JP2015018152A - Nursing practice simulation model - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a practice simulation model for care givers including certified care workers, visiting care attendants and family members, in particular a model for helping them understand the insertion route and the inserting position of a suction tube.SOLUTION: A nursing practice simulation model 100 comprises: a mannequin in which a human body model 110 simulating the head-to-chest part of a human body, a dummy oral cavity 120, a dummy nasal cavity 130, a dummy pharyngeal part 140, a dummy laryngeal part 150, a dummy trachea 160, a dummy bronchus 170 and a dummy esophagus 180 are formed; and a tube 200 to be inserted into its respiratory tract. A detector 161, provided in the correct inserting position of the tube 200 in the dummy trachea 160, actuates sensing means 162 when the arrival of the tip of the tube 200 at the detector 161 is detected, and the sensing means 162 causes a care practicing person to sense the arrival by one of his or her five senses thereby to learn the proper inserting position of the tube when it is used for nursing.

Description

  The present invention relates to a care training simulation model. In particular, the present invention relates to a care training simulation model that allows a care practitioner to learn to insert a tube for airway intubation at the time of care at a suitable insertion position.

A caregiver needs to perform various cares according to the case of the care recipient, and learning of the care technique is important.
Among the care activities, there are important things such as suction of sputum collected in the airways of non-caregivers and nutritional supplementation through gastrostomy set up by surgery.
The sputum suction means that the caregiver sucks out the sputum accumulated in the throat, trachea and lungs of the care recipient using a suction tube or the like. Use a suction tube to suck out sputum and secure an airway in the airway. If a caregiver is left without being sucked, the non-caregiver will suffocate with his / her own spear, so this is an important and frequent treatment for the caregiver.
In addition, sputum suction is not a category of “medical practice” that requires a doctor's license, but is regarded as “medical care” so that caregivers (caregivers, home helpers, families) can perform sputum suction at home. It has become.
In order to perform sputum suction, it is necessary to suck all sputum in a short time in order to minimize the burden on the care recipient. For this reason, improvement in nursing care technology regarding sputum suction is required.

Here, an accident may occur if attention is paid too much to the treatment time of the sputum suction treatment.
If the caregiver raises the suction pressure in order to suck the sputum quickly due to the caregiver's immature sputum suction treatment, an accident may occur in which the mucous membrane in the airway is peeled off.
In addition, if the ciliary mucosa in the respiratory tract is damaged during sputum suction, an accident of bleeding may occur. When a bleeding site is formed in the airway, ciliary movement at the site is lost until the wound is healed, and the self-discharge function of the wrinkle is lowered, which may lead to a vicious circle in which wrinkles are less likely to occur.
A skilled caregiver visually confirms the sputum while the suction tube spout is flowing, and further detects the passage of the sputum by hearing the sound at the time of suction and the delicate tactile sensation of the fingertip. If the flow rate decreases and you feel the adsorption to the ciliary mucosa, stop applying negative pressure to the suction tube, conversely pressurize gently and fill the suction tube with sufficient air, and then gently place the suction tube into the ciliary mucosa. It is possible to avoid false adsorption of the cilia mucosa away from the

  Hospital aspirators have good pump power efficiency and easy adjustment of suction pressure, but home-use tabletop aspirators have low pump power efficiency and need to control pressure by accumulating pressure energy In addition, since the resistance in the suction tube of the highly viscous soot is large, the suction pressure may be set higher. On the other hand, if the suction pressure is set low, the power efficiency of the pump will be poor, the suction speed in the suction tube of the highly viscous sputum will be slow, and the time of the apnea state in which the care recipient cannot breathe will be prolonged Another problem occurs.

Also, in the case of suction from the nose, if the caregiver is not skilled in intubating the suction tube, it takes time for the suction tube to contact the mucous membrane in the nasal cavity and lead to an appropriate suction position without going forward. Sometimes.
In order to solve the above problems, using a nursing care simulation model, etc., train the caregiver until he / she is proficient in intubation of the suction tube, and quickly acquire the skill to guide the suction tube to the appropriate suction position in the airway. There is a need to.

In the prior art, a training simulation model having a simulated airway is known. For example, Japanese Patent Application Laid-Open No. 2005-227372 and Utility Model Registration No. 3177481 are known.
These are simulation models for training the airway as a medical practice for medical personnel, and training for lifesaving personnel and medical personnel as a target for lifesaving measures for injured persons at the traffic accident site.

