CN216486958U - Intestinal anastomosis teaching model - Google Patents

Intestinal anastomosis teaching model Download PDF

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Publication number
CN216486958U
CN216486958U CN202121048765.4U CN202121048765U CN216486958U CN 216486958 U CN216486958 U CN 216486958U CN 202121048765 U CN202121048765 U CN 202121048765U CN 216486958 U CN216486958 U CN 216486958U
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China
Prior art keywords
simulated
intestinal
anastomosis
blood vessel
intestinal canal
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Expired - Fee Related
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CN202121048765.4U
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Chinese (zh)
Inventor
朱倩男
王鸣
堵俊杰
杨潇
蔡宝宝
陈功
黄华兴
叶俊
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Jiangsu Province Hospital First Affiliated Hospital Of Nanjing Medical University
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Jiangsu Province Hospital First Affiliated Hospital Of Nanjing Medical University
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Abstract

The utility model discloses an intestinal anastomosis teaching model which comprises a hollow base used for simulating an abdominal cavity, wherein a simulation incision is arranged at the top of the hollow base, and a first connecting piece is arranged at the bottom in the hollow base; the device also comprises a simulated intestinal canal, wherein one end of the simulated intestinal canal is fixed through a first connecting piece; the simulated mesentery is connected to the simulated intestinal canal; the simulated mesentery blood vessel penetrates through the simulated intestinal canal and penetrates out of the bottom of the hollow base and is communicated with the simulated blood vessel. Clinical as far as possible is pressed close to this application teaching mode that the intestines are anastomosed, and the abdominal cavity simulation seat can be truer, operates more meticulously in order to practice the switch abdomen simultaneously in the simulation of abdominal cavity, and the intestines are anastomosed. The mesenteric blood vessel is designed to be included, can be fused into the blood vessel for ligation, and meets the requirement of blood vessel separation ligation under the condition of real intestinal anastomosis; the connecting device enables the model to be replaceable, replaces the connected intestinal canal according to actual requirements, can perform end-to-end anastomosis, end-to-side anastomosis and side-to-side anastomosis, and can be repeatedly used.

