a fixing block 102 and a fixing buckle 101, the outer wall of the front end of the tube body 1 is provided with an inward-concave tail clamping groove 109, and the tail clamping groove is sleeved with a silica gel body 4.
The outer wall of the tail end of the pipe body 1 is provided with an external thread 105, the bottom end of the pipe body 1 is sleeved with a fixing cover 106, an internal thread 107 matched with the external thread 105 is arranged in the fixing cover, and a fixing buckle 101 on the front end of the pipe body 1 is an openable fixing buckle, namely, the shape of the pipe body 1 can be fixed by designing the fixing buckle and the fixing cover 106.
An inner rod 203 is arranged in the lifting rod 202, a spring button 202 is connected to the upper end of the lifting rod 202, the spring button 202 is pressed, the inner core of the inner rod is propped by the spring button 202 to contract inwards, and therefore the inner rod 203 can be controlled to stretch in the telescopic rod 201.
The 4 materials of colloidal silica are soft elasticity silica gel, for pressing close to human skin material.
The fixing block 102 is cylindrical, and an inward-concave clamping groove 108 is formed in one side, close to the tail end, of the fixing block.
The silica gel mucosa 6 is a cuboid shape matched with the outer cavity 103 of the tube body 1, the silica gel mucosa 6 is provided with a plurality of incision lines 601, namely, the silica gel mucosa 6 after sewing teaching can be torn off and discarded, the teaching and the practice of the lower silica gel mucosa 6 are convenient, and the silica gel mucosa 6 can be replaced for use.
The technical scheme of the invention is explained by combining the specific embodiment as follows:
example 1
A teaching model for anorectal operation suturing and knotting practice comprises a tube body 1, a fixer 2, a push block 3, a silica gel body 4 and a silica gel mucosa 6, wherein the tube body 1 is a cylinder with two ends penetrating through and an opening 104 formed along a bus, a fixed joint 103 is arranged at the front end of the tube body 1 in a circular mode, the inner wall and the outer wall of the tube body are connected together to form an outer cavity 103, and the outer cavity 103 is used for placing the silica gel mucosa 6; the middle pipe body of the pipe body 1 is connected with a lifting rod 201, the lifting rod 201 is connected with a fixer 2 to be integrally formed, and the fixer 2 is used for being clamped on a teaching table and an operation exercise table; the push block 3 is connected with the solid ring 301 to be integrally formed, and the solid part of the solid ring 301 can be inserted into the outer cavity 103 of the tube body; the utility model discloses a solid forming device, including body 1, fixed knot 101, body 1 front end outer wall cover has colloidal silica 4, body 1 tail end outer wall is equipped with external screw thread 105, and body 1 bottom cover has fixed lid 106, be equipped with in the fixed lid with external screw thread 105 to complex internal thread 107, fixed knot 101 on body 1 front end is a fixed knot that can open and shut, through design fixed knot and fixed lid 106, can be fixed with the shape of body 1 promptly.
Example 2
Referring to fig. 6, a tractor for pulling apart colloidal silica comprises a pull handle 501, a pull rod and a pull head 502, wherein the pull handle 501 is an annular pull handle 501, the pull handle 501 is connected with the pull rod to form an integral whole, the front end of the pull rod is connected with the pull head 502, the pull head 502 is in a rake shape, the bottom end of the pull head is provided with a tooth surface, and the pull head can be hooked on the colloidal silica to carry out traction.
Example 3
Based on embodiment 1-2, referring to fig. 6, the pulling head at the front end of the pulling rod of the retractor 5 pulls the silica gel body 4, the anorectal cavity is opened during the simulation of normal hand operation, the pulling handle bypasses the fixing block on the tube body 1, the pulling handle 501 is placed in the groove for fixing, and the anal internal suture and knot tying are facilitated.
In the description herein, references to the description of "one embodiment," "an example," "a specific example" or the like are intended to mean that a particular feature, structure, material, or characteristic described in connection with the embodiment or example is included in at least one embodiment or example of the invention. In this specification, the schematic representations of the terms used above do not necessarily refer to the same embodiment or example. Furthermore, the particular features, structures, materials, or characteristics described may be combined in any suitable manner in any one or more embodiments or examples.
The preferred embodiments of the invention disclosed above are intended to be illustrative only. The preferred embodiments are not intended to be exhaustive or to limit the invention to the precise embodiments disclosed. Obviously, many modifications and variations are possible in light of the above teaching. The embodiments were chosen and described in order to best explain the principles of the invention and the practical application, to thereby enable others skilled in the art to best utilize the invention. The invention is limited only by the claims and their full scope and equivalents.

