CN114373349B - Whole abdominal cavity viscera operation training system - Google Patents
Whole abdominal cavity viscera operation training system Download PDFInfo
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- CN114373349B CN114373349B CN202011482111.2A CN202011482111A CN114373349B CN 114373349 B CN114373349 B CN 114373349B CN 202011482111 A CN202011482111 A CN 202011482111A CN 114373349 B CN114373349 B CN 114373349B
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- G09—EDUCATION; CRYPTOGRAPHY; DISPLAY; ADVERTISING; SEALS
- G09B—EDUCATIONAL OR DEMONSTRATION APPLIANCES; APPLIANCES FOR TEACHING, OR COMMUNICATING WITH, THE BLIND, DEAF OR MUTE; MODELS; PLANETARIA; GLOBES; MAPS; DIAGRAMS
- G09B9/00—Simulators for teaching or training purposes
Abstract
The invention discloses a training system for abdominal cavity viscera surgery, which comprises a training mechanism, a control mechanism and a display mechanism, wherein: the training mechanism comprises a simulation box, a thoracic and abdominal cavity viscera placing assembly arranged in the simulation box, an animal thoracic and abdominal viscera arranged in the thoracic and abdominal cavity viscera placing assembly and an operation cover body connected with the simulation box; the control mechanism comprises an MCU main control board, a laparoscope module, a refrigeration system, a blood circulation assembly, a lifting assembly and a leakage evaluation assembly; the laparoscope module is integrated with the display mechanism and comprises a touch screen and a display; the invention provides a training system for a whole abdominal cavity organ operation, which utilizes a platform to connect multiple pipelines and multiple organs, and the multiple pipelines and the multiple organs circulate through a peristaltic pump and simulate blood circulation, thereby achieving the aim of training the thoracic and laparoscopic surgery of a surgeon; the force feedback system can restore a real operation scene and a force feedback system, and is convenient for a trainer to carry out training operation.
Description
Technical Field
The invention relates to the technical field of medical instruments, in particular to a training system for abdominal organ operation.
Background
With the development of surgical techniques and instruments, the thoracoscope surgery has clear visual field and convenient operation, and becomes an important operation mode of conventional operations of parts such as esophagus, lung, mediastinum and the like. The novel minimally invasive thoracic surgery technology for completing complicated intrathoracic operations under chest wall cannulas or micro incisions by using a modern television camera shooting technology and high-tech surgical instrument equipment is characterized in that one or more incisions of about 1cm are made in the thoracic cavity of a human body, and a pipeline-shaped working channel called trocar is inserted into each incision. The operation is performed by trocar using a special instrument for a thoracoscope. The thoracoscope operation has small wound and quick recovery, greatly reduces the pain of patients, shortens the hospitalization time and conforms to the development of modern minimally invasive surgery.
However, thoracoscopic and endoscopic surgery is different from the traditional basic surgical operation, and due to the characteristics of the thoracoscopic and endoscopic surgery, training and simulation teaching have special requirements.
The thoracoscope operation training needs a large amount of basic operation training before entering clinical training, and a training device commonly used at the stage is an endoscope simulation training box. The traditional endoscope simulation training box main body is a cuboid box, and a plurality of surgical instrument inlets are reserved at the top of the box. By means of this device an environment is simulated in which the surgical instrument is operated in an endoscopic field of view. However, due to the single structure and function of the training box, the trainee cannot be trained most closely to the real operation environment.
In view of the above problems, there is a need to design a simulation training box for abdominal organ simulation surgery to overcome the above technical problems.
Disclosure of Invention
The invention aims to overcome the defects in the prior art and provides a training system for the whole abdominal cavity organ operation, wherein a platform is utilized to connect a plurality of pipelines and organs, circulate through a peristaltic pump and simulate blood circulation, so that the aim of thoracic and laparoscopic operation training of a surgeon is fulfilled; the force feedback device can restore a real operation scene and a force feedback system, and is convenient for a trainer to train.
In order to achieve the above purpose, the present invention mainly provides the following technical solutions:
a training system for abdominal cavity viscera operation,
including training mechanism, control mechanism and display mechanism, wherein:
the training mechanism comprises a simulation box, a thoracic and abdominal cavity viscera placing assembly arranged in the simulation box, an animal thoracic and abdominal viscera arranged in the thoracic and abdominal cavity viscera placing assembly and an operation cover body connected with the simulation box; an artificial pneumoperitoneum component is arranged on the operation cover body;
the control mechanism comprises an MCU main control board, a laparoscope module, a refrigerating system, a blood circulation assembly, a lifting assembly, a power supply assembly and a leakage evaluation assembly; the refrigeration system, the blood circulation assembly, the lifting assembly and the leakage evaluation assembly are respectively and electrically connected with an MCU main control board in the control box; the MCU main control board is electrically connected with the power supply assembly;
the display mechanism comprises a touch screen and a display;
the touch screen is electrically connected with the input end of the MCU main control board and is used for setting and monitoring system parameters;
the display is electrically connected with the output end of the MCU main control panel and used for displaying images of surgical operations;
the bottom end of the simulation box body is provided with a lifting assembly, and the bottom end of the lifting assembly is connected with a base with universal rollers; the display mechanism is arranged on one side of the simulation box body and connected with the side wall of the simulation box body through an adjusting support.
Furthermore, the laparoscope module consists of a laparoscope, a light source, a light path, a miniature camera, a camera converter, a monitor, an automatic cold light source and a video recorder; which are respectively electrically connected with the MCU main control board.
