CN202694651U - Laparoscopic surgery puncture operation training device - Google Patents

Laparoscopic surgery puncture operation training device Download PDF

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Publication number
CN202694651U
CN202694651U CN 201220101008 CN201220101008U CN202694651U CN 202694651 U CN202694651 U CN 202694651U CN 201220101008 CN201220101008 CN 201220101008 CN 201220101008 U CN201220101008 U CN 201220101008U CN 202694651 U CN202694651 U CN 202694651U
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China
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training
laparoscopic surgery
shaped hollow
hollow housing
arc
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CN 201220101008
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Chinese (zh)
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孙颖浩
周铁
肖亮
倪贻能
曾建川
张沐之
王洁清
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中国人民解放军第二军医大学
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Abstract

The utility model relates to the medical ability training technical field, and relates to a laparoscopic surgery puncture operation training device used for operating and training a laparoscope technology in the clinic teaching. The laparoscopic surgery puncture operation training device is composed of an outer support cover (1), a belly tissue (2) and an internal organ (3). The outer support cover (1) is composed of an arc-shaped hollow housing (1.1) and a cuboid pedestal (1.3), the front part and the rear part are sealed, six preset puncture holes are provided on a central zone, three random holes with triangular distribution are selected and used according to the training requirements, and are respectively placed in an observation mirror (4) and a laparoscopic surgery apparatus (5), two loose-leaves (1.3) are provided at one side base for connecting a pedestal (1.2), the belly tissue (2) is attached on inner surface of the arc-shaped hollow housing (1.1), and is composed of simulated skin (2.1), muscle (2.2), peritonaeum external fat (2.3) and peritonaeum (2.4). The internal organ (3) is positioned in the arc-shaped hollow housing (1.1) and placed on the cuboid pedestal (1.3). The laparoscopic surgery puncture operation training device has the advantages of simple structure, simple operation, strong simulation performance, simple training flow and low cost, and the scalization and normalization of basic training of a laparoscope by the doctors and primary laparoscope doctors are possible.

Description

一种腹腔镜手术穿刺操作训练器 One kind of laparoscopic surgery puncturing trainer

技术领域 FIELD

[0001] 本实用新型涉及医疗技能培训技术领域,是一种应用于临床教学中腹腔镜技术操作训练的训练器。 [0001] This invention relates to the field of medical technology skills training, it is a technique used in clinical teaching laparoscopic operation training of trainers.

