CN201097386Y

CN201097386Y - Simulation electronic standard patient for comprehensive puncturing and percussing examination

Info

Publication number: CN201097386Y
Application number: CNU200720010065XU200720010065XU
Authority: CN
Inventors: 李长吉; 董洪川; 王宇
Original assignee: Yingkou Jucheng Teaching Science & Technology Development Co Ltd
Current assignee: Yingkou Jucheng Teaching Science & Technology Development Co Ltd
Priority date: 2007-01-11
Filing date: 2007-01-11
Publication date: 2008-08-06
Anticipated expiration: 2017-01-11

Abstract

Disclosed is an electronic simulation standard patient used for the comprehensive puncture and the percussion examination. The utility model relates to the clinical puncture technique teaching and provides doctors and students in hospitals and medical colleges with simulation patient for puncture exercise. The simulation patient is made through the reverse molding of a human body and is controlled by a single chip main control board; four water bags which are connected with each other are arranged in the inner cavity of the simulation patient; seven points for puncture operation are respectively distributed on the simulation patient; the seven points for puncture operation can simulate seven clinical punctures on different positions of a real patient, and provide the operators with three puncture gesture options for puncture operation. The simulation patient uses a sound prompt that is <wrong position, nerves and vessels are injured> to guide the operator to practice puncture during the liver puncture process. The water bags in the chest cavity of the simulation patient are used for the percussion exercise; two pulsation sensors adopt the <electromagnet principle> to provide the operator with the pulsation of the carotid artery and the femoral artery with the same frequency as a real patient, facilitating the operator to find the puncture point conveniently.

Description

Comprehensive puncture is checked the artificial electronic standard patient with percussion

Technical field

The utility model relates to clinical puncture technique teaching, and the doctor, the student that can be hospital, medical colleges and schools provide the emulation patient of centesis exercise.

Background technology

Puncture technique is the emphasis in " diagnostics " teaching, and this type of centesis training emulation patients function of using in teaching at present is single, can only carry out the centesis training at a position; Important step simulated effects such as the position when the emulation patient carries out centesis, skin feel, searching tender point, searching arteriopalmus, the correct site of puncture of searching are bad; Importantly whether cause the success of damage, puncture or failure all not to have clear and definite prompt facility in the piercing process to the emulation patient, regular, the exercise of centesis accurately that the operator is difficult to carry out, the operator is learning not have the main points of puncture technique on top of in the paracentetic process with the emulation patient like this, and present emulation patient is not also just in the purpose that truly reaches emulation.

Summary of the invention

For the function singleness that solves present centesis training emulation patient, when carrying out centesis position, skin feel, seek tender point, seek arteriopalmus, seek that important step simulated effects such as correct site of puncture are bad, whether the emulation patient caused in the voice suggestion piercing process deficiency of technical elements such as the success of damage, puncture or failure, novel a kind of comprehensive puncture that addresses the above problem and percussion inspection artificial electronic standard patient of providing is provided for this.

The technical scheme that its technical matters that solves the utility model adopts is: four water pockets are installed in the simulation standard patient thoracic cavity, be connected by silicone tube between the water pocket, covered jugular vein, pleural cavity, liver, intracardiac, cavum peritoneale, ilium, seven sites of puncture of femoral vein; Can also carry out the percussion of belly shifting dullness, thoracic cavity percussion, liver turbid boundary percussion, border of cardiac dullness percussion training.When carrying out liver abscess puncture, percussion liver voiced sound circle, at right midaxillary line 8-9 intercostal the liver tenderness is arranged, the correct emulation patient of gimmick can send the cry of " bitterly ", the puncture of pressure pain spot, the voice suggestion method of holding one's breath, the operator is with the rhythm puncture of holding one's breath, puncture needle along marginal lappet on the next rib thrust straightly into, as get wrong position, the emulation patient can voice suggestion " position mistake; damaged nerve and blood vessel " this moment be puncture failure, when carrying out liver puncture operation inserting needle when correct, the sense that falls through can appear, can extract the liver fester out.The position of arteria carotis, femoral artery is equipped with the electronic sensor of " electromagnet " principle, can simulate the arteriopalmus consistent with the real patient frequency accurately.The operation experiments platform that is used behind the emulation person, power supply, liver that main control board and control emulation people are installed on the experiment table are worn the control button of voice, pulse, emulation patient's posture is adjusted in the upset that experiment table can also carry out lower-left, bottom right, front lower place, and the compounding practice person carries out the centesis training.

The beneficial effects of the utility model are:

1. utilize the emulation patient can carry out seven kinds of centesis training and the training of kind percussion art.

2. operator's operational simulation patient carries out having in the liver puncture training process puncture tender point, the training of holding one's breath, the wrong voice suggestion of puncture.

3. the operator can find arteria carotis, the femoral pulse of imitation actual patient on emulation patient's health.

Description of drawings

Below in conjunction with drawings and Examples the utility model is further specified.

Fig. 1: comprehensive puncture is checked artificial electronic standard patient scheme of installation with percussion.

Fig. 2: simulation standard patient horizontal position synoptic diagram is checked in comprehensive centesis and percussion.

Fig. 3: simulation standard patient-side clinostatism synoptic diagram is checked in comprehensive centesis and percussion.

Fig. 4: simulation standard patient semireclining position synoptic diagram is checked in comprehensive centesis and percussion.