Furthermore, the simulation box is rectangular, a protruding box is arranged on one side of the simulation box close to the display mechanism, and a cold air inlet is formed in the side wall of the simulation box, which is opposite to the side wall of the simulation box; the cold air inlet is connected with a cold air outlet of the refrigerating system;
the convex box is provided with a plurality of circulatory system interfaces for connecting with animal viscera;
the other end of the circulating system interface is communicated with a vein pipeline laid at the bottom of the simulation box.
The system comprises a water pump I, a refrigeration water tank, a circulating pump, a semiconductor refrigeration sheet and a fan, wherein the water pump I is connected with the water pump I;
the water inlet of the refrigerating water tank is connected with an external water source through a first water suction pump; a semiconductor refrigerating sheet is arranged in the refrigerating water tank and used for cooling the circulating water; the refrigeration water tank is also provided with a fan, and an air outlet of the fan is connected with the cold air inlet through an air supply pipe to blow refrigeration air into the simulation box.
Further, the blood circulation assembly comprises a liquid storage water tank, a circulation liquid water tank, animal organs, an arterial circulation pipeline and a venous circulation pipeline; wherein:
the liquid storage tank is connected with a liquid inlet of the circulating liquid tank through a liquid inlet pipe, and a water suction pump II is arranged on the liquid inlet pipe;
the arterial circulation pipeline comprises a first arterial pipe and a second arterial pipe; wherein:
one end of the first arterial tube is connected with a first liquid outlet of the circulating liquid water tank, and the tail end of the first arterial tube is connected with an arterial inlet of an animal visceral organ; one end of the arterial tube II is connected with an arterial outlet of an animal organ, and the other end of the arterial tube II is connected with a liquid return port I of the circulating liquid water tank; the first arterial tube is sequentially provided with a peristaltic pump I, a pressure sensor I and a flowmeter I, and the second arterial tube is arranged on a flowmeter III;
the venous circulation pipeline comprises a first venous pipe and a second venous pipe; wherein:
one end of the venous tube I is connected with a liquid outlet II of the circulating liquid water tank, and the tail end of the venous tube I is connected with a conversion joint arranged on the animal viscera; one end of the second venous pipe is connected with the other end of the adapter, and the other end of the second venous pipe is connected with a second liquid return port of the circulating liquid water tank; and the peristaltic pump II, the pressure sensor II and the flow meter II are sequentially arranged on the venous tube I.
Further, the leakage evaluation assembly comprises a weight sensor arranged on the bottom wall of the leakage bucket;
and the weight sensor is electrically connected with the MCU main control board.
Furthermore, the pleuroperitoneal cavity organ placement assembly comprises a frame assembly, a U-shaped screen plate clamped in the frame assembly and a pleuroperitoneal cavity separation assembly movably and detachably arranged in the frame assembly; the frame component is rectangular and is clamped in the accommodating groove of the simulation box.
Furthermore, the pleuroperitoneal cavity separation assembly comprises an arc-shaped pleuroperitoneal cavity separation plate and magnetic movable fixing pieces which are respectively arranged at the left side and the right side of the pleuroperitoneal cavity separation plate; the left side and the right side of the pleuroperitoneal cavity separation plate are respectively and magnetically connected with the magnetic conduction plates correspondingly arranged on the left side frame and the right side frame of the side frame body through magnetic movable fixing pieces;
the screen printing plate is in an arc shape, is fixed on the frame assembly through screws, and has an operation groove formed in the center for placing animal viscera.
Further, the operation cover body comprises a cover body and an artificial pneumoperitoneum assembly arranged in the middle of the cover body;
the artificial pneumoperitoneum component comprises an artificial belly shell, a plurality of endoscope instrument insertion holes are reserved in the artificial belly shell, a cylindrical skin-imitated silica gel cylinder is arranged on each endoscope instrument insertion hole, and a compression cover is detachably arranged at the top end of the skin-imitated silica gel cylinder.
Further, the number of the endoscope instrument insertion openings is 13; it is arranged in three rows; the number of the devices arranged in the middle row is 5, and the number of the devices arranged on the two sides is 4;
compared with the prior art, the distance between the adjacent endoscope appliance insertion ports is equal and is uniformly distributed on the abdomen simulating shell, the invention has the following beneficial effects:
according to the training system for the abdominal cavity organ operation, the intelligent high-simulation training system for the abdominal cavity organ operation realizes the circulation control and parameter monitoring of the whole organ system through the setting of parameters such as refrigeration temperature, arterial and venous blood pressure, arterial and venous blood flow, blood loss, operation time and the like, displays all key parameters on a simulated monitor display in the operation process of the system, ensures the safety, stability and reliability of the whole system process, and provides a real operation and training platform for students and doctors.
The training system for the whole abdominal cavity viscera operation is designed according to the requirements of the whole abdominal cavity viscera simulation operation by arranging the simulation box and the thoracic and abdominal cavity viscera placing assembly arranged in the simulation box, can be used for containing animal organs to be trained and operated, and can also divide the operation groove into a thoracic cavity and an abdominal cavity so as to be convenient for a trainer to carry out training operation;
the simulation training box for the whole abdominal cavity organ simulation operation is provided with the artificial pneumoperitoneum component, so that the sense of reality of the thoracoscope simulation operation is improved, and the operation training of the whole abdominal organ is realized;
the simulation training box for the whole abdominal cavity viscera simulation operation is provided with the thoracic and abdominal cavity viscera placing assembly in the training box body, can be used for storing animal organs in the training operation so as to simulate the normal operation of the operation, and is also provided with the separating assembly, so that the thoracic cavity and the abdominal cavity can be adjusted and separated according to the condition;
the simulation training box for the whole abdominal cavity organ simulation operation has the characteristics of novel structural design, convenience, practicability and convenience in installation, and is a training system for simulating the laparoscopic operation, which is suitable for simulating the laparoscopic operation.
