CN207082259U - Model for practicing gastroesophageal reflux resisting operation under minimally invasive instrument - Google Patents
Model for practicing gastroesophageal reflux resisting operation under minimally invasive instrument Download PDFInfo
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- CN207082259U CN207082259U CN201720642772.4U CN201720642772U CN207082259U CN 207082259 U CN207082259 U CN 207082259U CN 201720642772 U CN201720642772 U CN 201720642772U CN 207082259 U CN207082259 U CN 207082259U
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Abstract
The utility model relates to a model for practice of anti-gastroesophageal reflux surgery with minimally invasive equipment and a manufacturing method. The utility model uses 3D printing and unique special flexible materials to model the human body’s internal thoracic septum, gastroesophagus, other peripheral organs, nerves and blood vessels through image modeling and high imitation printing, and present the softness and flexibility of different organs. The printed organs are arranged on the bottom plate according to the three-dimensional position of the organs in the abdominal cavity of the human body to form a model for practice of anti-gastroesophageal reflux surgery under minimally invasive equipment. The hand feel of this model is extremely similar to the real human organs. It helps doctors practice anti-gastroesophageal reflux surgery with minimally invasive devices, fills the gap that doctors have not trained for a long time, and can significantly improve doctors’ proficiency in anti-gastroesophageal reflux surgery with minimally invasive devices. It improves the healing effect of patients after surgery, and has extremely important guiding significance for clinical medicine.
Description
Technical field
It the utility model is related to anti-gastroesophageal reflux art exercise model under mis instruments.
Background technology
The anti-reflux operative treatment of stomach esophagus(Stomach bottom folds)It is gastroesophageal reflux patient invalid, repeatedly in internal medicine treatment
Optional wound is small under the premise of breaking-out, recovers fast different art classes treatment method, is drunk water within second day after patient's treatment, every other day can be with
Liquid food, leave hospital within the shortest time, be the small treatment method evident in efficacy of current wound.
Medical model and 3D printing organ most in the past is hard, is used for teaching and pre-operative surgical planning, does not also have
Have stomach esophagus correlation concrete model, really perform the operation it is well-done with it is bad, or allow operation to do better, it is desired nonetheless to have actual
Operation model operates, it is impossible to is hard.Especially relative complex, challenging operation is with greater need for preoperative substantial amounts of instruction
Practice because operation quality be directly connected to patient it is postoperative more after effect.New technology is grasped for any one doctor is
There is learning curve, the number of only doctor's training is more than enough, and training environment is more nearly true environment, and doctor could give patient
Bring optimum therapeuticing effect.
The content of the invention
In order to solve above-mentioned technical problem, the purpose of this utility model is to provide a kind of more real minimally invasive device of feel
Anti- gastroesophageal reflux art exercise model under tool.
In order to realize above-mentioned first purpose of utility model, the utility model employs following technical scheme:
Anti- gastroesophageal reflux art exercise model under mis instruments, including using 3D printing technique in accordance with actual form and matter
Esophagus model, diaphram model, stomach model, spleen model and the bottom plate and diaphram frame that ground is produced, two diaphram framves are solid respectively
The both sides of bottom plate are scheduled on, the both ends of the diaphram model are separately fixed on diaphram frame, and the esophagus model runs through diaphram model,
The stomach model is connected with esophagus model, and stomach model is placed side by side on bottom plate with spleen model.
Preferably:Two middle side parts of the bottom plate are provided with breach, and the diaphram frame includes clamp, support column and bottom
Plate, the base piece are vertically fixed on one end of support column, and the clamp is located at the upper end of base piece and vertical with support column
Fixed, in the support column insertion breach, and clamp clamps the both sides up and down of bottom plate with base piece respectively.
Preferably:The upper end of the bottom plate is additionally provided with the esophagus support for placing esophagus model, the esophagus support
Including arc pallet bar and U-shaped fixed block, the arc pallet bar is fixed in a side wall of U-shaped fixed block, the U-shaped fixation
Block is connected to one end of bottom plate.
Preferably:The arc pallet block for placing stomach model and spleen model is further fixed on the bottom plate,
The diaphram model is provided with the through hole passed through for esophagus model.
Preferably:The esophagus model and stomach model one printing shaping, and esophagus model uses quality of rubber materials,
Diaphram model uses hydrogel material, and stomach model uses silicone rubber material, and spleen model uses plastic material.
