CN211237492U - Diversified visual internal fistula venipuncture simulation training model - Google Patents

Diversified visual internal fistula venipuncture simulation training model Download PDF

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Publication number
CN211237492U
CN211237492U CN202020282993.7U CN202020282993U CN211237492U CN 211237492 U CN211237492 U CN 211237492U CN 202020282993 U CN202020282993 U CN 202020282993U CN 211237492 U CN211237492 U CN 211237492U
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China
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puncture
blood vessel
internal fistula
simulated
simulated blood
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CN202020282993.7U
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Chinese (zh)
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吴素敏
陈兰
骆艳
王洪颖
关天俊
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Zhongshan Hospital Xiamen University
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Zhongshan Hospital Xiamen University
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Abstract

The utility model discloses a diversified visible internal fistula venipuncture simulation training model, which belongs to the technical field of medical teaching appliances, and comprises a simulation arm model and a puncture brick in the simulation arm model, wherein the puncture brick is internally provided with simulation blood vessels which are four blood vessels with different shapes and sizes, the bottom of the puncture brick is provided with a LED lamp belt, the simulation training model also comprises a liquid storage bag and a simulation internal fistula, and is provided with a micro water pump, the internal fistula tremble can be simulated, and a puncture part is selected by taking an internal fistula position as a starting point; the beginner nursing staff can carry out puncture training aiming at blood vessels with different shapes and depths, the puncture requirements of different patients are met, the puncture technology is improved, the satisfaction degree of the patients is improved, the doctor-patient relationship is obviously improved, the visual and real simulation effects can be achieved, and the trainers can obtain the improvement of the puncture technology more quickly.

Description

Diversified visual internal fistula venipuncture simulation training model
Technical Field
The utility model relates to a medical teaching and training utensil technical field especially relate to a visual internal fistula venipuncture simulation training model of diversification, especially relate to a massage nursing device for arteriovenous internal fistula.
Background
Hemodialysis is one of the important treatment means for patients with end-stage renal diseases, autologous arteriovenous internal fistula is the clinically preferred permanent vascular access, and the functional state of the vascular access directly influences the quality of hemodialysis.
The arteriovenous internal fistula is characterized in that an artery at the position of a forearm close to a wrist is anastomosed with an adjacent vein, so that the anastomosed artery flows into the vein, the vein vessel at the internal fistula is expanded, the vessel wall is thickened, the puncture of a nurse is facilitated, and the requirement of blood flow during hemodialysis is met.
Regular hemodialysis patients need to receive 2-3 dialysis treatments per week, puncture the internal fistula to draw blood out during each treatment, and 2-3 dialysis treatments mean that the patients internal fistula venous vessels need to receive at least 4-6 vascular punctures per week. Puncture internal fistula vein so frequent for how effectively protect the blood vessel, reduce internal fistula puncture complication, prolong internal fistula service life, become the key that hemodialysis room specialty nurse was concerned about.
The puncture methods commonly used in clinic at present include a regional method, a rope ladder method and a buttonhole method, and can be divided into centripetal puncture and centrifugal puncture according to the direction of a puncture needle, and can also be divided into bevel upward puncture and bevel downward puncture according to the direction of a bevel of the puncture needle. A hemodialysis professional nurse needs to evaluate the condition of the blood vessel of a patient in detail and select a proper internal fistula puncture method. The scientific and standard puncture method can reduce puncture complications, prolong the service life of the puncture method and improve the dialysis quality of patients. This requires that the hemodialysis room nurse must have a very hard technique for lancing, and the improvement of lancing technique can only be summarized by constant practice plus failed experience. For a novice nurse who just enters the hemodialysis room, it is impossible to take the patient as a practice and the puncture technique can only be improved by means of a training model.
The existing internal fistula puncture trainer (model) adopts the traditional manufacturing process, has a relatively simple structure, has rough positions of blood vessels at puncture parts, has great differences between the shapes and the depth positions of the blood vessels and the structures of human bodies, and has only a few products with the same model in the market. The training models cannot simulate all conditions of the internal fistula vein, and a large amount of exercise on the training models has no particularly obvious significance for improving the puncture technology.
