CN209297597U - A kind of per anum NOTES endoscope-assistant surgery simulation trainer - Google Patents

Abstract

The utility model discloses a kind of per anum NOTES surgical simulation training aids, the training aids is by control box, camera shooting and video system, task training module group and accessory kit: anal intestine single-hole laparoscopic puncture outfit, surgery circular retractor and tying device and is composed, body surface channel can be simulated, mis instruments insertion channel enters simulation cavity and operation position, sutured for simulation operative region, separate, ligature etc. the training of surgical technics.The utility model provides a kind of per anum NOTES endoscope-assistant surgery simulation trainer, fill up per anum NOTES simulator blank, a variety of dedicated training modules are designed according to per anum NOTES surgical characteristic, it is applicable in clinical hospitals, medicine skills training mechanism and medical courses in general academy and carries out the training of per anum NOTES surgical skills and practice, while having the advantages that cost is relatively low, being easy to promote.

Description

A kind of per anum NOTES endoscope-assistant surgery simulation trainer

Technical field

The utility model relates to impart knowledge to students to use Medical Devices, more particularly to a kind of per anum NOTES endoscope-assistant surgery mould Quasi- training aids.

Background technique

Through natural cavity endoscopic surgery (naturalorifice transluminal endoscopic surgery, It NOTES) is an emerging Minimally Invasive Surgical Technology.NOTES refers to without skin surface notch, passes through human body natural hole using scope Road, such as stomach, vagina, bladder, colon, rectum are performed the operation into body cavity.Compared with traditional abdominal and laparoscope, NOTES has without visible surgical scars, reduces intra-abdominal adhesions, the advantages such as operation wound is small, postoperative pain is few, recovery is fast. Especially per anum Total mesorectal (taTME) solves traditional operation of low rectal carcinoma, from top to bottom operates, is encountering Whens male prostate hypertrophy, contracted pelvis, obesity etc., due to the curved presence of sacrum tail, distal end rectum appears difficult, be easy to cause Remote incisxal edge, ring week incisxal edge tumer positive and neurotrosis, taTME operation are taken operation from the bottom to top free, can more directly be shown Reveal rectum distal end and precisely excision.The contrary operation but taTME performs the operation, is new anatomical path, need to pay attention to new anatomy mark Will, to improve the safety of operation and shorten learning curve.Training for a new technique, optimal learning process are first Theory gives lessons and then is autopsied, but the more difficult grasp of the more conventional endoscope-assistant surgery of technology, and can be used for hysteroscope both at home and abroad at present The Fresh Frozen corpse of operation is limited, expensive, cause the teaching of low seniority doctor and medico be difficult to actual human body into The preclinical practice for exercising taTME operation is restricted.

Therefore, how to provide a kind of per anum NOTES endoscope-assistant surgery simulation trainer is those skilled in the art's urgent need to resolve The problem of.

Utility model content

In view of this, the present invention provides a kind of per anum NOTES endoscope-assistant surgery simulation trainers, fill up per anum NOTES simulator blank designs a variety of dedicated training modules according to per anum NOTES surgical characteristic, is applicable in clinical hospitals, medicine skill Can training organization and medical courses in general academy carry out the training of per anum NOTES surgical skills and practice, while having that cost is relatively low, is easy The advantages of popularization.

To achieve the goals above, the utility model provides the following technical solutions:

A kind of per anum NOTES endoscope-assistant surgery simulation trainer, comprising: control box, camera shooting and video device, fundamental operation training Module group, taTME training module and support device；The fundamental operation training module group, the taTME training module and described Support device is built in the control box；

Wherein, control box is made of bottom plate, case lid, module hold-down support；The case lid is fastened on the bottom plate；It is described Module hold-down support is fixedly connected with the bottom plate；Operation port is offered on the side wall of the case lid；

The fundamental operation training module group or the taTME training module are socketed with the operation port respectively；

The support device includes: anal intestine single-hole laparoscopic puncture outfit, surgery circular retractor, ties device；It is described Anal intestine single-hole laparoscopic puncture outfit is fixedly connected by the operation port with the control box；The surgery circular retractor Device auxiliary surgical procedure is tied with described；

The rodlike LED camera of the camera shooting and video device sequentially pass through the anal intestine single-hole laparoscopic puncture outfit, The operation port enters the fundamental operation training module group or the taTME training module, monitors surgical procedure.