背景技术 Background technique

[0002] 1987年法国里昂的Phillip Mouret完成了世界首例腹腔镜胆囊切除术,随即在世界范围内迅速得到推广和普及。 [0002] In 1987 in Lyon, France Phillip Mouret completed the world's first laparoscopic cholecystectomy, and then spread rapidly in popularity worldwide. 腹腔镜作为微创外科技术的巨大进展,它具有美容,术后疼痛轻,手术创伤轻,内环境干扰轻微,住院时间短,极少发生切口疝等优点。 As the great progress of laparoscopic minimally invasive surgical techniques, it has beauty, postoperative pain, surgical trauma light, the environmental light interference, shorter hospital stay, etc. rare incisional hernia. 如今腹腔镜技术已被广泛应用于临床的各种微创手术,如腹腔脏器活检术,肝脏、肾脏囊肿破顶减压术,胆囊、阑尾切除术等,往往采用腹腔镜技术。 Today laparoscopic technique has been widely used in various clinical minimally invasive surgery, abdominal organs such as biopsy, liver, kidney cysts broken top decompression, cholecystectomy, appendectomy, and the like, often using laparoscopic techniques. 腹腔镜技术通常需在腹壁打3〜5个直径为5〜20_的孔,在孔内安置套管,套管分别用于置入内窥镜进行观察,置入各种手术器械进行操作。 In laparoscopy the abdominal wall is typically required to play 3 ~ 5 5~20_ holes with a diameter of the sleeve is disposed in the hole, respectively, for insertion into the sleeve observation endoscope, various surgical instruments into operation. 但腹腔镜手术与开腹手术还是有明显差别,它与传统的开放手术完全不同,临床上·即使很有经验的手术医师,如果没有经过培训不可能开展这一手术。 But laparoscopic surgery and open surgery was significantly different, with the traditional open surgery is completely different, clinically-even very experienced surgeon, if not impossible trained to carry out this operation. 腹腔镜作为一种新型手术器械,需要术者通过二维监视器而感知三维空间深度及方向感觉,此种操作需通过专门训练而逐步培养。 As a new laparoscopic surgical instruments, the surgeon needs to perceive three-dimensional sense of depth and direction by two-dimensional monitor, such an operation to be gradually training through specialized training. 尤其在泌尿外科腹腔镜应用中,有很多与肾脏有关的手术需要建立腹腔镜下腹膜外手术入路,又有许多普外科手术如胆囊切除术等需建立腹腔镜下腹膜内手术入路。 Especially in laparoscopic urology applications, there are many with kidney-related surgery requires the establishment of extraperitoneal laparoscopic surgical approaches, there are many general surgery such as cholecystectomy, etc. need to establish intraperitoneally laparoscopic surgical approach. 在临床实际操作过程中,初学腹腔镜的医生往往在用trocar(套管针)穿刺建立手术入路时由于技术不熟练,用力不均,经验不足,会出现穿到腹膜内或穿到肌肉组织内,伤及腹腔内脏器官,腹腔内血管神经,造成器官损伤,肌肉损伤,大出血等意外情况。 Because of unskilled, uneven force, lack of experience, there will be wear to wear intraperitoneally or into the muscle tissue in the course of clinical practice, doctors often beginner with laparoscopic trocar (trocar) to establish puncture surgical approach inside, injuring abdominal organs, blood vessels and nerves in the abdominal cavity, causing unexpected organ damage, muscle damage, bleeding and so on. 为避免出现这种情况或由不当操作引起的其它并发症,国内外医学院校在临床教学中,使用了多种训练模式和模拟训练器,反光镜简易黑箱训练器、腹腔镜黑箱训练器、计算机仿真训练器以及方位操作训练、综合操作训练、动物实验操作训练等。 To avoid this or other complications caused by the improper operation occurs, domestic and foreign medical schools in clinical teaching, training mode and use a variety of training simulators, trainers mirror simple black box, black box laparoscopic trainer, computer training simulator operation and orientation training, comprehensive operation training, animal training operation. 但这些训练方法主要存在以下两个大问题:一是使用简易训练器和训练方法缺乏对腹部解剖学层次的模拟或模拟程度不精细。 However, these training methods are mainly the following two major problems: First, the use of simple lack of training and training methods to simulate analog or abdominal anatomy degree level is not fine. 腹部解剖学结构层次主要分皮肤,肌肉,腹膜外脂肪和腹膜四层,而大多数简易训练器以一层较厚的软材料代替。 Abdominal anatomy level is divided into skin, muscle, fat and peritoneum extraperitoneal four, and most simple trainer with a thick layer of soft materials instead. 二是使用计算机仿真训练器,动物实验操作训练等较高级的训练方法,这类方法主要问题在于训练成本太高,训练设备昂贵且此类设备大多由国外生产,训练过程繁琐在国内医学院校中普及难度较大。 Second, the use of computer simulation training devices, more advanced training methods such as animal experiments on training, such methods the main problem is the high cost of training, training equipment is expensive and most of the production of such equipment from abroad, the training process is cumbersome medical schools in the country popularizing difficult. 且由于住院医师绝大多数是第一次接触腹腔镜手术训练,基础欠缺,开展此类训练适应周期长。 And because the vast majority of residents are the first contact with laparoscopic surgery training, lack of foundation, to carry out such a long period of training to adapt. 目前在国内的住院医师或初学腹腔镜的医师培训中,尚缺乏一种腹部解剖学层次精细模拟,训练方法简便,训练成本低,价格便宜能够普遍应用的腹腔镜穿刺手术操作训练器。 Currently in the country of residency or laparoscopic novice physicians in training, is still the lack of a fine abdominal anatomy level simulation, training method is simple, low training costs, cheap puncture laparoscopic surgical procedures trainer capable of universal application.

发明内容 SUMMARY

[0003] 本实用新型的目的是提供一种能够较好模拟腹部解剖学层次,训练方法简便,训练成本低,价格便宜且易于推广应用的腹腔镜手术穿刺操作训练器。 [0003] The present invention aims to provide a better simulation abdomen anatomical level, the training method is simple, low training costs, cheap and easy to promote the use of laparoscopic surgery trainer piercing operation.