FIG. 11B is a diagram showing a mannequin disclosed in Japanese Patent Laid-Open No. 2005-227372 in the conventional example. According to Japanese Patent Application Laid-Open No. 2005-227372, an airway management simulation model composed of a mannequin of the whole body or an upper body, the model is an airway structure simulating a living airway and an esophageal structure simulating a living esophagus or Airway management characterized by having an esophagus / stomach structure having a stomach structure imitating the stomach of a living body at its tip, and the esophagus structure or esophagus / stomach structure being flat It is a simulation model.
In this way, the airway structure has a circular cross section, and the reason for making the esophagus structure or esophagus / stomach structure flat is the training of intubation confirmation using EDD (Esophageal Detector Device). This is to make it possible. That is, in the airway management simulation model disclosed in JP-A-2005-227372, the airway structure is filled with air, while the esophagus structure or the esophagus / stomach structure is not filled with air. When an endotracheal tube is intubated and an EDD (Esophageal Detector Device) is attached to the tip of the tracheal tube, if the intubation is correctly inserted into the airway structure, the air may flow backward and the EDD may swell If the esophagus structure or the esophagus / stomach structure is accidentally intubated, the air cannot flow back and the EDD cannot swell. In this way, training for intubation of the tracheal tube using EDD is performed.

  FIG. 11B is a view showing a mannequin of Utility Model Registration No. 3177481 in the conventional example. Utility Model Registration No. 3177481 is a humanoid practice model for practicing endotracheal tube intubation including the skull, mandible, neck, skin, oral cavity, pharynx, trachea, esophagus, and bronchus. In particular, it has a mechanism for limiting the size of the opening of the mandible of the skull. When an injured person has an injured jaw at an accident site or the like, there is a situation where opening and closing of the mouth is restricted, and training of intubation of the tracheal tube in a state where such opening and closing of the mouth is restricted is performed. There is a pin that can move to a position that prevents the rotational movement of the skull mandible around the shaft axis, and the position of the pin can be moved by operating the lever, and the bending angle of the skull can be freely moved or limited by the position movement It is a mechanism.

JP 2005-227372 A Utility Model Registration No. 3177481

As shown in Patent Document 1 and Patent Document 2, a training simulation model having a simulated airway in the prior art is known as a model for securing an airway in an emergency life-saving measure such as an accident site for medical personnel or emergency medical technicians. It was done.
The first problem is that the above-described practical simulation model having a simulated airway is not a simple model for training acupuncture suction for caregivers such as care workers, home helpers, and families.
If an expensive practical simulation model is used, training for sputum suction may be possible. However, it is practically difficult to purchase and train such an expensive practical simulation model in a small care training facility or a general household.
In addition, the expensive practical simulation model is not suitable for training of sputum suction, but has various other functions for advanced training such as intubation training of the tracheal tube and training of airway maintenance, exceeding the training use of sputum suction It can be said that it is an excessive model.

The second problem is that the above-described practical simulation model having a simulated airway is a training model for medical personnel and paramedic who simulates the actual human body and the response of the actual human body. It is not intended for nursing care workers, home helpers, family members, etc. who are not familiar with the operation of the suction tube, and have been built for so-called “advanced people” such as medical workers. For those who have insufficient basic knowledge such as nasal cavity shape, pharyngeal shape, tracheal position and tracheal length, and bronchial position, make them understand the structure of the human body, understand the insertion path of the suction tube, and perform suction It could not be said that it was a model for training for "amateurs", such as making the tube insertion position understandable.
In particular, caregivers such as care workers, home helpers, and family members were not modeled with an emphasis on training to grasp the appropriate position of suction tube insertion during difficult-to-treat sputum suction. The position where the suction tube can be inserted in the care treatment is insufficient if it is too far in front of the bronchus, and the sputum suction is not performed well, and if it reaches the bronchus, the insertion is too much, causing a burden on the care recipient.

  In view of the above problems, the present invention is a practical simulation model for caregivers such as care workers, home helpers, and family members, and includes basic forms such as nasal cavity shape, pharyngeal shape, tracheal position and tracheal length, and bronchial position. It is an object of the present invention to provide a model that allows a person with insufficient knowledge to understand the structure of the human body, understand the insertion path of the suction tube, and understand the insertion position of the suction tube.

