CN116612673B - Simulation system for omnibearing monitoring type aortic balloon occlusion training - Google Patents
Simulation system for omnibearing monitoring type aortic balloon occlusion trainingInfo
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- CN116612673B CN116612673B CN202310550049.3A CN202310550049A CN116612673B CN 116612673 B CN116612673 B CN 116612673B CN 202310550049 A CN202310550049 A CN 202310550049A CN 116612673 B CN116612673 B CN 116612673B
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- G09B9/00—Simulators for teaching or training purposes
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- 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
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Abstract
The invention discloses an all-dimensional monitoring type simulation system for aortic balloon blocking training, which comprises a humanoid shell, a filling detection device and a blocking test structure, wherein an arterial simulation structure is arranged in the humanoid shell, the filling detection device is provided with a first barrel cabin and a second barrel cabin, a detection shaft bracket is arranged on the inner peripheral side of the first barrel cabin at equal intervals, the end part of the detection shaft bracket is in contact with the arterial simulation structure, a ventilation channel is formed in the arterial simulation structure, a balloon is arranged in the ventilation channel, the blocking test structure quantitatively conveys gas from one end to the ventilation channel and detects the gas circulation condition from the other end, a plurality of first pressure sensors are arranged on the inner peripheral side of the second barrel cabin, and the end part of the detection shaft part is outwards expanded along with the expansion action of the outer wall of the arterial simulation structure. According to the invention, the expansion and contraction condition of the outer wall of the artery simulation structure is detected through the detection shaft bracket, and the blocking condition of the balloon is judged through the blocking test structure, so that the filling state of the balloon and the blocking effect of the corresponding state are obtained through analysis.
Description
Technical Field
The invention relates to the field of interventional surgical instrument teaching, in particular to an all-dimensional monitoring type simulation system for aortic balloon occlusion training.
Background
The aortic resuscitation endovascular intervention balloon occlusion is a minimally invasive intervention hemostasis technology, a balloon catheter is placed into an aorta through a femoral artery access, the aortic region into which the balloon needs to be placed is judged according to a bleeding part, and after the balloon is filled to block blood flow, bleeding at a position below the occlusion point is rapidly and efficiently controlled, so that the method is suitable for emergency treatment of large bleeding patients such as incompressible trunk and inguinal and armpit boundary position war wound bleeding.
For this reason, there are existing exercise models for aortic balloon occlusion, which simulate arterial blood vessels, puncture arterial blood vessels and place the balloon in arterial blood vessels, and detect the degree of balloon filling by means of pressure sensors, thereby detecting whether the balloon has completed the occlusion work.
The balloon initially enters into the arterial vessel and has a gap with the arterial vessel in an unfilled state, the distances from the outer wall of the balloon to the arterial vessel are not equal everywhere, so that the time for the outer walls at different positions to reach the inner wall of the arterial vessel in the balloon filling process is different, the outer wall of the bottom of the balloon possibly reaches the inner wall of the arterial vessel earliest, the inner wall of the arterial vessel is pressurized, at the moment, other outer wall parts of the balloon do not reach the inner wall of the arterial vessel, the pressure value detected outside the bottom of the arterial vessel only can indicate that the bottom of the balloon is propped against the inner bottom of the arterial vessel, and the condition that the balloon is not completely blocked inside the arterial vessel possibly exists.
Disclosure of Invention
Therefore, the invention provides an all-dimensional monitoring type simulation system for aortic balloon occlusion training, which effectively solves the problem that the balloon occlusion judgment mode in the prior art cannot accurately judge the condition that the balloon occludes the inside of an arterial vessel.
In order to solve the technical problems, the invention specifically provides the following technical scheme that the simulation system for the omnibearing monitoring aortic balloon occlusion training comprises:
The device comprises a human-shaped shell, wherein a bracket is arranged in the human-shaped shell, an artery simulation structure is arranged on the bracket, at least two gland structures are arranged on the artery simulation structure, a limiting cavity is formed between the gland structures and the artery simulation structure, the artery simulation structure is fixed in the limiting cavity, and a balloon inlet is arranged on the artery simulation structure;
The filling detection device comprises a first barrel cabin and a second barrel cabin, a detection section is arranged between the gland structures, a plurality of first barrel cabins and second barrel cabins are sequentially distributed in the detection section and are sleeved outside the artery simulation structure, detection shaft brackets are installed on the inner peripheral side of the first barrel cabin at equal intervals, and the ends of the detection shaft brackets are in contact with the artery simulation structure;
A blocking test structure provided at an end of the artery simulation structure, wherein a ventilation channel is formed in the artery simulation structure, a balloon is arranged in the ventilation channel, and the blocking test structure quantitatively transmits gas from one end to the ventilation channel and detects the gas circulation condition from the other end;
The inner peripheral side of the second barrel cabin is provided with a plurality of first pressure sensors, and the end part of the detection shaft bracket expands outwards along with the expansion action of the outer wall of the artery simulation structure.