[0004] 本实用新型由外支撑罩、腹部组织、内脏器官组成,外支撑罩由钢化玻璃制成,主要起固定腹部组织,形成腹腔的作用,以免在穿刺腹壁时造成腹部组织向内部塌陷,外支撑罩通过一侧底边上的两个活页与底座连接,可以使外支撑罩打开和关闭,以方便取放里面的物品,外支撑罩上预设六个穿刺孔,根据训练需要选择使用成三角形分布的任意三个孔,腹部组织由四层海绵构成,由外至内依次模拟皮肤层,肌肉层,腹膜外脂肪层和腹膜层,腹部组织与外支撑罩呈相同的弧度并贴附于外支撑罩内表面;内脏器官由软质材料如橡胶软管,气球等组成,意在模拟腹腔内脏器官,置于长方体底座上,与人体器官比例相同,形状相近,模拟性强,底座由厚塑料板制成,与外支撑罩通过活页连接在一起构成密闭腹腔模型。 [0004] The present invention is supported by an outer cover, abdominal tissue, organ composition, the outer cover is made of tempered glass is supported, from the main fixed abdominal tissue, the role of the abdominal cavity is formed, so as to avoid the collapse of the internal abdominal tissue puncture in the abdominal wall, the outer support housing connected by two leaflet side edge of the bottom of the base, support the outer cover can be opened and closed to facilitate pick and place items inside the outer cover supporting six preset puncture hole, you need to select the training any of the three holes in a triangular distribution, is composed of four sponge abdominal tissue, from the outside in order simulate the skin layer, muscle layer, the outer layer retroperitoneal fat layer and the peritoneum, the abdomen and the outer tissue supporting cap was attached and the same curvature the outer surface of the inner closure support; organs of a soft material such as rubber hoses, balloons, etc., are intended to simulate the abdominal organs, placed on a rectangular base, and the ratio of human organs same shape similar simulation strong, by the base made of thick plastic plate, the cover and the outer support connected together to form a closed model by intraperitoneal leaflet.

[0005] 使用时在六个预设穿刺孔中选择手术所需的呈三角形分布的任意三个开孔,之后在其中一个开孔上用手术刀依次切开分离皮肤层、肌肉层、腹膜外脂肪层三层组织,然后用套管针小心穿刺腹膜,取出套管内芯,将观察镜沿套管放入腹腔;另外两个穿刺孔在观察镜的监视下进行穿刺操作,套管针穿刺完成后,置入相应腹腔镜手术器械;在套管针穿刺和插入过程中,如伤及内脏及其它组织,可在观察镜下看到或使气球模拟的内脏爆裂,提醒手术产生损伤,达到训练目的。 [0005] In the puncture six preset to select the desired operation of any shape of a triangular profile three openings, after which an opening in the skin with a scalpel successively cutting separate layer, a muscle layer, use extraperitoneal adipose tissue level three, then carefully puncturing trocar intraperitoneally, remove the core sleeve, the sleeve into the abdominal cavity along the sight glass; the other two puncture hole puncturing operation performed at the sight glass monitor, completed needle cannula after laparoscopic instruments into the corresponding; needle and cannula during the insertion process, such as injuries to other organs and tissues may be observed in the microscope to see the balloon or visceral simulated burst operation damaged alert, to train purpose.

[0006] 本实用新型结构简单,操作简便,模拟性强,训练流程简单,成本低,使住院医师或初学腹腔镜医师腹腔镜基础训练规模化,常态化成为可能。 [0006] The present invention is simple in structure, easy to operate, strong simulation, training process is simple, low cost, the resident physician laparoscopic or laparoscopic beginner basic training scale, normalization is possible.

附图说明 BRIEF DESCRIPTION

[0007] 图I为本实用新型的内部结构图。 [0007] Figure I a new internal structure of the present invention.

[0008] 图2为本实用新型的局部视图。 [0008] FIG. 2 is a partial view of the present disclosure.

[0009] 图3为本实用新型的装配图。 [0009] FIG. 3 is a schematic assembly view of the invention.

[0010] 图4为本实用新型的结构图。 [0010] FIG 4 is a configuration diagram invention.

[0011] 图5为本实用新型的使用情况模拟图。 [0011] FIG. 5 of the present invention the use of simulation in FIG.

[0012] 图6为本实用新型的俯视图。 [0012] FIG. 6 is a plan view invention.

[0013] 图7为本实用新型的AA剖视图。 [0013] FIG. 7 is an AA sectional view of the novel present invention.

具体实施方式 Detailed ways

[0014] 现结合附图和实施例对本实用新型作详细描述。 [0014] Now detailed description of the invention made in conjunction with the accompanying drawings and embodiments.