Through the above technical solution, the technical effect of the utility model: this simulation trainer fills up per anum NOTES mould Quasi- device blank designs a variety of dedicated training modules according to per anum NOTES surgical characteristic, is applicable in clinical hospitals, medicine skills training Mechanism and medical courses in general academy carry out the training of per anum NOTES surgical skills and practice, while having that cost is relatively low, is easy to promote Advantage.

Preferably, in a kind of above-mentioned per anum NOTES endoscope-assistant surgery simulation trainer, the camera shooting and video device includes Included camera lighting system, can by the rodlike LED camera in puncture outfit channel, pass through video converter, display and control Device；The camera lighting system is mounted on the rodlike LED camera, then successively with the video converter, the display Device and the controller are electrically connected.

Through the above technical solution, the technical effect of the utility model: rodlike LED camera passes through anal intestine single hole abdominal cavity The instrument channel of videoendoscopic surgery puncture outfit, into simulation rectum；And self illumination function, operation is observed convenient for real by display The case where operation.

Preferably, in a kind of above-mentioned per anum NOTES endoscope-assistant surgery simulation trainer, the fundamental operation training module Group includes but is not limited to: closure training mission module, lantern ring training mission module, suture/shearing training Wang business module；It is described Closure training mission module, the lantern ring training mission module, the suture/shearing training Wang business module are fixed on control box It is connected on module hold-down support with the handle hole.

Preferably, in a kind of above-mentioned per anum NOTES endoscope-assistant surgery simulation trainer, the closure training mission module For macromolecule hose；The macromolecule hose is socketed in the operation port.

Through the above technical solution, the technical effect of the utility model: macromolecule hose is recommended to use silica gel hose, silicon Glue hose simulates human rectum's size, length and requires length 12cm not less than per anum NOTES art formula, and one end is socketed in operation port Rectum environment is simulated at rear portion, is cooperated attachment anal intestine single-hole laparoscopic puncture outfit, surgery circular retractor and is tied device progress It is closed rectum and places anal intestine single-hole laparoscopic puncture outfit, inflation training, wherein hose is disposable.

Preferably, in a kind of above-mentioned per anum NOTES endoscope-assistant surgery simulation trainer, the lantern ring training mission module Including shell, crotch and pellosil；The shell is the plastic barrel of two halves hinge split；It is provided on the plastic barrel inner wall more A mounting hole, the mounting hole are equipped with crotch；The cylinder tail portion of the plastic barrel is closed using the pellosil.

Through the above technical solution, the technical effect of the utility model: shell is to simulate human rectum's size, length not Lower than the plastic barrel that per anum NOTES art formula requires length 12cm, cylinder tail portion is set using pellosil closure simulation rectum environment, barrel There is multiple rows of mounting hole, crotch can be installed in inner wall different location respectively, crotch can adjust different angle and size, cooperate attachment anus Intestines single-hole laparoscopic puncture outfit carries out lantern ring, knot training.Plastic shell is designed using the split of two halves hinge, can be opened In order to crotch installation.

Preferably, in a kind of above-mentioned per anum NOTES endoscope-assistant surgery simulation trainer, the suture/shearing training Wang Module of being engaged in includes shell, nylon hook side, paster and pellosil；The shell is the plastic barrel of two halves hinge split；The plastics The nylon hook side is provided on cylinder inner wall；The paster is pasted on the nylon hook side；It adopts the cylinder tail portion of the plastic barrel It is closed with the pellosil.

Through the above technical solution, the technical effect of the utility model: shell is to simulate human rectum's size, length not Lower than the plastic barrel that per anum NOTES art formula requires length 12cm, cylinder tail portion is using pellosil closure simulation rectum environment.Paster is Front be decorated with different graphic for example O shape, L-type, Z-type non-woven fabrics, paste velcro different two respectively with paster bottom surface on the inside of barrel Face recommends inner wall nylon hook side, paster bottom surface to paste hair side, what paster can be pasted in inner wall different location respectively, cooperates attachment Anal intestine single-hole laparoscopic puncture outfit shear/suture training.Plastic shell is designed using the split of two halves hinge, can be beaten It opens in order to install paster, paster is disposable.

Preferably, in a kind of above-mentioned per anum NOTES endoscope-assistant surgery simulation trainer, the shell is that simulation human body is straight Intestines diameter dimension, length require the plastic barrel of length 12cm not less than per anum NOTES art formula.

Through the above technical solution, the technical effect of the utility model: simulation rectum obtains rectum environment, makes simulator Training aids is bonded with structoure of the human body, reaches true training goal.

