CN208607832U - Puncture the puncturing pattern of training - Google Patents

Puncture the puncturing pattern of training Download PDF

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Publication number
CN208607832U
CN208607832U CN201820154224.1U CN201820154224U CN208607832U CN 208607832 U CN208607832 U CN 208607832U CN 201820154224 U CN201820154224 U CN 201820154224U CN 208607832 U CN208607832 U CN 208607832U
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China
Prior art keywords
training
puncturing
layer
bed course
skin
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CN201820154224.1U
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Chinese (zh)
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高伟
李欣泽
程鑫宇
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Jucheng Mingyi Beijing Medical Simulation Technology Research Institute Co ltd
Xuanwu Hospital
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Jucheng Mingyi Beijing Medical Simulation Technology Research Institute Co ltd
Xuanwu Hospital
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Abstract

The purpose of this utility model is for surgical operation model in the prior art, when carrying out surgical operation training operation, the feel that knife cuts skin can not be experienced, it cannot know from experience after knife enters skin and enter the technical issues of simulating the operating procedure before puncturing organ, a kind of puncturing pattern puncturing training is provided, it includes that simulation punctures organ, piercing module, this piercing module includes simulated skin layer and soft bed course, simulation puncture organ, which is arranged in below piercing module, to be connected or is fixedly connected with the lower surface of piercing module, using the puncturing pattern of the puncture training of the utility model structure, the operation that knife scratches skin can be simulated during surgery, and the feel that knife scratches skin can be experienced, the feel that knife enters arrival subcutaneous tissue after skin can also be experienced, knife can be experienced and enter such as theca of rectus abdominis muscle organizer Feel and complete operating process when official, make trained step closer to true surgical procedure, keep feel truer.

