CN213904688U - ESP simulation system for skill training and examination of practitioner - Google Patents

ESP simulation system for skill training and examination of practitioner Download PDF

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Publication number
CN213904688U
CN213904688U CN202023065307.XU CN202023065307U CN213904688U CN 213904688 U CN213904688 U CN 213904688U CN 202023065307 U CN202023065307 U CN 202023065307U CN 213904688 U CN213904688 U CN 213904688U
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model
axillary
puncture
human body
utility
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孙银贵
封硕
李敏
潘斌
刘凤军
周其羽
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Beijing Shengyi Zhijiao Technology Co ltd
Affiliated Hospital of Weifang Medical University
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Beijing Shengyi Zhijiao Technology Co ltd
Affiliated Hospital of Weifang Medical University
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Abstract

The utility model discloses a practitioner skill training and examination ESP analog system relates to the model field for medical teaching, including manikin, control system, system of grading and display device, be equipped with electronic sensor on the manikin. A cervical vertebra model and a lumbar vertebra model are arranged in the human body model, and feedback devices are arranged on the cervical vertebra model and the movable lumbar vertebra model. The middle part of the human body model is provided with a thoracic cavity model. A pneumothorax simulation device is arranged below the lower model of the ribs. The utility model discloses a manikin, four limbs joint are nimble, and skin nature emulation can inhale phlegm, oxygen uptake operation, can carry out the gastric lavage operation, can carry out the operation of three chamber two sacs pipes, simulate the hemostasis to stomach model and esophagus model respectively. The utility model discloses can carry out thorax puncture, two side pneumothorax punctures and lumbar vertebrae puncture, can press the abdomen and press the neck experiment, have examination mode and training mode, test result reflects to display device on.