In addition, the traditional training model only simulates whether the puncture is successful, but cannot accurately observe the whole puncture operation steps and the process of the puncture path, cannot show the puncture process and operation advantages and disadvantages of each person, is not beneficial to summarizing the failure experience, and is not beneficial to improving the puncture technology. Moreover, the traditional training model can only sense the blood vessels through touch, and the blood vessels cannot be seen in the simulated skin layer.
Disclosure of Invention
An object of the utility model is to provide a visual internal fistula venipuncture simulation training model of diversification to solve above-mentioned problem.
In order to achieve the above purpose, the utility model adopts the technical scheme that: a diversified visual internal fistula venipuncture simulation training model comprises a simulation arm model and a puncture brick in the simulation arm model, wherein a simulation blood vessel is arranged in the puncture brick;
the simulated arm model is a bionic silica gel model which is high in density and softness, facilitates puncture and recovery after puncture and can prolong the service life of the arm model;
the simulated blood vessels are four and are respectively a first simulated blood vessel, a second simulated blood vessel, a third simulated blood vessel and a fourth simulated blood vessel, wherein the first simulated blood vessel is thin and straight, the second simulated blood vessel is at least narrow in pipe diameter, thick in pipe diameter and bifurcated in pipe diameter, the third simulated blood vessel is at least two curved, the diameter of the fourth simulated blood vessel is larger than that of the first simulated blood vessel and is arc-shaped, and a branch is arranged in the middle of the fourth simulated blood vessel; the four simulated blood vessels penetrate through the front end and the rear end of the puncture brick, and the first simulated blood vessel, the second simulated blood vessel, the third simulated blood vessel and the fourth simulated blood vessel are sequentially arranged in the puncture brick from shallow to deep;
the device is characterized by further comprising a liquid storage bag and two connecting pipes, wherein two ends of the liquid storage bag are respectively connected with two ends of the four simulated blood vessels through the connecting pipes, a simulated internal fistula is arranged at one end, close to the palm side, of each connecting pipe, a micro water pump is arranged in each connecting pipe, between the liquid storage bag and the corresponding simulated internal fistula, a power supply and a switch are electrically connected with the micro water pump, the simulated internal fistula is arranged on the radial side of the palm end of the simulated arm model, and a simulated skin layer covers the surface of each simulated internal fistula;
the bottom of the puncture brick is provided with a white light LED lamp strip, a corresponding power supply and a switch, and the puncture brick is made of a transparent silica gel material.
The simulation arm model of the utility model is made of the bionic silica gel material, thereby achieving the effect of high simulation, and four simulation blood vessels with different shapes and different depths are arranged in the puncture brick, so that the beginner nursing staff can carry out diversified puncture training; the puncture brick adopts transparent silica gel to shine through white light LED lamp in its bottom, make training personnel can clearly observe whole puncture process through the mirror of both sides, reach visual effect, the observer (guide mr) can see operator (beginner)'s the specific puncture condition from the side, for example: the selection of the blood vessel part, the puncture needle inserting angle, the puncture depth, the blood vessel blood returning needle inserting angle, the blood vessel indwelling position and the like can be clearly observed, a teacher can conveniently know the level of the current operator, accurate guidance is accurately given to wrong places, and the operator can also visually know the specific situation of self-simulated puncture, so that proper improvement is carried out; set up miniature pump, after the miniature pump switch on, can be toward the continuous transport simulation blood of simulation internal fistula, and the simulation internal fistula is the end of a connecting pipe and is connected with four simulation blood vessels, can form the torrent of rivers at the end of connecting pipe like this, and the terminal pipe wall of continuous impact connecting pipe forms vibrations, can touch the tremor on emulation skin layer, the tremor of simulation hemodialysis patient internal fistula department, the simulation internal fistula sets up in the radius side of emulation arm model palm end, common internal fistula position among the simulation reality, in the operation of internal fistula vein puncture, can touch internal fistula tremor at first, and select the puncture position as the starting point with internal fistula department, make the utility model discloses more press close to real scene, carry out the puncture training on this training model, more can improve nurse's puncture technique. The liquid storage bag is arranged, a liquid injection port is preferably arranged on the liquid storage bag, and the simulated blood is added into the liquid storage bag, so that the simulated blood can be contained in the simulated blood vessel, and the blood return condition can be truly realized when an operator performs simulated puncture; for the convenience of the stock solution bag is simulation blood for the supply of simulation blood vessel, so every simulation blood vessel all communicates and forms circulation circuit through connecting pipe and stock solution bag, opens the back when miniature pump, can form the circulation and flow, and human blood circulation of more real simulation makes the utility model discloses more press close to real scene of reality.