The utility model utilizes 3D printing and exclusive special flexible material, by diaphram in torso model, stomach esophagus, periphery its
His organ and nerve, blood vessel etc. by image modeling and it is high it is imitative print, and show the pliability and density of Different Organs,
And the organ for printing these, according to organ, three-dimensional position is arranged on bottom plate in human abdominal cavity, forms mis instruments
Under anti-gastroesophageal reflux art exercise model, the model feel and the similarity of human body actual organ are high, help doctor for
The exercise of anti-gastroesophageal reflux art under mis instruments, doctor has been filled up for a long time without the blank of training pattern, can significantly have been carried
The qualification of Gao doctor's anti-gastroesophageal reflux art under mis instruments, patient's postoperation recovery effect is improved as far as possible, it is right
Clinical medicine has extremely great directive significance.
Brief description of the drawings
Fig. 1 is structural representation of the present utility model.
Fig. 2 is the structural representation of bottom plate of the present utility model.
Fig. 3 is the structural representation of the utility model esophagus support.
Fig. 4 is the structural representation of diaphram model of the present utility model.
Fig. 5 is the structural representation of diaphram frame of the present utility model.
Embodiment
Embodiment of the present utility model is described below in detail, the example of the embodiment is shown in the drawings, wherein from beginning
Same or similar element is represented to same or similar label eventually or there is the element of same or like function.Below by ginseng
The embodiment for examining accompanying drawing description is exemplary, it is intended to for explaining the utility model, and it is not intended that to the utility model
Limitation.
In description of the present utility model, it is to be understood that term " " center ", " longitudinal direction ", " transverse direction ", " length ", " width
Degree ", " thickness ", " on ", " under ", "front", "rear", "left", "right", " vertical ", " level ", " top ", " bottom " " interior ", " up time
The orientation or position relationship of the instruction such as pin ", " counterclockwise " are based on orientation shown in the drawings or position relationship, are for only for ease of
Describe the utility model and simplify to describe, rather than instruction or imply signified device or element must have specific orientation,
With specific azimuth configuration and operation, therefore it is not intended that to limitation of the present utility model.
In addition, term " first ", " second " are only used for describing purpose, and it is not intended that instruction or hint relative importance
Or the implicit quantity for indicating indicated technical characteristic.Thus, define " first ", the feature of " second " can be expressed or
Implicitly include one or more this feature.In description of the present utility model, unless otherwise indicated, the implication of " multiple "
It is two or more, is limited unless otherwise clear and definite.
In the utility model, unless otherwise clearly defined and limited, term " installation ", " connected ", " connection ", " Gu
It is fixed " etc. term should be interpreted broadly, for example, it may be being fixedly connected or being detachably connected, or be integrally connected;Can
To be mechanical connection or electrical connection;Can be joined directly together, can also be indirectly connected by intermediary, Ke Yishi
The connection of two element internals.For the ordinary skill in the art, above-mentioned term can be understood as the case may be
Concrete meaning in the utility model.
In the utility model, unless otherwise clearly defined and limited, fisrt feature second feature it " on " or it
" under " can directly be contacted including the first and second features, it is not directly to contact but lead to that can also include the first and second features
The other characterisation contact crossed between them.Moreover, fisrt feature second feature " on ", " top " and " above " include the
One feature is directly over second feature and oblique upper, or is merely representative of fisrt feature level height and is higher than second feature.First is special
Sign second feature " under ", " lower section " and " below " including fisrt feature immediately below second feature and obliquely downward, or only
Represent that fisrt feature level height is less than second feature.
Anti- gastroesophageal reflux art exercise model under mis instruments as Figure 1-Figure 5, including using 3D printing technique
Esophagus model 1, diaphram model 2, stomach model 3, spleen model 8 and bottom plate 6 and the diaphragm produced in accordance with actual form and quality
Flesh frame 7, two diaphram framves 7 are separately fixed at the both sides of bottom plate 6, and the both ends of the diaphram model 2 are separately fixed at diaphram frame 7
On, the esophagus model 1 runs through diaphram model 2, and the stomach model 3 is connected with esophagus model 1, and stomach model 3 and spleen mould
Type 8 is placed side by side on bottom plate 6.
Two middle side parts of the bottom plate 6 are provided with breach 61, and the diaphram frame 7 includes clamp 73, support column 71 and base piece
72, the base piece 72 is vertically fixed on one end of support column 71, the clamp 73 be located at the upper end of base piece 72 and with support
Post 71 is vertically fixed, and the support column 71 is inserted in breach 61, and clamp 73 and base piece 72 clamp up and down the two of bottom plate 6 respectively
Side.