Further, the filling detection device comprises a mounting groove arranged in the first barrel cabin, a connecting shaft arranged at the end part of the detection shaft bracket and a side groove arranged in the mounting groove;
the first barrel cabin and the second barrel cabin are fixedly installed on the support, the detection shaft frame is arc-shaped, the detection shaft frame is rotatably arranged in the installation groove through the connecting shaft, the end part of the connecting shaft is rotatably arranged in the side groove, a torsion spring is arranged in the side groove, one end of the torsion spring is connected to the connecting shaft, and the other end of the torsion spring is connected to the bottom in the side groove.
Further, be equipped with the arc board outward from the connecting axle, the arc board outer terminal surface with the connecting axle outer wall passes through the inclined plane and is connected, be provided with the spread groove seat in the mounting groove, the spread groove seat is close to the terminal surface of arc board is provided with the arc groove that agrees with, the arc board slides and sets up in the arc groove that agrees with.
Further, a through groove is formed in the connecting groove seat, one end of the through groove is connected with an extrusion air bag, the extrusion air bag is arranged in the fit arc groove, and the other end of the through groove is provided with a communication air bag;
The connecting groove seat is internally provided with a second pressure sensor, the communicating air bag is arranged in the connecting groove seat, the second pressure sensor is in contact with the communicating air bag, and the communicating air bag, the extruding air bag and the penetrating groove are mutually communicated.
Further, a placing groove is formed in the upper end face of the end portion of the detection shaft frame, and the placing groove is used for placing adjacent detection shaft frames close to one end of the connecting shaft.
Further, the artery simulation structure comprises an abdominal artery blood vessel, an iliac artery blood vessel and a branch artery connected to the abdominal artery blood vessel and the iliac artery blood vessel;
The iliac artery is connected to an end of the abdominal artery, and the balloon inlet is disposed on the branch artery.
Further, the blocking test structure comprises an air pump arranged at the end part of the abdominal artery blood vessel and a gas detector arranged on the branch artery;
the ends of the branch arteries, except the branch arteries on which the balloon inlet is mounted, are all provided with sealing plugs.
Further, the first pressure sensor proximate the balloon inlet is 20cm from the balloon inlet;
The distance between the first cylinder cabin and the second cylinder cabin is 5mm.
Further, the gland structure comprises a limiting gland arranged on the bracket and a limiting arc cabin arranged in the limiting gland;
Be provided with the limiting plate on the support, arterial analog structure sets up the limiting plate with between the spacing arc cabin, just the limiting plate with there is the clearance between the spacing arc cabin.
Further, the first pressure sensor and the second pressure sensor are connected with a controller, a wireless transmission module is arranged in the controller, and the wireless transmission module is in communication connection with an upper computer;
the gas detector is connected with the controller, and the wireless transmission module transmits pressure data and gas circulation data to the upper computer.
Compared with the prior art, the invention has the following beneficial effects:
According to the invention, the detection section is arranged between the gland structures, the first barrel cabin and the second barrel cabin are arranged in the detection section, the detection shaft brackets are arranged on the inner periphery side of the first barrel cabin, the expansion and contraction conditions of the outer wall of the artery simulation structure are detected through the detection shaft brackets, the detection shaft brackets at all positions can judge that the balloon reaches a specific position for filling and a filling state, in addition, the end part of the artery simulation structure is provided with the blocking test structure, so that whether the balloon completely blocks the artery simulation structure can be judged, the ideal filling state, the overfilling state and the blocking persistence of the corresponding state of the balloon can be obtained through analysis of the filling states and blocking states of different positions of the artery simulation structure, and the balloon filling degree can be conveniently adjusted through blocking persistence results to achieve the optimal blocking effect.
Drawings
In order to more clearly illustrate the embodiments of the present invention or the technical solutions in the prior art, the drawings used in the description of the embodiments or the prior art will be briefly described below. It will be apparent to those of ordinary skill in the art that the drawings in the following description are exemplary only and that other implementations can be obtained from the extensions of the drawings provided without inventive effort.
