CN115472070B - Bronchoscope simulation operation device - Google Patents
Bronchoscope simulation operation device Download PDFInfo
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- CN115472070B CN115472070B CN202211117872.7A CN202211117872A CN115472070B CN 115472070 B CN115472070 B CN 115472070B CN 202211117872 A CN202211117872 A CN 202211117872A CN 115472070 B CN115472070 B CN 115472070B
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Abstract
The embodiment of the application discloses this bronchoscope emulation operating means has included broncho-simulated subassembly and emulation operating means, the broncho-simulated subassembly has included broncho-simulated platform, oral area simulating subassembly and affected part simulating subassembly, and emulation operating means has included emulation handle, insert portion fibre pipe and control assembly, insert portion fibre pipe can connect in emulation handle in the use, further can control insert portion fibre pipe and go deep into the broncho-simulated platform through the oral area simulating subassembly on the broncho-simulated platform through emulation handle and operating means, can peg graft in affected part simulating subassembly along with the penetration of insert portion fibre pipe, based on this the actual operation of soft bronchoscope of bronchoscope that provides through this embodiment of the application, do benefit to the actual operation that makes medical personnel be familiar with soft bronchoscope as early as possible, can greatly reduced equipment's cost, can reduce the probability of instrument harm simultaneously.
Description
Technical Field
The embodiment of the application relates to the technical field of medical treatment, in particular to a bronchoscope simulation operation device.
Background
The bronchoscope is a medical instrument which is put into the lower respiratory tract of a patient through the mouth or nose and is used for observing lung lobes, sections and sub Duan Zhi tracheal lesions, biopsy sampling, bacteriology and cytology examination and is matched with a computer image system. The bronchoscope can perform detection, operation, sampling, drug administration and other operations through the matched accessories.
Common bronchoscopes are classified into hard bronchoscopes and soft bronchoscopes. Soft bronchoscopes, also known as flexible bronchoscopes, are classified as fiber bronchoscopes and electronic bronchoscopes.
Prior to the actual operation of soft bronchoscopes, a great deal of medical technical training and operational training is required. This faces a number of problems, mainly: firstly, the medical technology training or practice cannot be directly carried out on a human body, and can only be carried out through a simulation system; secondly, by adopting real bronchoscope equipment, the purchasing cost is very high, and when the foundation of a training student is weak, instruments and equipment are easy to damage.
Disclosure of Invention
The present invention aims to solve at least one of the technical problems existing in the prior art or related art.
In view of this, an embodiment of the present application proposes a bronchoscope simulation operating device, including:
a bronchial simulation assembly, the bronchial simulation assembly comprising: the device comprises a bronchus simulation platform, an oral simulation assembly and an affected part simulation assembly, wherein the oral simulation assembly is arranged on the bronchus simulation platform, and the affected part simulation assembly is arranged in the bronchus simulation platform;
the simulation operation assembly comprises a simulation handle, an insertion part fiber tube and a control assembly, wherein the insertion part fiber tube is connected to the simulation handle, at least part of the control assembly is arranged on the simulation handle, the control assembly is connected to the insertion part fiber tube and is used for controlling the insertion part fiber tube to be inserted into the bronchus simulation platform through the oral part simulation assembly, and the insertion part fiber tube is far away from the simulation handle and is moved to the affected part simulation assembly.
In one possible embodiment, the simulated handle comprises:
a hand-held part, on which a lower interface is formed, to which the insertion part fiber pipe is connected;
an operation part connected to the hand-held part, at least part of the control component is arranged on the operation part;
a biopsy pore inlet which is arranged on the handheld part and is communicated with the fiber tube of the insertion part;
the aspirator interface is arranged on the operation part and communicated with the fiber tube of the insertion part.
In a possible embodiment, the hand-held part comprises:
a housing;
and the micrometer sensor is arranged in the shell and is communicated with the inlet of the biopsy pore canal.
In a possible embodiment, the control assembly comprises:
a cable interface arranged on the operation part;
the upper computer assembly is connected to the cable interface;
a bending control button provided on the operation section;
the traction steel wire is connected with the insertion part fiber pipe and used for traction of bending of the insertion part fiber pipe, and the bending control button is connected with the traction steel wire;
an angle sensor connected to the bending control button for detecting a swing angle of the insertion portion fiber tube;
the control chip is arranged on the simulation handle and is in communication connection with the upper computer assembly;
and the first control button is used for controlling the opening and closing of the aspirator interface.
In one possible embodiment, the bronchoscope simulation operating device further comprises:
a fixed roller rotatably connected to the mouth simulation assembly;
the micrometer roller is rotatably connected with the oral simulation assembly and is arranged in parallel with the fixed roller;
and the rotary encoder is connected with the output end of the micrometer roller and the control chip.
