TW202113771A - Thyroid surgery training device can be applied to Trans Oral Endoscopic Thyroidectomy Vestibular Approach (TOETVA) - Google Patents

Abstract

The disclosure provides a thyroid surgery training device that utilizes a head portion simulation device to simulate the head portion of human. A metal sensor is disposed to an inner side of a lower jaw member contained in the head portion simulation device in order to simulate mandibular nerves. The lower jaw member encapsulates a lower lip member to simulate lower lip skin. A neck portion of human is simulated by a neck portion simulation device and disposed below the lower jaw member, and a neck portion body, a spine member, a thyroid member, a plurality of metal wires and a plurality of blood vessel members contained in the neck portion simulation device simulates the spine, thyroid, nerves and blood vessels in the human neck portion. Moreover, an electronic device is electrically connected to the metal sensor and the metal wires. If a user is too close to or touches the metal wire, an alarm is generated.

Description

Thyroid surgery training device

The present invention relates to a training device for thyroid surgery, in particular to a training device for oral thyroid surgery.

Thyroid surgery is a very common operation in surgery. However, it is often accompanied by larger wounds after surgery, which leads to prolonged recovery time after surgery, and large wounds also increase the chance of postoperative infection, produce obvious scars, and affect the disease. In order to overcome this problem, the medical community has designed oral thyroid surgery, which is a kind of minimally invasive surgery. The wound produced by this operation method is smaller than that of traditional neck thyroid surgery, which speeds up the recovery time after surgery. It also achieves the expectation of no scars on the body surface.

With the prevalence of endoscopic thyroid surgery, the training mode of surgeons in thyroid surgery has also shifted from traditional neck thyroid surgery to oral thyroid surgery; in traditional neck thyroid surgery, most surgeons are used to shoulder and chest surgery. Look towards the neck, but with the development of oral thyroid surgery, doctors must begin to learn and get used to the vision from the head to the neck.

Since thyroid surgery is a very common operation in surgery, thyroid surgery is an operation that requires precision operations. In addition to the numerous and large blood vessels passing through the thyroid gland, it is also connected to and close to important organs, such as the trachea, esophagus, carotid artery/vein, recurrent laryngeal nerve, superior laryngeal nerve, vagus nerve, parathyroid, etc. If thyroid tumors are added, Cancer, adhesion or lymph node metastasis, etc. will make the operation more difficult. Unskilled physicians are prone to mistakes, causing complications after the operation. Common complications of thyroid surgery include recurrent laryngeal nerve palsy, superior laryngeal nerve palsy, Postoperative hypocalcemia, etc., based on patient statistics after surgery, oral thyroid surgery is more likely to damage nerves and blood vessels than traditional thyroid surgery, and it requires a lot of practice to reduce this situation; However, if doctors are currently interested in performing this type of surgery, due to Taiwan’s laws and regulations, they usually need to go abroad to participate in general seminars, which require more time and money, and they cannot be practiced repeatedly.

Although the current Da Vinci surgical simulation device can provide thyroid surgery simulation training, and its authenticity has been greatly improved in recent years, it is still insufficient in the meticulous force feedback, and it is in the Da Vinci surgical system. In the simulator training, the training method is mainly the training of a single technique in the operation, and the training of simulating the overall operation is less, and the sense of reality in the simulator can be improved.

In view of the above-mentioned problems of the prior art, the present invention provides a thyroid surgery training device that uses a head simulation device to simulate the human head. The head simulation device includes a metal sensor on the inner side of the lower jaw to simulate The mandibular nerve, the mandible piece wraps the lower lip piece to simulate the skin of the lower lip, the neck simulation device is used to simulate the human neck, and the components included in the neck simulation device are used to simulate the spine, thyroid, and thyroid glands in the human neck. The nerves and blood vessels are electrically connected to the metal sensor and the metal wire with an electronic device. If the user gets too close or touches the metal wire, an alarm is generated, and the device provides a training device for oral thyroid surgery.

An object of the present invention is to provide a thyroid surgery training device, which uses a head simulation device to simulate a human head, the neck simulation device simulates the human neck, and an electronic device is electrically connected to the metal sensor of the head simulation device , And the metal wire of the neck simulation device, this device provides a training device for oral thyroid surgery.