Description

Intestinal anastomosis teaching model
Technical Field
The utility model belongs to teaching equipment, and particularly relates to an intestinal anastomosis teaching model.
Background
In intestinal anastomosis, the intestinal resection step comprises: opening abdomen, cutting mesentery in sector, ligating to stop bleeding, cutting intestine, and anastomosing cut end; the process of intestinal anastomosis comprises: trimming the stump, sewing the whole layer, and embedding the serosal layer. The anatomical level of the small intestine generally has four parts: mucosa, submucosa, muscularis, and serosa. The existing intestinal anastomosis model has the following technical problems: (1) most of the rubber tubes are single-layer independent rubber tubes, and a layer of dye is brushed in the rubber tubes, so that the rubber tubes are separated from the actual abdominal cavity structure and are far from the intestinal anatomical structure; (2) during the suture process, the pipeline is only anastomosed independently, and the serosal layer embedding cannot be carried out; (3) the single pipeline only simulates the intestinal cavity and lacks the steps of mesentery separation, mesentery blood vessel treatment and the like; (4) the long-term repeated practice cannot be realized due to the limitation of materials and the like.
SUMMERY OF THE UTILITY MODEL
Utility model purpose: in view of the above technical problems in the prior art, the present application provides a teaching model for intestinal anastomosis that is in line with clinical practice and can be used repeatedly.
The technical scheme is as follows: the intestinal anastomosis teaching model comprises a hollow base used for simulating an abdominal cavity, wherein a simulation incision is formed in the top of the hollow base, and a first connecting piece is arranged at the bottom in the hollow base; the device also comprises a simulated intestinal canal, wherein one end of the simulated intestinal canal is fixed through a first connecting piece; the simulated intestinal canal is connected with a simulated mesentery; the simulated mesentery blood vessel penetrates through the simulated intestinal canal and penetrates out of the bottom of the hollow base and is communicated with the simulated blood vessel.
Run through on this application simulation intestines pipe and be equipped with simulation mesentery blood vessel for the operator must accomplish the blood vessel ligature in operation process, avoids the operator to bypass the blood vessel, more accords with actual clinical. And the simulated mesenteric blood vessel penetrates out of the through hole formed in the bottom of the hollow base and is communicated with the simulated blood vessel, and the simulated blood vessel is filled with the simulated blood after being connected with a common infusion apparatus, so that the simulated mesenteric blood vessel is more real when being subjected to blood vessel ligation, is higher in operation difficulty and is more convenient to evaluate the operation quality.
The hollow base is preferably rectangular and may be of a size of typically 30 x 20 x 10cm, and is made of an opaque plastic or plastics material.
The simulated incision is strip-shaped and about 15cm long, the layer where the simulated incision is located is made of a conventional incised and sutured sponge layer and is used for simulating skin tissues, and the incision can be prolonged as required.
The top surface of the hollow base is provided with a sponge layer for simulating abdominal wall soft tissues.
The simulated mesenteric blood vessel and the simulated blood vessel are soft and thin rubber pipelines. The model combines the mesenteric blood vessel with the intestinal canal to provide complete clinical thinking, and after the mesenteric blood vessel is communicated with the simulated blood vessel, the mesenteric blood vessel can be externally connected with an infusion leather strip to form a blood passage and perform blood vessel ligation operation.
The simulated intestinal canal sequentially comprises a simulated intestinal mucosa layer, a simulated intestinal canal muscular layer and a simulated intestinal canal serous layer from inside to outside.
Further, the simulated intestinal mucosa layer is formed by adhering short white wool on the surface of white gauze; the simulated intestinal canal muscular layer is made of red silicone tube or soft rubber tube, and the thickness is about 3 mm; the simulated intestinal serosal layer is made of a thin and soft transparent plastic film or a transparent and thin and soft rubber film, and is a single layer. The 3 layers of simulated tissue were bonded together to form a simulated intestinal tube. Different from the single-layer intestinal canal which is independent in the past, the model adopts three different materials according to the intestinal wall condition, the three different materials are arranged in a layered mode, different hierarchical structures of the intestinal wall are simulated, the full-layer suture can be completed, the serosal layer suture can be completed again, the simulation is more real and effective, and the suture quality (such as water filling and the like) can be verified after the suture is determined by the particularity of the materials.
The free end of the simulated intestinal canal is also provided with a second connecting piece which can be a plastic hollow cylinder, and the outer diameter of the second connecting piece is equal to or slightly smaller than the diameter of the intestinal canal and is used for connecting the external intestinal canal. According to the examination requirement, if the intestinal end-end anastomosis is simply carried out, an external intestinal tube is not needed, if the end-side anastomosis is carried out, or the anastomosis after the excision of intestinal necrosis or the intestinal fistulization and the like can be connected with the intestinal tube, the purpose is that the model is jointed with the clinical reality and can be used for various operations.
Simulation intestines pipe, simulation mesentery blood vessel, simulation blood vessel etc. are removable substitution design in this application to realize the relapse multiple suitable for of model. Parts, connection relations, position relations and the like which are not described in the present application can be realized by any prior art.
Has the advantages that: compared with the prior art, clinical as far as possible is pressed close to this application teaching mode that the intestines are coincide, and the switch abdomen is practised in order to the simulation of abdominal cavity simultaneously, and the intestines are coincide to have abdominal cavity simulation seat can be truer, and the operation is more meticulous. The mesenteric blood vessel is designed to be included, can be fused into the blood vessel for ligation, and meets the requirement of blood vessel separation ligation under the condition of real intestinal anastomosis; the connecting device enables the model to be replaceable, replaces the connected intestinal canal according to actual requirements, can perform end-to-end anastomosis, end-to-side anastomosis and side-to-side anastomosis, and can be repeatedly used.
Drawings
FIG. 1 is a schematic structural diagram of an intestinal anastomosis teaching model of the present application;
FIG. 2 is a schematic view of a simulated gut tube and a simulated mesentery structure;
fig. 3 is a schematic cross-sectional view of a simulated intestinal tube.
Detailed Description
The present application will now be described in detail with reference to the accompanying drawings.
The intestinal anastomosis teaching model shown in fig. 1 comprises a hollow base 1 which is used for simulating an abdominal cavity and is made of a cuboid 30 x 20 x 10cm and is made of opaque plastics or plastic materials, a strip-shaped simulation incision 2 which is about 15cm long is arranged at the top of the hollow base 1, and a sponge layer 8 which is used for simulating abdominal wall soft tissues is arranged on the top surface of the hollow base 1; the device also comprises a simulated intestinal canal 4, wherein one end of the simulated intestinal canal 4 is fixed through a first connecting piece 3, the first connecting piece 3 is arranged at the bottom in the hollow base 1 and can be any device capable of fixing the simulated intestinal canal 4; the free end of the simulated intestinal canal 4 is also provided with a second connecting piece 9, the second connecting piece 9 can be a plastic hollow cylinder, and the outer diameter of the second connecting piece is equal to or slightly smaller than the diameter of the intestinal canal and is used for being connected with an external intestinal canal. The simulated intestinal canal 4 is connected with a simulated mesentery 5; the simulated mesentery blood vessel 6 penetrates through the simulated intestinal canal 4, and the simulated mesentery blood vessel 6 penetrates out of the through hole at the bottom of the hollow base 1 and is communicated with a simulated blood vessel 7.
The simulated mesenteric blood vessel 6 and the simulated blood vessel 7 are soft and thin rubber pipelines, and by combining the graph 2 and the graph 3, the simulated intestinal canal 4 sequentially comprises a simulated intestinal mucosa layer 4-1, a simulated intestinal canal muscular layer 4-2 and a simulated intestinal canal serosa layer 4-3 from inside to outside, and the simulated intestinal mucosa layer 4-1 is formed by adhering short white wool on the surface of white gauze; the simulated intestinal canal muscular layer 4-2 is made of red silicone tube or soft rubber tube, and the thickness is about 3 mm; the simulated intestinal canal serosa layer 4-3 is made of a thin and soft transparent plastic film or a transparent and thin and soft rubber film, and a single layer and 3 layers of simulated tissues are adhered together to form the simulated intestinal canal 4.
When using this application intestinal teaching model that coincide, owing to run through on the simulation intestines tube 4 and be equipped with simulation mesentery blood vessel 6 for the operator must accomplish the vascular ligature in operation process, avoids the operator to bypass the blood vessel, more accords with actual clinical. And the simulated mesenteric blood vessel 6 penetrates out of the through hole formed in the bottom of the hollow base 1 and is communicated with the simulated blood vessel 7, and the simulated blood vessel is filled with the simulated blood after being connected with a common infusion apparatus, so that the operation is more real when the blood vessel is ligated, the operation difficulty is higher, and the operation quality is more conveniently evaluated. Because the free end of the simulated intestinal canal 4 is also provided with a second connecting piece 9 for connecting with an external intestinal canal, according to the examination requirement, if the end-to-end anastomosis of the intestine is simply carried out, the external intestinal canal is not needed, if the end-to-side anastomosis is carried out, or the anastomosis after the excision of the intestinal necrosis or the intestinal fistulization and the like can be connected with the intestinal canal, the purpose is that the model is jointed with the clinical reality and can be used for various operations. Simulation intestines pipe, simulation mesentery blood vessel, simulation blood vessel etc. are removable substitution design in this application, can realize repetitious usage.