In one possible embodiment, the bronchoscope simulation operating device further comprises:
the first photoelectric sensor and the second photoelectric sensor are connected to the oral simulation assembly, and the fixed roller and the micrometer roller are arranged between the first photoelectric sensor and the second photoelectric sensor;
a fixed clip through which the rotary encoder is connected to the oral analog assembly;
the first photoelectric sensor and the second photoelectric sensor are formed with threads, and the first photoelectric sensor and the second photoelectric sensor are connected with the oral simulation assembly in a threaded mode.
In one possible embodiment, the upper computer unit includes:
the computer is connected with the cable interface;
a display connected to the computer;
a printer connected to the computer;
a projection assembly connected to the computer;
and the cloud storage assembly is connected with the computer.
In a possible embodiment, the control assembly further comprises:
the control assembly further comprises:
the image generation component is connected with the control component and used for generating image information based on the control component, and the display is used for displaying the image information;
a second control button arranged on the operation part and used for controlling the scaling ratio of the display;
and a third control button provided on the operation section for controlling a focal length of the image information.
In a possible embodiment, the insert fiber tube is a rubber hose or a plastic hose, the insert fiber tube has an outer diameter of 6mm to 8mm, an inner diameter of 4mm to 6mm, and a length of 300mm to 700mm;
the height of the bronchus simulation platform is 200mm to 500mm.
In a possible embodiment, the affected part simulating assemblies are plural, and spaces between the plural affected part simulating assemblies are different, and each of the affected part simulating assemblies has a space of 7mm to 16mm and a depth of 3mm to 6mm.
Compared with the prior art, the invention at least comprises the following beneficial effects: the bronchoscope simulation operation device provided by the embodiment of the application comprises a bronchoscope simulation assembly and a simulation operation assembly, wherein the bronchoscope simulation assembly comprises a bronchoscope simulation platform, an oral part simulation assembly and an affected part simulation assembly, the simulation operation assembly comprises a simulation handle, an insertion part fiber pipe and a control assembly, the insertion part fiber pipe can be connected to the simulation handle in the use process, the insertion part fiber pipe can be further controlled to penetrate into the bronchoscope simulation platform through the oral part simulation assembly on the bronchoscope simulation platform through the simulation handle and the operation assembly, and the insertion part fiber pipe can be inserted into the affected part simulation assembly along with the penetration of the insertion part fiber pipe, so that the practical operation of the soft bronchoscope of the bronchoscope simulation operation device provided by the embodiment of the application is beneficial to enabling medical staff to be familiar with the practical operation of the soft bronchoscope as soon as possible; simultaneously, the embodiment of the application provides a bronchus simulation component to simulate the bronchus part of a patient, can also simulate the affected part of the bronchus, can greatly reduce the cost of equipment, and can reduce the probability of instrument damage simultaneously.
Drawings
Various other advantages and benefits will become apparent to those of ordinary skill in the art upon reading the following detailed description of the preferred embodiments. The drawings are only for purposes of illustrating the preferred embodiments and are not to be construed as limiting the application. Also, like reference numerals are used to designate like parts throughout the figures. In the drawings:
FIG. 1 is a schematic block diagram of a bronchoscope simulation operating device according to one embodiment provided herein;
FIGS. 2a to 2h are schematic views of a simulated handle of a bronchoscope simulated manipulator according to an embodiment of the present disclosure;
FIGS. 3a to 3d are schematic perspective views of a simulation handle of a bronchoscope simulation operating device according to an embodiment of the present application;
FIG. 4 is a schematic view of an exploded view of a simulated handle of a bronchoscope simulated manipulator according to one embodiment of the present application;
FIG. 5 is a schematic block diagram of a bronchoscope simulation component of a bronchoscope simulation operating device according to one embodiment of the present application at an angle;
FIG. 6 is a schematic block diagram of another angle of a bronchoscope simulation component of a bronchoscope simulation operating device according to one embodiment of the present application;
FIG. 7 is a schematic block diagram of a further angle of a bronchoscope simulation component of a bronchoscope simulation operating device according to one embodiment of the present application;
FIG. 8 is a schematic block diagram of a first angle of an oral simulation assembly of a bronchoscope simulation operating device according to one embodiment of the present application;
FIG. 9 is a schematic block diagram of a second angle of an oral simulation assembly of a bronchoscope simulation manipulator of one embodiment provided herein;
FIG. 10 is a schematic block diagram of a third angle of an oral simulation assembly of a bronchoscope simulation manipulator of one embodiment provided herein;
FIG. 11 is a schematic block diagram of a fourth angle of an oral simulation assembly of a bronchoscope simulation operating device according to one embodiment of the present application;
FIG. 12 is a schematic block diagram of a fifth angle of an oral simulation assembly of a bronchoscope simulation manipulator of one embodiment provided herein;
FIG. 13 is a schematic block diagram of a sixth angle of an oral simulation assembly of a bronchoscope simulation operating device according to one embodiment of the present application;
FIG. 14 is a schematic block diagram of a seventh angle of an oral simulation assembly of a bronchoscope simulation operating device according to one embodiment of the present application;
FIG. 15 is a schematic block diagram of an 8 th angle of an oral simulation assembly of a bronchoscope simulation operating device according to one embodiment of the present application;
fig. 16 is a schematic structural view of a bronchoscope simulation operating device according to another embodiment provided in the present application.