In order to achieve the aforementioned objectives and effects, the present invention provides a thyroid surgery training device, which includes a head simulation device, a neck simulation device, and an electronic device. The head simulation device includes a head body and an electronic device. A lower jaw piece, the lower jaw piece is arranged under one of the head bodies, a metal sensor is arranged on the inner side of one of the lower jaw pieces, a lower lip piece is arranged on the outer side of one of the lower jaw pieces; the neck simulation device is arranged on the lower jaw Below one of the parts, the neck simulation device includes a neck body, a spine part, a thyroid part, a plurality of metal wires, and a plurality of blood vessel parts. The spine part is arranged on the inner side of the neck body, and the thyroid part Is arranged above one of the vertebral parts, the metal wires are arranged on two sides of the thyroid part, and the blood vessel parts are arranged on both sides of the metal wires; the electronic device is electrically connected to the metal sensor And the metal wires, the metal sensor transmits a first signal to the electronic device, and the metal wires each transmit a second signal to the electronic device; using this device to provide surgeons with training for thyroid surgery Device to improve the surgical proficiency of surgeons and reduce the chance of accidentally injuring nerves and blood vessels.

In an embodiment of the present invention, the neck part is a hollow tube, and one side of the neck body is penetrated with an opening.

In an embodiment of the present invention, a cover is disposed above one of the openings.

In an embodiment of the present invention, the cover member is a transparent member.

In an embodiment of the present invention, the material of the vascular parts is selected from one of rubber, resin, and plastic or any combination of the foregoing materials.

In an embodiment of the present invention, the material of the metal wires is selected from one of copper, copper alloy, iron, and iron alloy, or any combination of the foregoing materials.

In an embodiment of the present invention, the electronic device receives the first signal and the second signal and sends out an alarm signal.

In an embodiment of the present invention, a plurality of through passages pass through the lower lip, and the through passages communicate with an inner side of the neck body.

In an embodiment of the present invention, a plurality of surgical instruments are inserted into the through passages respectively.

In order to enable your reviewer to have a better understanding and understanding of the features of the present invention and the effects achieved, the following examples and accompanying descriptions are provided. The description is as follows:

The present invention provides a thyroid surgery training device, which uses a head simulation device to simulate the human head. A metal sensor is provided on the inner side of a lower jaw to simulate the mandibular nerve, and the lower jaw is covered with a lower jaw. The lip simulates the skin of the lower lip. A neck simulation device is used to simulate the human neck, and the neck simulation device includes a neck body, a spine, a thyroid, a plurality of metal wires and a plurality of blood vessels The device simulates the spine, thyroid, nerves and blood vessels in the human neck, and then electrically connects the metal sensor and the metal wires with an electronic device, and provides an alarm when it is touched by mistake.

Please refer to Figure 1, which is a schematic structural diagram of an embodiment of the present invention. As shown in the figure, a thyroid surgery training device 1 includes a head simulation device 10, a neck simulation device 20, and an electronic device 30 , The head simulation device 10 is used to simulate the human head, and the neck simulation device 20 simulates the human head, and the electronic device 30 is used to electrically connect the head simulation device 10 and the neck simulation device 20. To receive the signals of both and send out an alarm.

Referring to Figure 1 again, as shown in the figure, the head simulation device 10 can be made of glass fiber, plastic and other materials. The present invention is not limited here. The head simulation device 10 includes a head body 11 and a lower jaw. 12. The lower jaw member 12 is arranged under one of the head body 11 to simulate the upper half of human bones and the lower jaw. A metal sensor 16 is arranged on the inner side of one of the lower jaw members 12, and an outer side of the lower jaw member 12 is covered again. A lip piece 14 is provided, and a plurality of through channels 18 are penetrated inside one of the lower lip pieces 14; the metal sensor 16 is used to sense metal to simulate the mandibular nerve, and the lower lip piece 14 covers the lower jaw piece 12 On the outside, it simulates the skin of a human lower lip. The neck simulation device 20 is arranged under one of the lower jaw members 12 to connect to it. The connection method can be adhesive or screw connection. The neck simulation device 20 includes a neck body 22, a spine member 24, and a thyroid member. 26. A plurality of metal wires 28 and a plurality of blood vessel members 29; the spine member 24 is disposed on the inner side of the neck body 22, and the position of the vertebra member 24 is disposed on the central axis of the neck body 22, which simulates a human being The cervical spine, the thyroid piece 26 is arranged on one side of the spine piece 24, which simulates a human thyroid, so the position of the thyroid piece 26 also corresponds to the position of the human thyroid, and the metal wires 28 are arranged on the thyroid The two sides of the piece 26 simulate the human recurrent laryngeal nerve (Recurrent Laryngeal Nerve), and the vascular pieces 29 are arranged on the two sides of the metal wires 28 to simulate the carotid artery and jugular vein of the human; The electronic device 30 is electrically connected to the metal sensor 16 and the metal wires 28. The metal sensor 16 senses metal (such as a surgical instrument) and transmits a first signal 162 to the electronic device 30. Similarly, the metal sensor 16 transmits a first signal 162 to the electronic device 30. If each metal wire 28 is touched by a metal (such as a surgical instrument), each of them transmits a second signal 282 to the electronic device 30.