The training system for the whole abdominal organ operation can restore the real operation scene to the maximum extent, so that the training of the thoraco-laparoscopic operation can be more effectively improved in the skill of the laparoscopic operation; the problems in the prior art are effectively avoided, and the current school learning training and clinical situations are combined; the real operation scene is restored to the maximum extent, and the operation skill of the endoscope is improved more effectively by the aid of the pleuroperitoneal cavity operation training.
The foregoing is a summary of the present invention, and in order to provide a clear understanding of the technical means of the present invention and to enable the same to be carried into effect in accordance with the present specification, the following detailed description of the preferred embodiments of the present invention is provided in conjunction with the accompanying drawings.
Drawings
In order to more clearly illustrate the embodiments of the present invention or the technical solutions in the prior art, the drawings used in the embodiments or the prior art descriptions will be briefly described below, it is obvious that the drawings in the following description are only some embodiments of the present invention, and other drawings can be obtained by those skilled in the art without creative efforts.
FIG. 1 is a schematic structural diagram of a training system for abdominal cavity viscera surgery according to the invention;
FIG. 2 is a schematic structural diagram of the frame of the whole abdominal organ surgery training system of the present invention;
FIG. 3 is a schematic diagram of a part of the structure of the training system for abdominal organ surgery according to the present invention;
FIG. 4 is a schematic structural view of the training case body of the present invention;
FIG. 5 is a top view of the simulated training box of the present invention;
FIG. 6 is a schematic structural view of the artificial pneumoperitoneum assembly of the present invention;
FIG. 7 is a schematic structural view of the splanchnocoele organ positioning assembly of the present invention;
FIG. 8 is a schematic structural view of the frame assembly of the present invention;
FIG. 9 is a schematic structural view of the thoracoabdominal cavity separator assembly of the present invention;
FIG. 10 is a schematic block diagram of the flow diagram of the body fluid circulation system of the present invention;
FIG. 11 is a schematic block diagram of the flow diagram of the refrigeration system of the present invention;
FIG. 12 is a block diagram showing the construction of a training system for abdominal cavity organ surgery according to the present invention;
FIG. 13 is a system flow diagram of the training system for abdominal organ surgery of the present invention;
FIG. 14 is another system flow diagram of the whole abdominal cavity organ surgery training system of the present invention;
description of reference numerals:
1. a training mechanism; 11. a simulation box; 12. a thoracic and abdominal cavity viscera placement component; 13. operating the cover body; 14. an artificial pneumoperitoneum component 15 and a universal roller; 16. a base; 17. adjusting the bracket; 18. a handrail; 19. an instrument rack;
111. a bulge box; 112. a cold air inlet; 113. a circulation system interface;
121. a frame assembly; 122. screen printing; 123. a thoracic and abdominal cavity separation assembly; 124. an operation slot;
1211. a frame body; 1212. a grid side plate; 1213. shaping plates; 1214. a magnetic conductive plate; 1215. magnetic marking lines; 12131. a first shaping plate; 12132. a second shaping plate; 12121. an ear portion;
1231. a pleuroperitoneal cavity separation plate; 1232. a magnetic moving fixture; 12321. a fixing plate; 12322. a clamping plate; 12323. a magnetic column; 1234. grooving; 12311. positioning teeth;
131. simulating an abdominal shell; 132. an endoscope instrument insertion opening; 133. a skin-imitated silica gel cylinder; 134. a compression cover;
2. a control mechanism; 21. an MCU main control panel; 22. a laparoscope module; 23. a refrigeration system; 24. a blood circulation assembly; 25. a voice recognition video component; 26. a lifting assembly; 27. a leakage evaluation component; 28. an electric cabinet;
231. an external water source; 232. a first water suction pump; 233. a refrigeration water tank; 234. a circulation pump; 235. a semiconductor refrigeration sheet; 236. a fan;
241. a liquid storage tank; 242. a circulating liquid tank; 243. animal organs; 244. an arterial circulation line; 245. a venous circulation line; 246. a liquid inlet pipe; 247. a water suction pump II; 248. a crossover sub; 249. a liquid level meter;
2421. a liquid inlet; 2422. a first liquid outlet; 2423. a first liquid return port; 2424. a liquid outlet II; 2425. a second liquid return port;
2431. an arterial inlet; 2432. an arterial outlet; 2433. a venous access;
2441. a first arterial vessel; 2442. a second arterial vessel; 2443. a peristaltic pump I; 2444. a first pressure sensor; 2445. a first flowmeter; 2446. a third flowmeter;
2451. a venous tube I; 2452. a second venous tube; 2453. a peristaltic pump II; 2454. a second pressure sensor; 2455. a second flowmeter;
2481. a main pipe; 2482. a branch pipe;
271. a liquid leakage barrel; 272. a weight sensor;
3. a display mechanism; 31. a touch screen; 325. a display;
Detailed Description
To further illustrate the technical means and effects of the present invention for achieving the predetermined objects, the following detailed description will be given to the specific implementation, structure, features and effects of the training system for abdominal cavity viscera surgery according to the present invention with reference to the accompanying drawings and preferred embodiments.