[0015] 本实用新型由外支撑罩I、腹部组织2、内脏器官3以及底座4组成。 [0015] The present invention is supported by an outer cover I, 2 abdominal tissue, organ 3 and 4 the base composition. 外支撑罩I由圆弧形空心外罩I. I和长方体底座I. 3组成,前后封闭,中央预设穿刺区上有六个开孔,根据训练需要选择使用成三角排列的三个孔,分别置入观察镜4和腹腔镜手术器械5,一侧底边设有两个活页I. 3,用以连接底座I. 2,腹部组织2贴附于圆弧形空心外罩I. I内表面,由模拟皮肤2. 1,肌肉2. 2,腹膜外脂肪2. 3和腹膜2. 4组成。 An outer cover supported by an arc-shaped hollow housing I I I. I. 3 and the base composition of a rectangular parallelepiped, a closed front, six preset central opening, according to the training needs to choose a triangular arrangement of three holes on the puncture area, respectively into sight glass 4 and laparoscopic surgical instruments 5, bottom side is provided with two leaflets I. 3, for connecting the base I. 2, 2 attached to the abdominal tissue arcuate inner surface of the hollow casing I. I, 2.1 analog skin, muscle, 2.2, 2.3 and extraperitoneal fat composition intraperitoneally 2.4. 内脏器官3位于圆弧形空心外罩I. I内,置于长方体底座I. 3上。 3 organ located within a circular arc-shaped hollow housing I. I, is placed on the rectangular base I. 3.

[0016] 实施例I. 一种模拟经人体腹部进行阑尾切除术的腹腔镜穿刺训练器 Laparoscopic puncture exerciser Example I. An analog [0016] embodiment appendectomy performed by the human abdomen

[0017] 本实用新型的圆弧形空心外罩I. I由钢化玻璃制成,横切面半圆直径20cm,纵切面长方形长为40cm,宽为10cm,活页I. 3为钢制,长5cm,底座I. 2由厚塑料板或木板制成,长约45cm,宽约25cm,、通过活页I. 3和圆弧形空心外罩I. I相连,腹部组织2为长方形,长40cm,宽为62cm,由密度较小海绵制成的模拟皮肤2. I,腹膜外脂肪2. 3,密度较大海绵制成的模拟肌肉2. 2,模拟腹膜2. 4组成,贴附于圆弧形空心外罩I. I内表面,模拟阑尾和内脏器官,内脏组织3可由橡胶软管,气球,泡沫等制成,位于圆弧形空心外罩I. I内,置于长方体底座I. 3上。 [0017] The present invention I. I arcuate hollow casing made of tempered glass, semi-circular cross-section diameter of 20cm, a rectangular longitudinal section length 40cm, width 10cm, I. 3 leaflet is made of steel, length 5cm, base I. plate 2 is made of thick plastic or wood, length 45cm, width 25cm ,, I. 3 through the leaflet and arcuate hollow housing connected I. I, abdominal tissue 2 has a rectangular shape, length 40cm, width 62cm, analog skin made of a less dense sponge 2. I, 2.3 extraperitoneal fat, muscle analog sponge made of greater density 2.2, 2.4 analog intraperitoneally composition, is attached to the arc-shaped hollow housing I the inner surface of the I, appendix and simulated organ, visceral tissues 3 may be formed of rubber hoses, balloons, foam or the like, located within the hollow arcuate cover I. I, is placed on the rectangular base I. 3.

[0018] 本实用新型可根据各医学院校训练实际情况设计成不同规格。 [0018] The present invention can be designed according to different specifications for each medical schools training the actual situation.

Claims (1)

1 一种腹腔镜手术穿刺操作训练器,其特征在于由外支撑罩(I)、腹部组织(2)、内脏器官(3)组成,外支撑罩(I)由圆弧形空心外罩(I. I)和长方体底座(1.3)组成,前后封闭,中央区有六个预设穿刺孔,根据训练需要选择使用成三角形分布的任意三个孔,分别置入观察镜(4)和腹腔镜手术器械(5),腹部组织(2)贴附于圆弧形空心外罩(I. I)内表面,由模拟皮肤(2. I),肌肉(2. 2),腹膜外脂肪(2. 3)和腹膜(2. 4)组成,可精细模拟人体腹部解剖学层次;内脏器官(3)位于圆弧形空心外罩(1.1)内,置于长方体底座(1.3)上,与人体器官比例相同,形状相近,模拟性强。 A laparoscopic surgical operation training lancing, characterized in that the support by an outer cover (I), abdominal tissue (2), an organ (3), with an outer housing support (I) by an arc-shaped hollow housing (I. I) and rectangular base (1.3), with a closed front, the central area has six preset puncture hole, according to the training need to select any of three triangular distribution holes, respectively, into the sight glass (4) and laparoscopic surgical instruments (5), the abdominal tissue (2) is attached to the circular arc-shaped hollow housing (I. I) surface by an analog skin (2. the I), muscle (2.2), extraperitoneal fat (2.3) and intraperitoneal (2.4) composition, finely simulate human abdomen anatomy hierarchy; organ (3) is located within a circular arc-shaped hollow housing (1.1), placed on a rectangular base (1.3), the same as the ratio of human organs, similar to the shape of , analog and strong.
CN 201220101008 2012-03-15 2012-03-15 Laparoscopic surgery puncture operation training device CN202694651U (en)

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