Following the above, the neck body 22 is a hollow tube with a accommodating space inside. The neck body 22 and the spine 24 can be made of plastic, glass fiber or carbon fiber, and the thyroid member 26 can be suitable for simulating human organs. The material of the vascular parts 29 is made of rubber, resin and plastic or any combination of the aforementioned materials to simulate the blood vessels of the human neck.

Following the above, the metal sensor 16 is composed of an oscillator and a shaping amplifier. After the oscillator starts to vibrate, an alternating magnetic field is generated on the sensing head. When a metal object approaches the sensing area of the metal sensor 16, eddy currents are generated in the metal body. After absorbing the energy of the oscillation, the oscillation amplitude is weakened and the alternating magnetic field is changed. Then a first signal 162 is transmitted from the shaping amplifier to the electronic device 30. After the electronic device 30 gives an alarm signal 32 to sense the proximity The effect of the metal objects; the material of the metal wires 28 is selected from one of copper, copper alloy, iron and iron alloy or any combination of the foregoing materials, and the metal wires 28 are electrically connected to the electronic device 30 Connected, the metal wires 28 are used to change the resistance when touched by metal objects, so the second signal 282 is transmitted to the electronic device 30 to send the alarm signal 32 to simulate the nerves of the human neck; in this embodiment, the The alarm signal 32 can be an audio signal (such as a buzzer) or a light signal (such as the light emitted by a light-emitting diode).

Please refer to Figure 2, which is a schematic diagram of the structure and use of the embodiment of the present invention. As shown in the figure, it simulates the actual oral thyroid surgery. The trained user can use the lower jaw of the head simulation device 10 by himself. The outer side of the member 12 covers the lower lip member 14 through a plurality of through passages 18 to simulate the process of perforating the patient’s lower lip during oral thyroid surgery. The through passages 18 extend from the lower lip. The piece 14 communicates with one of the inner sides of the neck body 22 leading to other elements of the neck body 22 to simulate the subcutaneous passage in actual surgery. In this embodiment, a plurality of surgical instruments 42, 44, 46 can be respectively corresponding Inserted in the through passages 18, wherein the surgical instrument 42 can be an endoscope (Endoscopy), and the surgical instruments 44, 46 can be a needle holder, a dissector (Epix Dissector), or a tissue clamp (Epix Grasper), Electric Burning Scissors (Epix Scissors), puncture cannula (Trocars) can also be inserted in advance, and then the surgical instruments 42, 44, 46 can be inserted to strengthen the simulation of the actual operation; in this embodiment, It is also possible to provide a throat member 23 at the end of the spine member 24 close to the lower jaw member 12 of the head simulation device 10. After the surgical instruments 42, 44, 46 pass through the through passages 18, it is necessary to Avoiding the larynx piece 23, simulating the internal structure of the neck of a real human, improving the reality of the thyroid surgery training device 1.

Please refer to Figures 2 and 3 again. Figure 3 is a side view of the structure of the embodiment of the present invention. As shown in the figure, in this embodiment, the through passages 18 extend from the lower jaw 12 and the The lower lip 14 penetrates and communicates with the inner side of the neck body 22 of the neck simulation device 20, which allows the above-mentioned surgical instruments 42, 44, 46 to pass through, and to the thyroid member 26 and its surroundings Perform simulation training. At this time, if the user is too close to the metal sensor 16 during the passage of the surgical instruments 42, 44, 46, it means that the nerve of the jaw was accidentally injured during the actual operation, so the metal feel The electronic device 30 transmitting the first signal 162 by the detector 16 sends out the alarm signal 32. If the user accidentally touches the metal wires 28 during the simulation, it means that the nerves around the thyroid were accidentally injured during the actual operation. At this time, the metal wires 28 transmit the second signal 282 to the electronic device 30 and emit the alarm signal 32; one side of the neck body 22 is perforated with an opening 222, which can provide the user to replace the For the components in the neck body 22, if the used thyroid member 26 is replaced through the opening 222, a cover member 224 can be provided above one of the openings 222 to simulate the confined space of the neck. The cover 224 is a transparent element, which allows the coach to observe the operation of the user in the neck body 22, so that the coach can score points or give suggestions.

In this embodiment, the head simulation device 10 is used to simulate the human head, the neck simulation device 20 simulates the human neck, and the electronic device 30 is electrically connected to the metal sensor 16 of the head simulation device. With the metal wires 28 of the neck simulation device 20, the first and second signals 162, 282 are sent to the electronic device 30 through the metal sensor 16 and the metal wires 28, the electronic device 30 The issuing of the alarm signal 32 indicates that the user accidentally touched the nerve during the simulation training, and provided a training device for thyroid surgery.