As shown in fig. 1 to 14, the training system for abdominal cavity viscera operation of the invention,
including training mechanism 1, control mechanism 2 and display mechanism 3, wherein:
the training mechanism 1 comprises a simulation box 11, a thoracic and abdominal cavity viscera placing assembly 12 arranged in the simulation box 11, animal thoracic and abdominal organs arranged in the thoracic and abdominal cavity viscera placing assembly 12 and an operation cover body 13 connected with the simulation box 11; an artificial pneumoperitoneum component 14 is arranged on the operation cover body 13;
the control mechanism 2 comprises an MCU main control board 21, a laparoscope module 22, a refrigerating system 23, a blood circulation component 24, a voice recognition and video recording component 25, a lifting component 26, a power supply component and a leakage evaluation component 27; the refrigerating system 23, the blood circulation assembly 24, the lifting assembly 26 and the leakage liquid evaluation assembly 27 are respectively electrically connected with the MCU main control board 21 in the control box; the MCU main control board 21 is arranged in the electric cabinet 28; the MCU main control board 21 is electrically connected with the power supply assembly;
the display mechanism 3 includes a touch screen 31 and a display 325;
the touch screen 31 is electrically connected with the input end of the MCU main control board 21 and is used for setting and monitoring system parameters;
the display 325 is electrically connected with the output end of the MCU main control panel 21 and is used for displaying images of surgical operations;
the bottom end of the simulation box 11 body is provided with a lifting component 26, and the bottom end of the lifting component 26 is connected with a base 16 with a universal roller 15; the display mechanism 3 is arranged on one side of the simulation box 11 and is connected with the side wall of the simulation box 11 through an adjusting bracket 17.
The whole abdominal cavity viscera operation training system of this application embodiment, its in-process that uses:
and (3) assembling:
an operator firstly assembles the organ placement assembly 12 for the thoracic and abdominal cavities, and the operator specifically operates to combine the screen 122 with the frame assembly 121, and the screen 122 can be clamped into the frame assembly 121 after bending and deforming; fixedly connecting the shaping plates 1213 with the shaping plates by bolts; finally, the thoracoabdominal cavity separation assembly 123 is mounted on the frame 1211; the pleuroperitoneal cavity separation plate 1231 is connected to the magnetic conduction plates 1214 correspondingly arranged on the left and right side frames of the frame body 1211 in a magnetic adsorption manner through the magnetic movable fixing members 1232; therefore, the operator can adjust the position of the pleuroperitoneal cavity separation plate 1231 according to the actual experimental conditions to meet the requirement of the simulated operation on separating the pleuroperitoneal cavity;
after the thoracic and abdominal cavity viscera placing assembly 12 is assembled, the thoracic and abdominal cavity viscera placing assembly can be assembled in the training box body; the operator places the prepared animal organ in the training box body, and separates the organ into organs of the pleuroperitoneal cavity according to the characteristics of the organ, so that the operation simulation is facilitated; finally, the operation cover body 13 is buckled;
when an operator operates the endoscope, the hand-held endoscope instrument can be inserted into the simulated abdominal cavity from the top end of the skin-imitated silica gel cylinder 133, and then training operation can be started; meanwhile, the animal organs are respectively connected with an arterial circulation pipeline 244 and a venous circulation pipeline 245, and a liquid storage water tank 241 and a circulation liquid water tank 242 are connected; the materials can be put into use after being connected;
in the training operation process:
an operator firstly places the animal organ 243 in the abdominal cavity box, and connects the artery pipeline, the vein pipeline and the inferior vena cava pipeline of the body fluid circulation module with the animal organ; the refrigerating system 23 is started to provide cold air for the abdominal cavity box to reduce the temperature; starting a circulating system, and transmitting the monitored signals to the control module by the intelligent monitoring and adjusting system;
an operator holds an endoscope or surgical instrument to enter the abdominal cavity box from an endoscope instrument insertion hole 132 on an artificial pneumoperitoneum arranged on a cover body of the abdominal cavity box to perform simulated operation training; the laparoscope can transmit the acquired image information to the control module, and the image information is analyzed and processed and then displayed on the display 325; an operator can be used for setting and monitoring system parameters through a touch display screen, and the high-definition display 325 is used for displaying images of surgical operations;
the operator evaluates the operation training result through an operation parameter and leakage evaluation system; the weighing sensor transmits a leaked liquid weight signal in the leaked liquid collecting device to the MCU main control board 21 for analysis and treatment, and then the signal can be displayed on a display screen, and the weighing sensor is used for collecting body liquid leaked in the operation process and judging the operation training quality according to the leakage amount; meanwhile, the operator combines parameters including operation time, blood pressure, flow detection, operation moving speed and the like; the system evaluates the entire procedure through an analytical process.
The invention relates to a training system for abdominal cavity organ operation, wherein:
the laparoscope module 22 is used for realizing laparoscopic surgery training by combining the operations of an endoscope, instruments and an electrotome tool, and information is acquired through a video recording system in the process;
the lifting component 26: a built-in lifting system is used for carrying out information interaction with the MCU main control panel 21 through a foot switch and then carrying out lifting processing on the equipment; the lifting component 26 is used for achieving the lifting purpose by adopting a hydraulic lifting mode.
The system collects the temperature in the environment in real time through a temperature sensor, information is interacted with the MCU main control board 21, and the start and stop of the refrigerating device are controlled according to the data result;
the blood circulation assembly 24: the module controls the start, stop and rotation speed of the peristaltic pump; meanwhile, the flow meter and the pressure sensor acquire data parameters in real time to perform information interaction with the MCU main control board 21, so that the parameters of the peristaltic pump are adjusted, and intelligent circulation is realized;
the refrigerating system 23 starts and stops the refrigerating system 23 through data analysis of the intelligent monitoring and adjusting system;
a voice recognition video recording component 25, functions of adjusting voice control parameters, state of equipment, video recording and photo capturing in the operation process; displaying the information on a display screen in real time;
the voice recognition video recording component 25 comprises a voice module and a video recording module which are integrated on the main control panel;
the voice module carries out information interaction with the central processing unit through a signal line; the video recording module is connected with the central processing unit through the infrared module, and displays the information on the display screen in real time.
The display mechanism 3 displays the operation picture on the endoscope display screen in real time, and the parameters of the system are displayed on the touch screen 31 for man-machine interaction.
