WO2019112474A1 - Simulateur pour acquérir des habitudes manuelles en chirurgie endonasale endoscopique - Google Patents

Simulateur pour acquérir des habitudes manuelles en chirurgie endonasale endoscopique Download PDF

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Publication number
WO2019112474A1
WO2019112474A1 PCT/RU2018/000415 RU2018000415W WO2019112474A1 WO 2019112474 A1 WO2019112474 A1 WO 2019112474A1 RU 2018000415 W RU2018000415 W RU 2018000415W WO 2019112474 A1 WO2019112474 A1 WO 2019112474A1
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WO
WIPO (PCT)
Prior art keywords
nasal cavity
model
endoscopic surgery
endoscope
endonasal
Prior art date
Application number
PCT/RU2018/000415
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English (en)
Russian (ru)
Inventor
Владимир Сергеевич КОЗЛОВ
Степан Евгеньевич КУДРЯШОВ
Original Assignee
Владимир Сергеевич КОЗЛОВ
Степан Евгеньевич КУДРЯШОВ
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Publication date
Application filed by Владимир Сергеевич КОЗЛОВ, Степан Евгеньевич КУДРЯШОВ filed Critical Владимир Сергеевич КОЗЛОВ
Publication of WO2019112474A1 publication Critical patent/WO2019112474A1/fr

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Classifications

    • G—PHYSICS
    • G09—EDUCATION; CRYPTOGRAPHY; DISPLAY; ADVERTISING; SEALS
    • G09B—EDUCATIONAL OR DEMONSTRATION APPLIANCES; APPLIANCES FOR TEACHING, OR COMMUNICATING WITH, THE BLIND, DEAF OR MUTE; MODELS; PLANETARIA; GLOBES; MAPS; DIAGRAMS
    • G09B23/00—Models for scientific, medical, or mathematical purposes, e.g. full-sized devices for demonstration purposes
    • G—PHYSICS
    • G09—EDUCATION; CRYPTOGRAPHY; DISPLAY; ADVERTISING; SEALS
    • G09B—EDUCATIONAL OR DEMONSTRATION APPLIANCES; APPLIANCES FOR TEACHING, OR COMMUNICATING WITH, THE BLIND, DEAF OR MUTE; MODELS; PLANETARIA; GLOBES; MAPS; DIAGRAMS
    • G09B23/00—Models for scientific, medical, or mathematical purposes, e.g. full-sized devices for demonstration purposes
    • G09B23/28—Models for scientific, medical, or mathematical purposes, e.g. full-sized devices for demonstration purposes for medicine
    • G—PHYSICS
    • G09—EDUCATION; CRYPTOGRAPHY; DISPLAY; ADVERTISING; SEALS
    • G09B—EDUCATIONAL OR DEMONSTRATION APPLIANCES; APPLIANCES FOR TEACHING, OR COMMUNICATING WITH, THE BLIND, DEAF OR MUTE; MODELS; PLANETARIA; GLOBES; MAPS; DIAGRAMS
    • G09B23/00—Models for scientific, medical, or mathematical purposes, e.g. full-sized devices for demonstration purposes
    • G09B23/28—Models for scientific, medical, or mathematical purposes, e.g. full-sized devices for demonstration purposes for medicine
    • G09B23/30—Anatomical models
    • G09B23/34—Anatomical models with removable parts