In order to achieve the above object, a nursing practice simulation model according to the present invention includes at least a simulated oral cavity, a simulated nasal cavity, a simulated pharynx, a simulated larynx, a simulated trachea, a simulated bronchus, and a part of a simulated esophagus. Is a nursing training simulation model equipped with a mannequin that forms each part of the above and a tube for airway intubation,
The sensing part attached to the correct insertion position at the time of airway intubation of the tube with respect to the simulated trachea or the simulated bronchus, and the care practitioner's five senses sense that the tip of the tube has reached the detection part It is a nursing care simulation model including sensing means and learning a suitable insertion position of the tube at the time of nursing.
With the above configuration, when the caregiver who is the practitioner inserts the tip of the tube, the sensing means is activated by the detection unit attached to the correct insertion position at the time of tube intubation, and the five senses of the care practitioner Therefore, the practitioner can sense the correct insertion position of the suction tube. This allows training for intubation of the suction tube into the airway, such as sputum suction.

Here, if the tube for airway intubation is a suction tube for sputum suction, the care training simulation model can be used for training for sputum suction.
Moreover, if the suction tube for airway intubation is the tracheal intubation tube for securing the airway, the care training simulation model can be used for training for airway securing.

  The mannequin is capable of dividing the humanoid model, and includes the simulated oral cavity, the simulated nasal cavity, the simulated pharynx, the simulated larynx, the simulated trachea, and the simulated bronchus. If it can see the simulated esophagus, it can improve the learning effect of airway structure and sputum suction for care workers, home helpers and family caregivers who are not medical personnel. .

Next, an example of a combination of the detection unit and the detection means in the care training simulation model will be described.
As an example, there is a combination in which the detection unit is an infrared sensor or an inductive sensor and the sensing means is a lighting light source or a sound source via an electrical signal.
In addition, as another combination of the detection unit and the detection unit, there is a combination in which the detection unit is a protrusion, and the detection unit is a tactile sensation of vibration transmitted through the tube by the collision of the tip of the tube with the protrusion.
As another combination of the detection unit and the detection unit, the detection unit is a line or marking drawn on the simulated trachea or simulated bronchus, and the detection unit transparently transmits at least a part of the simulated trachea or the simulated bronchus. It is made of a material and the inside is visualized, and the fact that the tip of the tube has reached a line or marking can be visually observed from the outside of the simulated trachea or simulated bronchus.
Further, as a sensing means, at least a part of the human model that covers the simulated trachea and the simulated bronchus is made of a transparent material and the inside is visualized. At least a part of the simulated trachea and simulated bronchus can be viewed from the outside, and it can be devised so that the end of the tube reaches the line or marking from the outside of the humanoid model. Is possible.

In addition, in the said structure, the content of training can be increased by adding various devices.
For example, there is a contrivance that a tracheal cannula is attached to a mannequin simulated trachea, and a tube for tracheal intubation can be inserted through the tracheal cannula. By the said structure, it becomes a model which can learn the suitable insertion position of the tube at the time of care through a tracheal cannula.
In addition, for example, in a mannequin, there is a device that has a structure in which a simulated stomach and a simulated gastrostoma are attached to the simulated stomach. By the said structure, it becomes a model which can practice the injection | pouring of the nutrient to a simulated stomach or simulated nutrients via a simulated gastrostomy.

According to the care training simulation model of the present invention, a simple model can be used for those who have insufficient basic knowledge such as nasal cavity shape, pharyngeal shape, tracheal position and tracheal length, and bronchial position. This makes it possible to understand the structure of the suction tube, to understand the insertion path of the suction tube, and to understand the insertion position of the suction tube.
By using the care training simulation model of the present invention, when the caregiver inserts the tip of the tube, the sensing means is operated by the detection unit attached to the correct insertion position at the time of intubation of the tube, and care is provided. Since it is sensed by one of the five senses of the practitioner, the practitioner can sense the correct insertion position of the suction tube. This allows training for intubation of the suction tube into the airway, such as sputum suction.

  Hereinafter, an embodiment of a care training simulation model of the present invention will be described with reference to the drawings. However, it goes without saying that the scope of the present invention is not limited to the specific application, shape, number, etc. shown in the following examples.

The example of the care training simulation model of this invention concerning Example 1 is shown.
FIG. 1 is a diagram simply illustrating a configuration of a nursing care training simulation model according to the first embodiment.
FIG. 2 is a diagram simply showing the internal structure of the left cross-section side by dividing the humanoid model 110 of the mannequin 100 by a median line.

As shown in FIG. 1, the care training simulation model includes a mannequin 100 and a tube 200 for airway intubation. In FIG. 1, a humanoid model 110 constituting the outer shape of the mannequin 100 is visible.
Further, in this configuration example, one end of the cube 200 is connected to a suction device 210 for suctioning the sputum.
The airway intubation tube 200 is a tube used in a care training simulation model. For example, there can be a suction tube for sputum suction, a tracheal intubation tube for securing the airway, and the like. These airway intubation tubes 200 may be conventional ordinary tubes, and as will be described later, it is possible to select a metal at the tip of the tube so as to easily react to the detection unit 161. .