The correspondence between the reference numerals and the component names in fig. 1 to 16 is:
1. a simulation handle; 2. an insertion section fiber tube; 3. a bronchus simulation table; 4. a lower interface; 5. a hand-held part; 6. an operation unit; 7. a cable interface; 8. a second control button; 9. a third control button; 10. Bending the control button; 11. a biopsy tunnel inlet; 12. a first control button; 13. an aspirator interface; 14. a control chip; 15. a housing; 16. a micrometer sensor; 17. a mouth simulation assembly; 18. An affected part simulation component; 19. a fixed roller; 20. a micrometer roller; 21. a rotary encoder; 22. an optoelectronic switch; 23. a fixing clamp; 24. and the upper computer component.
Detailed Description
In order to better understand the technical solutions described above, the technical solutions of the embodiments of the present application are described in detail below through the accompanying drawings and the specific embodiments, and it should be understood that the embodiments of the present application and the specific features in the embodiments are detailed descriptions of the technical solutions of the embodiments of the present application, and not limit the technical solutions of the present application, and the embodiments of the present application and the technical features in the embodiments of the present application may be combined with each other without conflict.
As shown in fig. 1 to 16, an embodiment of the present application proposes a bronchoscope simulation operating device, including:
a bronchial simulation assembly, the bronchial simulation assembly comprising: the device comprises a bronchus simulation platform 3, an oral part simulation assembly 17 and an affected part simulation assembly 18, wherein the oral part simulation assembly 17 is arranged on the bronchus simulation platform 3, and the affected part simulation assembly 18 is arranged in the bronchus simulation platform 3;
the simulation operation assembly comprises a simulation handle 1, an insertion part fiber tube 2 and a control assembly, wherein the insertion part fiber tube 2 is connected to the simulation handle 1, at least part of the control assembly is arranged on the simulation handle 1, the control assembly is connected to the insertion part fiber tube 2, and the control assembly is used for controlling the insertion part fiber tube 2 to be inserted into the bronchus simulation platform 3 through the oral part simulation assembly 17 and moving the insertion part fiber tube 2 away from the simulation handle 1 to the affected part simulation assembly 18.
The bronchoscope simulation operation device provided by the embodiment of the application comprises a bronchoscope simulation assembly and a simulation operation assembly, wherein the bronchoscope simulation assembly comprises a bronchoscope simulation platform 3, an oral part simulation assembly 17 and an affected part simulation assembly 18, the simulation operation assembly comprises a simulation handle 1, an insertion part fiber tube 2 and a control assembly, the insertion part fiber tube 2 can be connected with the simulation handle 1 in the use process, the insertion part fiber tube 2 can be further controlled to penetrate into the bronchoscope simulation platform 3 through the oral part simulation assembly 17 on the bronchoscope simulation platform 3 through the simulation handle 1 and the operation assembly, and the insertion part fiber tube 2 can be inserted into the affected part simulation assembly 18 along with the penetration of the insertion part fiber tube 2, so that the practical operation of the soft bronchoscope of the bronchoscope simulation operation device provided by the embodiment of the application is beneficial to enabling medical staff to be familiar with the practical operation of the soft bronchoscope as soon as possible; simultaneously, the embodiment of the application provides a bronchus simulation component to simulate the bronchus part of a patient, can also simulate the affected part of the bronchus, can greatly reduce the cost of equipment, and can reduce the probability of instrument damage simultaneously.
It will be appreciated that at least part of the control assembly is provided on the simulated handle 1, facilitating handling of the simulated handle 1 by a user for handling the inserted portion of the fibre tube 2.
In one possible embodiment, the simulated handle 1 comprises: a hand-held part 5, a lower interface 4 is formed on the hand-held part 5, and the insertion part fiber pipe 2 is connected with the lower interface; an operation unit 6 connected to the hand-held unit 5, at least a part of the control unit being provided on the operation unit 6; a biopsy pore inlet 11 which is arranged on the hand-held part 5 and is communicated with the fiber tube 2 of the insertion part; the aspirator port 13 is provided on the operation section 6, and communicates with the insertion section fiber tube 2.
In this technical scheme, further provided the structure constitution of emulation handle 1, emulation handle 1 has included handheld portion 5 and operating portion 6, handheld portion 5 is connected with insert portion fibre pipe 2 through lower interface, the setting through handheld portion 5 is convenient for hold emulation handle 1, emulation handle 1 can also include the biopsy channel entry, can external other equipment through the setting of biopsy pore entry 11, simulate the biopsy, through aspirator interface 13's setting, can say on aspirator is connected to aspirator interface 13, can carry out the emulation of attracting operation to affected part simulation subassembly 18.
In one possible embodiment, the handpiece 5 comprises: a housing 15; a micrometer sensor 16 is provided in the housing 15 and communicates with the biopsy port inlet 11.
