JP4522653B2 - Biological simulator - Google Patents
Biological simulator Download PDFInfo
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- JP4522653B2 JP4522653B2 JP2003001816A JP2003001816A JP4522653B2 JP 4522653 B2 JP4522653 B2 JP 4522653B2 JP 2003001816 A JP2003001816 A JP 2003001816A JP 2003001816 A JP2003001816 A JP 2003001816A JP 4522653 B2 JP4522653 B2 JP 4522653B2
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- synthetic resin
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- mucous membrane
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Description
【0001】
【発明の属する利用分野】
本発明は医療用具等の取扱の熟達度を測る生体シミュレータに関するもので、更に詳しくは粘膜構造を有する生体シミュレータにおいて、大腸内視鏡、胃内視鏡、十二指内視鏡、気道確保用チュープ、咽頭鏡等を練習し、その熟達度を測るための生体シミュレータに関するものである。
【0002】
【従来の技術】
従来より練習用シミュレータを用いて大腸内視鏡、胃内視鏡、十二指内視鏡、気道確保用チュープ、咽頭鏡等の練習モデルを使用して医療用具の取扱を練習する事はよく行われているところである。しかし、従来の練習用シミュレータは、粘膜部の柔軟性を再現するために合成樹脂の1層だけで作られており粘膜部の再現は不十分であった。また粘膜部に気管内挿管等、医療用具等の取扱を行った場合、技術の未熟さによる粘膜の損傷や粘膜に傷を付ける場合があるが、従来のシミュレータではこのような医療用具等の扱いが未熟な場合の粘膜部のすれた跡、あるいは粘膜のスライド感触の再現する機能が不十分であった為、術者が行った手技の事後検証が出来なかったり、或いはトレーニングの際に手技の正確性を追求する教育も出来なかった。又粘膜の柔軟性やスライド感触が再現されていなかった為、従来のシミュレータでは臨場感が少なく術者の緊張感を最大限引き出したシミュレーション実習が出来なかった。
【0003】
【発明が解決しようとする課題】
そこで、本発明者は従来のシミュレータより臨場感を感じさせて術者の緊張感を最大限引き出させると共に、トレーニングの際に手技の正確性を追求する教育を出来る様な生体シミュレータを提供すべく種々検討した結果、本発明を完成したもので、本発明の目的はトレーニングの際に手技の正確性を追求するできると共にその教育の成果を知ることが出来る様な生体シミュレータを提供することである。
【0004】
【課題を解決するための手段】
本願発明の要旨は、生体シミュレータにおいて、粘膜に相当する部分が合成樹脂層の一方の面に剥離剤層を介して器具等の取扱による傷跡が残るような合成樹脂表面処理剤層を設けた層構造であることを特徴とする生体シミュレータである。
そして、前記合成樹脂層と剥離層とからなる層構造は合成樹脂ゲル層の少なくとも一方の面を剥離剤層を介して合成樹脂層を積層したものであることが好ましい。
即ち、本発明では生体シミュレータの粘膜に相当する部分を合成樹脂層と剥離剤層とからなる層構造としたことによって、粘膜のような柔軟性を有し、例えば大腸内視鏡、胃内視鏡、十二指腸内視鏡、気道確保用チュープ、咽頭鏡等の医療用具が挿入される際の粘膜のスライド感触を習得することができると共に医療用具により粘膜の損傷の跡を検証することによってその手技の習得度を知ることが出来る。
即ち、人体の粘膜構造部の柔軟性を合成樹脂と剥離剤により再現し、更に表面には挿管チューブ等の医療用具の取扱による傷跡が残るよう表面処理を施した粘膜部分、即ち、合成樹脂表面処理剤層を設けた生体シミュレータである。
【0005】
【発明の実施の態様】
本発明について詳細に述べる。
本発明の生体シミュレータとしては特に限定をうるものではないが、高研社製気道管理モデル咽頭部交換型シミュレータ、レールダル社製気道管理トレーナーやアンブ社製気管挿管練習モデルに適用することができる。また、例えば高研社気道管理モデル咽頭部交換型シミュレータに適用した場合、即ち、コーケン気道管理モデルの喉頭部分と、その周りの粘膜に取り付けた場合、喉頭展開時や気管挿管チューブ挿入時に術者が行った手技によって、粘膜上にチューブ挿入による損傷の有無によって事後検証を可能にすることができ、手技の正確性を追求する教育を可能にすることができる。