In summary, the present invention provides a thyroid surgery training device, which uses the simulation device to simulate the human head, and the metal sensor capable of sending a signal is provided on the inner side of the lower jaw included in the head simulation device The device simulates the mandibular nerve, covers the lower lip of the mandible, and simulates the skin of the lower lip. The neck simulation device simulates the human neck. The neck simulation device includes the neck body and the spine , The thyroid component, the metal wires, and the vascular components simulate the spine, thyroid, nerves (such as vagus nerve) and blood vessels (such as jugular artery/vein) in the human neck, and then are electrically connected and connected by the electronic device Receiving the first and second signals of the metal sensor and the metal wires, if the user gets too close to the metal sensor or touches the metal wires, the electronic device generates an alarm; the present invention uses This device provides a training device for surgeons in thyroid surgery, improves surgeons' thyroid surgery proficiency, reduces the chance of accidentally injuring nerves and blood vessels, and reduces recurrent laryngeal nerve palsy, superior laryngeal nerve palsy, postoperative hypocalcemia and other conventional techniques Complications afterwards.

Therefore, the present invention is really novel, progressive, and available for industrial use. It should meet the patent application requirements of my country's patent law. Undoubtedly, I filed an invention patent application in accordance with the law. I pray that the Bureau will grant the patent as soon as possible.

However, the foregoing is only an embodiment of the present invention, and is not used to limit the scope of implementation of the present invention. Therefore, all the equivalent changes and modifications of the shape, structure, characteristics and spirit described in the scope of the patent application of the present invention are mentioned. All should be included in the scope of the patent application of the present invention.

1: Thyroid surgery training device 10: Head simulation device 11: Head body 12: Lower jaw 14: Lower lip piece 16: metal sensor 162: The First Signal 18: Through the passage 20: Neck simulator 22: Neck body 222: open 224: cover 23: Throat pieces 24: spine 26: Thyroid 28: Metal wire 282: The second signal 29: Vascular parts 30: Electronic device 32: Alarm signal 42: Surgical instruments 44: Surgical Instruments 46: Surgical Instruments

Figure 1: It is a schematic diagram of the structure of an embodiment of the present invention; Figure 2: It is a schematic diagram of the structure and use of the embodiment of the present invention; and Figure 3: It is a side view of the structure of the embodiment of the present invention.

1: Thyroid surgery training device

10: Head simulation device

11: Head body

12: Lower jaw

14: Lower lip piece

16: metal sensor

162: The First Signal

18: Through the passage

20: Neck simulator

22: Neck body

222: open

23: Throat pieces

24: spine

26: Thyroid

28: Metal wire

282: The second signal

29: Vascular parts

30: Electronic device

32: Alarm signal

Claims (9)

A thyroid surgery training device, which comprises: A head simulation device, comprising a head body and a lower jaw, the lower jaw is arranged under one of the head bodies, a metal sensor is arranged on the inner side of one of the lower jaws, and the outer side of the lower jaw is covered Set the lip; A neck simulation device, which is set under one of the lower jaw members, the neck simulation device includes a neck body, a spine member, a thyroid member, a plurality of metal wires, and a plurality of blood vessel members, and the spine member is disposed at On the inner side of the neck body, the thyroid piece is arranged above one of the spine pieces, the metal wires are arranged on two sides of the thyroid piece, and the blood vessel pieces are arranged on both sides of the metal wires; as well as An electronic device electrically connected to the metal sensor and the metal wires, the metal sensor transmits a first signal to the electronic device, and the metal wires each transmit a second signal to the electronic Device. The thyroid surgery training device according to claim 1, wherein the neck part has a hollow tube One side of the neck body is penetrated with an opening. The thyroid surgery training device according to claim 2, wherein one of the openings is provided with a Cover pieces. The thyroid surgery training device according to claim 3, wherein the cover is a transparent piece. The thyroid surgery training device according to claim 1, wherein the materials of the vascular parts are It is selected from one of rubber, resin and plastic or any combination of the foregoing materials. The thyroid surgery training device according to claim 1, wherein the material of the metal wires is It is selected from one of copper, copper alloy, iron and iron alloy or any combination of the foregoing materials. The thyroid surgery training device according to claim 1, wherein the electronic device receives the first Signal and the second signal and send out an alarm signal. The thyroid surgery training device according to claim 1, wherein the lower lip piece is pierced with a plurality of penetrating holes Through channels, the through channels are connected to an inner side of the neck body. The thyroid surgery training device according to claim 8, wherein the through passages are individually paired Multiple surgical instruments should be inserted.

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