The mannequin 100 simulates a humanoid model 110, a simulated oral cavity 120, a simulated nasal cavity 130, a simulated pharynx 140, a simulated larynx 150, a simulated trachea 160, a simulated bronchus 170, a part of a simulated esophagus 180, Each part of the stomach 190 is formed.
In other words, the mannequin 100 is formed by centering an airway system simulated structure inside an outer shape base having a shape extending from the head to the chest.

The humanoid model 110 is a model that imitates the shape of the human body from the head to the chest, and is the shape of the mannequin. In addition, it is not necessary to create a more detailed facial shape, skin texture, etc. in the humanoid model 110 in order to add a simple representation of the outer shape of the human body. However, the material may be left bare.
Although the material of the humanoid model 110 is not limited, for example, materials such as polystyrene foam, plastic, silicone rubber, wood pieces, paper, etc. can be used. Of course, a metal material may be used in part.
It is also preferable that the humanoid model 110 is separable. If the humanoid model 110 is separable, it becomes possible to expose the simulated internal structure so that it can be seen from the outside, and it can be expected that the learning effect of the practitioner is improved. In this example, the humanoid model 110 can be disassembled left and right with the midline as the boundary.

Next, each component arrange | positioned inside the mannequin 100 is demonstrated.
FIG. 2 is a diagram showing the interior of the humanoid model 110 which is disassembled left and right with the midline as the boundary. FIG. 2 shows a left sectional view.
The simulated oral cavity 120 is formed in the interior corresponding to the mouth of the humanoid model 110, and is provided with a wall surface so as to partition at least a space imitating the oral cavity. It should be noted that the upper and lower dentitions, tongues and the like may be formed, but the upper and lower dentitions and tongues may be omitted for a simple model. Also, the jaw opening and closing mechanism may be built in, but in order to make a simple model, a model with the mouth opened from the beginning may be used. The care training simulation model of the present invention does not require training when there is a difficulty in opening and closing the chin, such as at the accident site, and is premised on care training for care recipients who can live daily life. In order to make a simple model, it may be a model with the mouth open from the beginning.

  The simulated nasal cavity 130 is formed in the inside corresponding to the nose of the humanoid model 110, and has a wall surface so as to partition at least a space imitating the nasal cavity. Since the tube 200 may be inserted from the nasal cavity at the time of sputum suction, it is preferable to provide the simulated nasal cavity 130 in the care training simulation model of the present invention.

  The simulated pharynx 140 is formed in a portion corresponding to the pharynx of a human body, and is provided with a wall surface so as to partition at least a space imitating the pharynx. The upper part is connected to the simulated nasal cavity 130, the front is connected to the simulated oral cavity 120, and the lower part is partitioned to connect to the simulated larynx 150 and the simulated esophagus 180.

  The simulated larynx 150 is formed in a portion corresponding to the larynx of the human body, and is provided with a wall surface so as to partition at least a space imitating the larynx. It is provided in a portion between the simulated pharynx 140 and the simulated trachea 160. The actual larynx is surrounded by a total of six cartilages, including thyroid cartilage and epiglottis cartilage, and further has a vocal cord in the center. However, in the care training simulation model of the present invention, these are simple models. Complex cartilage may be omitted without being reproduced. The vocal cords may be built in, but in order to make a simple model, a model without a vocal cord or a model in which the vocal cords are opened from the beginning may be used.

The simulated trachea 160 is formed in a portion corresponding to a human trachea, and has a wall surface so as to partition a tubular space. The upper part is connected to the simulated pharynx 150, and the lower part is connected to the simulated bronchus 170. A tube may be arranged, or the humanoid model 110 may be cut into a tubular shape.
In the actual human body, the trachea is a place where sputum tends to accumulate, and the tip of the tube 200 is positioned for suction of sputum. Therefore, the simulated trachea 160 is one of the important parts of the care training simulation model of the present invention. One.
When the simulated trachea 160 is manufactured by arranging a tube, the material is preferably a transparent material. For example, a general-purpose material such as polypropylene, polyethylene, or vinyl chloride may be used, but at least a part of the material is transparent. By making it transparent, it is possible to visually observe where the tip of the tube 200 is in the simulated trachea 160 and where in the simulated trachea 160 the portion that is likely to be clogged, as described later. Because it helps.