The upper end of the bottom plate 6 is additionally provided with the esophagus support 5 for placing esophagus model 1, and the esophagus support 5 includes arc support
Lath 51 and U-shaped fixed block 52, the arc pallet bar 51 are fixed in a side wall of U-shaped fixed block 52, the U-shaped fixed block
52 are connected to one end of bottom plate 6.
The arc pallet block 4 for placing stomach model 3 and spleen model 8, the diaphram mould are further fixed on the bottom plate 6
Type 2 is provided with the through hole 21 passed through for esophagus model 1.
The esophagus model 1 and 3 integral printing shaping of stomach model, and esophagus model 1 uses quality of rubber materials, diaphram model 2
Using hydrogel material, stomach model 3 uses silicone rubber material, and spleen model 8 uses plastic material.
The preparation method of anti-gastroesophageal reflux art exercise model, comprises the following steps under a kind of mis instruments,
A. by medical image processing, four separation parsing esophagus, stomach, spleen, diaphram organs, distinguished with computer software
Establish Different Organs basis anatomical model;
B. according to four esophagus, stomach, spleen, diaphram organ organ pliabilities, using flexible material, height imitates not homogeneity
The physical characteristics such as ground, color, density, esophagus model 1, stomach model 3, spleen model 8, diaphram model 2 are printed one by one;
According to organ, the three-dimensional position in human abdominal cavity makes the bottom plate 6 of each organ of the accurate fixed placement of energy, esophagus support 5 to c
With diaphram frame 7;
Part in step c is mutually assembled into supporter by d, and then according to organ, three-dimensional position will walk in human abdominal cavity
Esophagus model 1, diaphram model 2, stomach model 3 and the spleen model 8 printed in rapid b is assembled on supporter.
Esophagus model 1 and 3 integral printing shaping of stomach model in the step b, and the double shower nozzles of printer are utilized in printing
Print simultaneously, the first shower nozzle prints hollow inner support thing, the PLA class materials that whole hollow inner support thing uses using PLA materials
Can also be that PLA, high impact polystyrene, PLA, metal, ceramics etc. are any accumulates printed material;Second shower nozzle
Stomach model 3 and esophagus model 1 are printed from bottom to top, by the hollow interior branch of the PLA materials of the first nozzle printing after end to be printed
Support thing removes.
When second shower nozzle prints stomach model 3 and esophagus model 1 from bottom to top, first using silicone rubber material, beat to stomach model 3
Stomach orifice of the stomach top when printer head in change quality of rubber materials by esophagus model 1 printing finish, make stomach model 3 and esophagus model
1 coherent integraty has concurrently highly similar to the true soft durometer of human organ again.
Whole printing process uses totally-enclosed working condition in the step b, and room temperature control is in 24-25 degree, humidity
15%-16%, and respectively by printer head heating-up temperature when printing diaphram model 2, esophagus model 1, stomach model 3, spleen model 8
Control is in 220 degree, 180 degree, 200 degree and 160 degree.
The PLA materials of the hollow inner support thing include PLA, high impact polystyrene, PLA, metal, ceramics
In one or more mixtures.
Human body diaphram, it is the bottom and the top in abdominal cavity in thoracic cavity between splanchnocoel, normal thickness is 0.22 ~ 0.28CM, this
Only embodying partial result in utility model, modeling prints to the high 8CM thickness 0.25CM soft materials of long 15CM, using materials A, in
Between leave 0.9CM diameter circular apertures and be used for esophageal perforation.
Human body esophagus is a passage being made up of muscle shape, is about the mm of 20 ~ 25cm thickness >=5, connection throat to stomach,
Easily tear, so the flexible material B that printing uses, material is partially crisp, and the top of human stomach deserves to be called gastral cavity, including orifice of the stomach, during middle part claims
Gastral cavity, i.e. body of stomach position, bottom claim pylorus, including pylorus, and adult's wall of stomach thickness average value arrives in 2.4mm under normal circumstances
Be 2.7mm in the case where moderately expanding between 2.7mm, be 2.4mm under abundant expansion, it is different from esophagus thickness, it is more tensioned with
Elasticity, so printing uses flexible material C, more elastic and pliability;
It is mainly esophagus and stomach orifice of the stomach and body of stomach position that the folded portion being related to is operated in gastroesophageal reflux art, so
It need to print with different flexibilities and hollow oesophagus and stomach orifice of the stomach and body of stomach position.This position is same using the double shower nozzles of printer
When print, shower nozzle 1 prints hollow inner support thing using PLA materials, and shower nozzle 2 prints prints stomach bottom point and esophageal from bottom to top
Point, first using material B, beat to changing material C in printer head during stomach orifice of the stomach top and finish esophagus printing, ensure stomach bottom and
The coherent integraty of esophagus has concurrently highly similar to the true soft durometer of human organ again, prints shower nozzle 1 after end to be printed
PLA materials remove, and numbering 2 is overall after keeping flat to be presented human body preceding fasted conditions to be treated.