In this technical scheme, handheld portion 5 has further included shell 15, micrometer sensor 16, and insert portion fibre pipe 2 passes shell 15 and inserts into the bronchus analog component through micrometer sensor again, and micrometer sensor 16 can be with the mechanical displacement of being surveyed through the measuring device of capacitance sensor capacitance change conversion electric signal, can measure the tiny displacement in 0-20 mu m scope through the electric capacity gauge head, and measurement accuracy is the micron level, and the type is capacitive sensor type.
In one possible embodiment, the control assembly comprises: a cable interface 7 provided on the operation unit 6; an upper computer unit 24 connected to the cable interface 7; a bending control button 10 provided on the operation section 6; a traction wire connected to the insertion portion fiber tube 2 for traction of bending of the insertion portion fiber tube 2, and a bending control button 10 connected to the traction wire; an angle sensor connected to the bending control button 10 for detecting the swing angle of the insertion portion fiber tube 2; the control chip 14 is arranged on the simulation handle 1 and is in communication connection with the upper computer component 24; a first control button 12 for controlling the opening and closing of the aspirator interface 13.
In the technical scheme, the control assembly can comprise a cable interface 7 and an upper computer assembly 24, and the upper computer assembly 24 can establish a communication connection relationship with the bronchoscope simulation operating device through the cable interface 7, so that the bronchoscope simulation operating device can be controlled conveniently, and the display and the record of the operating process are facilitated.
In this technical solution, the control assembly may further include a bending control button 10, a traction wire, and an angle sensor, the effective length of the traction wire may be adjusted by the bending control button 10, the insertion portion fiber tube 2 may be driven to bend by the traction wire, so that the insertion portion fiber tube 2 is conveniently inserted into the bronchus simulation table 3 via the mouth simulation assembly 17, the insertion portion fiber tube 2 is conveniently moved to the affected part simulation assembly 18, and the angle sensor may know the bending angle of the insertion portion fiber tube 2.
In this technical solution, the bronchoscope simulation operating device may further include a control chip 14 and a first control button 12, and the control chip 14 is in communication connection with the first control button 12, so that the suction device interface 13 can be controlled to be opened and closed by the first control button 12, and meanwhile, the control chip 14 is in communication connection with the upper computer unit 24, so that the upper computer unit 24 can conveniently learn the operation states of the bronchoscope simulation component and the simulation operating component.
In one possible embodiment, the bronchoscope simulation operating device further comprises: a fixed roller 19 rotatably connected to the mouth simulation assembly 17; a micrometer roller 20 rotatably connected to the mouth simulation assembly 17 and disposed parallel to the fixed roller 19; a rotary encoder 21 is connected to the output of the micrometer wheel 20 and to the control chip 14.
In this technical scheme, bronchoscope emulation operating means still can include fixed gyro wheel 19, micrometer gyro wheel 20 and rotary encoder 21, and in the use, insert portion fibre pipe 2 can pass oral area analog component 17 through the clearance between fixed gyro wheel 19 and the micrometer gyro wheel 20, can produce frictional force between insert portion fibre pipe 2 and micrometer gyro wheel 20 in this process, and this frictional force can drive micrometer gyro wheel 20 rotation, and micrometer gyro wheel 20 drives rotary encoder 21 again and rotates, can know the degree of depth of insertion of insert portion fibre pipe 2.
It will be appreciated that the rotary encoder 21 may be in communication with the control chip 14 so that the upper computer assembly 24 knows the depth of insertion of the inserted portion of the fiber pipe 2.
In one possible embodiment, the bronchoscope simulation operating device further comprises: the first photoelectric sensor and the second photoelectric sensor are connected to the oral simulation assembly 17, and the fixed roller 19 and the micrometer roller 20 are arranged between the first photoelectric sensor and the second photoelectric sensor; a fixing clip 23, the rotary encoder 21 being connected to the mouth simulation assembly 17 through the fixing clip 23; wherein, be formed with the screw thread on first photoelectric sensor and the second photoelectric sensor, first photoelectric sensor and second photoelectric sensor threaded connection are in oral analog subassembly 17.
In this technical scheme, bronchoscope emulation operating means still includes: the first photoelectric sensor and the second photoelectric sensor are arranged at intervals, and can identify the insertion/extraction of the fiber tube 2 of the insertion part through photoelectric parameters, so that the entering/retracting length of the fiber tube 2 of the insertion part can be detected.
In this technical scheme, bronchoscope emulation operating means still includes: the fixing clip 23 can fix the rotary encoder 21 more reliably by the fixing frame.
In one possible embodiment, the upper computer assembly 24 includes: a computer connected to the cable interface 7; a display connected to the computer; a printer connected to the computer; the projection assembly is connected to the computer; and the cloud storage assembly is connected with the computer.
In this technical scheme, upper computer assembly 24 can include computer, display, printer, projection subassembly and cloud storage subassembly, can provide powerful operational capability for bronchoscope emulation operating means through the setting of computer, can show bronchoscope emulation operating means's operation process through the setting of display, and the medical personnel of being convenient for familiarize with the operation of device as early as possible, can print the image of gathering in the operation process through the setting of printer, can enlarge the display to the image of gathering in the operation process through the setting of projection subassembly, can store the data in the operation process through the setting of cloud storage subassembly.