Preferably, in a kind of above-mentioned per anum NOTES endoscope-assistant surgery simulation trainer, taTME training module includes interior Layer silica gel hose, intermediate silica gel hose, outer layer silica gel hose, simulation male pelvic plexus, analog neuron vascular bundles, sacrum bone model and Simulate urinary system；The taTME training module is successively the internal layer silica gel hose, the intermediate silica gel hose from inside to outside With outer layer silica gel hose；Simulation male pelvic plexus is provided between the outer layer silica gel hose and the intermediate silica gel hose；Institute State analog neuron vascular bundles and the top simulated urinary system and be mounted on the outer surface of the outer layer silica gel hose；The sacrum Bone model depends on the lower part of outer layer silica gel hose outer surface；The 3-4 of the intermediate silica gel hose and the sacrum bone model The embedding transparent silica gel thin slice obliquely of joint corresponding position；The internal layer silica gel hose, the intermediate silica gel hose and outer layer silicon The port of glue hose is socketed in the operation port.

Through the above technical solution, the technical effect of the utility model: taTME training module by three kinds of different colours, The soft silicone tube item of density wraps up layer by layer to be bonded, and pipe length is not less than the requirement of taTME art formula.Internal layer is using simulation human body The high density silica gel hose of rectum size, middle layer use the low-density foamed off-centre operation of simulation rectum peripheral adipose tissue size Silica gel hose, outer layer are using high density foaming opening silica gel hose simulated muscle tissue phantom.In the increased dissection in main body corresponding position It learns mark: distinguishing 1 millimeter of silicone tube of embedding two diameters in side wall both sides outer layer and middle layer bonding plane and simulate male pelvic plexus； Two diameters, 1 millimeter of silicone tube analog neuron vascular bundles (NVB) is pasted in front side, front is secreted using signal or model label Urinary system.Middle layer lower part and the embedding thin slice of transparent silica gel obliquely of the joint rumpbone 3-4 corresponding position simulate rectum rumpbone fascia (RS)。

Preferably, in a kind of above-mentioned per anum NOTES endoscope-assistant surgery simulation trainer, the song of the transparent silica gel thin slice Degree installs the curved curvature of sacrum bone model；Human Physiology form is simulated away from rumpbone end 5.3 ± 1.3cm of distance, angle 98 ±17°。

Preferably, in a kind of above-mentioned per anum NOTES endoscope-assistant surgery simulation trainer, the anal intestine single-hole laparoscopic hand Art puncture outfit includes: proctectasia channel, operating platform and vent line；The proctectasia channel is socketed in and the operation The outside of the operation port of case；The vent line passes through the operating platform, and is connected to the proctectasia channel；The behaviour Instrument channel is offered as platform.

Through the above technical solution, the technical effect of the utility model: the positioning ring and proctectasia of operating platform are logical The outer ring in road is more suitable for the foundation of surgical access with the chimeric positioning of ring fastening type.

Preferably, in a kind of above-mentioned per anum NOTES endoscope-assistant surgery simulation trainer, the surgery circular retractor packet It includes and retracts ring and drawing hook；It is arranged on the traction ring jagged；The drawing hook tail portion is provided with silica gel line, the silica gel line Cooperate with the notch.

Through the above technical solution, the technical effect of the utility model: it is easy to operate, it places and retracts ring-merging drawing Hook-fixation drag hook, can be realized the exposure of visual area.Can be according to operation needs, unrestricted choice is used to pull hook quantity, drawing The position that hook is placed, until reaching the optimal visual field.

It can be seen via above technical scheme that compared with prior art, the utility model, which discloses, provides a kind of per anum NOTES endoscope-assistant surgery simulation trainer fills up per anum NOTES simulator blank, designs according to per anum NOTES surgical characteristic a variety of Dedicated training module is applicable in clinical hospitals, medicine skills training mechanism and medical courses in general academy and carries out per anum NOTES surgical skills Training and practice, while having the advantages that cost is relatively low, being easy to promote.In use, step 1: cooperation attachment surgery annular retracts Device, tie device carry out closure rectum operation (purse string suture art)；Step 2: placing anal intestine single-hole laparoscopic puncture outfit and filling Gas establishes surgical environments；Step 3: carrying out art formula simulated operation using passive surgical clamp and operating scissors, reach (the pass rumpbone 3-4 Section), avoid corresponding anatomic marker (male pelvic plexus, neurovascular bundle (NVB) and urinary system) and complete rectum locally shelling From；Step 4: release pneumoperitoneum, taking-up anal intestine single-hole laparoscopic puncture outfit, complete training.