Definitions

  • the utility model relates to medical equipment, namely to textbooks in otorhinolaryngology, and is intended for the development and improvement of manual skills of working with medical instruments under the control of the endoscopic system, which are necessary to perform the basic surgical techniques of endonasal endoscopic surgery.
  • Known medical simulator for the development of surgical skills during endoscopic surgery which is designed to teach doctors manual skills to perform laparoscopy.
  • the manual is a rigid frame with a cavity, which is made with the possibility of inserting into it an endoscope and instruments for laparoscopic surgery, as well as placing inside it a replaceable training structure imitating the object of surgical intervention (see RF Patent J b 147842, IPC G 09 V 23 / 28, publ. 2014).
  • the design of the known device does not allow to use it for the development and improvement of manual skills in endonasal endoscopic surgery.
  • the closest in technical essence to the claimed is a simulator for mastering the skills of endonasal endoscopic surgery, containing a tripod on which a model of the nasal cavity is installed, made in the form of a removable cylinder with the ability to change its position in space, and the inside of the model of the nasal cavity is configured to enter it contains an endoscope and instrument for endonasal endoscopic surgery, and also contains an interchangeable element inside it that mimics the structure of the nasal cavity (see atent RF N ° 158398, IPC G 09 B 23/28, publ. 2015).
  • the disadvantages of the known device include the low quality of training due to the narrow area of manipulation of medical instruments and, as a consequence, the inability to learn various manual skills that are used during endonasal endoscopic surgery when the structures of the nasal cavity undergo destruction. Also, the poor quality of training, due to the narrow area of manipulation of medical instruments, is due to the limited range of movement of the medical instrument and the endoscope within the model of the nasal cavity in the process of mastering such skills.
  • the proposed utility model is aimed at solving the problem and the achievement of the technical result, which consists in improving the quality of education by expanding the field of manipulation of medical tools, namely the possibility of mastering and improving the manual skills of destruction of various interchangeable elements that mimic the structure of the nasal cavity, which are used to perform basic surgical techniques endonasal endoscopic surgery, as well as due to a wider range of movement of the medical instrument under the control of the endoscope inside the model of the nasal cavity in the process of developing such skills.
  • the insert is made in the form of a plate on which lines are plotted, limiting the area of intended impact on it with a tool for endonasal endoscopic surgery.
  • a replaceable element in the form of an insert which is subjected to destruction as a result of exposure to a tool for endonasal endoscopic surgery, improves the quality of training by expanding the area of manipulation of a medical instrument, in particular, the possibility of mastering and improving the manual skills of destruction of various replaceable elements simulating the cavity nose, which is used to perform basic surgical techniques endonasal endoscopic surgery.
  • the interchangeable elements may have different designs, which also expands the area of manipulation of the medical instrument.
  • the fact is that when performing exercises, the end part of a medical instrument is almost always located distal to the end part of the endoscope, and the endoscope is inserted into the model of the nasal cavity and manipulated based on the upper edge of the cylinder.
  • the endoscope when working in the proximal model of the nasal cavity, the endoscope can slide off the top edge of the cylinder, while the medical instrument is still in the working area, and the user needs to avoid such slippage. control the position of the endoscope, which distracts him from the direct execution of the exercise itself.
  • an equidistant position of the end portion of the endoscope is achieved from the front edge of the cylinder during manipulation inside the model of the nasal cavity, including in its proximal sections, which provides a wider range of joint about moving a medical instrument and an endoscope inside a model of a nasal cavity.
  • this design feature of the device provides a wider range of movement of the medical instrument inside the model of the nasal cavity, both in the longitudinal and transverse direction (at an angle, since the lower part of the cylinder does not interfere with this displacement) relative to the axis of the model of the nasal cavity.
  • Figure 1 presents a General view of the simulator for the development of manual skills in endonasal endoscopic surgery with an endoscope, which is associated with the monitor, and a tool for endonasal endoscopic surgery; figure 2 - the image on the monitor screen, reflecting the inner part of the model of the nasal cavity with a tool for endonasal endoscopic surgery and insert in the form of a plate (enlarged).
  • a simulator for mastering manual skills in endonasal endoscopic surgery contains a model of the nasal cavity, which is made in the form of a removable cylinder 1 with the possibility of changing its position in space and mounted on a tripod 2.
  • the inside of cylinder 1 is configured to enter into it a tool 3 for endonasal endoscopic surgery and an endoscope 4 connected with the monitor 5, as well as an interchangeable element in it imitating the structure of the nasal cavity ( Figure 1).
  • the model of the nasal cavity is made in the form of a truncated cylinder 1, the oblique end of which is located on the input side of the endoscope 4 and instrument 3 for endonasal endoscopic surgery, the longest forming part of which is located on top of its axis.
  • the replaceable element is an insert, which is subjected to destruction as a result of exposure to it with tool 3 for endonasal endoscopic surgery, and which is made preferably in the form of a plate 6, on which lines 7 are plotted, limiting the area of intended impact on it with tool 3 for endonasal endoscopic surgery ( 2). From the inside, the wall of the truncated cylinder 1 is provided on top with an orientation mark 8 “Top” to observe spatial orientation in the process of mastering manual skills.
  • the proposed simulator for the development of manual skills in endonasal endoscopic surgery operates as follows.
  • Tripod 2 set on the work surface in a place intended for training.
  • a model of a nasal cavity, made in the form of a truncated cylinder 1 is fixed on a tripod; its beveled end is located on the input side of the endoscope 4 and instrument 3 for endonasal endoscopic surgery, with the largest generator of cylinder 1 located on top of its axis.
  • the truncated cylinder 1 is given a position in space that simulates the position of the patient's head during endonasal endoscopic surgery. Holding the endoscope 4 with the left hand, enter it into the inside of cylinder 1 from the end, resting on the top edge of the truncated cylinder 1.
  • the truncated shape of the cylinder 1 ensures equidistant positioning of the end part of the endoscope 4 and the end part of the medical tool 3 from the front edge of the truncated cylinder 1, while there is no slipping of the endoscope 4 from the top edge of cylinder 1 when working in its proximal sections and, as a result There is no need to control the position of the endoscope 4, so the user is focused on the exercise process.
  • such a design feature of the claimed device provides a wider range of movement of the medical instrument within the model of the nasal cavity, both in the longitudinal and transverse direction (at an angle, since the lower part of the cylinder does not interfere with this displacement) relative to the axis of the model of the nasal cavity.
  • the endoscope 4 and the tool 3 for endonasal endoscopic surgery are removed from cylinder 1, taking into account the location of the orientation mark 8 "Top".
  • the destroyed insert is replaced with another one, of a similar or other design, imitating the structure of the nasal cavity, which also undergoes destruction as a result of exposure to it with a tool for endonasal endoscopic surgery.
  • the proposed simulator for the development of manual skills in endonasal endoscopic surgery provides high quality training by expanding the field of manipulation of medical tools, namely the possibility of mastering and improving the manual skills of destruction of various interchangeable elements that mimic the structure of the nasal cavity, which are used to perform basic endonasal surgical techniques endoscopic surgery, as well as due to a wider range of movement of the medical instrument and the endoscope within the model of the nasal cavity in the process of mastering such skills.