Claims (8)

1. An intestinal anastomosis teaching model is characterized by comprising a hollow base (1) for simulating an abdominal cavity, wherein a simulation incision (2) is arranged at the top of the hollow base (1), and a first connecting piece (3) is arranged at the bottom in the hollow base (1); the device also comprises a simulated intestinal canal (4), wherein one end of the simulated intestinal canal (4) is fixed through a first connecting piece (3); the simulated intestinal canal (4) is connected with a simulated mesentery (5); the simulated mesentery blood vessel (6) penetrates through the simulated intestinal canal (4), and the simulated mesentery blood vessel (6) penetrates out of the bottom of the hollow base (1) and is communicated with the simulated blood vessel (7).
2. Teaching model for intestinal anastomosis according to claim 1, characterized in that said hollow base (1) is a rectangular parallelepiped, generally 30 x 20 x 10cm in size, made of opaque plastic or plastic material.
3. Teaching model for intestinal anastomosis according to claim 1, characterized in that said simulated incision (2) is in the form of a strip.
4. The intestinal anastomosis teaching model according to claim 1, characterized in that the top surface of the hollow base (1) is provided with a sponge layer (8) for simulating the soft tissues of the abdominal wall.
5. Teaching model for intestinal anastomosis according to claim 1, characterized in that said simulated mesenteric (6) and simulated (7) vessels are soft and thin rubber tubes.
6. The intestinal anastomosis teaching model according to claim 1, wherein the simulated intestinal canal (4) comprises a simulated intestinal mucosa layer (4-1), a simulated intestinal canal muscle layer (4-2) and a simulated intestinal canal serosa layer (4-3) in sequence from inside to outside.
7. The intestinal anastomosis teaching model according to claim 6, wherein said simulated intestinal mucosa layer (4-1) is formed by adhering short white wool on the surface of white gauze; the simulated intestinal canal muscular layer (4-2) is made of red silicone tube or soft rubber tube; the simulated intestinal canal serosa layer (4-3) is made of a thin and soft transparent plastic film or a transparent and thin and soft rubber film and is single-layer; the 3 layers of simulated tissue were bonded together to form a simulated intestinal tube.
8. An intestinal anastomosis teaching model according to claim 1, characterized in that the free end of the simulated intestinal canal (4) is further provided with a second connector (9) for linking with an external intestinal canal.
CN202121048765.4U 2021-05-17 2021-05-17 Intestinal anastomosis teaching model Expired - Fee Related CN216486958U (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN202121048765.4U CN216486958U (en) 2021-05-17 2021-05-17 Intestinal anastomosis teaching model

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN202121048765.4U CN216486958U (en) 2021-05-17 2021-05-17 Intestinal anastomosis teaching model

Publications (1)

Publication Number Publication Date
CN216486958U true CN216486958U (en) 2022-05-10

Family

ID=81394272

Family Applications (1)

Application Number Title Priority Date Filing Date
CN202121048765.4U Expired - Fee Related CN216486958U (en) 2021-05-17 2021-05-17 Intestinal anastomosis teaching model

Country Status (1)

Country Link
CN (1) CN216486958U (en)

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