A detection unit 161 is attached to a part of the simulated trachea 160. The detection unit 161 will be described later.
Although the sensing means 162 will be described later, the sensing means 162 may be structured to be attached to a part of the simulated trachea 160 as in the case of the sensing part 161. If the electrical signal can be exchanged with the sensing part 161, the sensing means 162 may be sensed. The means 162 may be provided outside the human model 110 separately from the simulated trachea 160.

The simulated bronchus 170 is formed in a portion corresponding to the bronchus of a human body, and is provided with a wall surface that partitions a tubular space having a bifurcated branch pipe. The upper part is connected to the simulated trachea 160. Since the lower part is originally connected to the left and right lungs, a simulated lung may be provided, or a simulated lung may be provided instead of a simulated lung.
For example, when the simulated bronchus 170 is manufactured by arranging a tube, the material is preferably a transparent material. For example, a general-purpose material such as polypropylene, polyethylene, or vinyl chloride may be used, but at least a part of the material is transparent. This is because, as described later, it is possible to visually check whether or not the distal end of the tube 200 reaches the simulated bronchus 170 due to excessive insertion as described later, which is useful for training.

  The simulated esophagus 180 is formed in a portion corresponding to the esophagus of the human body, and the upper part thereof is connected to the simulated pharynx 140 and the lower part thereof is a part connected to the simulated stomach 190.

The simulated stomach 190 is formed in a portion corresponding to the stomach of the human body, and the upper part thereof is connected to the simulated esophagus 180. The simulated stomach 190 is formed of a bag-like member, and may be a rubber bag or a vinyl bag, for example.
A gastrostomy 191 is attached to a part of the simulated stomach 190, and the tip of the gastrostomy 191 is provided so as to protrude from the surface of the humanoid model 110. The gastrostomy 191 will be described later.

Next, the detection unit 161 and the detection unit 162 will be described.
The detector 161 detects the arrival of the tube 200 for airway intubation. The detection of the airway intubation tube 200 is attached to the correct insertion position at the time of airway intubation of the tube 200 with respect to the simulated trachea 160 or the simulated bronchus 170.

There are various mechanisms for the detection unit 161, that is, mechanisms for detecting the tube 200.
For example, there are sensors. FIG. 3 is a diagram simply showing a configuration example in which a detection unit 161 as a sensor is arranged in a part of the simulated trachea 160.
As an example of the detection unit 161, there is an infrared sensor that detects an object by infrared irradiation. The infrared irradiation location is set to an appropriate insertion position of the tube 200 in the simulated trachea 160, and the infrared reflectance is changed depending on the presence or absence of the tube 200, and the change in the amount of received light is captured. . Needless to say, the principle of object detection of the infrared sensor may be another method.
For example, as an example of the detection unit 161, there is a capacitance type sensor that captures a change in capacitance. The location where the electric field is generated is set at an appropriate insertion position of the tube 200 in the simulated trachea 160, and is set so as to capture the change in capacitance that occurs in the electric field depending on the presence or absence of the tube 200. Needless to say, the principle of the object right of the capacitive sensor may be another method.

FIG. 4 is a diagram simply showing how the tube 200 enters the simulated trachea 160 and the detection unit 161 detects the arrival thereof. When the tube 200 enters the simulated trachea 160, a change set by the sensor of the detection unit 161 is captured. For example, it is possible to detect the arrival or passage of the tube 200 by capturing a change in the amount of received light of infrared rays in the case of an infrared sensor, and by detecting a change in capacitance in the case of a capacitance type sensor.
When the detection unit 161 detects the arrival or passage of the tube 200, the detection unit 161 generates an electrical detection signal and transmits the signal to the sensing means 162.

The sensing unit 162 is a unit that senses that the tip of the tube 200 has reached the detection unit 161 by any of the five senses of the care practitioner.
Although various mechanisms can be adopted as the sensing means 162, since the sensing means 162 needs to be interlocked with the detection unit 161, it is necessary to adopt a suitable one in combination with the detection unit 161.
For example, when the detection unit 161 is various sensors such as an infrared sensor and a capacitive sensor, the detection result can be output as an electrical signal. Thus, when an electrical signal is obtained as a detection result, it is preferable that the sensing means 162 is operated with the electrical signal as a trigger and is made aware of the five senses of a caregiver.
For example, as shown to Fig.4 (a), you may make it visually recognize, such as lighting of LED illumination. By receiving the detection signal from the detection unit 161 and turning on the LED as the detection unit 162, the practitioner can visually detect that the tip of the tube 200 has reached the appropriate position of the simulated trachea 160.
For example, as shown in FIG. 4B, a sound source that emits a beep sound may be used. By receiving a detection signal from the detection unit 161 and the sound source serving as the detection unit 162 emits a beep sound, the trainee can sense by hearing that the tip of the tube 200 has reached the appropriate position of the simulated trachea 160.