In one possible embodiment, the control assembly further comprises: the image generation assembly is connected with the control assembly and used for generating image information based on the control assembly, and the display is used for displaying the image information; a second control button 8 provided on the operation section 6 for controlling the scaling ratio of the display; a third control button 9, provided on the operation section 6, for controlling the focal length of the image generating assembly.
In this technical scheme, the control assembly may further include an image generating assembly, a communication connection is established between the image generating assembly and the control assembly, the image generating assembly may generate image information based on control parameters of the control assembly, the image generating assembly may convert mechanical signals such as displacement, angle and the like into electrical signals through the sensor to transmit the electrical signals to the control chip 14, and then transmit the electrical signals to the computer for processing, the computer system has a preset program, and may read data, convert the data into a simulation image, and a bronchoscope, a biopsy forceps/a brush/a puncture needle, and an EBUS-TBNA simulation image may appear simultaneously on the display. It is understood that displaying images by a preset program on a computer system is a prior art approach.
In this solution, the control assembly may further include a second control button 8 and a third control button 9, which can control the scale and focal length of the displayed image, and it is understood that the second control button 8 and the third control button 9 are connected to the control chip 14.
In one possible embodiment, the insert fiber tube 2 is a rubber hose or a plastic hose, the insert fiber tube 2 has an outer diameter of 6mm to 8mm, an inner diameter of 4mm to 6mm, and a length of 300mm to 700mm; the height of the bronchus simulation table 3 is 200mm to 500mm. Based on this, the bronchi can be better simulated, and the actual operation of the soft bronchoscope can be better simulated.
In one possible embodiment, the lesion simulating assemblies 18 are multiple and the spacing between the plurality of lesion simulating assemblies 18 is different, each lesion simulating assembly 18 having a spacing of 7mm to 16mm and a depth of 3mm to 6mm. Based on the method, the actual affected part can be better simulated, and the actual operation of the soft bronchoscope can be better simulated.
Example 1
In order to achieve the above purpose, the present invention provides the following technical solutions: a bronchoscope simulation operation device for technical training comprises a simulation handle 1, an insertion part fiber tube 2 and a bronchus simulation platform 3;
the simulation handle 1 is provided with a hand-held part 5, and the lower interface 4 and the operation part 6 are connected into an integrated structure through an interface on the shell 15; the hand-held part 5 is provided with a biopsy pore inlet 11; the operation part 6 is provided with a first control button 12, a second control button 8, a third control button 9, a cable interface 7, a bending control button 10 and an aspirator interface 13; a micrometer sensor 16 is arranged inside the biopsy pore inlet 11; the control chip 14 is arranged in the shell 15;
the fiber tube 2 of the insertion part is connected with the simulation handle 1 into an integrated structure through the lower interface 4;
the bronchus simulation table 3 is of a frame structure, an oral simulation assembly 17 is arranged below an upper flat plate, and an affected part simulation assembly 18 is arranged on a lower flat plate;
a through hole for the fiber tube 2 of the insertion part to enter is arranged in the middle of the panel of the mouth part simulation assembly 17, a fixed roller 19 and a micrometer roller 20 are arranged below the through hole, and the rotating shaft of the fixed roller 19 and the rotating shaft of the micrometer roller 20 are arranged in parallel; the rotating shaft of the micrometer roller 20 is connected with a rotary encoder 21, and the rotary encoder 21 is fixed on the oral simulation assembly 17 through a fixing clamp 23; two photoelectric sensors 22 are provided between the face plate of the mouth simulation assembly 17 and the fixed roller 19 and the micrometer roller 20.
The first control button 12, the second control button 8, the third control button 9, the bending control button 10 and the micrometer sensor 16 on the simulation handle 1 are connected to the control chip 14 through input signal wire harnesses, and the control chip 14 is connected to a computer through the output signal wire harnesses and the cable interface 7; the bending control button 10 can control the bending degree of the tail end of the fiber tube 2 of the insertion part through 2 steel wires when moving up and down, and the bending control button 10 is connected with a micro resistance type angle sensor; the straight pipe part of the aspirator port 13 can swing for 15-30 degrees; a biopsy channel is provided below the micrometer sensor 16.
The fiber pipe 2 of the insertion part is a rubber or plastic hose, the outer diameter is 6mm-8mm, the inner diameter is 4mm-6mm, and the total length is 300 mm-700 mm; the inside of the fiber tube 2 of the insertion part is provided with a biopsy pore canal which is connected with the micrometer sensor 16, and is also provided with a suction pore canal which is connected with the suction device interface 13; the insertion portion fiber tube 2 has a distal end length of 50mm to 100mm, and is provided with a hinge structure capable of bending within a range of + -100 deg.