The leakage evaluation module 27: through the leakage amount of the collection operation in-process, transmit information to MCU master control board 21 and handle, then combine each parameter of flow, pressure to carry out the operation aassessment.
In the training system for the whole abdominal cavity organ operation, the equipment operating groove 124 is designed to simulate the size structure of a human body and is divided into a chest cavity and an abdominal cavity; clinical pneumoperitoneum design is realized to the lid for the student has clinical operation's true external experience to feel when the training. And the design can more reasonably and truly approach the real clinical operation.
The endoscope equipment for training needs to be compatible and matched with the whole equipment for use, video recording, snapshot and playback functions are added on the basis of the traditional endoscope, the waterproof protection of the head of the light source is designed by combining with a real scene during training, and the endoscope equipment can be directly soaked in liquid for use.
In the training system for the abdominal cavity viscera operation, the power supply component is a conventional lead with a power plug (not shown in the figure), and the power supply component is connected with the mains supply to provide electric energy for the training system for the abdominal cavity viscera operation.
As shown in fig. 1, in the training system for abdominal cavity viscera surgery of the present invention, the laparoscope module 22 is composed of a laparoscope, a light source and a light path, a micro camera, a camera converter, a monitor, an automatic cold light source and a video recorder; which are electrically connected to the MCU main control board 21, respectively.
The training system for the whole abdominal organ operation of the embodiment of the present application, the laparoscope module 22 is integrated to the laparoscope device on the device for the image acquisition during the operation training process, which is similar to the laparoscope module 22 in the prior art.
As shown in fig. 3-9, in the training system for abdominal cavity viscera surgery of the present invention, the simulation box 11 is rectangular, a protruding box 111 is arranged on one side of the simulation box near the display mechanism 3, and a cold air inlet 112 is arranged on the side wall of the simulation box 11 facing the inside; the cold air inlet 112 is connected with a cold air outlet of the refrigeration system 23; the bulge box 111 is provided with a plurality of circulatory system interfaces 113 for connecting with animal viscera 243; the other end of the circulation system interface 113 is communicated with a venous pipeline laid at the bottom of the simulation box 11.
As shown in fig. 11, the training system for abdominal cavity viscera operations of the invention further comprises a refrigerating system 23, which is composed of an external water source 231, a first water suction pump 232, a refrigerating water tank 233, a circulating pump 234, a semiconductor refrigerating sheet 235 and a fan 236;
a water inlet of the refrigerating water tank 233 is connected with an external water source 231 through a first water suction pump 232; a semiconductor refrigerating sheet 235 is arranged in the refrigerating water tank 233 and used for cooling circulating water; the refrigerating water tank 233 is further provided with a fan 236, and an air outlet of the fan 236 is connected with the cold air inlet 112 through an air supply pipe to blow the refrigerating air into the simulation box 11.
In the training system for the whole abdominal cavity organ operation of the embodiment of the application, the cold air inlet 112 of the refrigerating system 23 is used for introducing cold air for preservation, photographing and recording images according to control instructions, and the refrigerating temperature is set as required, so that the temperature in the organ box is reduced, the service life of organs is prolonged, and a real operation training scene is provided for an operation trainer.
As shown in fig. 10, in the training system for abdominal organ operation of the present invention, the blood circulation assembly 24 includes a liquid storage tank 241, a circulation tank 242, an animal organ 243, an arterial circulation line 244 and a venous circulation line 245; wherein:
the liquid storage tank 241 is connected with a liquid inlet 2421 of the circulating liquid tank 242 through a liquid inlet pipe 246, and a water suction pump II 247 is arranged on the liquid inlet pipe 246;
the arterial circulation circuit 244 includes a first arterial tube 2441 and a second arterial tube 2442; wherein:
one end of the first arterial tube 2441 is connected with a first liquid outlet 2422 of the circulating liquid water tank 242, and the tail end of the first arterial tube is connected with an arterial inlet 2431 of the animal organ 243; one end of the second arterial tube 2442 is connected with an arterial outlet 2432 of the animal organ 243, and the other end is connected with a first liquid return port 2423 of the circulating liquid water tank 242; the first arterial tube 2441 is sequentially provided with a peristaltic pump 2443, a pressure sensor 2444 and a flow meter 552445, and the second arterial tube 2442 is arranged on a flow meter 2446;
one end of the first venous tube 2451 is connected with a second liquid outlet 2424 of the circulating liquid water tank 242, and the tail end of the first venous tube is connected with a conversion joint 248 arranged on the animal viscera 243; one end of the second venous pipe 2452 is connected with the other end of the conversion joint 248, and the other end of the second venous pipe 2452 is connected with a second liquid return port 2425 of the circulating liquid water tank 242; a peristaltic pump second 2453, a pressure sensor second 2454 and a flowmeter second 2455 are sequentially arranged on the venous pipe first 2451.
In the training system for abdominal organ operation in the embodiment of the present application, an operator first connects the animal organ to the arterial circulation line 244 and the venous circulation line 245, respectively, and simultaneously connects the liquid storage tank 241 and the circulation tank 242; after the connection is finished, the materials can be put into use;
the circulation liquid tank 242 contains circulation liquid, which is connected to the liquid storage tank 2411 through a second water suction pump 247 to supplement the circulation liquid to the circulation liquid tank 2422; after the arterial circulation pipeline 2444 is communicated, the device is used for providing circulation liquid for animal organs to enable the organs to be full; venous circulation line 2455 may be similarly connected if desired;
the peristaltic pump one 2443 on arterial tube one 2441 and peristaltic pump two 2453 on venous tube one 2451 provide power for the arterial and venous lines;
the first pressure sensor 2444 and the second pressure sensor 2454 are used for detecting the pressure in the pipeline, and the pressure in the pipeline is regulated by a system or a person to achieve the simulated human body pressure;
flowmeter I2445, flowmeter II 2455 and flowmeter III 2446 are respectively used for detecting the internal flow of the pipeline, and the system is used for regulating and simulating the real blood flow rate.