Next, as another example of the detection unit 161, a protrusion provided on a wall surface at a predetermined position of the simulated trachea 160 may be used. FIG. 5A is a diagram simply showing a configuration in which a protrusion is provided at an appropriate insertion position of the tube 200 in the simulated trachea 160. As shown in FIG. 5A, a wall surface is provided at a predetermined position of the simulated trachea 160, and the tip of the passing tube 200 is disposed so as to collide with the projection.
When the detection unit 161 is a projection, it is only necessary to detect that the tip of the tube 200 has collided with the detection unit 161 that is a projection. As an example, the detection unit 161 may be a tactile sensor or the like, and it may be detected that the tube 200 has touched the detection unit 161 and output as an electrical signal. Here, a simpler configuration is also described. As the sensing means 162, it is only necessary that the practitioner senses that the tip of the tube 200 has collided with the detection unit 161, which is a protrusion. If it can be perceived that the progress is inhibited, it can be sensed that the tip of the tube 200 has reached the appropriate position of the simulated trachea 160. It is also possible that the minute impact of the collision generated at the tip of the tube 200 is transmitted through the tube 200 and sensed by the practitioner.

  In addition, as another example of the detection unit 161, as shown in FIG. 5B, there may be a line or marking as a mark provided at a predetermined position of the simulated trachea 160. When the detection unit 161 is a mark or a mark serving as a mark provided at a predetermined position, as the detection unit 162, at least a part of the simulated trachea 160 and the simulated bronchus 170 is made of a transparent material, and the inside state is visible. The configuration is sufficient. If at least part of the simulated trachea 160 and the simulated bronchus 170 is a transparent material, if the tip of the tube 200 reaches the illustrated line or marking in the simulated trachea 160, it can be visually observed from the outside.

In order to visually observe the tube 200 inside the simulated trachea 160 or the simulated bronchus 170, first, it is necessary that the simulated trachea 160 or the simulated bronchus 170 itself can be visually observed.
In the first method, if the human model 110 can be divided and at least the simulated trachea 160 or the simulated bronchus 170 can be exposed, the human model 110 is divided to expose the simulated trachea 160 or the simulated bronchus 170. The simulated trachea 160 or simulated bronchus 170 may be visually observed, and the position of the tip of the internal tube 200 may be confirmed through the transparent material portion. For example, as shown in FIG. 2, the human model 110 may be divided into left and right parts with a midline as a boundary so that the inside can be visually observed.

The second method is a method in which the opening / closing part 111 which is at least a part of a portion covering the simulated trachea 160 or the simulated bronchus 170 of the humanoid model 110 can be divided. FIG. 6 is a diagram showing a state in which an opening / closing part 111 covering a part of the simulated trachea 160 and the simulated bronchus 170 is provided in the humanoid model 110 and the opening / closing part 111 is opened. Even when the humanoid model 110 is assembled, by opening the opening / closing part 111 on the upper surface of the simulated trachea 160 or the simulated bronchus 170, at least a part of the internal simulated trachea 160 or the simulated bronchus 170 becomes visible. Further, it is only necessary to confirm the position of the tip of the tube 200 inside through the transparent material portion of the simulated trachea 160 or simulated bronchus 170.
FIG. 7 is a diagram illustrating a state in which the opening / closing part 111 illustrated in FIG. 6 is opened and the tube 200 is inserted. As shown in FIG. 7, if the opening / closing part 111 is opened, the simulated trachea 160 and the simulated bronchus 170 built in the humanoid model 110 can be directly observed, and the simulated trachea 160 and the simulated bronchi If at least a part of 170 is made of a transparent material, the inserted tube 200 can be visually observed, and the tip of the tube 200 can reach the mark that is the detection unit 161 and the state of the tube 200 can be visually observed. .

Next, a care training simulation model according to the second embodiment will be described.
In the second embodiment, a simulated tracheal cannula 163 is provided for the simulated trachea 160, a simulated gastrostomy 191 is provided for the simulated stomach 190, training for sputum suction via the simulated tracheal cannula 163, and a simulated gastrostomy 191. It is the example of a structure which also enabled the training of supplementation of nutrients through the.
FIG. 8 is a diagram simply showing the appearance of the mannequin 100a of the care training simulation model according to the second embodiment. As in FIG. 1, the humanoid model 110 that forms the outer shape of the mannequin 100 a is visible.