The bronchus simulation platform 3 is a metal or nonmetal material frame, and detachable opaque baffles are arranged on the periphery; the height dimension of the bronchus simulation platform 3 is 200mm-500mm; the upper surface of the bronchus simulation platform 3 is provided with a central hole, the edges of the bronchus simulation platform are chamfered, the aperture is 10mm-15mm, bolt holes are arranged around the central hole, and the bronchus simulation platform is connected with the mouth simulation assembly 17.
The basal body of the mouth part simulation assembly 17 is made of metal or plastic material, the upper surface is provided with a central hole, the edge is chamfered, the aperture is 8mm-12mm, and the periphery of the central hole is provided with a bolt hole which is connected with the bronchus simulation platform 3; the two photoelectric sensors 22 are symmetrically arranged below the central hole of the mouth simulation assembly 17; the photoelectric sensor 22 is externally threaded and is fastened on the basal body of the mouth simulation assembly 17 by a nut; the distance between the two photoelectric sensors 22 can be adjusted to be changed within the range of 50mm-70mm by adjusting the position of the nut; a fixed roller 19 and a micrometer roller 20 are arranged at the position 10mm-15mm below the axes of the two photoelectric sensors 22, and are soft rollers made of rubber or plastic, the diameters of the rollers are 6mm-10mm, and the intervals are 12mm-16mm; after the fiber tube 2 of the insertion part is inserted into the central hole of the mouth simulation assembly 17, the fixed roller 19 and the micrometer roller 20 clamp the fiber tube 2 of the insertion part, the fixed roller 19 and the micrometer roller 20 rotate around the central axes by utilizing friction force along with the downward insertion of the fiber tube 2 of the insertion part, meanwhile, the micrometer roller 20 drives the rotary encoder 21 to rotate, the rotary encoder 21 converts the insertion length of the fiber tube 2 of the insertion part into an electric signal to be transmitted to the control chip 14, and then the electric signal is transmitted to a computer by the control chip 14, and the control chip 14 is provided with a miniature attitude gyroscope, so that the space attitude of the simulation handle 1 can be detected.
The affected part simulation assembly 18 is a rubber or plastic upright post, the middle is provided with an affected part simulation hole, the inside is provided with a micro switch, and the micro switch is connected to a computer through a signal wire; the number of the affected part simulation assemblies 18 is 4-6, the diameters of the affected part simulation holes are different, the size ranges from 7mm to 16mm, and the depth ranges from 3mm to 6mm.
The first control button 12 controls the aspirator port 13 to be opened and closed, the aspirator port 13 is opened after the first control button 12 is pressed, the aspirated material can be sucked out of the affected part simulation hole, and the aspirator port 13 is closed after the first control button 12 is released; the second control button 8 and the third control button 9 respectively control the enlargement and the reduction of the computer software image, and simulate the focal length adjustment of the camera.
The computer is connected with a display, a projector, a printer, a router and other devices.
Principle of operation
Referring to fig. 1-8, before use, connecting signal lines at all positions, opening operation software, and observing images of a computer display;
when the bronchoscope is used, the left hand holds the hand-held part 5 by four fingers, the thumb controls the bending control button 10 to be up and down, and the first control button 12, the second control button 8 and the third control button 9 are touched and pressed as required, the left hand can also control the hand-held part 5 to rotate in the vertical direction, and the fiber tube 2 of the insertion part is driven to rotate in the broncho-simulation table 3; the right hand controls the insertion part fiber tube 2 to enter the central hole of the mouth part simulation assembly 17 from the central hole of the bronchus simulation platform 3 and pass through between the fixed roller 19 and the micrometer roller 20, so that slight resistance can be felt, the insertion part fiber tube 2 is clamped by the fixed roller 19 and the micrometer roller 20, at the moment, a computer display is observed, bronchus simulation animation can be seen, the insertion part fiber tube 2 is slowly inserted according to simulation animation prompt, meanwhile, the left hand controls the bending control button 10 to bend the insertion part fiber tube 2 until the front end of the insertion part fiber tube 2 reaches the affected part simulation hole of the affected part simulation assembly 18, and when the micro switch is contacted, computer software can obtain an in-place signal of the insertion part fiber tube 2, so that bronchoscope insertion and inspection processes are completed.
When the matched equipment is used, the matched equipment such as a medicine feeding pipe, an lavage pipe, a foreign matter clamp and the like is taken from the entrance 11 of the biopsy duct, the corresponding signals are transmitted to the control chip 14 after passing through the micrometer sensor 16, and then transmitted to the computer, and when the fiber pipe 2 at the insertion part reaches the affected part simulation hole of the affected part simulation assembly 18, simulation operations such as foreign matter picking, respiratory secretion removal, alveolus lavage, medicine injection, high-frequency electrotome treatment, laser treatment, microwave treatment, freezing treatment and the like can be carried out.
When the aspirator function is used, an aspirated object is placed in the affected part simulating hole of the affected part simulating assembly 18, then the negative pressure equipment interface is connected to the aspirator interface 13, and after the inserted part fiber pipe 2 reaches the affected part simulating hole of the affected part simulating assembly 18, the first control button 12 is started, so that the aspirated object can be sucked out of the affected part simulating hole.