Fig. 1 is a schematic structural diagram of an omnidirectionally-monitored simulation system for aortic balloon occlusion training according to an embodiment of the present invention;
FIG. 2 is a schematic diagram of a gland structure according to an embodiment of the present invention;
FIG. 3 is a schematic view of a second pod according to an embodiment of the present invention;
FIG. 4 is a schematic view of the structure of a first cartridge compartment in an unfilled state of the balloon according to an embodiment of the present invention;
FIG. 5 is a schematic view of the structure of a first in-capsule balloon in an embodiment of the present invention;
FIG. 6 is an enlarged schematic view of the structure of B in FIG. 4;
FIG. 7 is an enlarged schematic view of the structure of FIG. 5A;
fig. 8 is a schematic diagram of a connection structure of a connection shaft according to an embodiment of the present invention.
Reference numerals in the drawings are respectively as follows:
1-human-shaped shell, 2-filling detection device, 3-blocking test structure, 4-bracket, 5-artery simulation structure, 6-gland structure, 7-limiting cavity, 8-balloon inlet, 9-detection section, 10-ventilation channel, 11-balloon and 12-sealing plug;
21-a first cylinder, 22-a second cylinder, 23-a detection shaft bracket, 24-a first pressure sensor, 25-a mounting groove, 26-a connecting shaft, 27-a side groove, 28-a torsion spring, 29-an arc plate, 210-an inclined surface, 211-a connecting groove seat, 212-a fitting arc groove, 213-a penetrating groove, 214-an extrusion air bag, 215-a communication air bag, 216-a second pressure sensor and 217-a placing groove;
31-sucking pump, 32-gas detector;
51-abdominal artery vessel, 52-iliac artery vessel, 53-branch artery;
61-limiting gland, 62-limiting arc cabin and 63-limiting plate.
Detailed Description
The following description of the embodiments of the present invention will be made clearly and completely with reference to the accompanying drawings, in which it is apparent that the embodiments described are only some embodiments of the present invention, but not all embodiments. All other embodiments, which can be made by those skilled in the art based on the embodiments of the invention without making any inventive effort, are intended to be within the scope of the invention.
As shown in fig. 1, the present invention provides an all-round monitoring type simulation system for aortic balloon occlusion training, which comprises a humanoid shell 1, a filling detection device 2 and an occlusion test structure 3.
Wherein, humanoid casing 1 is provided with support 4 in it, installs arterial analog structure 5 on the support 4, is provided with two at least gland structures 6 on the arterial analog structure 5, constitutes spacing chamber 7 between gland structure 6 and the arterial analog structure 5, and arterial analog structure 5 is fixed in spacing intracavity 7, is equipped with sacculus entry 8 on the arterial analog structure 5.
The filling detection device 2 is provided with a first barrel cabin 21 and a second barrel cabin 22, a detection section 9 is arranged between the gland structures 6, a plurality of the first barrel cabins 21 and the second barrel cabins 22 are sequentially distributed in the detection section 9 and are sleeved outside the artery simulation structure 5, detection shaft brackets 23 are installed on the inner circumferential side of the first barrel cabin 21 at equal intervals, and the ends of the detection shaft brackets 23 are in contact with the artery simulation structure 5.
The blocking test structure 3 is provided at the end of the artery simulation structure 5, a ventilation channel 10 is formed in the artery simulation structure 5, a balloon 11 is provided in the ventilation channel 10, the blocking test structure 3 quantitatively transmits gas from one end to the ventilation channel 10, and the gas circulation condition is detected from the other end.
As shown in fig. 3, a plurality of first pressure sensors 24 are disposed on the inner peripheral side of the second barrel compartment 22, and the end of the detection shaft frame 23 expands outwards along with the expansion action of the outer wall of the artery simulation structure 5.
In the embodiment of the invention, a detection section 9 is arranged between gland structures 6, a first barrel cabin 21 and a second barrel cabin 22 are arranged in the detection section 9, a detection shaft bracket 23 is arranged on the inner periphery side of the first barrel cabin 21, the expansion and contraction condition of the outer wall of an artery simulation structure 5 is detected through the detection shaft bracket 23, the detection shaft brackets 23 at all positions can judge that the balloon 11 reaches a specific position for filling and a filling state, in addition, a blocking test structure 3 is arranged at the end part of the artery simulation structure 5, whether the balloon 11 completely blocks the artery simulation structure 5 can be judged, so that the ideal filling state, the overfilling state and the blocking persistence of the corresponding state of the balloon 11 can be obtained through analysis of the filling states and the blocking states of the different positions of the artery simulation structure 5, and the optimal blocking effect can be conveniently achieved through adjustment of the filling degree of the balloon 11 through blocking persistence results.