  Mannequin 100a simulates humanoid model 110, simulated oral cavity 120, simulated nasal cavity 130, simulated pharynx 140, simulated larynx 150, simulated trachea 160, simulated bronchus 170, and part of simulated esophagus 180. 1 is the same as the mannequin 100 shown in FIG. 1 of the first embodiment except that a simulated tracheal cannula 163 is provided from the outside of the mannequin 100a to the internal simulated trachea 160. And the opening is visible. Further, a gastrostomy 191 is provided from the outside of the mannequin 100a with respect to the internal simulated stomach 190, and its opening is visible.

The actual tracheal cannula is provided with an opening / closing lid or the like, which is not shown here. A configuration in which the open / close lid of the simulated tracheal cannula 163 is omitted for training may be used.
In addition, an actual gastrostoma is provided with an opening / closing lid or the like, which is not shown here. A configuration in which the open / close lid of the simulated gastrostoma 191 is omitted for training may be used.

FIG. 9 is a view showing the interior of the humanoid model 110 which is disassembled to the left and right with the midline as the boundary, like FIG. 2 of the first embodiment. FIG. 9 shows a left sectional view.
As shown in FIG. 9, one end of the simulated tracheal cannula 163 reaches the simulated trachea 160, and the simulated trachea 160 can be directly accessed from outside without passing through the simulated oral cavity 120 and the simulated nasal cavity 130. Yes.
FIG. 10 shows a state in which the airway intubation tube 200 is accessed from the outside through the simulated tracheal cannula 163 and the gastrostomy tube 201 from the outside through the simulated gastrostomy 191. It is the figure which showed a mode that it was made to access to.
As shown in FIG. 10, the airway intubation tube 200 can be directly inserted into the simulated trachea 160 via the simulated tracheal cannula 163. If the simulated tracheal cannula 163 is used, training such as sputum suction can be performed directly with the simulated trachea 160 without intubation from the simulated oral cavity 120 and the simulated nasal cavity 130.
9 and 10, the detection unit 161 and the detection unit 162 are not shown. However, as in the first embodiment, if the tube 200 reaches an appropriate location in the simulated trachea 160, the detection unit 161 is A mechanism for detecting the arrival and sensing by the sensing means 162 with any of the five senses is installed.

Next, the simulated gastrostomy 191 will be described.
As shown in FIG. 9, one end of the simulated gastrostomy 191 reaches the simulated stomach 190, and the simulated stomach 190 can be directly accessed from outside without passing through the simulated oral cavity 120 and the simulated nasal cavity 130. Yes.
FIG. 10 is a diagram simply showing a state in which the gastrostomy tube 201 is inserted from the outside via the simulated gastrostoma 191 and the simulated stomach 190 is accessed.
As shown in FIG. 10, the nutrient supply tube 201 can be directly inserted into the simulated stomach 190 through the simulated gastrostomy 191. Through the simulated gastrostomy 191, it can be trained that treatment such as supply of nutrients directly to the simulated stomach 190 can be performed without intubation from the simulated oral cavity 120 and the simulated nasal cavity 130.
In addition, like the detection unit 161 and the detection means 162 in sputum suction, the second detection that detects that the nutrient supply tube 201 has reached the simulated stomach 190 and has reached the position to supply the nutrient. It is also possible to provide a second sensing means that allows the practitioner to sense that the detection has been made by the second sensing means.
In the case of providing the second detection means and the second detection means, as in the first embodiment, various sensors (infrared sensor, capacitive sensor) are used, or at least a part of the simulated stomach 190 is made of a transparent material. It is possible to adopt a similar mechanism that is formed and marked or marked at an appropriate location when the nutrient supply tube 201 is inserted.

As mentioned above, although preferred embodiment of this invention has been illustrated and demonstrated, it can apply widely toward a care training simulation model.
It will be understood that various modifications can be made without departing from the scope of the invention. Therefore, the technical scope of the present invention is limited only by the description of the appended claims.