Description

ESP simulation system for skill training and examination of practitioner
Technical Field
The utility model relates to a model field is used in medical teaching, specifically is a practitioner skill training and examination ESP analog system.
Background
At the present stage, the emergency training and the assessment of the practitioner need to recruit volunteers, train the volunteers, simulate various patients to be used for examining props, and spend a great deal of manpower, material resources and financial resources, but the SP can not simulate many positive signs, so that the problem of the clinical judgment capability and the practical operation capability of the practitioner can not be well assessed. And most of the existing medical human body structure models can only be used for one test item, so that the occupied area is large, and the cost is high.
SUMMERY OF THE UTILITY MODEL
An object of the utility model is to provide a practitioner skill training and examination ESP analog system, have the human model four limbs joint nimble, can inhale phlegm, oxygen uptake operation, can lavage operation, can carry out three chamber two bag pipe operations, can carry out the thorax puncture, have the beneficial effect of training and examination mode to solve the problem of proposing in the above-mentioned background art.
In order to achieve the above object, the utility model provides a following technical scheme:
an ESP simulation system for skill training and examination of a practitioner comprises a human body model, a control system, a scoring system and a display device, wherein the human body model, the scoring system and the display device are all electrically connected with the control system, an electronic sensor is arranged on the human body model, and the electronic sensor is electrically connected with the control system. A cervical vertebra model and a lumbar vertebra model are arranged in the human body model, feedback devices are arranged on the cervical vertebra model and the movable lumbar vertebra model, and the feedback devices are electrically connected with the control system. The human body model is provided with a chest cavity model in the middle, the chest cavity model comprises a movable spine model, a rib model, an axillary anterior line model, an axillary median line model and an axillary posterior line model, the axillary anterior line model, the axillary median line model and the axillary posterior line model are sequentially arranged, and the movable spine model, the rib model, the axillary anterior line model, the axillary median line model and the axillary posterior line model are all electrically connected with the electronic sensor. A pneumothorax simulation device is arranged below the lower model of the ribs and is electrically connected with the control system.
As a further aspect of the present invention: be equipped with ligamentum flavum model, dura mater model and arachnoid model on the lumbar vertebrae model, ligamentum flavum model, dura mater model and arachnoid model set gradually, are equipped with cerebrospinal fluid in the dura mater model.
As a further aspect of the present invention: the human body model is internally provided with an esophagus model and a stomach part model.
As a further aspect of the present invention: the outer surface of the human body model is provided with a skin model which is made of high polymer, environment-friendly and pollution-free materials.
Compared with the prior art, the beneficial effects of the utility model are that:
1. the utility model adopts an adult male human body model, and the joints of the four limbs are flexible. Skin simulation, adopts high molecular material, and is environment-friendly and pollution-free.
2. The human body model of the utility model can be operated in the horizontal position, the bow position, the semi-horizontal position and the sitting position.
3. The utility model can perform sputum suction and oxygen inhalation operations.
4. The utility model can perform gastric lavage operation, the gastric capacity is 500ml, and the gastric lavage operation of the gastric lavage machine can be practiced.
5. The utility model discloses can carry out three chamber two bag pipe operations, simulate the hemostasis to stomach model and esophagus model respectively.
6. The utility model discloses can carry out the thorax puncture, puncture error can cause the nerve damage, and display device can show the operation result.
7. The utility model discloses can carry out two side pneumothorax punctures and lumbar vertebrae puncture, can press the abdomen and press the neck experiment, can carry out the lumbar vertebrae puncture, feedback device reflects the testing result to display device on.
8. The utility model discloses have training and examination mode, training mode: the puncture error is displayed on the display device; the assessment mode comprises the following steps: the selection of indications, contraindications and spare objects can be carried out, the assessment results are fed back to the scoring system, and the scoring system reflects the assessment scores to the display device.
Drawings
Fig. 1 is a schematic structural diagram of the present invention.
Fig. 2 is a schematic structural view of the cervical vertebra model of the present invention.
Fig. 3 is a schematic structural view of the lumbar vertebra model of the present invention.
Fig. 4 is a schematic view of the cross-section structure of the lumbar vertebra model of the present invention.
Fig. 5 is a side view of the lumbar vertebra model of the present invention.
Fig. 6 is a partial enlarged view of M in fig. 5 according to the present invention.
Fig. 7 is a schematic view of the puncturing of the thoracic cavity model of the present invention.
Fig. 8 is a schematic view of the thoracic cavity model puncture detection of the present invention.
Fig. 9 is a schematic view of the thoracic cavity model puncture detection of the present invention.
The labels in the figure are:
10. a human body model; 11. a cervical spine model; 12. a lumbar model; 13. a rib model; 14. anterior axillary line model; 15. an axillary midline model; 16. posterior axillary line model; 17. a ligamentum flavum model; 18. a hard spinal model; 19. a model of the arachnoid membrane; 20. cerebrospinal fluid;
21. a conductive cloth common layer GND; 22. an insulating layer; 23. conductive cloth on the upper edge of the rib model; 24. conductive cloth at the lower edge of the rib model;
25. a puncture point; 26. a thoracic model; 27. a skin model; 28. a puncture needle.
Detailed Description
The technical solutions in the embodiments of the present invention will be described clearly and completely with reference to the accompanying drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only some embodiments of the present invention, not all embodiments. Based on the embodiments in the present invention, all other embodiments obtained by a person skilled in the art without creative work belong to the protection scope of the present invention.