The computer is connected with a display, a projector, a printer, a router and other devices. The operator can observe the operation process through the display; the operation process can be displayed on the curtain through the projector for other people to watch; the operation process and the result can generate a report to be output through a printer; the operation process can also be connected with a network through a router for remote watching or guiding.
By adopting the bronchoscope simulation operation device and the computer software system provided by the invention, the following embodiments can be realized: 1 can detect the advancing or retreating length of the fiber pipe 2 of the insertion part, namely, the depth of the simulated bronchoscope entering the trachea; 2 can detect the rotation angle and the inclination angle of the operation part, namely, the space gesture of the simulation handle 1 is detected through a miniature gesture gyroscope on the control chip 14; 3, the rotation angle of the bending control button 10 can be detected, namely, the rotation angle is converted into an electric signal by a miniature resistance type angle sensor connected with the bending control button 10, and the electric signal is transmitted to the control chip 14 and then transmitted to a computer; 4 can detect if there are any accessories inserted from the biopsy tunnel inlet 11 and the insertion length, i.e. the accessories such as the administration tube, the lavage tube, the foreign body forceps, etc., are inserted into the biopsy tunnel inlet 11, and after passing through the micro sensor 16, the corresponding signals are transmitted to the control chip 14 and then to the computer.
Although embodiments of the present invention have been shown and described, it will be understood by those skilled in the art that various changes, modifications, substitutions and alterations can be made therein without departing from the principles and spirit of the invention, the scope of which is defined in the appended claims and their equivalents.
The advantages and effects:
compared with the prior art, the invention has the beneficial effects that: the cost of the simulation operation device provided by the invention is far lower than the cost of a real equipment system, the maintenance is convenient, and parts are easy to replace; the simulation operation device provided by the invention can be matched with computer software to control the position and the posture of the bronchoscope insertion part in a three-dimensional bronchotree simulated by a computer, and perform simulation medical operation on the examination of the bronchoscope, the picking of foreign matters, the removal of foreign matters, the lavage treatment, the injection of medicines, the freezing treatment, the trachea cannula, the placement of stomach tubes and the like.
In the present invention, the terms "first," "second," "third," and the like are used for descriptive purposes only and are not to be construed as indicating or implying relative importance; the term "plurality" means two or more, unless expressly defined otherwise. The terms "mounted," "connected," "secured," and the like are to be construed broadly, and may be, for example, fixedly connected, detachably connected, or integrally connected; "coupled" may be directly coupled or indirectly coupled through intermediaries. The specific meaning of the above terms in the present invention can be understood by those of ordinary skill in the art according to the specific circumstances.
In the description of the present invention, it should be understood that the directions or positional relationships indicated by the terms "upper", "lower", "left", "right", "front", "rear", etc. are based on the directions or positional relationships shown in the drawings, are merely for convenience of describing the present invention and simplifying the description, and do not indicate or imply that the devices or units referred to must have a specific direction, be constructed and operated in a specific direction, and thus should not be construed as limiting the present invention.
In the description of the present specification, the terms "one embodiment," "some embodiments," "particular embodiments," and the like, 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 present invention. In this specification, schematic representations of the above terms 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 above is only a preferred embodiment of the present invention, and is not intended to limit the present invention, but various modifications and variations can be made to the present invention by those skilled in the art. Any modification, equivalent replacement, improvement, etc. made within the spirit and principle of the present invention should be included in the protection scope of the present invention.
Claims (6)
1. A bronchoscope simulation operating device, comprising:
a bronchial simulation assembly, the bronchial simulation assembly comprising: the device comprises a bronchus simulation platform, an oral simulation assembly and an affected part simulation assembly, wherein the oral simulation assembly is arranged on the bronchus simulation platform, and the affected part simulation assembly is arranged in the bronchus simulation platform;
the simulation operation assembly comprises a simulation handle, an insertion part fiber pipe and a control assembly, wherein the insertion part fiber pipe is connected to the simulation handle, at least part of the control assembly is arranged on the simulation handle, the control assembly is connected to the insertion part fiber pipe, and the control assembly is used for controlling the insertion part fiber pipe to be inserted into the bronchus simulation platform through the oral simulation assembly and moving the insertion part fiber pipe away from the simulation handle to the affected part simulation assembly;
the simulation handle comprises:
a hand-held part, on which a lower interface is formed, to which the insertion part fiber pipe is connected;
an operation part connected to the hand-held part, at least part of the control component is arranged on the operation part;
a biopsy pore inlet which is arranged on the handheld part and is communicated with the fiber tube of the insertion part;
an aspirator port provided on the operation section and connected to the insertion section fiber tube;
the hand-held part includes:
a housing;
the micrometer sensor is arranged in the shell and is communicated with the inlet of the biopsy pore canal; to detect if there is an insertion length of the accessory instrument from the biopsy aperture entrance;
the control assembly includes:
the control chip is arranged on the simulation handle and is in communication connection with the upper computer component;
the first control button is used for controlling the opening and closing of the aspirator interface;
the image generation component is connected with the control component and used for generating image information based on the control component, and the display is used for displaying the image information;
a second control button arranged on the operation part and used for controlling the scaling ratio of the display;
a third control button provided on the operation section for controlling a focal length of the image information;
a fixed roller rotatably connected to the mouth simulation assembly;
the micrometer roller is rotatably connected with the oral simulation assembly and is arranged in parallel with the fixed roller;
the rotary encoder is connected with the output end of the micrometer roller and the control chip so as to know the insertion depth of the fiber tube at the insertion part;
the fixed roller and the micrometer roller are arranged to feel resistance when the insertion portion fiber pipe passes through;
a first and a second photosensor connected to the oral analog assembly to detect the insertion portion fiber tube entry/withdrawal length;
the fixed roller and the micrometer roller are disposed between the first and second photosensors.