Wherein, the humanoid shell 1 is an upper half body and a part of a lower half body of a simulated person, and is mainly used for placing the artery simulation structure 5, and the gland structure 6 and the support 4 play a role in limiting the artery simulation structure 5, and besides, the second barrel cabin 22 also plays a role in fixing the part of the artery simulation structure 5.
According to the invention, the filling detection device 2 monitors the pressure change of the outer wall of the artery simulation structure 5 at the corresponding position in real time through the internal design of the second barrel cabin 22, monitors the telescopic action of the artery simulation structure 5 at the corresponding position through the internal design of the first barrel cabin 21, detects whether the balloon 11 is blocked in the filling process or not through the test structure 3, judges the ideal filling state and the overfilling state of the balloon 11 in the filling process and the pressure value and the telescopic action change of the circumference side of the artery simulation structure 5 corresponding to different states, and can better judge the filling result of the balloon 11.
The filling detection device 2 can detect the outer wall pressure change and the telescopic action of the artery simulation structure 5, and the filling detection device 2 adopts the following preferred embodiment, as shown in fig. 4,5 and 8, the filling detection device 2 comprises a mounting groove 25 arranged in a first barrel cabin 21, a connecting shaft 26 arranged at the end part of a detection shaft bracket 23 and a side groove 27 arranged in the mounting groove 25, the first barrel cabin 21 and a second barrel cabin 22 are fixedly arranged on a bracket 4, the detection shaft bracket 23 is arc-shaped, the detection shaft bracket 23 is rotatably arranged in the mounting groove 25 through the connecting shaft 26, the end part of the connecting shaft 26 is rotatably arranged in a side groove 27, a torsion spring 28 is arranged in the side groove 27, one end of the torsion spring 28 is connected to the connecting shaft 26, and the other end of the torsion spring 28 is connected to the bottom in the side groove 27.
Under the circumstance that the outer wall of the artery simulation structure 5 stretches, the detection shaft frame 23 at the corresponding position can support and drive the detection shaft frame 23 to move outwards to drive the detection shaft frame 23 to rotate, in the practical application process of the invention, the torsion spring 28 is in a natural state and corresponds to a state that the artery simulation structure 5 is not stretched, at the moment, the end part of the detection shaft frame 23 is only in contact with the outer wall of the artery simulation structure 5, no acting force is generated, therefore, when the corresponding position of the artery simulation structure 5 stretches outwards under the action of the balloon 11, the detection shaft frame 23 is driven to rotate outwards, under the circumstance, the end part of the detection shaft frame 23 is also subjected to the acting force of the torsion spring 28 in the opposite direction, and then in the process of shrinking the artery simulation structure 5, the detection shaft frame 23 can be always kept in contact with the outer wall of the artery simulation structure 5 under the acting force of the torsion spring 28.
The rotation of the detection shaft frame 23 can reflect whether the corresponding position of the artery simulation structure 5 is in extension or retraction, in order to detect the action of the corresponding detection shaft frame 23, as shown in fig. 6 and 7, an arc plate 29 is arranged outside the connection shaft 26, the outer end surface of the arc plate 29 is connected with the outer wall of the connection shaft 26 through an inclined surface 210, a connection groove seat 211 is arranged in the installation groove 25, a fitting arc groove 212 is arranged on the end surface of the connection groove seat 211, which is close to the arc plate 29, and the arc plate 29 is slidably arranged in the fitting arc groove 212.
The connecting groove seat 211 is internally provided with a penetrating groove 213, one end of the penetrating groove 213 is connected with an extrusion air bag 214, the extrusion air bag 214 is arranged in the fitting arc groove 212, the other end of the penetrating groove 213 is provided with a communication air bag 215, the connecting groove seat 211 is internally provided with a second pressure sensor 216, the communication air bag 215 is arranged in the connecting groove seat 211, the second pressure sensor 216 is contacted with the communication air bag 215, and the communication air bag 215, the extrusion air bag 214 and the penetrating groove 213 are mutually communicated.
In the above embodiment, the detection shaft bracket 23 rotates to drive the connection shaft 26 to rotate, the arc plate 29 rotates, the inclined surface 210 and the arc plate 29 gradually extrude the extrusion air bag 214 in the rotation process of the arc plate 29, the air in the extrusion air bag 214 is extruded into the communication air bag 215 through the through groove 213, the air pressure in the communication air bag 215 is increased, the whole volume of the communication air bag 215 is increased, the second pressure sensor 216 is contacted with the communication air bag 215, and the pressure value detected by the second pressure sensor 216 is increased under the condition that the volume of the communication air bag 215 is continuously increased, so that the change of the detection shaft bracket 23 can be judged through the change of the pressure value.