又粘膜の柔軟性やスライド感触を再現することにより、従来のシミュレータでは再現できなかった臨場感が再現でき術者の緊張感を最大限引き出したシミュレーション実習ができるモデルにすることができる。又、喉頭部分とその周りの粘膜部を交換式にし、個人がその部品を持つことにより自分の手技の事後検証が可能になる。
【0006】
本発明において粘膜構造部を構成する合成樹脂としては、柔軟性を有し、粘膜の柔軟性やスライド感触が再現される様なものであって、例えば合成樹脂ゲル層の少なくとも一方の面に剥離剤層を介して合成樹脂層を設けることが好ましく、或いは合成樹脂ゲル層を中心としてその両側に剥離剤層を介して合成樹脂層を設けたものが好ましい。合成樹脂ゲル層の材質としてはシリコーン系、塩化ビニール系或いはウレタン系の何れでもよく、その厚さは3mm程度であって、5mm以上では弾力性が出過ぎ、また、2mmは以下では弾力性はほとんどなくなる。この合成樹脂ゲルの少なくとも一方の面に剥離剤層を介して合成樹脂層を設ける。剥離剤層としてはフッ素系、シリコーン系塩化ビニル系或いはウレタン系の剥離剤であって、剥離剤を介することによって表面のスライド性等の作用を示す。剥離剤層の上に設ける合成樹脂層の材質としてはシリコーン系、塩化ビニール系或いはウレタン系の何れでもよく、その厚さは0.4mm程度であって、0.4mm以上ではゲル層の弾力性をうち消してしまい、又、0.1m以下では層の強度が無くなってしまう。
又、本発明にかかる生体シミュレータに於いて粘膜構造を構成する合成樹脂層の一方の面に剥離剤層を介して合成樹脂表面処理剤層を設けることによって器具などの取り扱いによる軌跡を残し、手法の正確さを追求することができる等の効果を奏するので好ましい。合成樹脂表面処理剤としてはシリコーン系、塩化ビニル系、或いはウレタン系処理剤を使用することが好ましい。
【0007】
本発明にかかる生体シミュレータの粘膜構造部分の一例を図1に示す。図1に於いて合成樹脂ゲル層1の両サイドに剥離剤層3を積層しその上に合成樹脂層2を設けたものであり、更に、その一方に剥離剤層3を介して合成樹脂表面処理剤層4を設ける。
このような粘膜構造の合成樹脂表面処理剤層4が表面になるように例えば気道管理モデルの喉頭部を構成する。
【0008】
【実施例】
以下、本発明を実施例をもって具体的に説明する。
実施例1
本発明にかかる生体シュミレータ次の手順で製造した。
1.合成樹脂製の内側を専用型を使用しシリコーンラバーによって作成する。メス型となっている専用型を使用しシリコーンラバー原料を流し込み、それを均一に広げた後に架橋させ皮を作成する。
2.1で作成した皮の外面部にフッ素樹脂の剥離層をコーティングして中間層とする。
3.別途、シリコーンラバーにより一番外側の皮膜を作成する。
4.3で作成した最外層の皮膜内面にフッ素樹脂を塗りつけ、剥離層を作成する。
5.4で作成された皮膜の中に、2で作成した中間層をセットし、皮膜、中間層の間に出来た空間にシリコーンゲルを注入し、ゲル層を作成する。
6.5で作成された皮膜、ゲル層、中間層が一体となった円筒状構造物の内面に、フッ素樹脂を塗りつけ、剥離層を作成する。
更にこの剥離層を形成した円筒物内面に、シリコーンラバーとシリコーンゲルの混合物を塗りつけ、最内面に器具等の取扱の軌跡を残すための合成樹脂表面処理剤層を設ける。
【0009】
【発明の効果】
以上述べたように、本発明は人体の粘膜構造部を合成樹脂層と剥離剤層とよりなる層構造で少なくとも1層構成したことにより、粘膜の柔軟性やスライド感触を再現することができ、その結果、従来のシミュレータでは再現できなかった臨場感や術者の緊張感を最大限に引き出せ、且つ医療用具の取扱による粘膜の損傷の跡を検証することによって術者が行った手技の正確性を追求することができる等の効果を奏する。
【図面の簡単な説明】
【図1】本発明にかかる人体シミュレーションの粘膜構造の断面図。
【符号の説明】
1 合成樹脂ゲル層 2 合成樹脂層 3 剥離剤層
4 合成樹脂表面処理剤層[0001]
BACKGROUND OF THE INVENTION
The present invention relates to a biological simulator for measuring proficiency in handling medical devices and the like, and more particularly, in a biological simulator having a mucosal structure, a colonoscope, a gastroscope, a duodenoscope, and an airway securing device The present invention relates to a biological simulator for practicing tubes, laryngoscopes, etc. and measuring their proficiency.