Detailed description of the invention

In order to illustrate the embodiment of the utility model or the technical proposal in the existing technology more clearly, below will be to embodiment Or attached drawing needed to be used in the description of the prior art is briefly described, it should be apparent that, the accompanying drawings in the following description is only It is the embodiments of the present invention, for those of ordinary skill in the art, without creative efforts, also Other attached drawings can be obtained according to the attached drawing of offer.

Fig. 1 attached drawing is the taTME training module installation diagram of the utility model；

Fig. 2 attached drawing is the camera shooting and video schematic device of the utility model；

Fig. 3 attached drawing is the anal intestine single-hole laparoscopic puncture outfit schematic diagram of the utility model；

Fig. 4 attached drawing is the surgery circular retractor schematic diagram of the utility model；

Fig. 5 attached drawing ties device schematic diagram for the utility model；

Fig. 6 attached drawing is the closure training mission module perspective view of the utility model；

Fig. 7 attached drawing is the lantern ring training mission module diagram of the utility model；

Fig. 8 attached drawing is the opening state figure of the lantern ring training mission module of the utility model；

Fig. 9 attached drawing is the suture/shearing training mission module diagram of the utility model；

Figure 10 attached drawing is the suture/shearing training mission module opening state figure of the utility model；

Figure 11 attached drawing is the taTME training module schematic diagram of the utility model；

Figure 12 attached drawing is the taTME training module cross-sectional view of the utility model.

In figure: 1- control box, 11- bottom plate, 12- case lid, 13- module hold-down support, 14 operation ports, 2- camera shooting and video Device, 31- closure training mission module, 32- lantern ring training mission module, 321- shell, 322- crotch, 323- pellosil, 33- suture/shearing training Wang business module, 331- nylon hook side, 332- paster, 4-taTME training module, 41- internal layer silica gel are soft Silica gel hose, 43- outer layer silica gel hose, 44- simulate male pelvic plexus, 45- analog neuron vascular bundles, 46- sacrum among pipe, 42- Bone model, 47- simulation urinary system, 48- transparent silica gel thin slice, 51- anal intestine single-hole laparoscopic puncture outfit, 511- rectum expand Zhang Tongdao, 512- operating platform, 513- vent line, 52- surgery circular retractor, 521- retract ring, 522- pulls hook, 53 Tie device.

Specific embodiment

The following is a combination of the drawings in the embodiments of the present utility model 1-12, to the technical scheme in the embodiment of the utility model It is clearly and completely described, it is clear that the described embodiments are only a part of the embodiments of the utility model, rather than complete The embodiment in portion.Based on the embodiments of the present invention, those of ordinary skill in the art are not before making creative work Every other embodiment obtained is put, is fallen within the protection scope of the utility model.

The utility model embodiment discloses a kind of per anum NOTES endoscope-assistant surgery simulation trainer, fills up per anum NOTES mould Quasi- device blank designs a variety of dedicated training modules according to per anum NOTES surgical characteristic, and various training modules can be with control box It is attached, for different training missions, is applicable in clinical hospitals, medicine skills training mechanism and medical courses in general academy and carries out warp Anus NOTES surgical skills training and practice, while having the advantages that cost is relatively low, being easy to promote.

A kind of per anum NOTES endoscope-assistant surgery simulation trainer, comprising: control box 1, camera shooting and video device 2, fundamental operation Training module group, taTME training module 4 and support device；Fundamental operation training module group, taTME training module 4 and mating device Part is built in control box 1；

Wherein, control box 1 is made of bottom plate 11, case lid 12, module hold-down support 13；Case lid 12 is fastened on bottom plate 11； Module hold-down support 13 is fixedly connected with bottom plate 11；Operation port 14 is offered on the side wall of case lid 12；

Fundamental operation training module group or taTME training module 4 are socketed with operation port 14 respectively；

Support device includes: anal intestine single-hole laparoscopic puncture outfit 51, surgery circular retractor 52, ties device 53；Anus Intestines single-hole laparoscopic puncture outfit 51 is fixedly connected by operation port 14 with control box 1；It surgery circular retractor 52 and ties Device 53 assists surgical procedure；

The rodlike LED camera of camera shooting and video device 2 sequentially passes through anal intestine single-hole laparoscopic puncture outfit 52, operation Mouth 14 enters the fundamental operation training module group or taTME training module 4, monitors surgical procedure.