In the training system for the whole abdominal cavity viscera operation, the external circulating liquid refers to circulating liquid prepared in advance, for example, the circulating liquid in the circulating liquid water tank 2422 is insufficient for supplementing.
As shown in fig. 1, in the training system for abdominal cavity viscera operation of the present invention, the leakage evaluating component 27 comprises a weight sensor 272 disposed on the bottom wall of the leakage barrel 271; the weight sensor 272 is electrically connected to the MCU main control board 21.
The whole abdominal cavity organ operation training system is used for collecting body fluid leaked in the operation process and judging the operation training quality according to the leakage amount.
As shown in fig. 2, in the training system for a total abdominal viscera operation of the present invention, the thoracic and abdominal viscera placing assembly 12 includes a frame assembly 121, a U-shaped screen 122 clamped in the frame assembly 121, and a thoracic and abdominal cavity separating assembly 123 movably and detachably disposed in the frame assembly 121; the frame assembly 121 is rectangular and is clamped in the accommodating groove of the simulation box 11.
The training box body and the thoracic and abdominal cavity viscera placing assembly 12 arranged in the training box body are designed according to the requirements of a full abdominal cavity viscera simulation operation, can be used for containing animal organs to be trained and operated, and can also divide the operating groove 124 into a thoracic cavity and an abdominal cavity, so that a trainer can conveniently carry out training operation;
as shown in fig. 8 and fig. 9, in the training system for total abdominal viscera surgery of the present invention, the pleuroperitoneal cavity separation assembly 123 includes an arc-shaped pleuroperitoneal cavity separation plate 1231 and magnetic movable fixtures 1232 respectively disposed at the left and right sides of the pleuroperitoneal cavity separation plate 1231; the left and right sides of the pleuroperitoneal cavity separation plate 1231 are respectively magnetically connected with the magnetic conduction plates 1214 correspondingly arranged on the left and right side frames of the side frame 1211 through magnetic movable fixtures 1232; the screen 122 is in an arc shape, and is fixed to the frame assembly 121 by screws, and an operation slot 124 for placing an animal organ 243 is formed at the center thereof.
The simulation training box for the whole abdominal cavity viscera simulation operation is provided with the thoracic and abdominal cavity viscera placing component 12 in the training box body, not only can be used for storing animal organs in the training operation so as to simulate the normal operation of the operation, but also is provided with the separation component, and the thoracic cavity and the abdominal cavity can be adjusted and separated according to the conditions;
as shown in fig. 4 to 6, in the training system for total abdominal cavity organ surgery of the present invention, the operation cover 13 includes a cover body and an artificial pneumoperitoneum assembly 14 disposed in the middle of the cover body;
the artificial pneumoperitoneum component 14 comprises an abdominal simulation shell 131, a plurality of endoscope instrument insertion holes 132 are reserved on the abdominal simulation shell 131, each endoscope instrument insertion hole 132 is provided with a cylindrical skin-simulated silica gel cylinder 133, and a pressing cover 134 is detachably arranged at the top end of the skin-simulated silica gel cylinder 133.
As shown in fig. 6, in the training system for total abdominal organ surgery according to the present invention, the number of the endoscope instrument insertion ports 132 is 13; it is arranged in three rows; the number of the devices arranged in the middle row is 5, and the number of the devices arranged on the two sides is 4;
the distance between the adjacent endoscope apparatus insertion ports 132 is equal and uniformly distributed on the abdomen-imitating housing 131.
The training system for the whole abdominal cavity organ operation comprises an operation cover body 13, an artificial pneumoperitoneum component 14 and a training platform, wherein the artificial pneumoperitoneum component 14 is arranged in the middle of the cover body;
the artificial pneumoperitoneum component 14 comprises an artificial abdomen shell 131, a plurality of endoscope apparatus insertion holes 132 are reserved on the artificial abdomen shell 131, each endoscope apparatus insertion hole 132 is provided with a cylindrical artificial skin silica gel and a detachable pressing cover 134 arranged at the top end of the artificial skin silica gel cylinder 133.
The training system for the whole abdominal cavity organ surgery of the embodiment of the application is characterized in that the plurality of endoscope instrument insertion holes 132 are formed in the operation cover body 13, the abdomen-imitating shell 131 highly simulating the abdomen of a human body is arranged on the endoscope instrument insertion holes 132, the skin-imitating silica gel is arranged on each endoscope instrument insertion hole 132, and the pressing cover 134 is connected to the skin-imitating silica gel barrel 133133 through threads.
The skin-imitated silicone tube 133 can be damaged during operation by an operator, so that the pressing cover 134 is arranged and can be hermetically connected to the skin-imitated silicone tube 133 to ensure the pneumoperitoneum state.
The training system for the whole abdominal cavity viscera operation of the embodiment of the application has the advantages that the number of the endoscope instrument insertion holes 132 is one, the endoscope instrument insertion holes are distributed at different positions of the artificial pneumoperitoneum, and the endoscope instrument penetrates through the skin-imitated silica gel cylinders 133 at different positions to touch organs at different positions so as to achieve the purpose of whole viscera training.
According to the training system for the whole abdominal cavity organ operation, the structure of the abdomen-imitating shell 131 is consistent with that of the human abdomen when being inflated and lifted; the abdomen simulating shell 131 is made of silica gel; effectively improving the simulation degree of the simulated operation.
As shown in fig. 6, in the training system for abdominal organ operation, the compressing cover 134 is a cover body, and is connected to the skin-imitated silicone tube 133 through a threaded sleeve; the skin-imitated silica gel cylinder 133 is made of silica gel.