As a preferred technical scheme: the device also comprises a blue and violet light LED lamp strip, a corresponding power supply and a switch, wherein the blue and violet light LED lamp strip is tightly attached to the outer side surfaces of the lower walls of the four simulated blood vessels. When the power supply is switched on, the bluish purple blood vessels can be seen on the simulated skin layer, and the skin blood vessels are more fit with the real skin blood vessel condition of a human body.
As a preferred technical scheme: the pipe diameter of the simulated blood vessel is 5-15mm, and the depth is 3-6 mm. The depth refers to the distance from the outer layer of the simulated skin layer to the simulated blood vessel.
As a preferred technical scheme: the simulated blood vessel is made of silicon rubber material.
As a preferred technical scheme: the bottom of the simulation arm model is provided with a supporting piece, and two sides of the simulation arm model are respectively provided with a mirror. And the distance between the mirror and the puncture brick can be adjusted so as to more clearly see the inside of the puncture brick.
As a preferred technical scheme: the lower end of the mirror is provided with a connecting piece with an adjustable angle and two adjustable rails.
As a preferred technical scheme: the liquid storage bag is also provided with a liquid filling opening and a switch.
As a preferred technical scheme: the liquid storage bag, the simulation arm model and the power supply are all fixed on the fixed platform. The fixed platform can be made of PVC or organic glass.
As a further preferred technical scheme, the puncture brick is made of transparent silica gel materials, and scales are arranged on two sides of the puncture brick. Be provided with the scale mark to whole puncture process is observed through the mirror to the convenience, finds out puncture error reason and can carry out the puncture technique that analyzes in order to further improve the beginner nurse.
Compared with the prior art, the utility model has the advantages of: the beginner nursing staff can train aiming at the blood vessel puncture of different shapes and depths, meet the puncture requirements of different patients, improve the puncture technology and the satisfaction degree of the patients, thereby obviously improving the doctor-patient relationship, achieving the effects of visualization and real simulation and enabling the trainees to obtain the improvement of the puncture technology more quickly.
Drawings
Fig. 1 and fig. 2 are schematic structural diagrams of an embodiment of the present invention;
fig. 3 is a cross-sectional view of an embodiment of the present invention;
fig. 4 is a schematic view of a fixed platform according to an embodiment of the present invention;
fig. 5 is a circuit diagram of an embodiment of the present invention.
In the figure: 1. simulating an arm model; 2. puncturing the brick; 3. a connecting pipe; 4. simulating an internal fistula; 5. a liquid storage bag; 6. a micro water pump; 7. a white light LED strip; 8. a mirror; 9. a blue-violet LED strip; 10. a support member; 11. an injection port; 12. a fixed platform; 13. an angle-adjusting connector; 14. a mirror track; 15. a simulated skin layer; 16. a power source; v1, first simulated blood vessel; v2, second simulated blood vessel; v3, third simulated blood vessel; v4, fourth simulated blood vessel.
Detailed Description
The present invention will be further explained with reference to the accompanying drawings.