Abstract

Le modèle d'utilité se rapporte au domaine des techniques médicales, concerne des moyens d'apprentissage en otorhynolaryngologie, et est destiné à acquérir et perfectionner de habitudes manuelles de travail avec des instruments médicaux sous le contrôle d'un système endoscopique, qui sont nécessaires pour effectuer des actes chirurgicaux principaux d'une opération endonasale endoscopique. Une meilleure qualité d'apprentissage grâce à l'élargissement de la zone de manipulation de l'instrument médical est obtenue grâce à un simulateur pour acquérir des habitudes manuelles en chirurgie endonasale endoscopique, lequel comprend un chevalet sur lequel est monnté un modèle de la cavité nasale se présentant sous frome d'un cylindre amovible capable de changer de position dans l'espace; la partie interne du modèle de cavité nasale est conçue pour pouvoir y insérer un endoscope et un instrument de chirurgie endonasale endoscopique et comporte également un élément remplaçable imitant la structure de la cavité nasale, lequel élément remplaçable se présente sous forme d'un insert qui est soumis à une destruction suite à l'action sur celui-ci de l'instrument pour chirurgie endonasale endoscopique; le modèle de cavité nasale se présente sous forme d'un cylindre tronqué dont l'extrémité chamfreinée est disposée du côté de l'entrée de l'endoscope et de l'instrument de chirurgie endonasale endoscopique et dont la génératrice la plus longue est disposée au-dessus par rapport à son axe.
PCT/RU2018/000415 2017-12-08 2018-06-22 Simulateur pour acquérir des habitudes manuelles en chirurgie endonasale endoscopique WO2019112474A1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
RU2017142887 2017-12-08
RU2017142887 2017-12-08

Publications (1)

Publication Number Publication Date
WO2019112474A1 true WO2019112474A1 (fr) 2019-06-13

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Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/RU2018/000415 WO2019112474A1 (fr) 2017-12-08 2018-06-22 Simulateur pour acquérir des habitudes manuelles en chirurgie endonasale endoscopique

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN115410702A (zh) * 2022-10-31 2022-11-29 武汉楚精灵医疗科技有限公司 内镜防护预警方法、装置及其相关设备

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8439687B1 (en) * 2006-12-29 2013-05-14 Acclarent, Inc. Apparatus and method for simulated insertion and positioning of guidewares and other interventional devices
RU147842U1 (ru) * 2013-05-06 2014-11-20 Вячеслав Владимирович Гребенюк Медицинский тренажер для развития хирургических навыков при проведении эндоскопических операций
RU158398U1 (ru) * 2015-03-05 2015-12-27 Степан Евгеньевич Кудряшов Тренажер мануальных навыков миниинвазивной хирургии
WO2016153039A1 (fr) * 2015-03-25 2016-09-29 株式会社大野興業 Dispositif de formation pour chirurgie endonasale endoscopique de la base du crâne

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8439687B1 (en) * 2006-12-29 2013-05-14 Acclarent, Inc. Apparatus and method for simulated insertion and positioning of guidewares and other interventional devices
RU147842U1 (ru) * 2013-05-06 2014-11-20 Вячеслав Владимирович Гребенюк Медицинский тренажер для развития хирургических навыков при проведении эндоскопических операций
RU158398U1 (ru) * 2015-03-05 2015-12-27 Степан Евгеньевич Кудряшов Тренажер мануальных навыков миниинвазивной хирургии
WO2016153039A1 (fr) * 2015-03-25 2016-09-29 株式会社大野興業 Dispositif de formation pour chirurgie endonasale endoscopique de la base du crâne

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN115410702A (zh) * 2022-10-31 2022-11-29 武汉楚精灵医疗科技有限公司 内镜防护预警方法、装置及其相关设备
CN115410702B (zh) * 2022-10-31 2023-02-03 武汉楚精灵医疗科技有限公司 内镜防护预警方法、装置及其相关设备

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