2. The bronchoscope simulation manipulator of claim 1, wherein the control assembly comprises:
a cable interface arranged on the operation part;
the upper computer assembly is connected to the cable interface;
a bending control button provided on the operation section;
the traction steel wire is connected with the insertion part fiber pipe and used for traction of bending of the insertion part fiber pipe, and the bending control button is connected with the traction steel wire;
and the angle sensor is connected with the bending control button and is used for detecting the swing angle of the fiber pipe of the insertion part.
3. The bronchoscope simulation operating device according to claim 2, further comprising:
a fixed clip through which the rotary encoder is connected to the oral analog assembly;
the first photoelectric sensor and the second photoelectric sensor are formed with threads, and the first photoelectric sensor and the second photoelectric sensor are connected with the oral simulation assembly in a threaded mode.
4. A bronchoscope simulation operating device according to claim 3, wherein said upper computer component comprises:
the computer is connected with the cable interface;
a display connected to the computer;
a printer connected to the computer;
a projection assembly connected to the computer;
and the cloud storage assembly is connected with the computer.
5. The bronchoscope simulation manipulator according to any one of claims 1 to 4, wherein,
the fiber pipe of the insertion part is a rubber hose or a plastic hose, the outer diameter of the fiber pipe of the insertion part is 6mm to 8mm, the inner diameter of the fiber pipe of the insertion part is 4mm to 6mm, and the length of the fiber pipe of the insertion part is 300mm to 700mm;
the height of the bronchus simulation platform is 200mm to 500mm.
6. The bronchoscope simulation manipulator according to any one of claims 1 to 4, wherein,
the affected part simulation components are multiple, the multiple affected part simulation components are different in space, each affected part simulation component is 7-16 mm in space, and the depth is 3-6 mm.
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| Application Number | Priority Date | Filing Date | Title |
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| CN202211117872.7A CN115472070B (en) | 2022-09-14 | 2022-09-14 | Bronchoscope simulation operation device |
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| CN202211117872.7A CN115472070B (en) | 2022-09-14 | 2022-09-14 | Bronchoscope simulation operation device |
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| Publication number | Priority date | Publication date | Assignee | Title |
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| JP4662622B2 (en) * | 1998-01-28 | 2011-03-30 | イマージョン メディカル，インコーポレイティド | Interface apparatus and method for interfacing an instrument to a medical procedure simulation system |
| JP3850217B2 (en) * | 2000-12-27 | 2006-11-29 | オリンパス株式会社 | Endoscope position detector for bronchi |
| CN202512796U (en) * | 2012-01-13 | 2012-10-31 | 徐佳敏 | Bronchus postural drainage model |
| CN203013102U (en) * | 2012-12-29 | 2013-06-19 | 徐州医学院 | Fiber bronchoscope operation training model |
| IL246068A0 (en) * | 2016-06-06 | 2016-08-31 | Medigus Ltd | Endoscope-like devices comprising sensors that provide positional information |
| US11222553B2 (en) * | 2016-09-27 | 2022-01-11 | Covidien Lp | Enhanced approaches to training for bronchoscopy and thoracic procedures |
| CN111354253A (en) * | 2020-04-15 | 2020-06-30 | 南京脑科医院 | Single-hole thoracoscope simulation operation device |
| CN111772564A (en) * | 2020-07-06 | 2020-10-16 | 上海优益基医用材料有限公司 | Multi-instrument channel bronchoscope |
| CN114067626B (en) * | 2021-09-30 | 2023-12-15 | 浙江优亿医疗器械股份有限公司 | Bronchoscope simulation system based on personalized data |
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Effective date of registration: 20231018 Address after: No.8 Youyi Road, Baita block, Xianju Economic Development Zone, Baita Town, Xianju County, Taizhou City, Zhejiang Province, 317300 Patentee after: Zhejiang Youyi Medical Equipment Co.,Ltd. Address before: 100029 No.2, yinghuayuan East Street, Chaoyang District, Beijing Patentee before: China Japan Friendship Hospital (China Japan Friendship Institute of clinical medicine) |
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