Example (b):
with reference to figures 1-5 of the drawings,
a diversified visual internal fistula venipuncture simulation training model comprises a simulation arm model 1 and a puncture brick 2 in the simulation arm model, wherein a simulation blood vessel is arranged in the puncture brick 2;
the simulation arm model 1 is made of high simulation silica gel, which belongs to the prior art;
the surface of the simulation arm model 1 is a simulation skin layer; the simulated skin layer is also made of high-simulation silica gel, which is also the prior art;
transparent 2 both sides of puncture brick are carved with the scale mark to make things convenient for through the whole puncture process of mirror 8 observation, find out puncture error reason, and can carry out the puncture technique that analyzes in order to improve the beginner nurse. The bottom of the puncture brick 2 is provided with a white light LDE lamp strip 7 which is tightly attached to the outer side surface of the bottom of the puncture brick 2, the white light LDE lamp strip 7 is electrically connected with a power supply and a switch, and after the power supply is switched on, the white light LDE lamp strip 7 can illuminate the whole puncture brick 2 so as to facilitate the observation of the whole puncture process more clearly through a mirror 8, find out the cause of puncture errors and analyze the cause to improve the puncture technology of beginners nurses; the puncture brick 2 is made of transparent silica gel, and the surface of the puncture brick is covered with a simulated skin layer 15;
the simulated blood vessels are four simulated blood vessels with different shapes and sizes, namely a first simulated blood vessel V1, a second simulated blood vessel V2, a third simulated blood vessel V3 and a fourth simulated blood vessel V4, the simulated blood vessels are made of silicon rubber materials, wherein the first simulated blood vessel V1 is thin and straight, the second simulated blood vessel V2 has two narrow pipe diameters and two thick pipe diameters, is branched near an antecubital fossa and spans across the antecubital fossa to simulate the antecubital middle vein of a human body, the third simulated blood vessel V3 has a plurality of bent shapes, the diameter of the fourth simulated blood vessel V4 is larger than that of the first simulated blood vessel and is arc-shaped, and a branch is arranged in the middle of the fourth simulated blood vessel V4, namely, a branch is branched at the middle of a thin line, and a branch simulated blood vessel is branched; the four simulated blood vessels penetrate through the front end and the rear end of the puncture brick 2, the first simulated blood vessel V1, the second simulated blood vessel V2, the third simulated blood vessel V3 and the fourth simulated blood vessel V4 are sequentially arranged in the puncture brick from shallow to deep, namely, the four simulated blood vessels are different in depth in the puncture brick 2, the first simulated blood vessel V1 is the shallowest and is closest to a simulated skin layer of a simulated arm model, the fourth simulated blood vessel V4 is the deepest and is closest to the bottom of the puncture brick 2, and the second simulated blood vessel V2 and the third simulated blood vessel V3 are sequentially arranged in the middle of the puncture brick 2; the four simulated blood vessels can simulate the common conditions of blood vessels of real hemodialysis patients, including the thickness, depth, stenosis expansion, bending, arc, branching and the like, and can be designed to be common 5-15mm in diameter and 3-6mm in depth in combination with clinical tube diameter. The simulated blood vessel is made of silicon rubber, and can be repeatedly punctured and exercised;
the device is characterized by further comprising a liquid storage bag 5 and two connecting pipes 3, wherein the liquid storage bag 5 is further provided with a liquid injection port 11, red liquid can be injected through the injection port 11, two ends of the liquid storage bag 5 are respectively connected with two ends of four simulated blood vessels through the connecting pipes 3, one end, close to the palm side, of each connecting pipe 3 is provided with a simulated internal fistula 4, a micro water pump 6 is arranged in each connecting pipe 3 and between the corresponding liquid storage bag 5 and the corresponding simulated internal fistula 4, a power supply and a switch are electrically connected with the micro water pump 6, the simulated internal fistula 4 is arranged on the radial side of the palm end of the simulated arm model, and a simulated skin layer covers the surface of the;
the bottom of the puncture brick 2 is provided with a white light LED lamp strip 7 and a corresponding power supply and a switch, and the simulation arm model 1 and the puncture brick 2 are transparent;