Claims (4)

1. The utility model provides a teaching mode that is used for anus rectum internal operation to sew up and tie a knot exercise which characterized in that: the tube body is a cylinder with two ends penetrating and an opening formed along a bus, a fixed joint is arranged at the front end edge of the tube body, the inner wall and the outer wall of the tube body are connected together to form an outer cavity, and the outer cavity is used for placing the silica gel mucosa;
the middle pipe body of the pipe body is connected with a lifting rod, and the lifting rod is connected with a fixer to be integrally formed;
the pushing block is connected with the solid ring to be integrally formed, the solid part of the solid ring can be inserted into the outer cavity of the tube body, the pushing block is placed on the opening and can be pushed along the opening, so that the solid ring is driven to push the silica gel mucosa in the outer cavity, the rear section of the unused silica gel mucosa is pushed to the front end of the tube body, and the used silica gel mucosa is pushed forwards;
two sides of the tube body close to the front end are provided with a fixed block and a fixed buckle, the outer wall of the front end of the tube body is provided with an inward-concave tail clamping groove, and silica gel is sleeved on the tail clamping groove;
the outer wall of the tail end of the pipe body is provided with an external thread, the bottom end of the pipe body is sleeved with a fixing cover, an internal thread matched with the external thread is arranged in the fixing cover, the fixing buckle on the front end of the pipe body is a fixing buckle capable of being opened and closed, and the shape of the pipe body can be fixed by designing the fixing buckle and the fixing cover;
the silica gel mucosa is in a cuboid shape matched with the outer cavity of the tube body, the silica gel mucosa is provided with a plurality of incision lines, the silica gel mucosa after sewing teaching can be torn off and discarded, teaching and practice on the lower piece of silica gel mucosa are facilitated, and the silica gel mucosa can be replaced for use;
the silicon colloid is pulled open through the tractor, the tractor comprises a pull handle, a pull rod and a pull head, the pull handle is an annular pull handle, the pull handle is connected with the pull rod in an integrated mode, the front end of the pull rod is connected with the pull head, the pull head is in a rake shape, the bottom end of the pull head is provided with a tooth surface, and the pull head can be hooked on the silicon colloid for traction.
2. The instructional model for the practice of anorectal surgical suturing and knot tying of claim 1, wherein: an inner rod is arranged in the lifting rod, a spring button is connected to the upper end of the lifting rod, the spring button is pressed, and the spring button props against the inner core of the inner rod and contracts towards the inside of the spring button.
3. The instructional model for the practice of anorectal surgical suturing and knot tying of claim 1, wherein: the colloidal silica material is soft elastic silica gel, for pressing close to human skin material.
4. The instructional model for the practice of anorectal surgical suturing and knot tying of claim 1, wherein: the fixed block is cylindrical, and one side of the fixed block, which is close to the tail end, is provided with an inwards concave clamping groove.
CN202010150732.4A 2020-03-06 2020-03-06 Teaching model for anus and rectum internal operation suture and knotting practice Active CN111179720B (en)

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Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3775865A (en) * 1972-07-24 1973-12-04 R Rowan Simulator for teaching suturing techniques
CN201725474U (en) * 2009-12-02 2011-01-26 天津市医学堂科技有限公司 Intestinal canal anastomosis model
CN108269475A (en) * 2018-03-29 2018-07-10 上海中医药大学附属岳阳中西医结合医院 A kind of teaching mode practiced for operation stitching in anal orifice and rectal intestine and knotting
CN110176174A (en) * 2019-06-27 2019-08-27 郑州大学第一附属医院 A kind of intravenous injection practicing arm models
CN209460964U (en) * 2018-06-28 2019-10-01 中国人民解放军第二军医大学 A kind of Surgical Teaching stitch mould

Family Cites Families (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
KR20200102462A (en) * 2017-12-19 2020-08-31 어플라이드 메디컬 리소시스 코포레이션 Anterior rectal mesenteric surgery simulator

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3775865A (en) * 1972-07-24 1973-12-04 R Rowan Simulator for teaching suturing techniques
CN201725474U (en) * 2009-12-02 2011-01-26 天津市医学堂科技有限公司 Intestinal canal anastomosis model
CN108269475A (en) * 2018-03-29 2018-07-10 上海中医药大学附属岳阳中西医结合医院 A kind of teaching mode practiced for operation stitching in anal orifice and rectal intestine and knotting
CN209460964U (en) * 2018-06-28 2019-10-01 中国人民解放军第二军医大学 A kind of Surgical Teaching stitch mould
CN110176174A (en) * 2019-06-27 2019-08-27 郑州大学第一附属医院 A kind of intravenous injection practicing arm models

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