Description

Puncture the puncturing pattern of training
Technical field
The utility model relates to a kind of medical lecture model technical fields, in particular to puncture the puncturing pattern of training.
Background technique
In fields such as medical teaching, scientific researches, bedside practice, clinical manipulation training are often carried out, it is straight on human body to avoid Tap into row operation training, typically now way be using model carry out operation training, such as carry out suprapubic cystostomy when, Bladder is simulated using silicon capsule is placed in simulation people's abdomen, this artificial valence of simulation is relatively expensive to be unfavorable for group's teaching and simulation Operation, and the operation for being needled into simulation bladder and urethral catheterization can only be simulated in puncturing training, it not can be carried out simulation knife and cut skin Operation, not can be carried out wound suture training, sharp knife can not be experienced and cut through the breakthrough that sharp knife during skin punctures skin Sense can not also train surgical staff to find correct puncture position, therefore teaching process is imperfect, and teaching efficiency is undesirable.? Others puncture in teaching, if Percutaneous Nephrotithotomy art, abdominal paracentesis are also to puncture in organ that water is added using simulation It imitates hydrops position and carries out puncture procedure, the operation of skin is equally also cut without simulation, incision rectus aabdominis can not be realized Feel and program when protheca, same teaching process is not perfect, teaching efficiency is poor.
Utility model content
The purpose of this utility model is for surgical operation model in the prior art, using silica gel and rubber as simulation skin Skin layers can not experience knife and cut the feel of skin, cannot know from experience after knife enters skin and enter when carrying out surgical operation training operation To the technical issues of simulating the operating procedure before puncturing organ, a kind of puncturing pattern for puncturing training is provided.
The purpose of this utility model is achieved through the following technical solutions:
A kind of puncturing pattern puncturing training, including simulation puncture organ, including piercing module, the piercing module packet Simulated skin layer and soft bed course are included, the bed course includes upper layer and lower layer, is provided with bullet between upper layer bed course and lower layer's bed course The resistant layer of property, the resistant layer are fixedly connected with lower layer's bed course, and the upper of the upper layer bed course is arranged in the simulated skin layer Side is fixedly connected with the upper surface of the upper layer bed course, described
Simulation puncture organ, which is arranged in below piercing module, to be connected or is fixedly connected with the lower surface of piercing module;
It further include the fixed device of piercing module, at least described simulated skin layer is supported and/or is fixed by fixing device;
Fixed device includes the cover board of setting through-hole (7), the fixed through-hole for being covered on cover board of the simulated skin layer (6) Place, the bed course are opposite with the lead to the hole site and between simulated skin layer and cover board or below cover board;
Fixed device further includes the box body for being provided with cavity, and the cover plate lid is on box body;
Box body is micro-wave oven mess-tin box body, and the cover board is micro-wave oven mess-tin box cover;
Filler flexible is provided between box body and the simulation puncture organ;
Simulated skin layer is adhesively fixed with the bed course and connect;
The diameter of through-hole is 5-6cm.
Using the puncturing pattern of the puncture training of the utility model structure, due to being provided with bullet above soft bed course The simulated skin layer of property, is arranged flexible resistant layer, therefore can simulate knife during surgery and scratch skin between two layers of bed course Operation, and the feel that knife scratches skin can be experienced, due to being provided with elastic resistance layer between two layers soft of bed course, It can experience that knife enters after skin the feel for reaching subcutaneous tissue, the layer that meets obstructions carries out secondary feed, knife can be experienced The feel and complete operating process when such as theca of rectus abdominis muscle histoorgan are entered, makes trained step closer to really Surgical procedure keeps feel truer.In further advantage, using fixed device at least fixed-analog skin layer, perform the operation When operation, do not need to fix training pattern with an other hand, another hand frees carry out operation training, more and really Operative process and feeling are approximate.
Detailed description of the invention
Fig. 1 is that the utility model punctures model for training example structure schematic diagram;
Fig. 2 is that the utility model punctures another example structure schematic diagram of model for training;
Fig. 3 is another example structure schematic diagram of puncturing pattern that the utility model punctures training;
Fig. 4 is the puncturing pattern cover board example structure schematic diagram that the utility model punctures training;
Fig. 5 is the puncturing pattern another embodiment structural schematic diagram that the utility model punctures training;
Fig. 6 is the puncturing pattern another embodiment structural schematic diagram that the utility model punctures training.
Description of symbols
1- simulation punctures organ;3- fixes device;4- bed course;6- simulated skin layer;7- through-hole;8- box body;9- cover board 10- resistant layer.
Specific embodiment
The utility model is further described through combined with specific embodiments below:
As shown in Figure 1-Figure 3, the puncturing pattern that the utility model puncture is trained is including at least simulated skin layer 6 and at least One layer of bed course 4, using elastic webbing/cloth as simulated skin layer, using materials such as EVA plastics, sponge, foamed plastics as pad Layer, bed course are located at simulated skin layer lower section, can be linked together by modes such as bonding, hot pressing, can also the company of contact up and down It connects, bed course can be one layer, be also possible to multilayer as simulation hypodermis layer, bed course, and each layer bed course, which is fixedly connected, is in One.The piercing module adopted the structure, can be used as suture model, be sutured and operated on practice, can be used for puncturing The surface layer of organ is punctured on model as emulation.It can be used in simulated humanbody structure, emulation of coverage capability human body.
As shown in Figure 5 and Figure 6, resistant layer 10 can be set between two layers of bed course, resistant layer is arranged in lower layer's mat surface, Resistant layer can be fixedly connected with upper layer bed course, can also be connected, and resistant layer is elastic webbing/cloth.It is such to be provided with resistance The bed course of layer structure can be used for punctio vesicae model as simulation stomach wall layer, and resistant layer is as theca of rectus abdominis muscle.