Referring to the drawings, in the embodiment of the present invention, an ESP simulation system for training and examining skill of a practitioner includes a human body model 10, a control system, a scoring system and a display device, wherein the human body model 10, the scoring system and the display device are all electrically connected to the control system, an electronic sensor is disposed on the human body model 10, and the electronic sensor is electrically connected to the control system. A cervical vertebra model 11 and a lumbar vertebra model 12 are arranged in the human body model 10, feedback devices are arranged on the cervical vertebra model 11 and the movable lumbar vertebra model 12, and the feedback devices are electrically connected with a control system. The middle of the human body model 10 is provided with a chest cavity model 26, the chest cavity model 26 comprises a movable spine model, a rib model 13, an axillary anterior line model 14, an axillary midline model 15 and an axillary posterior line model 16, the axillary anterior line model 14, the axillary midline model 15 and the axillary posterior line model 16 are sequentially arranged, and the movable spine model, the rib model 13, the axillary anterior line model 14, the axillary midline model 15 and the axillary posterior line model 16 are all electrically connected with an electronic sensor. A pneumothorax simulation device is arranged below the lower model of the ribs and is electrically connected with the control system. The utility model adopts an adult male human body model 10, and the joints of the four limbs are flexible. Skin simulation, adopts high molecular material, and is environment-friendly and pollution-free. The human body model 10 of the utility model can be operated in the horizontal position, the bow position, the semi-horizontal position and the sitting position. The utility model can perform sputum suction and oxygen inhalation operations. The utility model can perform gastric lavage operation, the gastric capacity is 500ml, and the gastric lavage operation of the gastric lavage machine can be practiced. The utility model discloses can carry out three chamber two bag pipe operations, simulate the hemostasis to stomach model and esophagus model respectively. The utility model discloses can carry out the thorax puncture, puncture error can cause the nerve damage, and display device can show the operation result. The utility model discloses can carry out two side pneumothorax punctures and lumbar vertebrae puncture, can press the abdomen and press the neck experiment, can carry out the lumbar vertebrae puncture, feedback device reflects the testing result to display device on. The utility model discloses have training and examination mode, training mode: the puncture error is displayed on the display device; the assessment mode comprises the following steps: the selection of indications, contraindications and spare objects can be carried out, the assessment results are fed back to the scoring system, and the scoring system reflects the assessment scores to the display device.
The utility model discloses a whole manikin 10 of adult male sex, four limbs joint is nimble, and skin nature emulation adopts the polymer material, and the environmental protection is pollution-free. Can be used for horizontal position, bow position, semi-horizontal position and sitting position, and can be used for placing various body positions for thoracocentesis, lumbar puncture, pneumothorax puncture, gastric lavage, nasal feeding, three-cavity two-bag tube operation, etc. The electronic sensor is arranged in the model, the electronic sensor can detect whether the positions of thoracocentesis and lumbar puncture are correct or not, an alarm prompt is given when the puncture position is wrong, the electronic sensor can transmit the acquired information to the control system, the display device can display the operation result, the control system can detect the operation of each item, the operation result is recorded and counted, a report score list is formed, and thus an electronic patient is formed. The patient of electronization relies on the electron to detect, has avoided the examiner to be responsible for the error of judging, makes the examination environment fairer, and the electron detects more swiftly, and after the operation was accomplished, display device showed the score, has improved examination efficiency.
The utility model discloses in the embodiment of a preferred, be equipped with ligamentum flavum model 17, dura mater model 18 and arachnoid model 19 on the lumbar vertebrae model 12, ligamentum flavum model 17, dura mater model 18 and arachnoid model 19 set gradually, are equipped with cerebrospinal fluid 20 in the dura mater model 18.
In a preferred embodiment of the present invention, an esophagus model and a stomach model are provided in the manikin 10. The outer surface of the human body model 10 is provided with a skin model 27, and the skin model 27 is made of high polymer, environment-friendly and pollution-free materials.
The utility model of human body 10 has high integration and can be placed in various body positions. The utility model discloses integrated medical practitioner examination outline the inside and required the functional item of putting the position operation, there is lumbar puncture in medical practitioner examination outline the inside, and the bow-shaped clinostatism of lateral position just will be got in lumbar puncture. The utility model discloses human model 10's design makes four limbs joint nimble, human skeleton models such as built-in emulation activity backbone model and rib model 13, and various positions can be put to the human body of human model 10 emulation, can carry out the operation of horizontal position, bow-shaped position, semi-reclining position, seat. The placement of the body positions can realize the integration of multiple functions into one model, and an integrated model conforming to the examination of a medical practitioner is made.