The invention also provides a design that the detecting shaft frames 23 are arranged in the first barrel cabin 21 at equal intervals, the more the detecting shaft frames 23 are in contact with the artery simulation structure 5, the more accurate the detected stretching changes of different positions of the outer wall of the artery simulation structure 5 are, and in consideration of the possibility that adjacent detecting shaft frames 23 interfere in the rotating process, the upper end face of the end part of the detecting shaft frame 23 is provided with a placing groove 217, and the placing groove 217 is used for placing the adjacent detecting shaft frames 23 close to one end of the connecting shaft 26.
When the detection shaft frame 23 is recovered into the mounting groove 25, the structure such as the connection groove seat 211 on the connection shaft 26 side does not cause a stop to the detection shaft frame 23, and the structure such as the connection groove seat 211 and the connection shaft 26 gradually correspond to the placement groove 217.
In addition, the first pressure sensor 24 is attached to the outer wall of the artery simulation structure 5 in the present invention, so that the pressure changes at different positions of the outer wall of the artery simulation structure 5 can be monitored in real time, and the closest side wall of the artery simulation structure 5 to which the balloon 11 is filled can be determined at the first time, so that it can be explained that the pressure changes of a certain part of the side wall in the artery simulation structure 5 cannot be directly determined that the balloon 11 is completely blocked.
The artery simulation structure 5 is manufactured by adopting 24 years old healthy male young MR images, extracting 3-dimensional data of the structures from the arch to the femoral artery and partial branches, measuring the diameter of each 5CM, and manufacturing a simulated arterial vessel by adopting a material with physical properties similar to those of the arterial vessel.
The artery simulation structure 5 includes an abdominal artery vessel 51, an iliac artery vessel 52, and a branch artery 53 connected to the abdominal artery vessel 51 and the iliac artery vessel 52, the iliac artery vessel 52 is connected to an end of the abdominal artery vessel 51, and the balloon inlet 8 is provided on the branch artery 53.
The balloon inlet 8 is also a puncture point in the practical application process, part of the branch arteries 53 are distributed on the abdominal artery blood vessel 51 and distributed in a scattered manner, in order to avoid compressing the corresponding branch arteries 53, the position of the corresponding branch arteries 53 is not compressed and fixed, correspondingly, the filling position of the balloon 8 is far away from the branch arteries 53, and the corresponding positions are not provided with the first barrel cabin 21 and the second barrel cabin 22.
In order to detect the blocking condition of the balloon 11, the invention also provides a blocking test structure 3, wherein the blocking test structure 3 comprises an air pump 31 arranged at the end part of the abdominal artery blood vessel 51 and a gas detector 32 arranged on the branch artery 53, and sealing plugs 12 are arranged at the end parts of other branch arteries 53 except the branch artery 53 on which the balloon inlet 8 is arranged.
The air pump 31 is used for conveying air into the abdominal artery 51, the iliac artery 52 and the branch artery 53, the air simulates blood, the air detector 32 is arranged at the branch artery 53 to detect the air circulation condition, the branch artery 53 at other positions is sealed through the sealing plug 12, the balloon 11 is supposed to be in an ideal filling state, at this time, the conveyed air can not be detected at the air detector 32, and the artery simulation structure 5 is in an overfilling state under the condition that the balloon 11 is still filled continuously.
In the present invention, the first pressure sensor 24 near the balloon inlet 8 is located 20cm from the balloon inlet 8, that is, a position 20cm from the puncture point may start as a position where the balloon 11 is inflated.
The length of the balloon 11 is typically 2cm, the distance between the first and second chambers 21, 22 is 5mm, and the widths of the first and second chambers 21, 22 in the direction of the arterial simulation structure 5 preferably do not exceed 1.5cm, so that the balloon 11 in the arterial simulation structure 5 can be located inside the first and second chambers 21, 22 at the same time, facilitating a comprehensive detection of the arterial simulation structure 5 at the corresponding location.
The gland structure 6 is used for limiting the artery simulation structure 5, as shown in fig. 2, the gland structure 6 comprises a limiting gland 61 arranged on the support 4 and a limiting arc cabin 62 arranged in the limiting gland 61, the support 4 is provided with a limiting plate 63, the artery simulation structure 5 is arranged between the limiting plate 63 and the limiting arc cabin 62, and a gap exists between the limiting plate 63 and the limiting arc cabin 62.
In the invention, a limiting cavity 7 is formed between the limiting plate 63 and the limiting arc cabin 62, the inner wall of the limiting cavity 7 is not contacted with the artery simulation structure 5, in addition, the second barrel cabin 22 is completely sleeved outside the artery simulation structure 5, that is, the gland structure 6 and the bracket 4 play a limiting role, and the second barrel cabin 22 plays a fixing role.