It is the figure which showed simply the structure of the care training simulation model concerning Example 1. FIG. It is the figure which divided | segmented the humanoid model 110 of the mannequin 100 by the median line, and showed the internal structure of the left cross-section side simply. It is the figure which showed simply the example of a structure which has arrange | positioned the detection part 161 which is a sensor in a part of the simulated trachea 160. FIG. It is the figure which showed simply a mode that the tube 200 approached into the simulated trachea 160, and the detection part 161 detects the arrival. It is the figure which shows simply the structure which provided the protrusion in the insertion position of the appropriate tube 200 in the simulation trachea 160, and the figure which provided the line | wire, marking, etc. which become the mark provided in the simulation trachea 160 predetermined position. It is a figure which shows a mode that the opening / closing part 111 which covers from the simulated trachea 160 part to the simulated bronchus 170 among the humanoid model 110 was provided, and the said opening / closing part 111 was open | released. It is a figure which shows a mode that the opening / closing part 111 was open | released and the tube 200 was inserted. It is the figure which showed simply the external appearance of the mannequin 100a of the care training simulation model concerning Example 2. FIG. It is the figure which divided | segmented the humanoid model 110a of the mannequin 100a with the median line, and showed the internal structure of the left cross-section side simply. A state in which the airway intubation tube 200 is accessed from outside the simulated trachea 160 via the simulated tracheal cannula 163, and a gastrostomy tube 201 is accessed from the outside via the simulated gastrostomy 191 It is the figure which showed the mode briefly. It is a figure which shows the mannequin of a prior art (Unexamined-Japanese-Patent No. 2005-227372, utility model registration No. 3177481).

100,100a Care training simulation model 110,110a Humanoid model 120 Simulated oral cavity 130 Simulated nasal cavity 140 Simulated pharynx 150 Simulated larynx 160 Simulated trachea 161 Detection unit 162 Sensing means 163 Tracheal cannula 170 Simulated bronchus 180 Simulated esophagus 190 Simulated stomach 191 Simulated Gastrostomy 200 airway intubation tube 201 nutrient supply tube 210 aspirator

Claims (10)

At least a humanoid model simulating the external shape from the head of the human body to the chest, simulated oral cavity, simulated nasal cavity, simulated pharynx, simulated throat, simulated trachea, simulated bronchus, and part of the simulated esophagus Is a nursing training simulation model equipped with a mannequin that forms each part of the above and a tube for airway intubation,
A detector attached to a correct insertion position at the time of airway intubation of the tube with respect to the simulated trachea or the simulated bronchus;
Sensing means that senses that the tip of the tube has reached the detection unit by any of the five senses of a care practitioner;
A nursing care simulation model characterized by learning a suitable insertion position of the tube during nursing care.   The mannequin is configured to divide the humanoid model, the simulated oral cavity inside, the simulated nasal cavity, the simulated pharynx, the simulated larynx, the simulated trachea, the simulated bronchus, The nursing practice simulation model according to claim 1, wherein the simulated esophagus can be visually observed.   The nursing care simulation model according to claim 1 or 2, wherein the detection unit is an infrared sensor or an induction sensor, and the sensing means is a lighting light source or a sound source via an electric signal.   3. The nursing care simulation model according to claim 1, wherein the detection unit is a protrusion, and the sensing means is a tactile sensation of vibration transmitted through the tube due to a collision of a tip of the tube with the protrusion. .   The detection unit is a line or marking shown on the transparent material, and the sensing means is a tube made of at least a part of the simulated trachea or the simulated bronchus made of a transparent material to visualize the inside. 3. The care training simulation model according to claim 1, wherein it is possible to visually recognize from the outside of the simulated trachea or the simulated bronchus that the tip of the wire reaches the line or the marking. 4.   The sensing means is a visualization of the inside of the humanoid model by forming at least a part of the portion covering the simulated trachea or the simulated bronchus with a transparent material, and the inside of the humanoid model in an assembled state. The simulated trachea or at least part of the simulated bronchus can be visually observed from the outside, and it is possible to visually confirm from the outside of the humanoid model that the tip of the tube has reached the line or the marking. The nursing care training simulation model according to claim 5, wherein   The care training simulation model according to any one of claims 1 to 6, wherein the airway intubation tube is a suction tube for sputum suction.   The care training simulation model according to any one of claims 1 to 6, wherein the suction tube for intubating the airway is a tracheal intubation tube for securing the airway.   A structure in which a tracheal cannula is attached to the simulated trachea of the mannequin, enabling the intubation of the tube for tracheal intubation through the tracheal cannula, and suitable for the tube at the time of care via the tracheal cannula The care training simulation model according to any one of claims 1 to 8, wherein the insertion position is learned.   In the mannequin, a simulated stomach and a structure in which a simulated gastrostoma is attached to the simulated stomach, and the practice of feeding nutrients or simulated nutrients into the simulated stomach via the simulated gastrostoma was enabled. The care training simulation model according to claim 1, wherein:

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