In order to further optimize the above technical scheme, fundamental operation training module group includes but is not limited to: closure training is appointed Business module 31, lantern ring training mission module 32, suture/shearing training Wang business module 33；It is closed training mission module 31, lantern ring instruction Practice task module 32, suture/shearing training Wang business module 33 is fixed on the module hold-down support 13 of control box 1 and handle hole phase Even.

In order to further optimize the above technical scheme, as shown in Fig. 2, camera shooting and video device 2 includes included camera shooting illumination system System, can pass through rodlike LED camera 21, video converter, display and the controller in puncture outfit channel；Camera lighting system peace It is electrically connected on the rodlike LED camera, then successively with video converter, display and controller.

In order to further optimize the above technical scheme, as shown in fig. 6, closure training mission module 31 is macromolecule hose； Macromolecule hose is socketed in operation port 14.

In order to further optimize the above technical scheme, as shown in Figure 7,8, lantern ring training mission module 32 includes shell 321, crotch 322 and pellosil 323；Shell 321 is the plastic barrel of two halves hinge split；Multiple peaces are provided on plastic barrel inner wall Hole is filled, mounting hole is equipped with crotch 322；The cylinder tail portion of plastic barrel is closed using pellosil 323.

In order to further optimize the above technical scheme, as shown in Figures 9 and 10, suture/shearing training mission module 33 includes outer Shell 321, nylon hook side 331, paster 332 and pellosil 323；Shell 321 is the plastic barrel of two halves hinge split；Plastic barrel inner wall On be provided with nylon hook side 331；Paster 332 is pasted on nylon hook side 331；The cylinder tail portion of plastic barrel is closed using pellosil 323 It closes.

In order to further optimize the above technical scheme, shell 321 is simulation human rectum's diameter dimension, length not less than warp The plastic barrel of anus NOTES art formula requirement length 12cm.

In order to further optimize the above technical scheme, as shown in figure 11, taTME training module 4 includes internal layer silica gel hose 41, intermediate silica gel hose 42, outer layer silica gel hose 43, simulation male pelvic plexus 44, analog neuron vascular bundles 45, sacrum bone model 46 With simulation urinary system 47；TaTME training module 4 is successively internal layer silica gel hose 41,42 and of intermediate silica gel hose from inside to outside Outer layer silica gel hose 43；Simulation male pelvic plexus 44 is provided between outer layer silica gel hose 43 and intermediate silica gel hose 42；Simulation Neurovascular bundle 45 and simulation urinary system 47 are mounted on the top of the outer surface of outer layer silica gel hose 43；Sacrum bone model 46 depends on In the lower part of 43 outer surface of outer layer silica gel hose；The joint the 3-4 corresponding position of intermediate silica gel hose 42 and sacrum bone model 46 is embedding Transparent silica gel thin slice 48 obliquely；The port socket of internal layer silica gel hose 41, intermediate silica gel hose 42 and outer layer silica gel hose 43 In operation port 14.

In order to further optimize the above technical scheme, the curvature of transparent silica gel thin slice 48 installs the curved song of sacrum bone model Degree；Human Physiology form is simulated away from rumpbone end 5.3 ± 1.3cm of distance, 98 ± 17 ° of angle.

In order to further optimize the above technical scheme, as shown in figure 3, anal intestine single-hole laparoscopic puncture outfit 51 includes: Proctectasia channel 511, operating platform 512 and vent line 513；Proctectasia channel 511 is socketed in the operation with control box 1 The outside of mouth 14；Vent line 513 passes through operating platform 512, and is connected to proctectasia channel 511；Operating platform 512 opens up There is instrument channel.

In order to further optimize the above technical scheme, as shown in figure 4, surgery circular retractor 52 includes retracting 521 He of ring Pull hook 522；It is arranged on traction ring 521 jagged；Drawing 522 tail portion of hook is provided with silica gel line, and silica gel line and notch cooperate.

Each embodiment in this specification is described in a progressive manner, the highlights of each of the examples are with other The difference of embodiment, the same or similar parts in each embodiment may refer to each other.For device disclosed in embodiment For, since it is corresponded to the methods disclosed in the examples, so being described relatively simple, related place is said referring to method part It is bright.