In the invention, the first pressure sensor 24 is used for monitoring the pressure data of the outer wall of the artery simulation structure 5 in real time, the pressure value monitored by the second pressure sensor 216 is used for reflecting the expansion and contraction of the outer wall of the artery simulation structure 5, the first pressure sensor 24 and the second pressure sensor 216 are connected with the controller 13, a wireless transmission module is arranged in the controller 13 and is in communication connection with an upper computer, the gas detector 32 is connected with the controller 13, and the wireless transmission module is used for transmitting the pressure data and the gas circulation data to the upper computer.
When the pressure value changes are monitored by a certain first pressure sensor 24, the gas detector 32 can also monitor the pressure change of a certain inner wall of the arterial analog structure 5 to indicate that the balloon 11 cannot completely block blood, and when the pressure value changes are monitored by the second pressure sensor 216, the gas detector 32 cannot monitor the gas circulation to indicate that the whole telescopic action of the arterial analog structure 5 can accurately determine whether the arterial analog structure 5 is completely filled.
In the invention, whether the balloon 11 blocks blood is mainly judged by the gas detector 32, and the change of the outer wall pressure value, the uniformity of pressure and the expansion and contraction condition of the outer wall of the artery simulation structure 5 in the corresponding state are further judged by the pressure value change of the first pressure sensor 24 and the second pressure sensor 216 in the ideal filling state and the overfilling state, so that the change and the result in the filling process of the balloon 11 are more comprehensively judged.
In summary, the main implementation process of the invention is as follows:
Fixing the abdominal artery vessel 51, the iliac artery vessel 52 and the branch artery 53;
the air pump 31 is used for conveying air into the abdominal artery 51, the iliac artery 52 and the branch artery 53, the air simulates blood, and the air detector 32 is arranged at the branch artery 53 to detect the air circulation condition;
puncturing and placing the balloon 11 into a blood vessel, and inflating the balloon 11 to gradually expand the balloon 11;
The first pressure sensor 24 is attached to the outer wall of the artery simulation structure 5 and monitors the pressure changes of different positions of the outer wall of the artery simulation structure 5 in real time;
under the condition that the outer wall of the artery simulation structure 5 stretches out and draws back, the detection shaft bracket 23 at the corresponding position can support and drive the detection shaft bracket 23 to move outwards, drive the detection shaft bracket 23 to rotate, drive the connecting shaft 26 to rotate, the arc plate 29 to rotate, the inclined surface 210 and the arc plate 29 gradually squeeze the squeeze air bag 214 in the process of rotating the arc plate 29, gas in the squeeze air bag 214 is squeezed into the communicating air bag 215 through the penetrating groove 213, the gas pressure in the communicating air bag 215 is increased, so that the whole volume of the communicating air bag 215 is increased, the second pressure sensor 216 is contacted with the communicating air bag 215, and under the condition that the volume of the communicating air bag 215 is increased continuously, the pressure value detected by the second pressure sensor 216 is increased, so that the rotation of the detection shaft bracket 23 can be judged through the pressure value change, and the stretching of the corresponding position of the artery simulation structure 5 is judged;
The first pressure sensor 24 and the second pressure sensor 216 are connected with a controller 13, a wireless transmission module is arranged in the controller 13, and the wireless transmission module transmits pressure data and gas circulation data to an upper computer;
The gas detector 32 is used for judging whether the balloon 11 blocks blood, the gas detector 32 can not just detect the conveyed gas, the balloon 11 is in an ideal filling state, and the pressure value change of the first pressure sensor 24 and the second pressure sensor 216 is used for further judging whether the pressure value change of the outer wall, the pressure uniformity and the expansion and contraction condition of the outer wall of the artery simulation structure 5 in the ideal filling state;
in the case that the balloon 11 is still continuously inflated, the arterial simulation structure 5 is in an overfill state, and the pressure value change of the first pressure sensor 24 and the second pressure sensor 216 in the overfill state further judges whether the outer wall pressure value change, the pressure applied uniformly and the expansion and contraction condition of the outer wall of the arterial simulation structure 5 in the corresponding state.