Elastic webbing/cloth can be plain edition elastic band, self-adhesive elastic bandage or tensoplast, taut preferably with self-adhesive medical Band, particularly Orthopedic medical self-adhering fascia.
Due to elasticity and toughness that elastic webbing/cloth has had, in the simulated operation for cut with scalpel skin When available knife enter the breakthrough sense of skin and knife scratches the texture of skin, it is close with the feel operated on true man's skin, and The edge of a knife is not tearable, and especially when this model is used for puncture procedure, sharp knife enters the breakthrough sense of skin and scratches the texture of skin It is truer.The material of bed course 4 be such as EVA plastics, sponge, foamed plastics material flexible material, bed course and elastic webbing/cloth In being wholely set, form the structure of surface flexible and elastic inner layer softness, when scratching bed course with knife, due to foamed plastics, Have certain hardness such as the feel of fat while EVA plastics, sponge are softer again, therefore available scratches skin It is available to be sutured on real human body skin when carrying out skin closure training with this model with the feel of subcutaneous layer of fat Feel and texture.Since Orthopedic medical self-adhering fascia is all having elasticity laterally longitudinal, the characteristics of more like skin, The feel that operates is truer.
As shown in Fig. 5-Fig. 6, when carrying out punctio vesicae training using this model, below the bed course of upper layer, on lower layer's bed course Side is provided with resistant layer to simulate theca of rectus abdominis muscle, before foring simulated skin layer/simulation subcutaneous layer of fat/simulation rectus aabdominis Sheath/simulated fat piercing module structure, the piercing module adopted the structure are used in combination with the imitative organ that punctures, not only can be with It obtains scratching the feel of skin and subcutaneous fat and the resistance sense for scratching theca of rectus abdominis muscle can be obtained, but also available hand Stereovision when scalpel scratches each layer structure in art operation, the step of operating operative training, is closer to true operation step Suddenly.
This piercing module can be block-like, such as rectangular block, corner block, circular block, be also possible to be arranged in human body, The shape of organ related to human body is adapted and matching.
As shown in Figure 2 and Figure 5, fixed device can also be arranged piercing module is fixed, bed course can be and simulate Skin layer is fixed device together with simulated skin layer after being fixed together and fixes, as simulated skin layer is bonded in subcutaneous group of simulation Simulated skin layer and simulation subcutaneous tissue are fixed on chopping board by the upper surface knitted by pin, can also be by clip by mould The edge of quasi- skin layer and bed course is fixed with chopping board edge.Skin closure model for training can also use support device and clamping Simulated skin layer and bed course is fixed in device, by the periphery of gripping means grips simulated skin and simulation subcutaneous tissue and incites somebody to action It is fixed in support device, can also be disposed on simulation human body and carry out suture training.Piercing module can also be set It sets and carries out operation training on cover board with holes, through-hole is closed by piercing module, each layer of piercing module can be arranged at lid Above plate, it is also possible at least one layer of setting therein side on the cover board, remainder layer is arranged below plate or is arranged in through-hole.
When this model is for punctio vesicae training, preferably this simulated skin layer is arranged on the cover board 9 with through-hole 7, Simulated skin layer is covered on the through-hole of cover board, and is adhesively fixed and is connect with cover board, and bed course can be located at below cover board, can also be with Positioned at cover board and simulated skin interlayer but opposite with lead to the hole site need to can cover through-hole, be also possible to upper layer bed course be located at cover board with Simulated skin interlayer, lower layer's bed course are located at below cover board, be also possible to upper layer bed course and lower layer's bed course be respectively positioned on above cover board or Below cover board;The diameter of through-hole 7 is preferably 5-6cm, and cover board is preferably hard material, the model adopted the structure, by It is harder in cover board, and it is provided with through-hole 7 on it, the diameter of through-hole 7 is 5-6cm, and at radius 2.5-3cm and is normal The position of suprapubic puncture point, therefore the operation of position on pubis can be found by the training of this modeling, It can simulate in the operation applying art position and carrying out disinfection, puncturing pattern is enable to simulate complete operating procedure.Box can also be set Body 8 is used in combination with cover board, and inner cavity is provided on box body 8, and cover board covers on box body 8 as lid, can be and pass through screw thread It is fastened on box body 8, can also be buckled on box body 8, piercing module can be further fixed in this way, facilitate behaviour Make.Can be by the setting of simulation bladder in the cavity, simulated skin layer, upper layer bed course, lower layer's bed course, simulation bladder are set gradually, By lid pressure in one.
Bearing can also be set to fix and support cover board 9.
It is preferred that box body 8 is micro-wave oven mess-tin, cover board is micro-wave oven fast food box cover.Using the surgery of such material and structure Surgery models, drawing materials, convenient, simple, cheap, easy to assembly, it can be used repeatedly can greatly improve trainee's reality The number of border operation, can carry out the relevant operation of surgical operation at any time and operating procedure can be walked with the operation of actual operation Suddenly quite high consistency is kept.
Simulated skin layer, bed course can also be set up directly on to simulation to puncture above organ.
The surgical operation training pattern of the utility model can be used for skin closure operation training, punctio vesicae fistulization The simulated training of model and Percutaneous Nephrotithotomy art, abdominocentesis etc..Simulation, which punctures organ, can be simulation bladder, mould Quasi- kidney, simulation abdominal cavity.
It is carried out for the first time using adhesive tape/cloth as simulated skin layer using being applicable not only to operative training in the utility model Simulated skin also can be used as the skin of the simulation people of medical teaching training.Elastic webbing/cloth also can be used as simulation rectus aabdominis Protheca.