the device also comprises a blue and violet light LED lamp strip 9 and a corresponding power supply and a switch, wherein the blue and violet light LED lamp strip 9 is tightly attached to the outer side surfaces of the lower walls of the four simulated blood vessels;
the bottom of the simulation arm model 1 is provided with a supporting piece 10, and two sides of the simulation arm model 1 are respectively provided with a mirror 8;
the liquid storage bag 5, the simulation arm model 1, the power supply and the mirror 8 are all fixed on the fixed platform 12; the mirror 8 is connected and adjusted in angle and position through an angle adjusting connector 13 and a mirror track 14;
the method for performing puncture training by adopting the training model comprises the following steps:
when the puncture training is started, red liquid simulation blood is injected into the liquid storage bag 5, the switch of the power supply 16 is turned on, the micro-water pump 6 starts to rotate, the internal fistula tremor is simulated, the blood circulation is simulated, the white light LED lamp strip 7 and the blue-violet light LED lamp strip 9 are lightened, four simulated blood vessels can be seen on the simulated skin layer 15, the internal fistula is touched to tremble, a puncture part is selected by taking the simulated internal fistula 4 as a starting point, the angle of the mirror 8 can be adjusted through the angle adjusting connector 13, the distance between the mirror 8 and the puncture brick 2 can be adjusted through the mirror track 14, in addition, the white light LED lamp strip 7 illuminates the inside of the transparent puncture brick 2, the whole puncture process can be clearly observed through the mirror 8, the needle inserting angle, the depth, the needle inserting path and the needle inserting point can be observed by referring to the scale marks, so as to summarize advantages and disadvantages in the puncture process and better improve the puncture technology of internal fistula venipuncture beginners nurses.
The above description is only exemplary of the present invention and should not be taken as limiting the scope of the present invention, as any modifications, equivalents, improvements and the like made within the spirit and principles of the present invention are intended to be included within the scope of the present invention.

Claims (10)

1. The utility model provides a visual internal fistula venipuncture simulation training model of diversification, including emulation arm model with puncture brick in the emulation arm model, be provided with the simulation blood vessel in the puncture brick, its characterized in that:
the simulated blood vessels are four and are respectively a first simulated blood vessel, a second simulated blood vessel, a third simulated blood vessel and a fourth simulated blood vessel, wherein the first simulated blood vessel is thin and straight, the second simulated blood vessel is at least narrow in pipe diameter, thick in pipe diameter and bifurcated in pipe diameter, the third simulated blood vessel is at least two curved, the diameter of the fourth simulated blood vessel is larger than that of the first simulated blood vessel and is arc-shaped, and a branch is arranged in the middle of the fourth simulated blood vessel; the four simulated blood vessels penetrate through the front end and the rear end of the puncture brick, and the first simulated blood vessel, the second simulated blood vessel, the third simulated blood vessel and the fourth simulated blood vessel are sequentially arranged in the puncture brick from shallow to deep;
the device is characterized by further comprising a liquid storage bag and two connecting pipes, wherein two ends of the liquid storage bag are respectively connected with two ends of the four simulated blood vessels through the connecting pipes, a simulated internal fistula is arranged at one end, close to the palm side, of each connecting pipe, a micro water pump is arranged in each connecting pipe, between the liquid storage bag and the corresponding simulated internal fistula, a power supply and a switch are electrically connected with the micro water pump, the simulated internal fistula is arranged on the radial side of the palm end of the simulated arm model, and a simulated skin layer covers the surface of each simulated internal fistula;
the bottom of the puncture brick is provided with a white light LED lamp strip, a corresponding power supply and a switch, and the puncture brick is transparent.
2. The diversified visual internal fistula venipuncture simulation training model of claim 1, wherein: the device also comprises a blue and violet light LED lamp strip, a corresponding power supply and a switch, wherein the blue and violet light LED lamp strip is tightly attached to the outer side surfaces of the lower walls of the four simulated blood vessels.