Fig. 5: the control panel that control simulation standard patient voice suggestion, arteria carotis, femoral artery electronics are beaten.

Fig. 6: master control circuit board functional block diagram.

1. punctures are checked the artificial electronic standard patient with percussion among the figure, 2. carotid pulsation electronic sensor, 3. position, thoracic cavity water pocket, 4.. liver puncture position, left side water pocket, 5. cavum peritoneale site of puncture water pocket, 6. femoral pulse electronic sensor, 7. the 8. control simulation standard patient voice suggestions of simulation standard patient dedicated operations platform are checked in turnover comprehensive centesis and percussion, arteria carotis, the control panel that the femoral artery electronics is beaten, 9. right side liver puncture position water pocket, 10. be connected the conduit between each water pocket, 11. power switch button, 12. liver puncture voice suggestion switch key, 13. arteria carotis, the femoral artery electronics switch key of beating, 14. switch pilot lamp.

Embodiment

1. in Fig. 1, four

water pockets

3,4,5,9 are installed in emulation patient 1 the thoracic cavity, be that the silicone tube of 12mm is connected by diameter between each water pocket, four water pockets have covered seven sites of puncture altogether: jugular vein, pleural cavity, liver, intracardiac, cavum peritoneale, ilium, femoral vein, can satisfy the centesis training of carrying out seven different parts on same tool emulation patient body.Housing overcoat high elasticity sponge and super soft silica gel emulation fell.Skin and fat deposit is soft true during touch, and rib is clear.Standardization emulation patient is the flat signorini simulated humanbody that crouches, takes on pillow hyperextension position, head deflection left side, material is the gentle durable high temperature polymerization silicon rubber of benevolence, clavicle, rib, intercostal bone, navel, phalanx associating, anterior superior spine, sternocleidomastoid muscle, ligamentum inguinale etc. and real human dissection position consistency, can touch above-mentioned tissue according to dissecting knowledge, the button of the control panel 8 on the operating console 7, order is: power supply-pulse-liver is worn, button pilot lamp on the control panel has response simultaneously, just has voice suggestion and correctly seeks point of puncture.A slice conductive rubber is installed outside the water pocket at liver puncture position, liquid in conductive rubber and the water pocket can constitute the loop by the insertion of puncture needle, emulation patient's master control borad single-chip microcomputer can carry out reading of signal with disconnection to the conducting in conductive rubber and loop that liquid constitutes, and calls the voice that solidify in the ISD2590 speech chip operator is carried out voice guidance and prompting.When carrying out the liver abscess puncture training, percussion liver voiced sound circle has the liver tenderness at right midaxillary line 8-9 intercostal, the correct emulation patient of gimmick can send the cry of " bitterly ", pressure pain spot puncture, the voice suggestion method of holding one's breath, the operator is with the rhythm puncture of holding one's breath, puncture needle along marginal lappet on the next rib thrust straightly into, as get wrong position, the emulation patient will send the voice suggestion of " position mistake; damaged nerve and blood vessel ", inserting needle is correct, the sense that falls through can occur, and can extract the liver fester out.The electronics that emulation patient's arteria carotis, femoral artery position are equipped with " electromagnet "

principle sensor

2,6 of beating, by the beat adhesive of sensor interior loop of the selection master control borad single-chip microcomputer may command of control button, can simulate the beating of frequency emulation arteria carotis, femoral artery of real patient, guiding operation person seeks the site of puncture.Four water pockets installing in the emulation patient thoracic cavity also can make the operator carry out the percussion training, and the position is: the percussion of belly shifting dullness; The thoracic cavity percussion; The percussion on the turbid boundary of liver; The percussion of border of cardiac dullness makes various centesis train the reality that presents in the simulation.

2. in Fig. 2, Fig. 3, Fig. 4, the difference of the site of puncture that carries out as required, the modal patient selects in the time of can allowing the operator puncture training according to three kinds of postures of method conversion.

Claims

1. a comprehensive puncture is checked the artificial electronic standard patient with percussion, comprise the simulation standard patient, it is characterized in that: four water pockets are installed in the simulation standard patient thoracic cavity, be connected by silicone tube between the water pocket, covered jugular vein, pleural cavity, liver, intracardiac, cavum peritoneale, ilium, seven sites of puncture of femoral vein.

2. check the artificial electronic standard patient according to described comprehensive puncture of claim 1 and percussion, it is characterized in that: when utilizing the electronic standard patient to carry out liver abscess puncture, voice suggestion " bitterly " point is arranged, voice suggestion " puncture mistake, injured blood vessel, injured nerve " is the puncture failure to train; Do not have voice suggestion when puncture procedure is correct, the inserting needle sense that falls through can occur, can extract the emulation fester out.

3. check the artificial electronic standard patient according to described comprehensive puncture of claim 1 and percussion, it is characterized in that: the electronic sensor of " electromagnet " principle is installed at electronic standard patient's arteria carotis, femoral artery position, simulates the arteriopalmus identical with the real patient frequency.

4. check the artificial electronic standard patient according to described comprehensive puncture of claim 1 and percussion, it is characterized in that: cooperate the operator's console of installing and using with the emulation people, the button that touches of main control board, 12V supply hub are installed bottom the operator's console, control emulation patient power supply, liver being worn voice, pulse, operating table surface can the lower-left, bottom right, front lower place upset, and the posture of training punctures for the position of adjusting that the emulation patient lies on the left side, crouch in the right side, sitting leans forward.