Stomach bottom side rear spleen, the diaphragmatic surface of smooth protuberantia and the visceral surface two sides of depression can be divided into, spleen matter is crisp and soft, by
Hit cruelly rear broken, so need carefully to avoid in the treatment, material D use in printing, has the elasticity of muscle and frangible.
The bottom plate prints for PLA materials, it is therefore an objective to is stayed for fixed stomach model, esophagus model, spleen model particular location
Fluted, esophagus support prints for PLA materials, inserts the top of bottom plate, it is therefore an objective to the top of fixed esophagus model.The diaphram frame
Being printed for PLA materials, it is therefore an objective to fixed diaphram, the height and diaphram of diaphram frame are three-dimensional high consistent, the breach of insertion bottom plate both sides,
Reuse clip to fix diaphram model both sides, form partition, esophagus model is passed through into reserved through hole.All parts separate
Printing, be easy to doctor repeatedly preoperative exercise when cause individual part to be lost, then print substitute, with respect to integral replacing cost more
It is low.
It should be pointed out that above example is only representative example of the present utility model.The utility model can also have many
Deformation.Every any simple modification, equivalent change and modification made according to essence of the present utility model to above example,
It is considered as belonging to the scope of protection of the utility model.
Claims (5)
1. anti-gastroesophageal reflux art exercise model under mis instruments, it is characterised in that:Including using 3D printing technique in accordance with reality
The esophagus model that border form and quality are produced(1), diaphram model(2), stomach model(3), spleen model(8)And bottom plate(6)
With diaphram frame(7), two diaphram framves(7)It is separately fixed at bottom plate(6)Both sides, the diaphram model(2)Both ends it is solid respectively
It is scheduled on diaphram frame(7)On, the esophagus model(1)Through diaphram model(2), the stomach model(3)With esophagus model(1)Even
Connect, and stomach model(3)With spleen model(8)It is placed side by side on bottom plate(6)On.
2. anti-gastroesophageal reflux art exercise model under mis instruments according to claim 1, it is characterised in that:The bottom
Plate(6)Two middle side parts be provided with breach(61), the diaphram frame(7)Including clamp(73), support column(71)And base piece(72),
The base piece(72)It is vertically fixed on support column(71)One end, the clamp(73)Positioned at base piece(72)Upper end and with
Support column(71)It is vertical fixed, the support column(71)Insert breach(61)It is interior, and clamp(73)With base piece(72)Press from both sides respectively
Firmly bottom plate(6)Both sides up and down.
3. anti-gastroesophageal reflux art exercise model under mis instruments according to claim 1, it is characterised in that:The bottom
Plate(6)Upper end be additionally provided with for placing esophagus model(1)Esophagus support(5), the esophagus support(5)Including arc pallet bar
(51)With U-shaped fixed block(52), the arc pallet bar(51)It is fixed on U-shaped fixed block(52)A side wall on, it is described U-shaped solid
Determine block(52)It is connected to bottom plate(6)One end.
4. anti-gastroesophageal reflux art exercise model under mis instruments according to claim 1, it is characterised in that:The bottom
Plate(6)On be further fixed on for placing stomach model(3)With spleen model(8)Arc pallet block(4), the diaphram model(2)
It is provided with and supplies esophagus model(1)The through hole passed through(21).
5. anti-gastroesophageal reflux art exercise model under mis instruments according to claim 1, it is characterised in that:The food
Road model(1)With stomach model(3)Integral printing shaping, and esophagus model(1)Using quality of rubber materials, diaphram model(2)Using water
Gel material, stomach model(3)Using silicone rubber material, spleen model(8)Using plastic material.
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CN107316553A (en) * | 2017-06-05 | 2017-11-03 | 杭州科霖医疗科技有限公司 | Anti- gastroesophageal reflux art exercise model and preparation method under mis instruments |
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CN107316553A (en) * | 2017-06-05 | 2017-11-03 | 杭州科霖医疗科技有限公司 | Anti- gastroesophageal reflux art exercise model and preparation method under mis instruments |
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