[0002]
[Prior art]
It has been common practice to practice the handling of medical devices using practice models such as colonoscopy, gastroscope, duodenoscope, airway securing tube, laryngoscope, etc. Is being done. However, conventional practice simulators are made of only one layer of synthetic resin in order to reproduce the flexibility of the mucosa, and the reproduction of the mucosa is insufficient. The endotracheal intubation, such as the mucosa, in the case of performing the handling of such medical devices, there is a case where scratch the damage and mucous membranes of the mucous membranes due to immaturity of the technology, in the conventional simulator handling of such such medical devices Since the function to reproduce the mucosal smear mark or the mucosal slide feel was insufficient, the post-verification of the procedure performed by the surgeon could not be performed, or the procedure was not I couldn't train for accuracy. Also, since mucosal flexibility and sliding feel were not reproduced, the conventional simulator had little realism and could not perform simulation training that maximized the operator's tension.
[0003]
[Problems to be solved by the invention]
Therefore, the present inventor should provide a living body simulator that makes it possible to educate the operator in pursuit of the accuracy of the technique during training while making the operator feel the realism more than the conventional simulator and maximizing the tension of the operator. As a result of various studies, the present invention has been completed, and an object of the present invention is to provide a biological simulator that can pursue the accuracy of a technique during training and can know the results of the education. .
[0004]
[Means for Solving the Problems]
SUMMARY of the present invention, in a biological simulator, a layer part is provided with a synthetic resin surface treatment agent layer such as scarred by handling of the instrument or the like through the release agent layer on one surface of synthetic resin layer corresponding to the mucosa It is a biological simulator characterized by a structure.
And it is preferable that the layer structure which consists of the said synthetic resin layer and a peeling layer laminates | stacks the synthetic resin layer on the at least one surface of the synthetic resin gel layer through the releasing agent layer.
That is, in the present invention, the portion corresponding to the mucous membrane of the biological simulator has a layer structure composed of a synthetic resin layer and a release agent layer, so that it has flexibility like a mucous membrane. mirror, duodenum endoscope, verifying the trace of mucosal damage by the medical device it is possible to acquire the slide feel mucosa when for airway Chupu, medical tools laryngoscope like is inserted You can know the skill level of the technique.
That is, the flexibility of the mucous membrane structure of the human body is reproduced with a synthetic resin and a release agent, and the surface of the mucous membrane is subjected to surface treatment so as to leave a scar due to the handling of a medical device such as an intubation tube, that is, the surface of the synthetic resin. It is a biological simulator provided with a treatment agent layer.
[0005]
BEST MODE FOR CARRYING OUT THE INVENTION
The present invention will be described in detail.
The biological simulator of the present invention is not particularly limited, but can be applied to an airway management model throat replacement type simulator manufactured by Koken Co., Ltd., an airway management trainer manufactured by Laerdal, or an endotracheal intubation practice model manufactured by Ambu. Also, for example, when applied to the Koken Airway Management Model pharyngeal exchange type simulator, that is, when attached to the laryngeal part of the Koken Airway Management Model and the surrounding mucosa, the operator at the time of laryngeal deployment or insertion of the tracheal intubation tube According to the procedure performed, post-verification can be made based on whether or not the tube is damaged by inserting the tube on the mucous membrane, and education for pursuing the accuracy of the procedure can be made possible.
Also, by reproducing the mucous membrane flexibility and the slide feel, it is possible to reproduce a sense of reality that could not be reproduced by a conventional simulator, and to create a model that can perform a simulation exercise that maximizes the operator's tension. In addition, the laryngeal part and the surrounding mucous membrane part can be exchanged, and the individual can have the parts, allowing post-verification of his / her procedure.
[0006]
In the present invention, the synthetic resin constituting the mucosal structure is flexible and reproduces mucosal flexibility and slide feel, for example, peeled off at least one surface of the synthetic resin gel layer. A synthetic resin layer is preferably provided via an agent layer , or a synthetic resin layer provided on both sides of a synthetic resin gel layer via a release agent layer is preferred. The material of the synthetic resin gel layer may be any of silicone, vinyl chloride or urethane, and the thickness is about 3 mm. If the thickness is 5 mm or more, the elasticity is too high. Disappear. A synthetic resin layer is provided on at least one surface of the synthetic resin gel via a release agent layer. Release agent layer and the fluorine-based is, a silicone-based vinyl chloride or urethane release agent, showing the effect of sliding resistance of the surface by passing through the release agent. The material of the synthetic resin layer provided on the release agent layer may be any of silicone, vinyl chloride or urethane, and its thickness is about 0.4 mm, and the elasticity of the gel layer is 0.4 mm or more. The strength of the layer is lost at 0.1 m or less.