The manikin 10 of the utility model can be used for lumbar puncture. Lateral decubitus position can be taken, the head model is crooked to thorax model 26, and the shank model is to the buckling of belly model, and the trunk model is the arcuation, possess cervical vertebra model 11 and lumbar vertebra model 12, can carry out lumbar puncture, press the abdomen and press the neck experiment, can carry out lumbar puncture to have feedback device, feedback device passes through control system with testing result and reflects to display device on. The utility model discloses manikin 10 can carry out various operations: the subarachnoid space anesthesia (lumbar anesthesia) of the arachnoid model 19 and lumbar puncture are performed to measure the pressure of cerebrospinal fluid 20, and operations of cerebrospinal fluid 20 specimen, epidural space block anesthesia, caudal nerve block, sacral canal nerve block and lumbar sympathetic nerve block are adopted. Can simulate the clinical lumbar puncture in the whole course to be real and clean: the change of the tube can be observed on the negative pressure observation tube to confirm the negative pressure, and when the puncture needle 28 reaches the simulated ligamentum flavum model 17, the resistance is increased and has toughness; the obvious falling feeling of the ligamentum flavum model 17 is broken through, the needle is continuously inserted, namely the ligamentum flavum model enters the epidural space model, the negative pressure is presented, and the air or the normal saline in the puncture needle 28 is sucked into the cavity to indicate that the puncture is correct (at the moment, the injected anesthetic liquid is the anesthesia outside the dural space model 18); continued needle insertion will puncture the dura mater model 18 and the arachnoid model 19, a second miss occurs, i.e., into the subarachnoid model, and simulated cerebrospinal fluid 20 will flow out. The puncture module, the simulation subarachnoid cavity model and the epidural space model can be replaced, and the puncture capsule cavity can be punctured for hundreds of times in an automatic sealing manner without liquid leakage.
Referring to fig. 1, the body position and left side position of the manikin 10 of the present invention, when the manikin is worn on the waist for puncturing, the knee model bends towards the abdomen model, the trunk model is arched, and the manikin 10 is internally provided with the artificial vertebra model which can be bent for movement. The puncture site has a simulated ligamentum flavum model 17, a dura mater model 18, a arachnoid model 19 and a subarachnoid space model.
The manikin 10 of the present invention can be used for thoracentesis. The chair has the advantages that the chair can be taken as a sitting position, the chair is reversely arranged on the chair, the skeleton model inside the model is clear, the scapula model, the rib model 13, the intercostal space and the spine model can be touched to be protruded, and the medical positioning of lumbar puncture is facilitated. The manikin 10 can perform thoracocentesis of the inferior scapular corner line model at both sides, the axillary midline model 15 and the axillary posterior line model 16, the electronic sensor detects whether the puncture position is correct or not, the detection result is reflected to the display device through the control system, the puncture needle 28 has obvious empty feeling after entering the pleural cavity model from the puncture point 25, and the simulated pleural fluid can be pumped back after the puncture is successful. The whole process simulates the real operation of clinic. In particular, the injury of intercostal nerves caused by the position error can be alarmed and displayed on the display device to form a report of the error operation. The puncture part is automatically sealed, and the puncture is hundreds of times without leakage, and can be repeatedly used.
Referring to fig. 7, the puncture position can be selected from the anterior axillary line model 14, the medial axillary line model 15 or the posterior axillary line model 16, the puncture position of the thoracic cavity model 26 can be set to be a position of sitting on the chair in the opposite direction, the arm model is set horizontally, and the gap between the rib model 13 and the rib model 13 is easy to touch under the skin model 27.
The utility model discloses can carry out pneumothorax puncture, install pneumothorax analogue means under rib model 13, can simulate different degrees pneumothorax models and swell, but two side pneumothorax models independent control can hear the sound of giving vent to anger after the puncture is correct, and thoracic cavity model 26 falls back simultaneously. The left and right changes and the degree of swelling of the pneumothorax model can be adjusted by the control system.
The utility model discloses can feasible lavage training, with manikin 10 semi-clinostatism, the mobile one side that is partial to of neck model, there are emulation esophagus model and stomach portion model inside manikin 10, the capacity of stomach model is 500ml, and the stomach tube can get into 45-55 CM.
The utility model discloses can carry out three chamber two bag pipe operations, simulate the hemostasis to stomach model and esophagus model respectively.
The utility model discloses thorax puncture detects the principle as follows: the conductive cloth common layer GND21 is the GND of the connected detection circuit, the upper edge conductive cloth 23 and the lower edge conductive cloth 24 of the rib model are both connected to VCC through a pull-up resistor, and a silica gel insulating layer 22 is arranged between the common GND layer and the common GND layer. When the puncture needle 28 penetrates the skin model 27 to enter, the puncture needle penetrates the common conductive cloth layer GND21 firstly, then penetrates the insulating layer 22, and then penetrates the upper edge conductive cloth 23 or the lower edge conductive cloth 24 of the rib model, and the external circuit detects the level on the upper edge conductive cloth 23 and the lower edge conductive cloth 24 of the rib model at any time. Because the puncture needle 28 is made of metal and has conductivity, when the puncture needle 28 pierces the lower edge conductive cloth 24 of the rib model, the GND is conducted with the lower edge conductive cloth 24 of the rib model, at the moment, the lower edge conductive cloth 24 of the rib model becomes low level, the control system detects that the puncture needle 28 pierces the lower edge of the rib model 13, an alarm is sent, and the display device displays that the puncture position is wrong and the intercostal nerve is damaged. Similarly, the correct puncture position can be indicated when the upper edge of the rib model 13 is punctured.
The utility model discloses it is nimble that human model 10 not only four limbs, backbone joint model also are nimble flexible to human model 10 designs for variable position, can put for normal position before the operation, and examinee's operation oneself puts the position, and this also can examine the actual operating ability that the examinee put the position. The existing lumbar puncture model is basically in a fixed side lying bow-shaped position, cannot move, is preset in position and lacks of the operation of placing the position, and meanwhile, the lumbar puncture model is known by looking at the model. The model integrates waist puncture, chest puncture and pneumothorax puncture, integrates examination items required by the examination outline of a medical practitioner, and covers most of the examination items required by the medical practitioner with other two medical practitioner models and a piece of surgical skin, and the examination of the medical practitioner can be completed by using fewer models.
Although the present invention has been described in detail with reference to the foregoing embodiments, it will be apparent to those skilled in the art that modifications may be made to the embodiments or portions thereof without departing from the spirit and scope of the invention.