The foregoing description of the disclosed embodiments can be realized professional and technical personnel in the field or using originally practical new Type.Various modifications to these embodiments will be readily apparent to those skilled in the art, and determine herein The General Principle of justice can be realized in other embodiments without departing from the spirit or scope of the present utility model.Cause This, the present invention will not be limited to the embodiments shown herein, and is to fit to and principles disclosed herein The widest scope consistent with features of novelty.

Claims (8)

1. a kind of per anum NOTES endoscope-assistant surgery simulation trainer characterized by comprising control box, camera shooting and video device, base Plinth operation training module group, taTME training module and support device；The fundamental operation training module group, taTME training Module and the support device are built in the control box；

Wherein, control box is made of bottom plate, case lid, module hold-down support；The case lid is fastened on the bottom plate；The module Hold-down support is fixedly connected with the bottom plate；Operation port is offered on the side wall of the case lid；

The fundamental operation training module group or the taTME training module are socketed with the operation port respectively；

The support device includes: anal intestine single-hole laparoscopic puncture outfit, surgery circular retractor, ties device；The anal intestine Single-hole laparoscopic puncture outfit is fixedly connected by the operation port with the control box；The surgery circular retractor and institute It states and ties device auxiliary surgical procedure；

The rodlike LED camera of the camera shooting and video device sequentially passes through the anal intestine single-hole laparoscopic puncture outfit, described Operation port enters the fundamental operation training module group or the taTME training module, monitors surgical procedure.

2. a kind of per anum NOTES endoscope-assistant surgery simulation trainer according to claim 1, which is characterized in that the basis Operation training module group includes but is not limited to: closure training mission module, lantern ring training mission module, suture/shearing training Wang Business module；The closure training mission module, the lantern ring training mission module, the suture/shearing training Wang business module are solid Due to being connected on the module hold-down support of control box with the handle hole.

3. a kind of per anum NOTES endoscope-assistant surgery simulation trainer according to claim 2, which is characterized in that the closure Training mission module is macromolecule hose；The macromolecule hose is socketed in the operation port.

4. a kind of per anum NOTES endoscope-assistant surgery simulation trainer according to claim 2, which is characterized in that the lantern ring Training mission module includes shell, crotch and pellosil；The shell is the plastic barrel of two halves hinge split；In the plastic barrel Multiple mounting holes are provided on wall, the mounting hole is equipped with crotch；The cylinder tail portion of the plastic barrel is closed using the pellosil It closes.

5. a kind of per anum NOTES endoscope-assistant surgery simulation trainer according to claim 2, which is characterized in that the suture/ Shearing training Wang business module includes shell, nylon hook side, paster and pellosil；The shell is the plastics of two halves hinge split Cylinder；The nylon hook side is provided on the plastic barrel inner wall；The paster is pasted on the nylon hook side；The plastic barrel Cylinder tail portion using the pellosil be closed.

6. a kind of per anum NOTES endoscope-assistant surgery simulation trainer according to claim 4 or 5, which is characterized in that described outer Shell is to simulate the plastic barrel of human rectum's diameter dimension, length not less than per anum NOTES art formula requirement length 12cm.

7. a kind of per anum NOTES endoscope-assistant surgery simulation trainer according to claim 1, which is characterized in that taTME training Module include internal layer silica gel hose, intermediate silica gel hose, outer layer silica gel hose, simulation male pelvic plexus, analog neuron vascular bundles, Sacrum bone model and simulation urinary system；During the taTME training module is successively the internal layer silica gel hose from inside to outside, is described Between silica gel hose and outer layer silica gel hose；Simulation pelvic cavity is provided between the outer layer silica gel hose and the intermediate silica gel hose Neuropile；The analog neuron vascular bundles and the simulation urinary system are mounted on the upper of the outer surface of the outer layer silica gel hose Portion；The sacrum bone model depends on the lower part of outer layer silica gel hose outer surface；The intermediate silica gel hose and the rumpbone The embedding transparent silica gel thin slice obliquely of the joint 3-4 corresponding position of model；The internal layer silica gel hose, the intermediate silica gel hose It is socketed in the operation port with the port of outer layer silica gel hose.

8. a kind of per anum NOTES endoscope-assistant surgery simulation trainer according to claim 7, which is characterized in that described transparent The curvature of silica gel thin slice installs the curved curvature of sacrum bone model；Simulate Human Physiology form away from rumpbone end distance 5.3 ± 1.3cm, 98 ± 17 ° of angle.