Further, in the biological simulator according to the present invention, a synthetic resin surface treatment agent layer is provided on one surface of the synthetic resin layer constituting the mucosal structure via a release agent layer, thereby leaving a trajectory due to handling of the instrument, etc. It is preferable because the effect of pursuing the accuracy of can be obtained. Synthetic Examples of the resin surface treatment agent Ricoh down system, vinyl chloride, or it is preferable to use a urethane-based agent.
[0007]
An example of the mucosal structure part of the biological simulator according to the present invention is shown in FIG. In FIG. 1, a release agent layer 3 is laminated on both sides of a synthetic
For example, the larynx of an airway management model is configured so that the synthetic resin surface treatment agent layer 4 having such a mucosal structure becomes the surface.
[0008]
【Example】
Hereinafter, the present invention will be specifically described with reference to examples.
Example 1
The biological simulator according to the present invention was manufactured by the following procedure.
1. The inside made of synthetic resin is made with silicone rubber using a special mold. Using a special type that is a female type, pour silicone rubber raw material, spread it uniformly, and then crosslink to create a skin.
The outer surface of the leather prepared in 2.1 is coated with a fluororesin release layer to form an intermediate layer.
3. Separately, the outermost film is made of silicone rubber.
Apply a fluororesin to the inner surface of the outermost layer created in 4.3 to create a release layer.
The intermediate layer prepared in 2 is set in the film prepared in 5.4, and a silicone gel is injected into the space formed between the film and the intermediate layer to create a gel layer.
A release layer is prepared by applying a fluororesin to the inner surface of the cylindrical structure in which the film, gel layer, and intermediate layer prepared in 6.5 are integrated.
Further, a mixture of silicone rubber and silicone gel is applied to the inner surface of the cylindrical object on which the release layer is formed, and a synthetic resin surface treatment agent layer is provided on the innermost surface to leave a trace of handling of instruments and the like.
[0009]
【The invention's effect】
As described above, the present invention can reproduce mucous membrane flexibility and sliding feel by constituting at least one layer of the mucosal structure of the human body with a layer structure comprising a synthetic resin layer and a release agent layer, As a result, the accuracy of the procedure performed by the surgeon by verifying the traces of mucosal damage caused by the handling of medical devices, and can maximize the sense of reality and the tension of the surgeon that could not be reproduced with conventional simulators It is possible to pursue such effects.
[Brief description of the drawings]
FIG. 1 is a cross-sectional view of a mucosal structure of a human body simulation according to the present invention.
[Explanation of symbols]
DESCRIPTION OF
Claims (3)
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JP2003001816A JP4522653B2 (en) | 2003-01-08 | 2003-01-08 | Biological simulator |
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JP2003001816A JP4522653B2 (en) | 2003-01-08 | 2003-01-08 | Biological simulator |
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JP4522653B2 true JP4522653B2 (en) | 2010-08-11 |
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JP6153190B2 (en) * | 2012-12-14 | 2017-06-28 | 学校法人日本大学 | Chinese medicine abdominal model |
KR102438168B1 (en) * | 2014-03-26 | 2022-08-31 | 어플라이드 메디컬 리소시스 코포레이션 | Simulated dissectible tissue |
CN105172233A (en) * | 2015-08-12 | 2015-12-23 | 陈清华 | Medical simulation dedicated patient whole body model |
Citations (3)
Publication number | Priority date | Publication date | Assignee | Title |
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JPS58192522A (en) * | 1982-05-07 | 1983-11-10 | オリンパス光学工業株式会社 | Production of colon model |
JPH02128174U (en) * | 1989-03-30 | 1990-10-23 | ||
JPH07503081A (en) * | 1992-01-15 | 1995-03-30 | リム アンド シングズ リミティッド | Surgical operations/clinical equipment |
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JPS58192522A (en) * | 1982-05-07 | 1983-11-10 | オリンパス光学工業株式会社 | Production of colon model |
JPH02128174U (en) * | 1989-03-30 | 1990-10-23 | ||
JPH07503081A (en) * | 1992-01-15 | 1995-03-30 | リム アンド シングズ リミティッド | Surgical operations/clinical equipment |
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