Claims (4)

1. An ESP simulation system for skill training and examination of a practitioner is characterized by comprising a human body model, a control system, a scoring system and a display device, wherein the human body model, the scoring system and the display device are all electrically connected with the control system;
a cervical vertebra model and a lumbar vertebra model are arranged in the human body model, feedback devices are arranged on the cervical vertebra model and the movable lumbar vertebra model, and the feedback devices are electrically connected with a control system;
the chest cavity model is arranged in the middle of the human body model and comprises a movable spine model, a rib model, an axillary anterior line model, an axillary median line model and an axillary posterior line model, the axillary anterior line model, the axillary median line model and the axillary posterior line model are sequentially arranged, and the movable spine model, the rib model, the axillary anterior line model, the axillary median line model and the axillary posterior line model are all electrically connected with the electronic sensor;
and a pneumothorax simulation device is arranged below the lower model of the rib and is electrically connected with the control system.
2. The ESP simulation system for training and examining skill of a practitioner according to claim 1, wherein the lumbar model is provided with a ligamentum flavum model, a dura mater model and a arachnoid model, the ligamentum flavum model, the dura mater model and the arachnoid model are sequentially arranged, and cerebrospinal fluid is provided in the dura mater model.
3. The ESP simulation system for training and assessing skills of practitioners according to claim 1, wherein an esophagus model and a stomach model are provided in the manikin.
4. The ESP simulation system for skill training and assessment of practitioners according to claim 1, wherein the skin model is disposed on the outer surface of the manikin, and the skin model is made of polymer, environmental friendly and pollution-free materials.
CN202023065307.XU 2020-12-17 2020-12-17 ESP simulation system for skill training and examination of practitioner Active CN213904688U (en)

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN113851033A (en) * 2021-08-31 2021-12-28 天津天堰科技股份有限公司 Lumbar puncture training module and manufacturing method thereof

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN113851033A (en) * 2021-08-31 2021-12-28 天津天堰科技股份有限公司 Lumbar puncture training module and manufacturing method thereof

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