The change and result in the filling process of the balloon 11 can be more comprehensively judged through the continuous condition of the gas circulation condition and the outer wall pressure value change, whether the pressure is uniform or not and the expansion and contraction condition of the outer wall corresponding to the artery simulation structure 5, for example, the first detection condition is that the gas detector 32 detects that the balloon 11 just can block the gas and keeps the balloon 11 in the state not to be filled any more, the leakage condition occurs in the long-time condition, the second detection condition is that the gas detector 32 detects that the balloon 11 just can block the gas, then the balloon 11 continues to be filled to a certain volume and keeps the overfilling state, no leakage occurs in a period of time, and the corresponding value capable of always keeping the blood blocking state can be further judged based on the outer wall pressure value change, whether the pressure is uniform or not and the expansion and contraction condition of the outer wall of the artery simulation structure 5 in the first detection condition and the second detection condition.
That is, according to the combination analysis of the plurality of data of the gas circulation condition, the change of the outer wall pressure value of the artery simulation structure 5, whether the pressure is uniform or not, and the expansion and contraction condition of the outer wall, the filling state of the balloon 11 can be adjusted so that the inside of the artery simulation structure 5 is always in the blood blocking state.
The above embodiments are only exemplary embodiments of the present application and are not intended to limit the present application, the scope of which is defined by the claims. Various modifications and equivalent arrangements of this application will occur to those skilled in the art, and are intended to be within the spirit and scope of the application.
Claims (10)
1. An all-round monitoring type simulation system for aortic balloon occlusion training, comprising:
The device comprises a human-shaped shell (1), wherein a support (4) is arranged in the human-shaped shell, an artery simulation structure (5) is arranged on the support (4), at least two gland structures (6) are arranged on the artery simulation structure (5), a limiting cavity (7) is formed between the gland structures (6) and the artery simulation structure (5), the artery simulation structure (5) is fixed in the limiting cavity (7), and a balloon inlet (8) is formed in the artery simulation structure (5);
filling detection device (2), it possesses first section of thick bamboo cabin (21) and second section of thick bamboo cabin (22), be provided with between gland structure (6) and detect section (9), a plurality of first section of thick bamboo cabin (21) with second section of thick bamboo cabin (22) distribute in proper order in detect section (9), and all cover and establish outside arterial analog structure (5), detection pedestal (23) are installed to first section of thick bamboo cabin (21) inner circumference side equidistant, detection pedestal (23) tip with arterial analog structure (5) contact;
A blocking test structure (3) which is arranged at the end part of the artery simulation structure (5), wherein a ventilation channel (10) is formed in the artery simulation structure (5), a balloon (11) is arranged in the ventilation channel (10), and the blocking test structure (3) quantitatively conveys gas from one end to the ventilation channel (10) and detects the gas circulation condition from the other end;
the inner peripheral side of the second barrel cabin (22) is provided with a plurality of first pressure sensors (24), and the end part of the detection shaft bracket (23) expands outwards along with the expansion action of the outer wall of the artery simulation structure (5).
2. The omnidirectionally monitored aortic balloon occlusion training simulation system according to claim 1, wherein the filling detection device (2) comprises a mounting groove (25) arranged in the first barrel compartment (21), a connecting shaft (26) arranged at the end part of the detection shaft bracket (23) and a side groove (27) arranged in the mounting groove (25);
The first barrel cabin (21) and the second barrel cabin (22) are fixedly mounted on the support (4), the detection shaft frame (23) is arc-shaped, the detection shaft frame (23) is rotatably arranged in the mounting groove (25) through the connecting shaft (26), the end part of the connecting shaft (26) is rotatably arranged inside the side groove (27), a torsion spring (28) is arranged in the side groove (27), one end of the torsion spring (28) is connected to the connecting shaft (26), and the other end of the torsion spring is connected to the inner bottom of the side groove (27).
3. The simulation system for the omnibearing monitoring type aortic balloon occlusion training according to claim 2, wherein an arc plate (29) is arranged outside the connecting shaft (26), the outer end surface of the arc plate (29) is connected with the outer wall of the connecting shaft (26) through an inclined surface (210), a connecting groove seat (211) is arranged in the mounting groove (25), a fitting arc groove (212) is arranged on the end surface, close to the arc plate (29), of the connecting groove seat (211), and the arc plate (29) is slidably arranged in the fitting arc groove (212).
4. The simulation system for the full-scope monitoring type aortic balloon occlusion training according to claim 3, wherein a through groove (213) is arranged in the connecting groove seat (211), one end of the through groove (213) is connected with an extrusion air bag (214), the extrusion air bag (214) is arranged in the fitting arc groove (212), and the other end of the through groove (213) is provided with a communication air bag (215);
The connecting groove seat (211) is internally provided with a second pressure sensor (216), the communicating air bag (215) is arranged in the connecting groove seat (211), the second pressure sensor (216) is in contact with the communicating air bag (215), and the communicating air bag (215), the extruding air bag (214) and the penetrating groove (213) are mutually communicated.