3. The diversified visual internal fistula venipuncture simulation training model of claim 1, wherein: the pipe diameter of the simulated blood vessel is 5-15mm, and the depth is 3-6 mm.
4. The diversified visual internal fistula venipuncture simulation training model of claim 1, wherein: the simulated blood vessel is made of silicon rubber material.
5. The diversified visual internal fistula venipuncture simulation training model of claim 1, wherein: the bottom of the simulation arm model is provided with a supporting piece, and two sides of the simulation arm model are respectively provided with a mirror.
6. The diversified visual internal fistula venipuncture simulation training model of claim 5, wherein: the lower end of the mirror is provided with a connecting piece with an adjustable angle.
7. The diversified visual internal fistula venipuncture simulation training model of claim 1, wherein: the liquid storage bag is also provided with a liquid filling opening and a switch.
8. The diversified visual internal fistula venipuncture simulation training model of claim 1, wherein: the liquid storage bag, the simulation arm model and the power supply are all fixed on the fixed platform.
9. The diversified visual internal fistula venipuncture simulation training model of claim 1, wherein: the puncture brick is made of transparent silica gel materials, and scales are arranged on two sides of the puncture brick.
10. The diversified visual internal fistula venipuncture simulation training model of claim 1, wherein: the top of the puncture brick is covered with a simulation skin layer.
CN202020282993.7U 2020-03-10 2020-03-10 Diversified visual internal fistula venipuncture simulation training model Expired - Fee Related CN211237492U (en)

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Cited By (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN112258920A (en) * 2020-11-12 2021-01-22 深圳市第二人民医院(深圳市转化医学研究院) Simulation training device for simulating arteriovenous internal fistula puncture of hemodialysis patient
CN112669688A (en) * 2021-01-29 2021-04-16 萍乡卫生职业学院 Vein puncture model capable of returning blood
CN112885216A (en) * 2021-01-28 2021-06-01 山西白求恩医院(山西医学科学院) Intravenous injection training device for medical education training
CN113450637A (en) * 2021-07-12 2021-09-28 吴震 Venous transfusion device for nursing teaching
CN113499525A (en) * 2021-08-25 2021-10-15 骆艳 Training system for developing reading disorder children
CN115171464A (en) * 2022-08-26 2022-10-11 首都医科大学宣武医院 Visual puncture mould

Cited By (11)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN112258920A (en) * 2020-11-12 2021-01-22 深圳市第二人民医院(深圳市转化医学研究院) Simulation training device for simulating arteriovenous internal fistula puncture of hemodialysis patient
CN112258920B (en) * 2020-11-12 2021-10-15 深圳市第二人民医院(深圳市转化医学研究院) Simulation training device for simulating arteriovenous internal fistula puncture of hemodialysis patient
CN112885216A (en) * 2021-01-28 2021-06-01 山西白求恩医院(山西医学科学院) Intravenous injection training device for medical education training
CN112885216B (en) * 2021-01-28 2022-07-08 山西白求恩医院(山西医学科学院) Intravenous injection training device for medical education training
CN112669688A (en) * 2021-01-29 2021-04-16 萍乡卫生职业学院 Vein puncture model capable of returning blood
CN112669688B (en) * 2021-01-29 2022-05-13 萍乡卫生职业学院 Vein puncture model capable of returning blood
CN113450637A (en) * 2021-07-12 2021-09-28 吴震 Venous transfusion device for nursing teaching
CN113450637B (en) * 2021-07-12 2023-08-11 浙江欧健医用器材有限公司 Intravenous infusion apparatus for nursing and teaching
CN113499525A (en) * 2021-08-25 2021-10-15 骆艳 Training system for developing reading disorder children
CN115171464A (en) * 2022-08-26 2022-10-11 首都医科大学宣武医院 Visual puncture mould
CN115171464B (en) * 2022-08-26 2024-05-03 首都医科大学宣武医院 Visual puncture mould

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Granted publication date: 20200811