As shown in fig. 3, in the training system for the whole abdominal viscera operation of the present invention, one end of the operation cover 13 is hinged to one end of the training box body through a hinge, and the other end is fastened to the other end of the training box body; the side wall of one end of the training box body is provided with a handrail 18, and the side wall of the other end of the training box body is provided with an instrument rack 19.
In the training system for the whole abdominal cavity organ operation, the handrail 18 is arranged on one side wall of the training box body, and the handrail 18 is mainly used for moving and carrying equipment; an instrument rack 19 is arranged on the side wall of the other side, and the instrument rack 19 is a rack body provided with a plurality of instrument jacks for accommodating the endoscopic instruments and is mainly used for placing the endoscopic instruments used in the surgical training process.
In the training system for the whole abdominal cavity organ operation according to the embodiment of the present application, the operation cover 13 can be opened to one side, the animal organ 243 is placed in the operation cover, the animal organ 243 is connected to the circulatory system interface 113, and the operation cover 13 is closed after the completion of the operation cover 13, so that the operation training can be started.
As shown in fig. 10, the training system for whole abdominal cavity viscera operation of the present invention further comprises two level meters 249, wherein the two level meters 249 are respectively disposed on the inner wall of the circulation liquid tank 242.
The utility model discloses a body fluid circulation system for abdominal cavity viscera simulation surgery, the liquid level gauge 249 is used for detecting the water level of the circulation fluid water tank 242, if the water level is lower than the liquid level gauge 249 below, the water suction pump II 247 automatically sucks the external water source of the liquid storage water tank 241 to supply liquid to the circulation fluid water tank 242; if a first one of the gauges 249 does not detect a water level due to a malfunction or otherwise, the second gauge 249 functions in the same manner.
As shown in fig. 1, the body fluid circulation system for whole abdominal cavity viscera simulation surgery of the utility model, the animal viscera 243 adopts the discarded animal organs of slaughter house, and can be treated as teaching consumables.
The present invention has been further described with reference to the examples, but the present invention is not limited to the above-described embodiments, and various changes can be made without departing from the spirit of the present invention within the knowledge of those skilled in the art.
Claims (3)
1. Whole abdominal cavity internal organs operation training system, its characterized in that:
including training mechanism (1), control mechanism (2) and display mechanism (3), wherein:
the training mechanism (1) comprises a simulation box (11), a thoracic and abdominal cavity viscera placing assembly (12) arranged in the simulation box (11), an animal thoracic and abdominal viscera arranged in the thoracic and abdominal cavity viscera placing assembly (12) and an operation cover body (13) connected with the simulation box (11); an artificial pneumoperitoneum component (14) is arranged on the operation cover body (13);
the control mechanism (2) comprises an MCU (microprogrammed control Unit) main control board (21), a laparoscope module (22), a refrigerating system (23), a blood circulation assembly (24), a lifting assembly (26), a power supply assembly and a leakage evaluation assembly (27); the refrigerating system (23), the blood circulation assembly (24), the lifting assembly (26) and the leakage evaluation assembly (27) are respectively and electrically connected with an MCU main control board (21) in the control box; the MCU main control board (21) is electrically connected with the power supply assembly;
the display mechanism (3) comprises a touch screen (31) and a display (325);
the touch screen (31) is electrically connected with the input end of the MCU main control board (21) and is used for setting and monitoring system parameters;
the display (325) is electrically connected with the output end of the MCU main control board (21) and is used for presenting images of surgical operations;
a lifting assembly (26) is arranged at the bottom end of the simulation box (11), and the bottom end of the lifting assembly (26) is connected with a base (16) with universal rollers (15); the display mechanism (3) is arranged on one side of the simulation box (11) body and is connected with the side wall of the simulation box (11) body through an adjusting bracket (17);
the laparoscope module (22) consists of a laparoscope, a light source, a light path, a miniature camera, a camera converter, a monitor, an automatic cold light source and a video recorder; which are respectively and electrically connected with the MCU main control board (21);
the refrigerating system (23) is composed of an external water source (231), a first water suction pump (232), a refrigerating water tank (233), a circulating pump (234), a semiconductor refrigerating sheet (235) and a fan (236);
the water inlet of the refrigerating water tank (233) is connected with an external water source (231) through a first water suction pump (232); a semiconductor refrigerating sheet (235) is arranged in the refrigerating water tank (233) and used for cooling circulating water; the refrigerating water tank (233) is further provided with a fan (236), an air outlet of the fan (236) is connected with the cold air inlet (112) through an air supply pipe, and refrigerating air is blown into the simulation box (11);
the blood circulation assembly (24) comprises a liquid storage tank (241), a circulation liquid tank (242), an animal organ (243), an arterial circulation pipeline (244) and a venous circulation pipeline (245); wherein:
the liquid storage tank (241) is connected with a liquid inlet (2421) of the circulating liquid tank (242) through a liquid inlet pipe (246), and a second water suction pump (247) is arranged on the liquid inlet pipe (246);
the arterial circulation circuit (244) includes a first arterial tube (2441) and a second arterial tube (2442); wherein:
one end of the first arterial tube (2441) is connected with a first liquid outlet (2422) of the circulating liquid water tank (242), and the tail end of the first arterial tube is connected with an arterial inlet (2431) of an animal organ (243); one end of the second arterial tube (2442) is connected with an arterial outlet (2432) of an animal organ (243), and the other end of the second arterial tube is connected with a first liquid return port (2423) of the circulating liquid water tank (242); a peristaltic pump I (2443), a pressure sensor I (2444) and a flow meter I (2445) are sequentially arranged on the arterial tube I (2441), and the arterial tube II (2442) is arranged on the flow meter III (2446);
the venous circulation line (245) comprises a first venous line (2451) and a second venous line (2452); wherein:
one end of the first venous tube (2451) is connected with a second liquid outlet (2424) of the circulating liquid water tank (242), and the tail end of the first venous tube is connected with a conversion joint (248) arranged on an animal viscera (243); one end of the second venous tube (2452) is connected with the other end of the conversion joint (248), and the other end of the second venous tube is connected with a second liquid return port (2425) of the circulating liquid water tank (242); a peristaltic pump II (2453), a pressure sensor II (2454) and a flowmeter II (2455) are sequentially arranged on the venous tube I (2451);
the leakage liquid evaluation assembly (27) comprises a weight sensor (272) arranged on the bottom wall of the leakage liquid barrel (271);
the weight sensor (272) is electrically connected with the MCU main control board (21);
the thoracic and abdominal cavity organ placing assembly (12) comprises a frame assembly (121), a U-shaped screen (122) clamped in the frame assembly (121), and a thoracic and abdominal cavity separating assembly (123) movably and detachably arranged in the frame assembly (121); the frame assembly (121) is rectangular and is clamped in the accommodating groove of the simulation box (11);
the pleuroperitoneal cavity separating assembly (123) comprises an arc-shaped pleuroperitoneal cavity separating plate (1231) and magnetic movable fixing pieces (1232) which are respectively arranged at the left side and the right side of the pleuroperitoneal cavity separating plate (1231); the left side and the right side of the pleuroperitoneal cavity separation plate (1231) are respectively in magnetic connection with magnetic conduction plates (1214) correspondingly arranged on the left side frame and the right side frame of the frame body (1211) at the two sides through magnetic movable fixing pieces (1232);
the screen (122) is in an arc shape, is fixed on the frame assembly (121) through screws, and has an operation groove (124) formed in the center thereof for placing animal organs (243);
the operation cover body (13) comprises a cover body and an artificial pneumoperitoneum component (14) arranged in the middle of the cover body;
the artificial pneumoperitoneum component (14) comprises an artificial belly shell (131), a plurality of endoscope instrument insertion holes (132) are reserved in the artificial belly shell (131), each endoscope instrument insertion hole (132) is provided with a cylindrical skin-imitated silica gel cylinder (133) and a pressing cover (134) detachably arranged at the top end of the skin-imitated silica gel cylinder (133).
2. The training system for abdominal organ surgery according to claim 1, wherein:
the simulation box (11) is rectangular, a protruding box (111) is arranged on one side of the simulation box close to the display mechanism (3), and a cold air inlet (112) is arranged on the side wall of one side of the simulation box opposite to the inside of the simulation box (11); the cold air inlet (112) is connected with a cold air outlet of the refrigerating system (23);
the bulge box (111) is provided with a plurality of circulatory system interfaces (113) for connecting with animal viscera (243);
the other end of the circulating system interface (113) is communicated with a vein pipeline laid at the bottom of the simulation box (11).
3. The training system for abdominal cavity viscera surgery according to claim 1, characterized in that:
the number of the endoscope appliance insertion ports (132) is 13; it is arranged in three rows; the number of the devices arranged in the middle row is 5, and the number of the devices arranged on the two sides is 4;
the distance between the adjacent endoscope appliance insertion ports (132) is equal and is uniformly distributed on the abdomen simulating shell (131).
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| Application Number | Priority Date | Filing Date | Title |
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| CN202011482111.2A CN114373349B (en) | 2020-12-15 | 2020-12-15 | Whole abdominal cavity viscera operation training system |
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| CN202011482111.2A CN114373349B (en) | 2020-12-15 | 2020-12-15 | Whole abdominal cavity viscera operation training system |
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| JP2007528029A (en) * | 2004-03-08 | 2007-10-04 | ザ ジョンズ ホプキンス ユニバーシティ | Medical training and evaluation apparatus and method |
| US8540628B2 (en) * | 2010-02-12 | 2013-09-24 | Covidien Lp | Expandable thoracic access port |
| CN102323281B (en) * | 2011-08-22 | 2013-09-18 | 爱威科技股份有限公司 | Liquid property detection method and system |
| CN103886798B (en) * | 2014-03-13 | 2017-04-19 | 西安交通大学 | High-simulation interventional operation trainer |
| JP2017111340A (en) * | 2015-12-17 | 2017-06-22 | テルモ株式会社 | Manipulation simulator |
| CN108492693A (en) * | 2018-03-28 | 2018-09-04 | 盛玉涛 | A kind of laparoscopic surgery simulated training system shown based on computer aided medicine |
| CN109615992A (en) * | 2018-12-29 | 2019-04-12 | 温州医科大学附属第二医院、温州医科大学附属育英儿童医院 | A kind of laparoscopic surgery simulated training system |
| CN210223257U (en) * | 2019-04-19 | 2020-03-31 | 上海理工大学 | Laparoscopic surgery simulated trainer for treating gastric reflux |
| CN210750537U (en) * | 2019-07-08 | 2020-06-16 | 重庆弘善医疗设备有限公司 | Peritoneal dialysis machine with flowing dialysate |
| CN211149755U (en) * | 2020-01-09 | 2020-07-31 | 军事科学院系统工程研究院卫勤保障技术研究所 | Abdominal cavity open surgery simulation training device |
| CN212135761U (en) * | 2020-06-18 | 2020-12-11 | 杭州漫道大信科学有限公司 | Laparoscopic surgery simulated training case |
| CN112037202A (en) * | 2020-08-31 | 2020-12-04 | 平安医疗健康管理股份有限公司 | Method and device for detecting quality of body fluid sample, transportation device, equipment and medium |
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