5. The simulation system for the full-scope monitoring type aortic balloon occlusion training according to claim 4, wherein a placement groove (217) is formed in the upper end face of the end portion of the detection shaft bracket (23), and the placement groove (217) is used for placing the adjacent detection shaft bracket (23) close to one end of the connecting shaft (26).
6. The omnidirectionally monitored aortic balloon occlusion training simulation system of claim 5, wherein the arterial simulation structure (5) comprises an abdominal arterial vessel (51), an iliac arterial vessel (52) and a branch artery (53) connected to the abdominal arterial vessel (51), the iliac arterial vessel (52);
The iliac artery (52) is connected to the end of the abdominal artery (51) and the balloon inlet (8) is arranged on the branch artery (53).
7. The omnidirectionally monitored aortic balloon occlusion training simulation system of claim 6, wherein the occlusion test structure (3) comprises an aspiration pump (31) arranged at the end of the abdominal artery vessel (51), a gas detector (32) arranged on the branch artery (53);
The ends of the branch arteries (53) except the branch arteries (53) on which the balloon inlet (8) is arranged are provided with sealing plugs (12).
8. The omnidirectionally monitored aortic balloon occlusion training simulation system of claim 7, wherein the first pressure sensor (24) near the balloon inlet (8) is 20cm from the balloon inlet (8);
The distance between the first cylinder cabin (21) and the second cylinder cabin (22) is 5mm.
9. The omnidirectionally monitored aortic balloon occlusion training simulation system of claim 8, wherein the gland structure (6) comprises a limit gland (61) mounted on the bracket (4), a limit arc cabin (62) arranged in the limit gland (61);
be provided with limiting plate (63) on support (4), arterial analog structure (5) set up limiting plate (63) with between spacing arc cabin (62), just limiting plate (63) with there is the clearance between spacing arc cabin (62).
10. The simulation system for the full-scope monitoring type aortic balloon occlusion training of claim 9, wherein the first pressure sensor (24) and the second pressure sensor (216) are connected with a controller (13), a wireless transmission module is arranged in the controller (13), and the wireless transmission module is connected with an upper computer in a communication way;
the gas detector (32) is connected with the controller (13), and the wireless transmission module transmits pressure data and gas circulation data to the upper computer.
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| CN215007028U (en) * | 2021-05-12 | 2021-12-03 | 北京大学第三医院（北京大学第三临床医学院） | Abdominal aorta sacculus blocks exercise model |
| CN217723595U (en) * | 2022-04-15 | 2022-11-04 | 广东海思卡尔医疗科技有限公司 | Aortic blood vessel blocking balloon catheter for controlling traumatic bleeding |
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| WO1998010387A2 (en) * | 1996-09-04 | 1998-03-12 | Ht Medical Systems, Inc. | Interventional radiology interface apparatus and method |
| EP2560722A2 (en) * | 2010-04-21 | 2013-02-27 | The Regents of the University of Michigan | Fluoroscopy-independent, endovascular aortic occlusion system |
| CN203564640U (en) * | 2013-10-24 | 2014-04-30 | 四川大学华西医院 | Catheter |
| US11074833B2 (en) * | 2016-01-11 | 2021-07-27 | The Regents Of The University Of California | Systems and methods for simulating hemodynamically responsive vasculatures |
| JP6932969B2 (en) * | 2017-03-31 | 2021-09-08 | 日本ゼオン株式会社 | Drive device for balloon catheter for IABP |
| CN112827057B (en) * | 2020-12-31 | 2023-04-14 | 先健科技(深圳)有限公司 | balloon catheter |
| CN113456148A (en) * | 2021-06-07 | 2021-10-01 | 王雪飞 | Hepatic portal blocking belt under laparoscope |
| CN115721278B (en) * | 2022-12-07 | 2024-10-15 | 中国人民解放军总医院第一医学中心 | Sacculus inflation pipe with pressure monitoring function |
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| Publication number | Priority date | Publication date | Assignee | Title |
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| CN215007028U (en) * | 2021-05-12 | 2021-12-03 | 北京大学第三医院（北京大学第三临床医学院） | Abdominal aorta sacculus blocks exercise model |
| CN217723595U (en) * | 2022-04-15 | 2022-11-04 | 广东海思卡尔医疗科技有限公司 | Aortic blood vessel blocking balloon catheter for controlling traumatic bleeding |
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Inventor after: Liu Fengyong Inventor after: Tian Xiaomei Inventor after: Yu Ming Inventor before: Liu Fengyong Inventor before: Tian Xiaomei Inventor before: Yu Ming Inventor before: Li Xinze |