Claims (8)

1. a kind of puncturing pattern for puncturing training, including simulation puncture organ, which is characterized in that described including piercing module Piercing module includes simulated skin layer and soft bed course, and the bed course includes upper layer and lower layer, bed course and lower layer's bed course on upper layer Between flexible resistant layer is set, the resistant layer is fixedly connected with lower layer's bed course, and the simulated skin layer is arranged on described The top of layer bed course is fixedly connected with the upper surface of the upper layer bed course, and the simulation punctures organ and is arranged under piercing module Side connects or is fixedly connected with the lower surface of piercing module.
2. the puncturing pattern as described in claim 1 for puncturing training, which is characterized in that further include the fixed dress of piercing module It sets, at least described simulated skin layer is supported and/or is fixed by fixing device.
3. the puncturing pattern as claimed in claim 2 for puncturing training, which is characterized in that the fixed device includes that setting is logical The cover board in hole (7), the fixed through hole for being covered on cover board of the simulated skin layer (6), the bed course and the lead to the hole site phase To and between simulated skin layer and cover board or be located at cover board below.
4. the puncturing pattern as claimed in claim 3 for puncturing training, which is characterized in that the fixed device further includes setting There is the box body of cavity, the cover plate lid is on box body.
5. the puncturing pattern as claimed in claim 4 for puncturing training, which is characterized in that the box body is micro-wave oven mess-tin Box body, the cover board are micro-wave oven mess-tin box cover.
6. the puncturing pattern as claimed in claim 4 for puncturing training, which is characterized in that worn in the box body and the simulation Filler flexible is provided between thorn organ.
7. the puncturing pattern of the puncture training as described in one of claim 1-6 items, which is characterized in that the simulated skin Layer is adhesively fixed with the bed course to be connect.
8. the puncturing pattern as claimed in claim 3 for puncturing training, which is characterized in that the diameter of the through-hole is 5-6cm.
CN201820154224.1U 2018-01-30 2018-01-30 Puncture the puncturing pattern of training Active CN208607832U (en)

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CN201820154224.1U CN208607832U (en) 2018-01-30 2018-01-30 Puncture the puncturing pattern of training

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Application Number Priority Date Filing Date Title
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Publications (1)

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CN208607832U true CN208607832U (en) 2019-03-15

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN114787895A (en) * 2019-12-23 2022-07-22 电化株式会社 Mucosal tissue model

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN114787895A (en) * 2019-12-23 2022-07-22 电化株式会社 Mucosal tissue model

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